XZ2-23109-24928
2 vaccinations
2 coded responses
4 check-ins
2 free-text entries
1 call case
- Sex
- Female
- Age at first dose
- 51-55
- ZIP prefix
- 481 / MI
- Registered
- 2021-07-21
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-07-21
Registered in v-safe
-
2021-07-21
Dose 1 — Moderna
- 2021-07-21
-
2021-08-06
Survey response — 14 day, dose 1MedDRA: Pain in extremity, Paraesthesia, Sensory disturbance — Feeling: GoodMedDRA releases: 2021-09,2024-11 · check-in answers available
-
2021-08-18
Dose 2 — Moderna
-
2021-08-20
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Site: Pain · 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
-
2021-11-20
Survey response — 3 month, dose 2MedDRA: Balance disorder, Deafness unilateral, Fall, Office visit, Rash, Skin discolouration, Skin reaction, Tinnitus — 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 professionalMedDRA releases: 2024-11 · check-in answers available
-
2021-11-20
Report sent to call center — 3 month, dose 2Be unable to work or attend school · Be unable to do your normal daily activities · Get care from a doctor or other healthcare pr1 call case(s)
- 2021-11-24
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-07-21 | Moderna | No |
| 2 | 2021-08-18 | Moderna | No |
Call center
| Reported | Outcome | VAERS-related outcome |
|---|---|---|
| 2021-11-20 | Unsuccessful |
Free text
Release 9
Symptoms: My left arm where I received the injection keeps feeling funny. Off and on pains, tingling in upper arm, elbow joint, and ulnar area. I expected soreness, but this is worse and not improving.
Release 10
Symptoms: Ever since the vaccine I have had new issues. New ringing in my ear (deaf in the other) keeps getting worse, my balance is off at times, I fell down steps. I had a strange skin reaction, looks like psoriasis with bruising.
Healthcare visit (other): Went to the doctor for skin rash, thought it was poison ivy
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 | Office visit | · | · | ✓ |
| HCVO | Rash | · | · | ✓ |
| SD | Balance disorder | · | · | ✓ |
| SD | Deafness unilateral | · | · | ✓ |
| SD | Fall | · | · | ✓ |
| SD | Pain in extremity | ✓ | · | ✓ |
| SD | Paraesthesia | ✓ | · | ✓ |
| SD | Sensory disturbance | ✓ | · | ✓ |
| SD | Skin discolouration | · | · | ✓ |
| SD | Skin reaction | · | · | ✓ |
| SD | Tinnitus | · | · | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release