XWA-10704-32048
3 vaccinations
5 coded responses
9 check-ins
5 free-text entries
2 call cases
- Sex
- Female
- Age at first dose
- 31-35
- ZIP prefix
- 006 / PR
- Registered
- 2021-02-07
- Relationship
- Self
- Race
- Other
- Ethnicity
- Hispanic or Latino
Timeline
-
2021-01-10
Dose 1 — Moderna
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2021-02-07
Registered in v-safe
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2021-02-07
Dose 2 — Moderna
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2021-02-07
Survey response — day 0, dose 2MedDRA: Hypoaesthesia — Feeling: Poor · Site: Pain, Redness, Swelling, Itching · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea, Vomiting, Abdominal pain, Rash, not including the immediate area around the injection site · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visitFree text: numbness in the bodyMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-02-07
Report sent to call center — day 0, dose 2Get care from a doctor or other healthcare professional1 call case(s)
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2021-02-08
Health check-in — days 1–6 daily, dose 2Feeling: Poor · Site: Pain, Redness, Swelling, Itching · Chills, Headache, Joint pains, Muscle or body aches · Be unable to workAdult check-in
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2021-02-28
Survey response — day 21, dose 2MedDRA: Dizziness, Headache, Myalgia, Nausea, Pain in extremity — Feeling: Poor · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visitFree text: headaches, nausea, muscle aches, aching feet, and dizzinessMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-02-28
Report sent to call center — day 21, dose 2Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional1 call case(s)
- 2021-03-13
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2021-03-16
Survey response — day 35, dose 2MedDRA: Headache — Feeling: FairFree text: HeadachesMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-05-09
Survey response — 3 months, dose 2MedDRA: Chest pain, Headache — Feeling: FairFree text: Chest pain and headaches all day.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-10-25
Dose 3 — Pfizer-BioNTech
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2021-10-26
Health check-in — days 1–6 daily, dose 3Feeling: Poor · Site: Pain, Redness, Swelling · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to work or attend school, Be unable to do your normal daily activitiesAdult check-in
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2021-10-30
Health check-in — days 1–6 daily, dose 3Feeling: Fair · Site: Pain, Swelling · Headache, Joint pains, Fatigue or tiredness, Nausea, Diarrhea · Be unable to work or attend schoolAdult check-in
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2021-11-24
Survey response — day 28, dose 3MedDRA: Headache, Syncope — Feeling: Poor · Be unable to do your normal daily activitiesFree text: Headches, sincopeMedDRA releases: 2024-11 · check-in free text available
- 2022-04-27
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-01-10 | Moderna | |
| 2 | 2021-02-07 | Moderna | |
| 3 | 2021-10-25 | Pfizer-BioNTech | No |
Call center
| Reported | Outcome | VAERS-related outcome |
|---|---|---|
| 2021-02-07 | Unsuccessful | |
| 2021-02-28 | Unsuccessful |
Free text
Release 3 — day 0, dose 2
Systemic reaction (other): numbness in the body
Release 4 — day 21, dose 2
Symptoms: headaches, nausea, muscle aches, aching feet, and dizziness
Release 5 — day 35, dose 2
Symptoms: Headaches
Release 8 — 3 months, dose 2
Symptoms: Chest pain and headaches all day.
Release 10 — day 28, dose 3
Symptoms: Headches, sincope
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 | Chest pain | ✓ | ✓ | ✓ |
| SD | Dizziness | ✓ | ✓ | ✓ |
| SD | Headache | ✓ | ✓ | ✓ |
| SD | Myalgia | ✓ | ✓ | ✓ |
| SD | Nausea | ✓ | ✓ | ✓ |
| SD | Pain in extremity | ✓ | ✓ | ✓ |
| SD | Syncope | · | · | ✓ |
| SRO | Hypoaesthesia | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release