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XXW-12330-20910

2 vaccinations 6 coded responses 16 check-ins 6 free-text entries 1 call case
Sex
Female
Age at first dose
66+
ZIP prefix
805 / CO
Registered
2021-02-19
Relationship
Self
Race
White
Ethnicity
Not Hispanic or Latino

Timeline

  1. 2021-01-22
    Dose 1 — Moderna
  2. 2021-02-19
    Registered in v-safe
  3. 2021-02-19
    Dose 2 — Moderna
  4. 2021-02-19
    Survey response — 0 day, dose 2
    MedDRA: Dyspnoea — Feeling: Good
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in answers available
  5. 2021-02-20
    Survey response — days 1–6 daily, dose 2
    MedDRA: Condition aggravated, Hypoaesthesia, Paraesthesia, Pre-existing disease — Feeling: Fair · Site: Pain · Fever · Chills, Headache, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in answers available
  6. 2021-02-21
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · Fatigue or tiredness
    Adult check-in
  7. 2021-02-22
    Survey response — days 1–6 daily, dose 2
    MedDRA: Dizziness, Hereditary motor and sensory neuropathy, Hypoaesthesia, Pre-existing disease — Feeling: Good
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in answers available
  8. 2021-02-23
    Survey response — days 1–6 daily, dose 2
    MedDRA: Hypoaesthesia, Paraesthesia — Feeling: Good · Fatigue or tiredness
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in answers available
  9. 2021-02-24
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · None
    Adult check-in
  10. 2021-02-25
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · None
    Adult check-in
  11. 2021-02-28
    Health check-in — 7 day, dose 2
    Feeling: Good · None
    Adult check-in
  12. 2021-03-05
    Health check-in — 14 day, dose 2
    Feeling: Good
    Adult check-in
  13. 2021-03-12
    Health check-in — 21 day, dose 2
    Feeling: Good
    Adult check-in
  14. 2021-03-19
    Health check-in — 28 day, dose 2
    Feeling: Good
    Adult check-in
  15. 2021-03-28
    Health check-in — 35 day, dose 2
    Feeling: Good
    Adult check-in
  16. 2021-04-02
    Health check-in — 42 day, dose 2
    Feeling: Good
    Adult check-in
  17. 2021-05-22
    Survey response — 3 month, dose 2
    MedDRA: Hypoaesthesia — Feeling: Good
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in answers available
  18. 2021-08-20
    Health check-in — 6 month, dose 2
    Feeling: Good
    Adult check-in
  19. 2022-02-19
    Survey response — 12 month, dose 2
    MedDRA: Rash, Swelling face, Thoracic vertebral fracture — Feeling: Good · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit
    MedDRA releases: 2024-11 · check-in answers available
  20. 2022-02-19
    Report sent to call center — 12 month, dose 2
    Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional
    Outpatient clinic or urgent care clinic visit · 1 call case(s)
  21. 2022-02-24

Vaccinations

DoseDateManufacturerCo-administered
12021-01-22Moderna
22021-02-19Moderna

Call center

ReportedOutcomeVAERS-related outcome
2022-02-19 Unsuccessful

Free text

Release 4

Systemic reaction (other): Slight breathlessness only, but its only been 3 hours since vaccination

Systemic reaction (other): Tingling numbness in legs and feet (related to CMT 1x?)

Systemic reaction (other): Dizziness and numbness in legs. Related to my CMT 1X?

Systemic reaction (other): Tingling numbness in legs and feet

Release 8

Symptoms: Slight numbness in legs and feet Note that I had similar symptoms just after both doses. Is it related to my mild CMT? Would appreciate a reply!

Release 11

Symptoms: Swollen rash on cheek under right eye and Thoracic spine fracture

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

FieldPreferred term2021-092023-042024-11
SDHypoaesthesia ✓ ✓ ✓
SDRash · · ✓
SDSwelling face · · ✓
SDThoracic vertebral fracture · · ✓
SROCondition aggravated ✓ ✓ ✓
SRODizziness ✓ ✓ ✓
SRODyspnoea ✓ ✓ ✓
SROHereditary motor and sensory neuropathy ○ ✓ ○
SROHypoaesthesia ✓ ✓ ✓
SROParaesthesia ✓ ✓ ✓
SROPre-existing disease ✓ ✓ ✓

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