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Y55-21610-64550

2 vaccinations 6 coded responses 23 check-ins 6 free-text entries 1 call case
Sex
Female
Age at first dose
66+
ZIP prefix
703 / LA
Registered
2021-01-26
Relationship
Self
Race
White
Ethnicity
N/A

Timeline

  1. 2021-01-26
    Registered in v-safe
  2. 2021-01-26
    Dose 1 — Moderna
  3. 2021-01-26
    Health check-in — day 0, dose 1
    Feeling: Good · None
    Adult check-in
  4. 2021-01-27
    Survey response — days 1–6 daily, dose 1
    MedDRA: Pain in jaw — Feeling: Fair · Muscle or body aches
    Free text: Right side of face jaw pain upon opening mouth or chewing food
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  5. 2021-01-28
    Survey response — days 1–6 daily, dose 1
    MedDRA: Pain in jaw — Feeling: Good · Joint pains
    Free text: Jaw pain has almost totally diminished today
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  6. 2021-01-29
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · None
    Adult check-in
  7. 2021-01-30
    Survey response — days 1–6 daily, dose 1
    MedDRA: Tachycardia — Feeling: Fair · Fatigue or tiredness
    Free text: Tachycardiapulse rate over 130s last bight and early this morning
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  8. 2021-01-31
    Survey response — days 1–6 daily, dose 1
    MedDRA: Heart rate increased — Feeling: Fair · Fatigue or tiredness
    Free text: Pulse rate higher than before first dose of Moderna vaccine
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  9. 2021-02-01
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · None
    Adult check-in
  10. 2021-02-02
    Health check-in — day 7, dose 1
    Feeling: Good · None
    Adult check-in
  11. 2021-02-09
    Health check-in — day 14, dose 1
    Feeling: Good
    Adult check-in
  12. 2021-02-16
    Health check-in — day 21, dose 1
    Feeling: Good
    Adult check-in
  13. 2021-02-23
    Dose 2 — Moderna
  14. 2021-02-23
    Health check-in — day 28, dose 1
    Feeling: Good
    Adult check-in
  15. 2021-02-26
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · None
    Adult check-in
  16. 2021-02-27
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · None
    Adult check-in
  17. 2021-02-28
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · None
    Adult check-in
  18. 2021-03-01
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · None
    Adult check-in
  19. 2021-03-02
    Health check-in — day 7, dose 2
    Feeling: Good · None
    Adult check-in
  20. 2021-03-09
    Health check-in — day 14, dose 2
    Feeling: Good
    Adult check-in
  21. 2021-03-16
    Health check-in — day 21, dose 2
    Feeling: Good
    Adult check-in
  22. 2021-03-23
    Health check-in — day 28, dose 2
    Feeling: Good
    Adult check-in
  23. 2021-03-30
    Health check-in — day 35, dose 2
    Feeling: Good
    Adult check-in
  24. 2021-04-06
    Health check-in — day 42, dose 2
    Feeling: Good
    Adult check-in
  25. 2021-05-25
    Survey response — 3 months, dose 2
    MedDRA: Paraesthesia — Feeling: Good
    Free text: Noticing a pins and needle effect on arms and legs sporaticallyonly daytimeno sleep disruption
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  26. 2021-08-24
    Survey response — 6 months, dose 2
    MedDRA: Atrial fibrillation, Office visit — Feeling: Fair · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional
    Free text: Symptoms: Cardiologist diagnosed A-Fib condition two weeks agocurrently in investigation of issues associated with condity · Healthcare visit (other): In office visits so far
    MedDRA releases: 2021-09,2024-11 · check-in free text available
  27. 2021-08-24
    Report sent to call center — 6 months, dose 2
    Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional
    1 call case(s)
  28. 2021-08-30

Vaccinations

DoseDateManufacturerCo-administered
12021-01-26Moderna
22021-02-23Moderna

Call center

ReportedOutcomeVAERS-related outcome
2021-08-24 Unsuccessful

Free text

Release 2 — days 1–6 daily, dose 1

2021-01-27

Systemic reaction (other): Right side of face jaw pain upon opening mouth or chewing food

2021-01-28

Systemic reaction (other): Jaw pain has almost totally diminished today

Release 3 — days 1–6 daily, dose 1

2021-01-30

Systemic reaction (other): Tachycardiapulse rate over 130s last bight and early this morning

2021-01-31

Systemic reaction (other): Pulse rate higher than before first dose of Moderna vaccine

Release 8 — 3 months, dose 2

2021-05-25

Symptoms: Noticing a pins and needle effect on arms and legs sporaticallyonly daytimeno sleep disruption

Release 9 — 6 months, dose 2

2021-08-24

Symptoms: Cardiologist diagnosed A-Fib condition two weeks agocurrently in investigation of issues associated with condity
Healthcare visit (other): In office visits so far

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

FieldPreferred term2021-092023-042024-11
HCVOOffice visit ✓ · ✓
SDAtrial fibrillation ✓ · ✓
SDOffice visit ✓ · ✓
SDParaesthesia ✓ ✓ ✓
SROHeart rate increased ✓ ✓ ✓
SROPain in jaw ✓ ✓ ✓
SROTachycardia ✓ ✓ ✓

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

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