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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

  1. 2021-04-24
    Dose 1 — Moderna
  2. 2021-05-06
    Registered in v-safe
  3. 2021-05-06
    Survey response — day 7, dose 1
    MedDRA: Back pain, Hypoaesthesia, Limb discomfort, Neuralgia, Paraesthesia — Feeling: Fair · Fatigue or tiredness, Diarrhea, Abdominal pain
    Free text: Legs/arms went numb after 7hrs, still dealing with heavy legs tingling, arms, back ache, nerve pain
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  4. 2021-05-08
    Health check-in — day 14, dose 1
    Feeling: Fair
    Adult check-in
  5. 2021-05-15
    Survey response — day 21, dose 1
    MedDRA: Dysgeusia, Ear disorder, Headache — Feeling: Fair · Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultation
    Free text: Metal taste in mouth, on going headache, ear issues Taking Gabapenten for nerve pai
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  6. 2021-05-15
    Report sent to call center — day 21, dose 1
    Get care from a doctor or other healthcare professional
    1 call case(s)
  7. 2021-05-22
    Dose 2 — Moderna
  8. 2021-05-24
    Health check-in — days 1–6 daily, dose 2
    Feeling: Fair · Site: Pain · Chills, Headache, Fatigue or tiredness, Nausea, Abdominal pain
    Adult check-in
  9. 2021-05-26
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · Fatigue or tiredness
    Adult check-in
  10. 2021-11-20
    Survey response — 6 months, dose 2
    MedDRA: 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 visit
    Free text: I had an ovarian ectopic pregnancy after 5 healthy pregnancy
    MedDRA releases: 2024-11 · check-in free text available
  11. 2021-11-20
    Report sent to call center — 6 months, dose 2
    Get care from a doctor or other healthcare professional
    Outpatient clinic or urgent care clinic visit · Emergency room or emergency department visit · 1 call case(s)
  12. 2021-11-22
    Call successful
    Does not wish to fill out VAERS report

Vaccinations

DoseDateManufacturerCo-administered
12021-04-24Moderna
22021-05-22Moderna

Call center

ReportedOutcomeVAERS-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

2021-05-06

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

2021-05-15

Symptoms: Metal taste in mouth, on going headache, ear issues Taking Gabapenten for nerve pai

Release 10 — 6 months, dose 2

2021-11-20

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

FieldPreferred term2021-092023-042024-11
SDDysgeusia ✓ ✓ ✓
SDEar disorder ✓ ✓ ✓
SDEctopic pregnancy · · ✓
SDHeadache ✓ ✓ ✓
SROBack pain ✓ ✓ ✓
SROHypoaesthesia ✓ ✓ ✓
SROLimb discomfort ✓ ✓ ✓
SRONeuralgia ✓ ✓ ✓
SROParaesthesia ✓ ✓ ✓

✓ active code · ○ coded but marked inactive · blank = not in that release