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
-
2021-01-22
Dose 1 — Moderna
-
2021-02-19
Registered in v-safe
-
2021-02-19
Dose 2 — Moderna
-
2021-02-19
Survey response — 0 day, dose 2MedDRA: Dyspnoea — Feeling: GoodMedDRA releases: 2021-09,2023-04,2024-11 · check-in answers available
-
2021-02-20
Survey response — days 1–6 daily, dose 2MedDRA: 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 activitiesMedDRA releases: 2021-09,2023-04,2024-11 · check-in answers available
- 2021-02-21
-
2021-02-22
Survey response — days 1–6 daily, dose 2MedDRA: Dizziness, Hereditary motor and sensory neuropathy, Hypoaesthesia, Pre-existing disease — Feeling: GoodMedDRA releases: 2021-09,2023-04,2024-11 · check-in answers available
-
2021-02-23
Survey response — days 1–6 daily, dose 2MedDRA: Hypoaesthesia, Paraesthesia — Feeling: Good · Fatigue or tirednessMedDRA releases: 2021-09,2023-04,2024-11 · check-in answers available
- 2021-02-24
- 2021-02-25
- 2021-02-28
- 2021-03-05
- 2021-03-12
- 2021-03-19
- 2021-03-28
- 2021-04-02
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2021-05-22
Survey response — 3 month, dose 2MedDRA: Hypoaesthesia — Feeling: GoodMedDRA releases: 2021-09,2023-04,2024-11 · check-in answers available
- 2021-08-20
-
2022-02-19
Survey response — 12 month, dose 2MedDRA: 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 visitMedDRA releases: 2024-11 · check-in answers available
-
2022-02-19
Report sent to call center — 12 month, dose 2Be unable to do your normal daily activities · Get care from a doctor or other healthcare professionalOutpatient clinic or urgent care clinic visit · 1 call case(s)
- 2022-02-24
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-01-22 | Moderna | |
| 2 | 2021-02-19 | Moderna |
Call center
| Reported | Outcome | VAERS-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
| Field | Preferred term | 2021-09 | 2023-04 | 2024-11 |
|---|---|---|---|---|
| SD | Hypoaesthesia | ✓ | ✓ | ✓ |
| SD | Rash | · | · | ✓ |
| SD | Swelling face | · | · | ✓ |
| SD | Thoracic vertebral fracture | · | · | ✓ |
| SRO | Condition aggravated | ✓ | ✓ | ✓ |
| SRO | Dizziness | ✓ | ✓ | ✓ |
| SRO | Dyspnoea | ✓ | ✓ | ✓ |
| SRO | Hereditary motor and sensory neuropathy | ○ | ✓ | ○ |
| SRO | Hypoaesthesia | ✓ | ✓ | ✓ |
| SRO | Paraesthesia | ✓ | ✓ | ✓ |
| SRO | Pre-existing disease | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release