XUT-29861-59153
2 vaccinations
11 coded responses
21 check-ins
11 free-text entries
3 call cases
- Sex
- Female
- Age at first dose
- 56-60
- ZIP prefix
- 770 / TX
- Registered
- 2021-04-04
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-04-04
Registered in v-safe
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2021-04-04
Dose 1 — Moderna
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2021-04-04
Survey response — 0 day, dose 1MedDRA: Paraesthesia, Paraesthesia oral — Feeling: Fair · Site: Pain · Joint painsMedDRA releases: 2021-09,2023-04,2024-11 · check-in answers available
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2021-04-05
Survey response — days 1–6 daily, dose 1MedDRA: Hypoaesthesia, Paraesthesia — Feeling: Fair · Site: Pain, Swelling · Joint painsMedDRA releases: 2021-09,2023-04,2024-11 · check-in answers available
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2021-04-06
Survey response — days 1–6 daily, dose 1MedDRA: Hypoaesthesia, Paraesthesia — Feeling: Good · Site: Pain · 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
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2021-04-06
Report sent to call center — days 1–6 daily, dose 1Get care from a doctor or other healthcare professional1 call case(s)
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2021-04-07
Survey response — days 1–6 daily, dose 1MedDRA: Abdominal pain, Chills, Feeling hot, Hypoaesthesia, Paraesthesia — Feeling: Good · 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
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2021-04-07
Report sent to call center — days 1–6 daily, dose 1Get care from a doctor or other healthcare professional1 call case(s)
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2021-04-08
Survey response — days 1–6 daily, dose 1MedDRA: Hypoaesthesia, Muscle twitching, Paraesthesia, Unevaluable event — Feeling: Fair · Headache, Muscle or body aches · 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
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2021-04-08
Report sent to call center — days 1–6 daily, dose 1Get care from a doctor or other healthcare professional1 call case(s)
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2021-04-09
Survey response — days 1–6 daily, dose 1MedDRA: Headache — Feeling: Fair · Headache, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activitiesMedDRA releases: 2021-09,2023-04,2024-11 · check-in answers available
- 2021-04-10
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2021-04-11
Survey response — 7 day, dose 1MedDRA: Abdominal discomfort, Headache — Feeling: FairMedDRA releases: 2021-09,2023-04,2024-11 · check-in answers available
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2021-04-19
Survey response — 14 day, dose 1MedDRA: Myalgia — Feeling: Good · Be unable to do your normal daily activitiesMedDRA releases: 2021-09,2023-04,2024-11 · check-in answers available
- 2021-04-25
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2021-05-02
Survey response — 28 day, dose 1MedDRA: Hypoaesthesia, Immediate post-injection reaction, Paraesthesia — Feeling: GoodMedDRA releases: 2021-09,2023-04,2024-11 · check-in answers available
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2021-05-03
Dose 2 — Moderna
- 2021-05-09
- 2021-05-10
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2021-05-17
Survey response — 14 day, dose 2MedDRA: Oropharyngeal pain, Productive cough — Feeling: GoodMedDRA releases: 2021-09,2023-04,2024-11 · check-in answers available
- 2021-05-24
- 2021-05-31
- 2021-06-07
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2021-06-14
Survey response — 42 day, dose 2MedDRA: Cough, Dyspnoea, Lung disorder — Feeling: GoodMedDRA releases: 2021-09,2023-04,2024-11 · check-in answers available
- 2021-08-02
- 2021-11-01
- 2022-01-10
- 2022-05-05
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-04-04 | Moderna | |
| 2 | 2021-05-03 | Moderna |
Call center
| Reported | Outcome | VAERS-related outcome |
|---|---|---|
| 2021-04-06 | Unsuccessful | |
| 2021-04-07 | Unsuccessful | |
| 2021-04-08 | Unsuccessful |
Free text
Release 6
Systemic reaction (other): Tingling of face and lips
Release 7
Systemic reaction (other): My face is still tingling and numb - this is by far the worst symptom.
Systemic reaction (other): Tingling and numbness in the face.
Systemic reaction (other): Still lingering numbness and tingling in my face. Had a brief bout of abdominal pain, chills, and felt hot last night. But that went away quickly. The worst side effect by far is the tingling and numbness.
Systemic reaction (other): Still feeling odd twinges all over my body - tingling and numbness in my face continues.
Healthcare visit (other): Telehealth visit on Tuesday.
Systemic reaction (other): Severe headache started on day 4, yesterday, and still have it today.
Systemic reaction (other): Stomach upset - headache is much better
Symptoms: Severe muscle pain in arms, neck and shoulders.
Release 8
Symptoms: The tingling and numbness in my face and hands that I experienced immediately after the vaccine returned. It also began affecting my feet.
Symptoms: Sore throat, phlegm.
Release 9
Symptoms: Strange sensation in my lungs and breathing. Not sure what it is. A cough has developed that wont go away.
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 | Unevaluable event | ✓ | ✓ | ✓ |
| SD | Cough | ✓ | ✓ | ✓ |
| SD | Dyspnoea | ✓ | ✓ | ✓ |
| SD | Hypoaesthesia | ✓ | ✓ | ✓ |
| SD | Immediate post-injection reaction | ✓ | ✓ | ✓ |
| SD | Lung disorder | ✓ | ✓ | ✓ |
| SD | Myalgia | ✓ | ✓ | ✓ |
| SD | Oropharyngeal pain | ✓ | ✓ | ✓ |
| SD | Paraesthesia | ✓ | ✓ | ✓ |
| SD | Productive cough | ✓ | ✓ | ✓ |
| SRO | Abdominal discomfort | ✓ | ✓ | ✓ |
| SRO | Abdominal pain | ✓ | ✓ | ✓ |
| SRO | Chills | ✓ | ✓ | ✓ |
| SRO | Feeling hot | ✓ | ✓ | ✓ |
| SRO | Headache | ✓ | ✓ | ✓ |
| SRO | Hypoaesthesia | ✓ | ✓ | ✓ |
| SRO | Muscle twitching | ✓ | ✓ | ✓ |
| SRO | Paraesthesia | ✓ | ✓ | ✓ |
| SRO | Paraesthesia oral | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release