G88-13392-96536
2 vaccinations
4 coded responses
11 check-ins
4 free-text entries
2 call cases
- Sex
- —
- Age at first dose
- 46-50
- ZIP prefix
- 921 / CA
- Registered
- 2021-02-08
- Relationship
- Self
- Race
- N/A
- Ethnicity
- Hispanic or Latino
Timeline
-
2021-01-29
Dose 1 — Moderna
-
2021-02-08
Registered in v-safe
- 2021-02-08
- 2021-02-12
- 2021-02-19
-
2021-02-26
Dose 2 — Moderna
- 2021-03-05
- 2021-03-14
- 2021-03-19
-
2021-03-26
Survey response — day 28, dose 2MedDRA: Hypoaesthesia oral — Feeling: FairFree text: My tongue is numbMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-04-02
-
2021-04-09
Survey response — day 42, dose 2MedDRA: Hypoaesthesia oral — Feeling: FairFree text: My tongue is numbMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-05-29
Survey response — 3 months, dose 2MedDRA: Pre-existing disease — Feeling: Fair · Be unable to work, Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Emergency room or emergency department visit, HospitalizationFree text: Ma complications and a TIAMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-05-29
Report sent to call center — 3 months, dose 2Be unable to work · Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional1 call case(s)
- 2022-02-17
-
2022-02-26
Survey response — 12 months, dose 2MedDRA: Abortion spontaneous, Pregnancy — Feeling: Fair · Get care from a doctor or other healthcare professional · Emergency room or emergency department visitFree text: I was very pregnant and had a miscarriageMedDRA releases: 2024-11 · check-in free text available
-
2022-02-26
Report sent to call center — 12 months, dose 2Get care from a doctor or other healthcare professionalEmergency room or emergency department visit · 1 call case(s)
- 2022-02-28
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-01-29 | Moderna | |
| 2 | 2021-02-26 | Moderna |
Call center
| Reported | Outcome | VAERS-related outcome |
|---|---|---|
| 2021-05-29 | Unsuccessful | |
| 2022-02-26 | Unsuccessful |
Free text
Release 6 — day 28, dose 2
Symptoms: My tongue is numb
Release 7 — day 42, dose 2
Symptoms: My tongue is numb
Release 8 — 3 months, dose 2
Symptoms: Ma complications and a TIA
Release 11 — 12 months, dose 2
Symptoms: I was very pregnant and had a miscarriage
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 | Abortion spontaneous | · | · | ✓ |
| SD | Hypoaesthesia oral | ✓ | ✓ | ✓ |
| SD | Pre-existing disease | ✓ | ✓ | ✓ |
| SD | Pregnancy | · | · | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release