3BD-92542-76787
4 vaccinations
17 coded responses
49 check-ins
17 free-text entries
1 call case
- Sex
- Female
- Age at first dose
- 51-55
- ZIP prefix
- 078 / NJ
- Registered
- 2021-02-26
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-02-26
Registered in v-safe
-
2021-02-26
Dose 1 — Moderna
- 2021-02-26
-
2021-02-27
Survey response — days 1–6 daily, dose 1MedDRA: Hypersensitivity, Paraesthesia oral, Pre-existing disease — Feeling: Fair · Site: Pain · Chills, Muscle or body aches, Fatigue or tirednessFree text: I'm getting worse side effects of my food allergies- yesterday and today. Tingling tongue, lips, mouthMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-02-28
Survey response — days 1–6 daily, dose 1MedDRA: Pain in extremity — Feeling: FairFree text: Back of left leg mild painMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-03-01
Survey response — days 1–6 daily, dose 1MedDRA: Arthralgia — Feeling: FairFree text: Left leg behind knee pain mildMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-03-02
-
2021-03-03
Survey response — days 1–6 daily, dose 1MedDRA: Hypoaesthesia, Pre-existing disease — Feeling: GoodFree text: Mild - Left side face numb. But sometimes I get this. It's been a while since I have though, and usually accompanies a migraineMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-03-04
-
2021-03-05
Survey response — day 7, dose 1MedDRA: Hypoaesthesia — Feeling: GoodFree text: Mild left side face numbnessMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-03-12
- 2021-03-19
-
2021-03-26
Dose 2 — Moderna
-
2021-03-26
Survey response — day 0, dose 2MedDRA: Immediate post-injection reaction, Increased upper airway secretion — Feeling: FairFree text: Throat extremely clogged 20 minutes after vaccineMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-03-27
Survey response — days 1–6 daily, dose 2MedDRA: Dysgeusia, Immediate post-injection reaction, Pharyngeal hypoaesthesia — Feeling: Poor · Site: Pain · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activitiesFree text: 20 minutes after shot, my throat was NUMB. Last night I had a metallic taste in my mouthMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-03-28
Health check-in — days 1–6 daily, dose 2Feeling: Poor · Site: Pain · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activitiesAdult check-in
-
2021-03-29
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Site: Pain · Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activitiesAdult check-in
-
2021-03-30
Survey response — days 1–6 daily, dose 2MedDRA: Rhinorrhoea — Feeling: Good · Muscle or body achesFree text: Runny noseMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-03-31
- 2021-04-02
-
2021-04-09
Survey response — day 14, dose 2MedDRA: Chest discomfort — Feeling: GoodFree text: I forgot to mention a symptom I've had since the vaccine. I get a strange sensation in my chest that lasts for a moment.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-04-16
- 2021-04-23
- 2021-04-30
- 2021-05-07
- 2021-06-25
- 2021-09-25
-
2021-11-03
Dose 3 — Moderna
-
2021-11-04
Health check-in — days 1–6 daily, dose 3Feeling: Fair · Site: Pain · Muscle or body aches, Fatigue or tirednessAdult check-in
-
2021-11-05
Health check-in — days 1–6 daily, dose 3Feeling: Good · Site: Pain · Muscle or body achesAdult check-in
- 2021-11-06
- 2021-11-07
-
2021-11-08
Survey response — days 1–6 daily, dose 3MedDRA: Heart rate increased, Muscle spasms — Feeling: Poor · Fatigue or tiredness · Be unable to do your normal daily activitiesFree text: Chest cramps. High heart rate during cardiovascular exerciseMedDRA releases: 2024-11 · check-in free text available
-
2021-11-11
Survey response — day 7, dose 3MedDRA: Chest discomfort — Feeling: FairFree text: Unusual middle of the chest crampsMedDRA releases: 2024-11 · check-in free text available
- 2021-11-17
-
2021-11-24
Survey response — day 21, dose 3MedDRA: Office visit, Pre-existing disease, Raynaud's phenomenon — Feeling: Poor · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professionalFree text: Symptoms: Worsening of my Raynaud's disease · Healthcare visit (other): Doctors' visitsMedDRA releases: 2024-11 · check-in free text available
-
2021-11-24
Report sent to call center — day 21, dose 3Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional1 call case(s)
-
2021-12-01
Survey response — day 28, dose 3MedDRA: Pre-existing disease, Raynaud's phenomenon — Feeling: Fair · Be unable to do your normal daily activitiesFree text: Continued Raynaud's flare. This winter and last winter have been the worst for it.MedDRA releases: 2024-11 · check-in free text available
