4MN-31150-95314
3 vaccinations
5 coded responses
20 check-ins
5 free-text entries
1 call case
- Sex
- Female
- Age at first dose
- 41-45
- ZIP prefix
- 928 / CA
- Registered
- 2021-01-21
- Relationship
- Self
- Race
- American Indian or Alaska Native
- Ethnicity
- Hispanic or Latino
Timeline
-
2021-01-19
Dose 1 — Moderna
-
2021-01-21
Registered in v-safe
-
2021-01-21
Survey response — days 1–6 daily, dose 1MedDRA: Oral discomfort, Paraesthesia oral — Feeling: Fair · Site: Pain · Headache, Muscle or body aches, Nausea, Abdominal painFree text: Since the day of the shot, random burning and tingling around my mouth and lipsMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-01-23
- 2021-01-24
-
2021-01-25
Health check-in — days 1–6 daily, dose 1Feeling: Fair · Headache, Muscle or body aches, Fatigue or tirednessAdult check-in
- 2021-02-02
-
2021-02-09
Survey response — day 21, dose 1MedDRA: Electric shock sensation, Paraesthesia — Feeling: GoodFree text: I keep randomly getting little tingly tiny electric feeling bursts on my skin or under it every once in a while ever since the day of my 1st shot. It's happening less frequently now. I'd say maybe 2 times a week. For a while it was every day.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-02-17
Dose 2 — Moderna
-
2021-02-17
Health check-in — day 0, dose 2Feeling: Good · Site: Pain · Fever · Fatigue or tirednessAdult check-in
-
2021-02-18
Survey response — days 1–6 daily, dose 2MedDRA: Feeling of body temperature change, Lymph node pain, Pain, Skin temperature — Feeling: Poor · Site: Pain, Swelling · Fever · Chills, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea, Abdominal pain · Be unable to do your normal daily activitiesFree text: My skin (temp changes) and lymph glands hurt too when I move. .MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-02-19
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Site: Pain · Joint pains, Muscle or body aches, Fatigue or tiredness, NauseaAdult check-in
-
2021-02-20
Health check-in — days 1–6 daily, dose 2Feeling: Good · Site: Itching · Muscle or body aches, NauseaAdult check-in
- 2021-02-21
- 2021-02-22
- 2021-02-23
- 2021-02-26
- 2021-03-04
-
2021-03-10
Survey response — day 21, dose 2MedDRA: Sinus disorder — Feeling: GoodFree text: Sinus issuesMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-03-18
- 2021-03-24
- 2021-04-02
-
2021-08-18
Survey response — 6 months, dose 2MedDRA: Depression, Nasopharyngitis — Feeling: Fair · Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultation, Outpatient clinic or urgent care clinic visitFree text: Depression, head cold symptomsMedDRA releases: 2021-09,2024-11 · check-in free text available
-
2021-08-18
Report sent to call center — 6 months, dose 2Get care from a doctor or other healthcare professional1 call case(s)
-
2021-11-24
Dose 3 — Moderna
-
2021-12-03
Call successfulParticipant prefers to complete VAERS report online
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-01-19 | Moderna | |
| 2 | 2021-02-17 | Moderna | |
| 3 | 2021-11-24 | Moderna | No |
Call center
1 call center case
1 successful
Free text
Release 2 — days 1–6 daily, dose 1
Systemic reaction (other): Since the day of the shot, random burning and tingling around my mouth and lips
Release 3 — day 21, dose 1
Symptoms: I keep randomly getting little tingly tiny electric feeling bursts on my skin or under it every once in a while ever since the day of my 1st shot. It's happening less frequently now. I'd say maybe 2 times a week. For a while it was every day.
Release 4 — days 1–6 daily, dose 2
Systemic reaction (other): My skin (temp changes) and lymph glands hurt too when I move. .
Release 5 — day 21, dose 2
Symptoms: Sinus issues
Release 9 — 6 months, dose 2
Symptoms: Depression, head cold symptoms
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 |
|---|---|---|---|---|
| SD | Depression | ✓ | · | ✓ |
| SD | Electric shock sensation | ✓ | ✓ | ✓ |
| SD | Nasopharyngitis | ✓ | · | ✓ |
| SD | Paraesthesia | ✓ | ✓ | ✓ |
| SD | Sinus disorder | ✓ | ✓ | ✓ |
| SRO | Feeling of body temperature change | ✓ | · | ✓ |
| SRO | Lymph node pain | ✓ | ✓ | ✓ |
| SRO | Oral discomfort | ✓ | ✓ | ✓ |
| SRO | Pain | ✓ | ✓ | ✓ |
| SRO | Paraesthesia oral | ✓ | ✓ | ✓ |
| SRO | Skin temperature | ○ | ✓ | ○ |
✓ active code · ○ coded but marked inactive · blank = not in that release