NNU-25711-71605
2 vaccinations
7 coded responses
22 check-ins
7 free-text entries
1 call case
- Sex
- Female
- Age at first dose
- 36-40
- ZIP prefix
- 950 / CA
- Registered
- 2021-01-09
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-01-09
Registered in v-safe
-
2021-01-09
Dose 1 — Moderna
- 2021-01-09
-
2021-01-10
Health check-in — days 1–6 daily, dose 1Feeling: Good · Site: Pain, Redness, Swelling · HeadacheAdult check-in
- 2021-01-12
-
2021-01-14
Survey response — days 1–6 daily, dose 1MedDRA: Menstruation delayed, Unevaluable event — Feeling: GoodMedDRA releases: 2021-09,2023-04,2024-11 · check-in answers available
-
2021-01-16
Health check-in — 7 day, dose 1Feeling: Fair · Site: Pain, Redness, Swelling, Itching · Headache, Fatigue or tirednessAdult check-in
- 2021-01-23
-
2021-02-01
Survey response — 21 day, dose 1MedDRA: Diarrhoea — Feeling: GoodMedDRA releases: 2021-09,2023-04,2024-11 · check-in answers available
-
2021-02-06
Dose 2 — Moderna
-
2021-02-06
Health check-in — 0 day, dose 2Feeling: Good · Site: Pain, Swelling · Fatigue or tiredness · Be unable to do your normal daily activitiesAdult check-in
-
2021-02-07
Survey response — days 1–6 daily, dose 2MedDRA: Amenorrhoea — Feeling: Poor · Site: Pain, Swelling · Fever · Chills, Headache, Muscle or body aches, Fatigue or tiredness, Nausea, Rash, not including the immediate area around the injection site · Be unable to work, Be unable to do your normal daily activitiesMedDRA releases: 2021-09,2023-04,2024-11 · check-in answers available
- 2021-02-08
-
2021-02-09
Health check-in — days 1–6 daily, dose 2Feeling: Good · Site: Pain, Swelling · Headache, Fatigue or tirednessAdult check-in
- 2021-02-10
- 2021-02-11
- 2021-02-12
- 2021-02-13
-
2021-02-20
Survey response — 14 day, dose 2MedDRA: Hypoaesthesia, Neuropathy peripheral, Paraesthesia, Pre-existing disease — Feeling: GoodMedDRA releases: 2021-09,2023-04,2024-11 · check-in answers available
-
2021-02-27
Survey response — 21 day, dose 2MedDRA: Hypoaesthesia, Neuropathy peripheral, Paraesthesia — Feeling: GoodMedDRA releases: 2021-09,2023-04,2024-11 · check-in answers available
-
2021-03-06
Survey response — 28 day, dose 2MedDRA: Neuropathy peripheral, Urticaria — Feeling: FairMedDRA releases: 2021-09,2023-04,2024-11 · check-in answers available
- 2021-03-13
-
2021-03-20
Survey response — 42 day, dose 2MedDRA: Blood test, Condition aggravated, Magnetic resonance imaging, Multiple sclerosis, Neuropathy peripheral, Steroid activity, Unevaluable event — Feeling: Fair · Be unable to work, Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultationMedDRA releases: 2021-09,2023-04,2024-11 · check-in answers available
-
2021-03-20
Report sent to call center — 42 day, 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)
- 2021-05-08
- 2022-02-08
- 2022-03-07
-
2022-03-10
Call successfulNot applicable (accidental reporting or does not believe symptoms are related to vaccine)
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-01-09 | Moderna | |
| 2 | 2021-02-06 | Moderna |
Call center
| Reported | Outcome | VAERS-related outcome |
|---|---|---|
| 2021-03-20 | Successful 2022-03-10 |
Not applicable (accidental reporting or does not believe symptoms are related to vaccine) |
Free text
Release 2
Systemic reaction (other): Period a week late, negative pregnancy tests
Release 3
Symptoms: Diahrea on Saturday morning, no problems since.
Systemic reaction (other): Amenorrhea/ possible early miscarriage
Release 4
Symptoms: Numbness from stomach down, pins and needles feeling feet and palms of hands.. neuropathy
Symptoms: Neuropathy- tingling and numb from stomach down to feet and palms of hands.
Release 5
Symptoms: Neuropathy and hives
Release 6
Symptoms: Continued neuropathy that started one week after 2nd covid shot. Just diagnosed with Multiple Sclerosis. Possible that Covid vaccine triggered MS Flare. Being treated with high dose steroids right now.
Healthcare visit (other): MRI, bloodwork, steroid tx
Free-text releases are not linked to a specific 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 | Blood test | ○ | ✓ | ○ |
| HCVO | Magnetic resonance imaging | ○ | ✓ | ○ |
| HCVO | Steroid activity | ○ | ✓ | ○ |
| HCVO | Unevaluable event | ✓ | · | ✓ |
| SD | Condition aggravated | ✓ | ✓ | ✓ |
| SD | Diarrhoea | ✓ | ✓ | ✓ |
| SD | Hypoaesthesia | ✓ | ✓ | ✓ |
| SD | Multiple sclerosis | ✓ | ✓ | ✓ |
| SD | Neuropathy peripheral | ✓ | ✓ | ✓ |
| SD | Paraesthesia | ✓ | ✓ | ✓ |
| SD | Pre-existing disease | ✓ | ✓ | ✓ |
| SD | Urticaria | ✓ | ✓ | ✓ |
| SRO | Amenorrhoea | ✓ | ✓ | ✓ |
| SRO | Menstruation delayed | ✓ | · | ✓ |
| SRO | Unevaluable event | ○ | ✓ | ○ |
✓ active code · ○ coded but marked inactive · blank = not in that release