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Y6W-45684-07158

2 vaccinations 7 coded responses 10 check-ins 7 free-text entries 3 call cases
Sex
Female
Age at first dose
66+
ZIP prefix
008 / PR
Registered
2021-01-22
Relationship
Self
Race
Other
Ethnicity
N/A

Timeline

  1. 2021-01-11
    Dose 1 — Moderna
  2. 2021-01-22
    Registered in v-safe
  3. 2021-01-22
    Survey response — day 7, dose 1
    MedDRA: Hypoaesthesia — Feeling: Good · Site: Pain, Itching · Fatigue or tiredness
    Free text: Arm numbness
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  4. 2021-01-25
    Survey response — day 14, dose 1
    MedDRA: Hypoaesthesia, Myalgia — Feeling: Good
    Free text: My vaccinated arm has an ache and numbness in that arm's hand comes and goes.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  5. 2021-02-01
    Survey response — day 21, dose 1
    MedDRA: Dysphagia, Office visit, Sensation of foreign body, Throat irritation — Feeling: Fair · Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultation
    Free text: Symptoms: I have had extreme difficulty swallowing since last Wednesday evening. It feels as if there is something always stuck in my throat. · Healthcare visit (other): In person visit with my physician .
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  6. 2021-02-01
    Report sent to call center — day 21, dose 1
    Get care from a doctor or other healthcare professional
    1 call case(s)
  7. 2021-02-15
    Dose 2 — Moderna
  8. 2021-02-19
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · Site: Pain, Redness, Swelling, Itching · Joint pains, Fatigue or tiredness, Nausea
    Adult check-in
  9. 2021-02-20
    Survey response — days 1–6 daily, dose 2
    MedDRA: No adverse event — Feeling: Good · Site: Pain · Joint pains, Muscle or body aches, Fatigue or tiredness
    Free text: No..
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  10. 2021-02-21
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · Site: Itching · None
    Adult check-in
  11. 2021-02-22
    Health check-in — day 7, dose 2
    Feeling: Good · None
    Adult check-in
  12. 2021-03-01
    Survey response — day 14, dose 2
    MedDRA: Cough, Dysphonia, Oropharyngeal pain — Feeling: Fair · Be unable to do your normal daily activities
    Free text: Throat soreness, voice hoarseness, and cough.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  13. 2021-03-08
    Survey response — day 21, dose 2
    MedDRA: Chest pain, Cough, Office visit, Sinus congestion — Feeling: Fair · Get care from a doctor or other healthcare professional
    Free text: Symptoms: Sinus congestion and chest pain. Coughing continues. · Healthcare visit (other): In person visit.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  14. 2021-03-08
    Report sent to call center — day 21, dose 2
    Get care from a doctor or other healthcare professional
    1 call case(s)
  15. 2021-06-07
    Call successful
    Does not wish to fill out VAERS report
  16. 2021-06-09
    Call successful
    Does not wish to fill out VAERS report
  17. 2021-08-16
    Survey response — 6 months, dose 2
    MedDRA: Anxiety, Blood pressure increased, Office visit — Feeling: Good · Get care from a doctor or other healthcare professional
    Free text: Symptoms: Blood pressure elevated and more anxiety · Healthcare visit (other): Doctors office visit
    MedDRA releases: 2021-09,2024-11 · check-in free text available
  18. 2021-08-16
    Report sent to call center — 6 months, dose 2
    Get care from a doctor or other healthcare professional
    1 call case(s)
  19. 2021-08-19
  20. 2021-08-19
  21. 2021-08-19
    Call successful
    Does not wish to fill out VAERS report

Vaccinations

DoseDateManufacturerCo-administered
12021-01-11Moderna
22021-02-15Moderna

Call center

ReportedOutcomeVAERS-related outcome
2021-02-01 Successful
2021-06-09
Does not wish to fill out VAERS report
2021-03-08 Successful
2021-06-07
Does not wish to fill out VAERS report
2021-08-16 Successful
2021-08-19
Does not wish to fill out VAERS report

Free text

Release 2 — day 7, dose 1

2021-01-22

Systemic reaction (other): Arm numbness

Release 2 — day 14, dose 1

2021-01-25

Symptoms: My vaccinated arm has an ache and numbness in that arm's hand comes and goes.

Release 3 — day 21, dose 1

2021-02-01

Symptoms: I have had extreme difficulty swallowing since last Wednesday evening. It feels as if there is something always stuck in my throat.
Healthcare visit (other): In person visit with my physician .

Release 4 — days 1–6 daily, dose 2

2021-02-20

Systemic reaction (other): No..

Release 4 — day 14, dose 2

2021-03-01

Symptoms: Throat soreness, voice hoarseness, and cough.

Release 5 — day 21, dose 2

2021-03-08

Symptoms: Sinus congestion and chest pain. Coughing continues.
Healthcare visit (other): In person visit.

Release 9 — 6 months, dose 2

2021-08-16

Symptoms: Blood pressure elevated and more anxiety
Healthcare visit (other): Doctors office visit

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 ✓ ✓ ✓
SDAnxiety ✓ · ✓
SDBlood pressure increased ✓ · ✓
SDChest pain ✓ ✓ ✓
SDCough ✓ ✓ ✓
SDDysphagia ✓ ✓ ✓
SDDysphonia ✓ ✓ ✓
SDHypoaesthesia ✓ ✓ ✓
SDMyalgia ✓ ✓ ✓
SDOropharyngeal pain ✓ ✓ ✓
SDSensation of foreign body · · ✓
SDSinus congestion ✓ ✓ ✓
SDThroat irritation ✓ ✓ ○
SROHypoaesthesia ✓ ✓ ✓
SRONo adverse event ✓ ✓ ✓

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