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VQL-41088-36966

2 vaccinations 2 coded responses 6 check-ins 2 free-text entries 0 call cases
Sex
Female
Age at first dose
31-35
ZIP prefix
786 / TX
Registered
2021-04-26
Relationship
Self
Race
White
Ethnicity
Not Hispanic or Latino

Timeline

  1. 2021-03-21
    Dose 1 — Moderna
  2. 2021-04-26
    Registered in v-safe
  3. 2021-04-26
    Dose 2 — Moderna
  4. 2021-04-26
    Survey response — day 0, dose 2
    MedDRA: Hypoaesthesia, Immediate post-injection reaction, Paraesthesia — Feeling: Poor · Site: Pain · Fever · Chills, Muscle or body aches, Fatigue or tiredness, Nausea, Diarrhea · Be unable to do your normal daily activities
    Free text: Right hand numb then tingling within 15 minutes after receiving shot. Resolved 20 minutes after administration of shot.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  5. 2021-04-27
    Health check-in — days 1–6 daily, dose 2
    Feeling: Poor · Site: Pain · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to work, Be unable to do your normal daily activities
    Adult check-in
  6. 2021-04-30
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · Diarrhea
    Adult check-in
  7. 2021-07-26
    Health check-in — 3 months, dose 2
    Feeling: Good
    Adult check-in
  8. 2021-10-25
    Survey response — 6 months, dose 2
    MedDRA: Abortion spontaneous — Feeling: Good
    Free text: Miscarriage
    MedDRA releases: 2024-11 · check-in free text available
  9. 2022-04-26
    Health check-in — 12 months, dose 2
    Feeling: Good
    Adult check-in

Vaccinations

DoseDateManufacturerCo-administered
12021-03-21Moderna
22021-04-26Moderna

Free text

Release 8 — day 0, dose 2

2021-04-26

Systemic reaction (other): Right hand numb then tingling within 15 minutes after receiving shot. Resolved 20 minutes after administration of shot.

Release 10 — 6 months, dose 2

2021-10-25

Symptoms: 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

FieldPreferred term2021-092023-042024-11
SDAbortion spontaneous · · ✓
SROHypoaesthesia ✓ ✓ ✓
SROImmediate post-injection reaction ✓ ✓ ✓
SROParaesthesia ✓ ✓ ✓

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