3QY-18365-36917
2 vaccinations
5 coded responses
20 check-ins
5 free-text entries
2 call cases
- Sex
- Female
- Age at first dose
- 26-30
- ZIP prefix
- 863 / AZ
- Registered
- 2021-01-29
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
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2021-01-22
Dose 1 — Moderna
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2021-01-29
Registered in v-safe
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2021-01-29
Health check-in — day 7, dose 1Feeling: Fair · Site: Redness, Swelling, Itching · NoneAdult check-in
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2021-02-05
Survey response — day 14, dose 1MedDRA: Chillblains, Injection site swelling — Feeling: GoodFree text: Chilblains on 3/4 right hand fingers. Been consistently there for about 5 days now (almost same time as new swelling at injection site 1 week after vaccination)MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-02-12
Survey response — day 21, dose 1MedDRA: Chillblains, Telemedicine — Feeling: Fair · Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultationFree text: Symptoms: Chilblains on right hand fingers still, have been worse. Seeing a doctor soon. · Healthcare visit (other): Teladoc, they told me to see my doctorMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-02-12
Report sent to call center — day 21, dose 1Get care from a doctor or other healthcare professional1 call case(s)
- 2021-02-19
- 2021-02-26
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2021-03-04
Dose 2 — Moderna
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2021-03-04
Survey response — day 0, dose 2MedDRA: Dizziness, Nausea — Feeling: Poor · Site: Pain, Swelling · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to work, Be unable to do your normal daily activitiesFree text: Lightheadedness at same time as nauseaMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-03-05
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Site: Pain, Swelling · Fever · Headache, Muscle or body aches, Fatigue or tiredness · Be unable to work, Be unable to do your normal daily activitiesAdult check-in
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2021-03-06
Health check-in — days 1–6 daily, dose 2Feeling: Good · Site: Pain, Swelling · Fever · Headache, Fatigue or tirednessAdult check-in
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2021-03-07
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Headache, Fatigue or tirednessAdult check-in
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2021-03-08
Survey response — days 1–6 daily, dose 2MedDRA: Migraine — Feeling: Fair · Headache · Be unable to do your normal daily activitiesFree text: MigraineMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-03-09
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Headache, Fatigue or tirednessAdult check-in
- 2021-03-10
- 2021-03-11
- 2021-03-18
- 2021-03-25
- 2021-04-03
- 2021-04-08
- 2021-04-15
- 2021-06-03
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2021-08-03
Call successfulCompleted over the phone
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2021-09-02
Survey response — 6 months, dose 2MedDRA: Injection site hypoaesthesia, Injection site paraesthesia — Feeling: Fair · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visitFree text: Localized tingling/numbness on left arm, around same area where I was vaccinated. Seeing doctor today. Symptom has persisted for at least 4 days.MedDRA releases: 2021-09,2024-11 · check-in free text available
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2021-09-02
Report sent to call center — 6 months, dose 2Get care from a doctor or other healthcare professional1 call case(s)
- 2021-09-08
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-01-22 | Moderna | |
| 2 | 2021-03-04 | Moderna |
Call center
2 call center cases
1 successful · 1 unsuccessful
VAERS report filed, before or during a call: 1
Free text
Release 3 — day 14, dose 1
Symptoms: Chilblains on 3/4 right hand fingers. Been consistently there for about 5 days now (almost same time as new swelling at injection site 1 week after vaccination)
Release 4 — day 21, dose 1
Symptoms: Chilblains on right hand fingers still, have been worse. Seeing a doctor soon.
Healthcare visit (other): Teladoc, they told me to see my doctor
Release 5 — day 0, dose 2
Systemic reaction (other): Lightheadedness at same time as nausea
Release 5 — days 1–6 daily, dose 2
Systemic reaction (other): Migraine
Release 9 — 6 months, dose 2
Symptoms: Localized tingling/numbness on left arm, around same area where I was vaccinated. Seeing doctor today. Symptom has persisted for at least 4 days.
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 | Telemedicine | ✓ | ✓ | ✓ |
| SD | Chillblains | ✓ | ✓ | ✓ |
| SD | Injection site hypoaesthesia | ✓ | · | ✓ |
| SD | Injection site paraesthesia | ✓ | · | ✓ |
| SD | Injection site swelling | ✓ | ✓ | ✓ |
| SRO | Dizziness | ✓ | ✓ | ✓ |
| SRO | Migraine | ✓ | ✓ | ✓ |
| SRO | Nausea | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release