4SX-27798-53186
2 vaccinations
7 coded responses
24 check-ins
7 free-text entries
1 call case
- Sex
- Female
- Age at first dose
- 36-40
- ZIP prefix
- 787 / TX
- Registered
- 2021-01-30
- Relationship
- Self
- Race
- White
- Ethnicity
- Hispanic or Latino
Timeline
-
2021-01-30
Registered in v-safe
-
2021-01-30
Dose 1 — Moderna
-
2021-01-31
Survey response — days 1–6 daily, dose 1MedDRA: Dizziness, Nausea, Pregnancy, Vomiting — Feeling: Fair · Site: Pain · Be unable to do your normal daily activitiesFree text: I am pregnant so vomiting and nausea and dizziness I imagine are because of the pregnancy.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-01-31
Report sent to call center — days 1–6 daily, dose 1Be unable to do your normal daily activities1 call case(s)
-
2021-02-01
Health check-in — days 1–6 daily, dose 1Feeling: Fair · Site: Pain · Fatigue or tirednessAdult check-in
-
2021-02-02
Survey response — days 1–6 daily, dose 1MedDRA: Hypoaesthesia — Feeling: Fair · Site: PainFree text: Numbness in chest area but opposite of vaccineMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-02-03
Survey response — days 1–6 daily, dose 1MedDRA: Hypoaesthesia — Feeling: Fair · Site: PainFree text: Numb skin on right chest opposite of injection areaMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-02-04
Survey response — days 1–6 daily, dose 1MedDRA: Hypoaesthesia — Feeling: GoodFree text: Less numbing on right chest skinMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-02-05
Survey response — days 1–6 daily, dose 1MedDRA: Hypoaesthesia — Feeling: GoodFree text: Skin numbnessMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-02-06
Survey response — day 7, dose 1MedDRA: Hypoaesthesia — Feeling: GoodFree text: Numb skin on right side of chestMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-02-13
- 2021-02-20
- 2021-02-27
-
2021-03-01
Dose 2 — Moderna
- 2021-03-01
-
2021-03-02
Survey response — days 1–6 daily, dose 2MedDRA: Erythema, Hypoaesthesia, Muscle rupture — Feeling: Poor · Site: Pain · Fever · Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activitiesFree text: Numb skin in red got chest areaMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-03-03
- 2021-03-04
- 2021-03-05
- 2021-03-07
- 2021-03-08
- 2021-03-15
- 2021-03-22
- 2021-03-29
- 2021-04-05
- 2021-04-12
- 2021-06-02
- 2021-08-30
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-01-30 | Moderna | |
| 2 | 2021-03-01 | Moderna |
Call center
| Reported | Outcome | VAERS-related outcome |
|---|---|---|
| 2021-01-31 | priority 2/3 |
Free text
Release 3 — days 1–6 daily, dose 1
Systemic reaction (other): I am pregnant so vomiting and nausea and dizziness I imagine are because of the pregnancy.
Systemic reaction (other): Numbness in chest area but opposite of vaccine
Systemic reaction (other): Numb skin on right chest opposite of injection area
Systemic reaction (other): Less numbing on right chest skin
Systemic reaction (other): Skin numbness
Release 3 — day 7, dose 1
Systemic reaction (other): Numb skin on right side of chest
Release 4 — days 1–6 daily, dose 2
Systemic reaction (other): Numb skin in red got chest area
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 |
|---|---|---|---|---|
| SRO | Dizziness | ✓ | ✓ | ✓ |
| SRO | Erythema | ✓ | ✓ | ✓ |
| SRO | Hypoaesthesia | ✓ | ✓ | ✓ |
| SRO | Muscle rupture | ✓ | ✓ | ✓ |
| SRO | Nausea | ○ | ✓ | ○ |
| SRO | Pregnancy | ✓ | ✓ | ✓ |
| SRO | Vomiting | ○ | ✓ | ○ |
✓ active code · ○ coded but marked inactive · blank = not in that release