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
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2021-01-11
Dose 1 — Moderna
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2021-01-22
Registered in v-safe
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2021-01-22
Survey response — day 7, dose 1MedDRA: Hypoaesthesia — Feeling: Good · Site: Pain, Itching · Fatigue or tirednessFree text: Arm numbnessMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-01-25
Survey response — day 14, dose 1MedDRA: Hypoaesthesia, Myalgia — Feeling: GoodFree 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
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2021-02-01
Survey response — day 21, dose 1MedDRA: 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 consultationFree 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
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2021-02-01
Report sent to call center — day 21, dose 1Get care from a doctor or other healthcare professional1 call case(s)
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2021-02-15
Dose 2 — Moderna
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2021-02-19
Health check-in — days 1–6 daily, dose 2Feeling: Good · Site: Pain, Redness, Swelling, Itching · Joint pains, Fatigue or tiredness, NauseaAdult check-in
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2021-02-20
Survey response — days 1–6 daily, dose 2MedDRA: No adverse event — Feeling: Good · Site: Pain · Joint pains, Muscle or body aches, Fatigue or tirednessFree text: No..MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-02-21
- 2021-02-22
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2021-03-01
Survey response — day 14, dose 2MedDRA: Cough, Dysphonia, Oropharyngeal pain — Feeling: Fair · Be unable to do your normal daily activitiesFree text: Throat soreness, voice hoarseness, and cough.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-03-08
Survey response — day 21, dose 2MedDRA: Chest pain, Cough, Office visit, Sinus congestion — Feeling: Fair · Get care from a doctor or other healthcare professionalFree 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
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2021-03-08
Report sent to call center — day 21, dose 2Get care from a doctor or other healthcare professional1 call case(s)
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2021-06-07
Call successfulDoes not wish to fill out VAERS report
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2021-06-09
Call successfulDoes not wish to fill out VAERS report
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2021-08-16
Survey response — 6 months, dose 2MedDRA: Anxiety, Blood pressure increased, Office visit — Feeling: Good · Get care from a doctor or other healthcare professionalFree text: Symptoms: Blood pressure elevated and more anxiety · Healthcare visit (other): Doctors office visitMedDRA releases: 2021-09,2024-11 · check-in free text available
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2021-08-16
Report sent to call center — 6 months, dose 2Get care from a doctor or other healthcare professional1 call case(s)
- 2021-08-19
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2021-08-19
Callback requested for05:30 PM E
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2021-08-19
Call successfulDoes not wish to fill out VAERS report
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-01-11 | Moderna | |
| 2 | 2021-02-15 | Moderna |
Call center
| Reported | Outcome | VAERS-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
Systemic reaction (other): Arm numbness
Release 2 — day 14, dose 1
Symptoms: My vaccinated arm has an ache and numbness in that arm's hand comes and goes.
Release 3 — day 21, dose 1
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
Systemic reaction (other): No..
Release 4 — day 14, dose 2
Symptoms: Throat soreness, voice hoarseness, and cough.
Release 5 — day 21, dose 2
Symptoms: Sinus congestion and chest pain. Coughing continues.
Healthcare visit (other): In person visit.
Release 9 — 6 months, dose 2
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
| Field | Preferred term | 2021-09 | 2023-04 | 2024-11 |
|---|---|---|---|---|
| HCVO | Office visit | ✓ | ✓ | ✓ |
| SD | Anxiety | ✓ | · | ✓ |
| SD | Blood pressure increased | ✓ | · | ✓ |
| SD | Chest pain | ✓ | ✓ | ✓ |
| SD | Cough | ✓ | ✓ | ✓ |
| SD | Dysphagia | ✓ | ✓ | ✓ |
| SD | Dysphonia | ✓ | ✓ | ✓ |
| SD | Hypoaesthesia | ✓ | ✓ | ✓ |
| SD | Myalgia | ✓ | ✓ | ✓ |
| SD | Oropharyngeal pain | ✓ | ✓ | ✓ |
| SD | Sensation of foreign body | · | · | ✓ |
| SD | Sinus congestion | ✓ | ✓ | ✓ |
| SD | Throat irritation | ✓ | ✓ | ○ |
| SRO | Hypoaesthesia | ✓ | ✓ | ✓ |
| SRO | No adverse event | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release