XUW-67660-78699
2 vaccinations
3 coded responses
3 check-ins
3 free-text entries
1 call case
- Sex
- Female
- Age at first dose
- 36-40
- ZIP prefix
- 314 / GA
- Registered
- 2021-12-24
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-10-21
Dose 1 — Moderna
-
2021-11-18
Dose 2 — Moderna
-
2021-12-24
Registered in v-safe
-
2021-12-24
Survey response — 35 day, dose 2MedDRA: Dizziness, Electric shock sensation, Electrocardiogram abnormal, Fatigue, Headache, Hypoaesthesia, Paraesthesia, Temporomandibular pain and dysfunction syndrome — Feeling: Fair · Be unable to work or attend school, Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visitMedDRA releases: 2024-11 · check-in answers available
-
2021-12-24
Report sent to call center — 35 day, dose 2Be unable to work or attend school · Be unable to do your normal daily activities · Get care from a doctor or other healthcare prOutpatient clinic or urgent care clinic visit · 1 call case(s)
-
2021-12-28
Call successfulParticipant prefers to complete VAERS report online
-
2021-12-30
Survey response — 42 day, dose 2MedDRA: Facet joint syndrome, Fine motor skill dysfunction, Nausea, Paraesthesia, Ultrasound scan abnormal — Feeling: Poor · Be unable to work or attend school, Be unable to do your normal daily activitiesMedDRA releases: 2024-11 · check-in answers available
-
2022-02-19
Survey response — 3 month, dose 2MedDRA: Impaired quality of life, Loss of personal independence in daily activities, Migraine, Vertigo positional, Vestibular disorder, Vestibular function test abnormal — Feeling: Fair · Be unable to work or attend school, Be unable to do your normal daily activitiesMedDRA releases: 2024-11 · check-in answers available
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-10-21 | Moderna | No |
| 2 | 2021-11-18 | Moderna | No |
Call center
| Reported | Outcome | VAERS-related outcome |
|---|---|---|
| 2021-12-24 | Successful 2021-12-28 |
Participant prefers to complete VAERS report online |
Free text
Release 10
Symptoms: Numbness, tingling and shocking sensations in my right arm (opposite arm from injection); abnormal EKG with referral to cardiologist; headaches; dizziness; significantly worse TMJ pain on right side of jaw; fatigue
Symptoms: Nausea, more intense paresthesia in right arm and hand which has compromised my fine motor skills at times, diagnosis of mild uncovertebral hypertrophy at joint of vertebrae (c6 & 7) from an ultrasound conducted on 12/20/21
Release 11
Symptoms: 1/27/22 Diagnosed with chronic migraines which significantly impact daily activities and quality of life. 2/14/22 Diagnosed with benign paroxysmal vertigo and videonystagmography showed evidence of peripheral vestibular dysfunction
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 |
|---|---|---|---|---|
| SD | Dizziness | · | · | ✓ |
| SD | Electric shock sensation | · | · | ✓ |
| SD | Electrocardiogram abnormal | · | · | ✓ |
| SD | Facet joint syndrome | · | · | ✓ |
| SD | Fatigue | · | · | ✓ |
| SD | Fine motor skill dysfunction | · | · | ✓ |
| SD | Headache | · | · | ✓ |
| SD | Hypoaesthesia | · | · | ✓ |
| SD | Impaired quality of life | · | · | ✓ |
| SD | Loss of personal independence in daily activities | · | · | ✓ |
| SD | Migraine | · | · | ✓ |
| SD | Nausea | · | · | ✓ |
| SD | Paraesthesia | · | · | ✓ |
| SD | Temporomandibular pain and dysfunction syndrome | · | · | ✓ |
| SD | Ultrasound scan abnormal | · | · | ✓ |
| SD | Vertigo positional | · | · | ✓ |
| SD | Vestibular disorder | · | · | ✓ |
| SD | Vestibular function test abnormal | · | · | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release