SS4-23256-70600
4 vaccinations
6 coded responses
26 check-ins
6 free-text entries
1 call case
- Sex
- Female
- Age at first dose
- 26-30
- ZIP prefix
- 982 / WA
- Registered
- 2021-04-12
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-04-10
Dose 1 — Moderna
-
2021-04-12
Registered in v-safe
-
2021-04-12
Health check-in — days 1–6 daily, dose 1Feeling: Good · Site: Pain · Fatigue or tirednessAdult check-in
- 2021-04-13
- 2021-04-14
- 2021-04-15
- 2021-04-16
- 2021-04-17
- 2021-04-24
- 2021-05-01
-
2021-05-08
Dose 2 — Moderna
-
2021-05-08
Survey response — day 0, dose 2MedDRA: Dizziness, Headache — Feeling: Fair · Site: Pain · Chills, Fatigue or tiredness · Be unable to do your normal daily activitiesFree text: Head ache/light headednessMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-05-09
Survey response — days 1–6 daily, dose 2MedDRA: Hypoaesthesia, Injection site hypoaesthesia — Feeling: Fair · Site: Pain · Fatigue or tirednessFree text: Numbness at injection site and armMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-05-10
Survey response — days 1–6 daily, dose 2MedDRA: Arthralgia — Feeling: Fair · Site: Pain · Joint pains · Be unable to do your normal daily activitiesFree text: Yesterday after I'd taken the survey I started experience severe pain in my wrists, similar to carpal tunnel. It has mostly abated today, but marking it as "joint painMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-05-11
- 2021-05-12
- 2021-05-13
- 2021-05-14
-
2021-05-15
Survey response — day 7, dose 2MedDRA: Unevaluable event — Feeling: Fair · Abdominal painFree text: Abdominal pain is from period crampsMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-05-22
Survey response — day 14, dose 2MedDRA: Injection site pain — Feeling: GoodFree text: Occasionally I've been waking up and area on my arm near the injection site will be sore. Like a muscle soreness. It's very mild, but noticable.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-05-29
- 2021-06-05
- 2021-06-24
- 2021-08-07
- 2021-11-06
-
2022-01-14
Dose 3 — Moderna
-
2022-05-08
Survey response — 12 months, dose 2MedDRA: Abortion spontaneous, Photopsia, Pre-existing disease, Vitreous floaters — Feeling: Good · Be unable to work or attend school, 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 visitFree text: I've experienced a flashing eye floaters. My doctor has determined it isn't related to any serious health issues, but that I my have chronically enflamed optic nerves. I also experience a miscarriage.MedDRA releases: 2024-11 · check-in free text available
-
2022-05-08
Report sent to call center — 12 months, dose 2Be unable to work or attend school · Be unable to do your normal daily activities · Get care from a doctor or other healthcare prTelehealth, virtual health, or email health consultation · Outpatient clinic or urgent care clinic visit · 1 call case(s)
- 2022-05-09
- 2022-07-15
-
2022-12-04
Dose 4 — Pfizer-BioNTech
- 2023-01-14
- 2023-06-04
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-04-10 | Moderna | |
| 2 | 2021-05-08 | Moderna | |
| 3 | 2022-01-14 | Moderna | No |
| 4 | 2022-12-04 | Pfizer-BioNTech | No |
Call center
| Reported | Outcome | VAERS-related outcome |
|---|---|---|
| 2022-05-08 | Unsuccessful |
Free text
Release 8 — day 0, dose 2
Systemic reaction (other): Head ache/light headedness
Release 8 — days 1–6 daily, dose 2
Systemic reaction (other): Numbness at injection site and arm
Systemic reaction (other): Yesterday after I'd taken the survey I started experience severe pain in my wrists, similar to carpal tunnel. It has mostly abated today, but marking it as "joint pain
Release 8 — day 7, dose 2
Systemic reaction (other): Abdominal pain is from period cramps
Release 8 — day 14, dose 2
Symptoms: Occasionally I've been waking up and area on my arm near the injection site will be sore. Like a muscle soreness. It's very mild, but noticable.
Release 11 — 12 months, dose 2
Symptoms: I've experienced a flashing eye floaters. My doctor has determined it isn't related to any serious health issues, but that I my have chronically enflamed optic nerves. I also experience 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 | Injection site pain | ✓ | ✓ | ✓ |
| SD | Photopsia | · | · | ✓ |
| SD | Pre-existing disease | · | · | ✓ |
| SD | Vitreous floaters | · | · | ✓ |
| SRO | Arthralgia | ✓ | ✓ | ✓ |
| SRO | Dizziness | ✓ | ✓ | ✓ |
| SRO | Headache | ✓ | ✓ | ✓ |
| SRO | Hypoaesthesia | · | · | ✓ |
| SRO | Injection site hypoaesthesia | ✓ | ✓ | ✓ |
| SRO | Unevaluable event | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release