YYW-25823-92754
2 vaccinations
4 coded responses
17 check-ins
4 free-text entries
1 call case
- Sex
- Female
- Age at first dose
- 56-60
- ZIP prefix
- 334 / FL
- Registered
- 2021-01-05
- Relationship
- Self
- Race
- N/A
- Ethnicity
- N/A
Timeline
-
2021-01-05
Registered in v-safe
-
2021-01-05
Dose 1 — Moderna
-
2021-01-06
Survey response — days 1–6 daily, dose 1MedDRA: Hypoaesthesia — Feeling: Good · Site: Pain, SwellingFree text: Couldn't feel my forehead earlierMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-01-07
Survey response — days 1–6 daily, dose 1MedDRA: No adverse event — Feeling: Good · Site: PainFree text: Numbness is forehead has gone awayMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-01-08
- 2021-01-09
- 2021-01-12
- 2021-01-19
- 2021-01-26
- 2021-02-02
-
2021-02-03
Dose 2 — Moderna
- 2021-02-09
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2021-02-10
Survey response — day 7, dose 2MedDRA: Chills, Headache, Pain, Pyrexia, Tremor — Feeling: Good · Site: Pain, Redness · ChillsFree text: The chills were NOT today. Just no place to document my symptoms since I was not asked until 6 days after 2nd shot The day after my 2nd vaccine I had fever, shaking chills, headache and body aches. Later just over 24 hoursMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-02-17
- 2021-02-24
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2021-03-03
Survey response — day 28, dose 2MedDRA: Facial pain, Fatigue, Headache, Herpes zoster, Hypoaesthesia, Office visit, Pain of skin — Feeling: Poor · Be unable to work, Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visitFree text: Symptoms: Shingles on my face and head. I reported after my first vaccine numbness on my forehead and this is the EXACT location of the shingles breakout. I am now on VALTREX have severe pain on face and scalp massive headache and complete exhaustion · Healthcare visit (other): Ophthalmologist to make sure the shingles virus didnt get into my eyesMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-03-03
Report sent to call center — day 28, dose 2Be unable to work · Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional1 call case(s)
- 2021-03-17
-
2021-04-18
Pregnancy registry surveyNot pregnant at or since vaccination ·
- 2021-05-04
- 2021-05-05
- 2021-08-06
- 2022-02-03
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-01-05 | Moderna | |
| 2 | 2021-02-03 | Moderna |
Call center
| Reported | Outcome | VAERS-related outcome |
|---|---|---|
| 2021-03-03 | Unsuccessful |
Free text
Release 1 — days 1–6 daily, dose 1
Systemic reaction (other): Couldn't feel my forehead earlier
Systemic reaction (other): Numbness is forehead has gone away
Release 4 — day 7, dose 2
Systemic reaction (other): The chills were NOT today. Just no place to document my symptoms since I was not asked until 6 days after 2nd shot The day after my 2nd vaccine I had fever, shaking chills, headache and body aches. Later just over 24 hours
Release 5 — day 28, dose 2
Symptoms: Shingles on my face and head. I reported after my first vaccine numbness on my forehead and this is the EXACT location of the shingles breakout. I am now on VALTREX have severe pain on face and scalp massive headache and complete exhaustion
Healthcare visit (other): Ophthalmologist to make sure the shingles virus didnt get into my eyes
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 | Herpes zoster | ✓ | ✓ | ✓ |
| HCVO | Office visit | ✓ | ✓ | ✓ |
| SD | Facial pain | ✓ | ✓ | ✓ |
| SD | Fatigue | ✓ | ✓ | ✓ |
| SD | Headache | ✓ | ✓ | ✓ |
| SD | Herpes zoster | ✓ | ✓ | ✓ |
| SD | Hypoaesthesia | ✓ | ✓ | ✓ |
| SD | Pain of skin | ✓ | ✓ | ✓ |
| SRO | Chills | ✓ | ✓ | ✓ |
| SRO | Headache | ✓ | ✓ | ✓ |
| SRO | Hypoaesthesia | ✓ | ✓ | ✓ |
| SRO | No adverse event | ✓ | ✓ | ✓ |
| SRO | Pain | ✓ | ✓ | ✓ |
| SRO | Pyrexia | ✓ | ✓ | ✓ |
| SRO | Tremor | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release