5YD-23590-42070
3 vaccinations
7 coded responses
24 check-ins
7 free-text entries
2 call cases
- Sex
- Female
- Age at first dose
- 66+
- ZIP prefix
- 864 / AZ
- Registered
- 2021-03-14
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-03-12
Dose 1 — Moderna
-
2021-03-14
Registered in v-safe
-
2021-03-14
Survey response — days 1–6 daily, dose 1MedDRA: Hypersomnia — Feeling: Good · Site: Redness · Headache, Fatigue or tirednessFree text: Slept 16 hours after shot. Never sleep more then 7 hoursMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-03-15
- 2021-03-16
- 2021-03-17
- 2021-03-18
- 2021-03-19
- 2021-03-26
- 2021-04-02
-
2021-04-09
Dose 2 — Moderna
-
2021-04-09
Survey response — day 0, dose 2MedDRA: Hypoaesthesia — Feeling: Fair · Headache, Fatigue or tiredness · Be unable to do your normal daily activitiesFree text: Right side of face feel numb like Ive gotten a dental shotMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-04-10
Survey response — days 1–6 daily, dose 2MedDRA: Hypoaesthesia — Feeling: Poor · Site: Pain · Fever · Chills, Headache, Joint pains, Fatigue or tiredness, Abdominal pain · Be unable to do your normal daily activitiesFree text: Right side if face is numbMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-04-11
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Headache, Muscle or body aches, Fatigue or tirednessAdult check-in
-
2021-04-12
Survey response — days 1–6 daily, dose 2MedDRA: Hypoaesthesia — Feeling: Fair · Headache, Fatigue or tirednessFree text: Face still numb on right sideMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-04-13
Survey response — days 1–6 daily, dose 2MedDRA: Hypoaesthesia — Feeling: GoodFree text: Right side of face slightly numbMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-04-14
- 2021-04-15
- 2021-04-16
- 2021-04-23
- 2021-04-30
- 2021-05-07
- 2021-05-14
- 2021-05-21
-
2021-07-09
Survey response — 3 months, dose 2MedDRA: Breast pain, Unevaluable event — Feeling: Fair · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professionalFree text: Symptoms: Breast pain · Healthcare visit (other): Waiting on mamo and appointmentMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-07-09
Report sent to call center — 3 months, dose 2Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional1 call case(s)
- 2021-07-14
-
2021-07-27
Callback requested for04:00PM ET
-
2021-07-27
Call successfulParticipant prefers to complete VAERS report online
-
2021-10-08
Survey response — 6 months, dose 2MedDRA: Bacterial infection, Breast pain, Gingivitis, Localised infection — Feeling: Poor · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultation, Outpatient clinic or urgent care clinic visit, Emergency room or emergency department visitFree text: I've had 3 bacterial infections in various parts of my body. Toe, privates, gums, and bladder.I still have pain under my right breast. I've NEVER had so many issues in my life.MedDRA releases: 2024-11 · check-in free text available
-
2021-10-08
Report sent to call center — 6 months, dose 2Be unable to do your normal daily activities · Get care from a doctor or other healthcare professionalTelehealth, virtual health, or email health consultation · Outpatient clinic or urgent care clinic visit · Emergency room or emergency department visit · 1 call case(s)
-
2021-10-12
Call successfulDoes not wish to fill out VAERS report
-
2021-10-27
Dose 3 — Moderna
-
2021-10-27
Health check-in — day 0, dose 3Feeling: Fair · Site: Pain, Swelling · Fatigue or tiredness · Be unable to do your normal daily activitiesAdult check-in
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-03-12 | Moderna | |
| 2 | 2021-04-09 | Moderna | |
| 3 | 2021-10-27 | Moderna | No |
Call center
2 call center cases
2 successful
Free text
Release 5 — days 1–6 daily, dose 1
Systemic reaction (other): Slept 16 hours after shot. Never sleep more then 7 hours
Release 7 — day 0, dose 2
Systemic reaction (other): Right side of face feel numb like Ive gotten a dental shot
Release 7 — days 1–6 daily, dose 2
Systemic reaction (other): Right side if face is numb
Systemic reaction (other): Face still numb on right side
Systemic reaction (other): Right side of face slightly numb
Release 9 — 3 months, dose 2
Release 10 — 6 months, dose 2
Symptoms: I've had 3 bacterial infections in various parts of my body. Toe, privates, gums, and bladder.I still have pain under my right breast. I've NEVER had so many issues in my life.
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 | Unevaluable event | ✓ | ✓ | ✓ |
| SD | Bacterial infection | · | · | ✓ |
| SD | Breast pain | ✓ | ✓ | ✓ |
| SD | Gingivitis | · | · | ✓ |
| SD | Localised infection | · | · | ✓ |
| SRO | Hypersomnia | ✓ | ✓ | ✓ |
| SRO | Hypoaesthesia | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release