- 2021-12-08
- 2021-12-15
-
2022-01-14
Call successfulParticipant prefers to complete VAERS report online
- 2022-02-02
- 2022-05-04
-
2022-05-14
Dose 4 — Moderna
-
2022-05-17
Survey response — days 1–6 daily, dose 4MedDRA: Dysgeusia, Paraesthesia oral, Pharyngeal paraesthesia — Feeling: Fair · Site: Pain · Fever · ChillsFree text: METALLIC TASTE. TINGLING TONGUE, LIPS, THROATMedDRA releases: 2024-11 · check-in free text available
-
2022-05-18
Survey response — days 1–6 daily, dose 4MedDRA: Feeling of body temperature change — Feeling: Good · Fever · ChillsFree text: Feel hot/coldMedDRA releases: 2024-11 · check-in free text available
- 2022-05-19
- 2022-05-20
-
2022-05-21
Survey response — day 7, dose 4MedDRA: Chills, Feeling hot — Feeling: Good · ChillsFree text: Since getting the booster, I've been feeling either very hot or chilled.MedDRA releases: 2024-11 · check-in free text available
-
2022-05-28
Survey response — day 14, dose 4MedDRA: Brain fog — Feeling: GoodFree text: Brain fog for awhile. I didn't note this down after my booster, because I wasn't sure it's related.MedDRA releases: 2024-11 · check-in free text available
- 2022-06-07
- 2022-06-13
- 2022-06-18
- 2022-06-25
- 2022-08-13
- 2022-11-12
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-02-26 | Moderna | |
| 2 | 2021-03-26 | Moderna | |
| 3 | 2021-11-03 | Moderna | No |
| 4 | 2022-05-14 | Moderna | No |
Call center
1 call center case
1 successful
Free text
Release 4 — days 1–6 daily, dose 1
Systemic reaction (other): I'm getting worse side effects of my food allergies- yesterday and today. Tingling tongue, lips, mouth
Systemic reaction (other): Back of left leg mild pain
Systemic reaction (other): Left leg behind knee pain mild
Release 5 — days 1–6 daily, dose 1
Systemic reaction (other): Mild - Left side face numb. But sometimes I get this. It's been a while since I have though, and usually accompanies a migraine
Release 5 — day 7, dose 1
Systemic reaction (other): Mild left side face numbness
Release 6 — day 0, dose 2
Systemic reaction (other): Throat extremely clogged 20 minutes after vaccine
Release 6 — days 1–6 daily, dose 2
Systemic reaction (other): 20 minutes after shot, my throat was NUMB. Last night I had a metallic taste in my mouth
Systemic reaction (other): Runny nose
Release 7 — day 14, dose 2
Symptoms: I forgot to mention a symptom I've had since the vaccine. I get a strange sensation in my chest that lasts for a moment.
Release 10 — days 1–6 daily, dose 3
Systemic reaction (other): Chest cramps. High heart rate during cardiovascular exercise
Release 10 — day 7, dose 3
Systemic reaction (other): Unusual middle of the chest cramps
Release 10 — day 21, dose 3
Release 10 — day 28, dose 3
Symptoms: Continued Raynaud's flare. This winter and last winter have been the worst for it.
Release 11 — days 1–6 daily, dose 4
Systemic reaction (other): METALLIC TASTE. TINGLING TONGUE, LIPS, THROAT
Systemic reaction (other): Feel hot/cold
Release 11 — day 7, dose 4
Systemic reaction (other): Since getting the booster, I've been feeling either very hot or chilled.
Release 11 — day 14, dose 4
Symptoms: Brain fog for awhile. I didn't note this down after my booster, because I wasn't sure it's related.
Each entry is dated by the survey it was written in (the CDC re-sent the releases with survey dates in 2025); click a date to see that survey response. The CDC cut some text off at about 250 characters: symptoms in every release, and the other two fields in releases 9-12. Those entries are marked "cut off by CDC".
MedDRA terms by release
| Field | Preferred term | 2021-09 | 2023-04 | 2024-11 |
|---|---|---|---|---|
| HCVO | Office visit | · | · | ✓ |
| SD | Brain fog | · | · | ✓ |
| SD | Chest discomfort | ✓ | ✓ | ✓ |
| SD | Pre-existing disease | · | · | ✓ |
| SD | Raynaud's phenomenon | · | · | ✓ |
| SRO | Arthralgia | ✓ | ✓ | ✓ |
| SRO | Chest discomfort | · | · | ✓ |
| SRO | Chills | · | · | ✓ |
| SRO | Dysgeusia | ✓ | ✓ | ✓ |
| SRO | Feeling hot | · | · | ✓ |
| SRO | Feeling of body temperature change | · | · | ✓ |
| SRO | Heart rate increased | · | · | ✓ |
| SRO | Hypersensitivity | ✓ | ✓ | ✓ |
| SRO | Hypoaesthesia | ✓ | ✓ | ✓ |
| SRO | Immediate post-injection reaction | ✓ | ✓ | ✓ |
| SRO | Increased upper airway secretion | ✓ | ✓ | ✓ |
| SRO | Muscle spasms | · | · | ✓ |
| SRO | Pain in extremity | ✓ | ✓ | ✓ |
| SRO | Paraesthesia oral | ✓ | ✓ | ✓ |
| SRO | Pharyngeal hypoaesthesia | ✓ | ✓ | ✓ |
| SRO | Pharyngeal paraesthesia | · | · | ✓ |
| SRO | Pre-existing disease | ✓ | ✓ | ✓ |
| SRO | Rhinorrhoea | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release