B4Q-15280-89699
2 vaccinations
3 coded responses
6 check-ins
3 free-text entries
2 call cases
- Sex
- Female
- Age at first dose
- 31-35
- ZIP prefix
- 526 / IA
- Registered
- 2021-05-06
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-04-24
Dose 1 — Moderna
-
2021-05-06
Registered in v-safe
-
2021-05-06
Survey response — day 7, dose 1MedDRA: Back pain, Hypoaesthesia, Limb discomfort, Neuralgia, Paraesthesia — Feeling: Fair · Fatigue or tiredness, Diarrhea, Abdominal painFree text: Legs/arms went numb after 7hrs, still dealing with heavy legs tingling, arms, back ache, nerve painMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-05-08
-
2021-05-15
Survey response — day 21, dose 1MedDRA: Dysgeusia, Ear disorder, Headache — Feeling: Fair · Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultationFree text: Metal taste in mouth, on going headache, ear issues Taking Gabapenten for nerve paiMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-05-15
Report sent to call center — day 21, dose 1Get care from a doctor or other healthcare professional1 call case(s)
-
2021-05-22
Dose 2 — Moderna
-
2021-05-24
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Site: Pain · Chills, Headache, Fatigue or tiredness, Nausea, Abdominal painAdult check-in
- 2021-05-26
-
2021-11-20
Survey response — 6 months, dose 2MedDRA: Ectopic pregnancy — Feeling: Good · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit, Emergency room or emergency department visitFree text: I had an ovarian ectopic pregnancy after 5 healthy pregnancyMedDRA releases: 2024-11 · check-in free text available
-
2021-11-20
Report sent to call center — 6 months, dose 2Get care from a doctor or other healthcare professionalOutpatient clinic or urgent care clinic visit · Emergency room or emergency department visit · 1 call case(s)
-
2021-11-22
Call successfulDoes not wish to fill out VAERS report
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-04-24 | Moderna | |
| 2 | 2021-05-22 | Moderna |
Call center
| Reported | Outcome | VAERS-related outcome |
|---|---|---|
| 2021-05-15 | Successful | Does not wish to fill out VAERS report |
| 2021-11-20 | Successful 2021-11-22 |
Does not wish to fill out VAERS report |
Free text
Release 8 — day 7, dose 1
Systemic reaction (other): Legs/arms went numb after 7hrs, still dealing with heavy legs tingling, arms, back ache, nerve pain
Release 8 — day 21, dose 1
Symptoms: Metal taste in mouth, on going headache, ear issues Taking Gabapenten for nerve pai
Release 10 — 6 months, dose 2
Symptoms: I had an ovarian ectopic pregnancy after 5 healthy pregnancy
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 | Dysgeusia | ✓ | ✓ | ✓ |
| SD | Ear disorder | ✓ | ✓ | ✓ |
| SD | Ectopic pregnancy | · | · | ✓ |
| SD | Headache | ✓ | ✓ | ✓ |
| SRO | Back pain | ✓ | ✓ | ✓ |
| SRO | Hypoaesthesia | ✓ | ✓ | ✓ |
| SRO | Limb discomfort | ✓ | ✓ | ✓ |
| SRO | Neuralgia | ✓ | ✓ | ✓ |
| SRO | Paraesthesia | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release