Z68-16170-55232
1 vaccination
4 coded responses
6 check-ins
4 free-text entries
3 call cases
- Sex
- Female
- Age at first dose
- 26-30
- ZIP prefix
- 063 / CT
- Registered
- 2021-01-14
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-01-14
Registered in v-safe
-
2021-01-14
Dose 1 — Moderna
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2021-01-14
Survey response — day 0, dose 1MedDRA: Oral discomfort, Pharyngeal swelling, Sensory loss, Swollen tongue — Feeling: Good · Site: Pain, Redness, Swelling · Fever · Muscle or body aches, Fatigue or tiredness · Be unable to work, Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultationFree text: Parathesis, numbness from waist up, loss of sensation arms hands chest face throat and tongue, throat and tongue swelling, burningMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-01-14
Report sent to call center — day 0, dose 1Be unable to work · Get care from a doctor or other healthcare professional1 call case(s)
- 2021-01-23
- 2021-01-28
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2021-02-04
Survey response — day 21, dose 1MedDRA: Burning sensation, Fatigue, Hypoaesthesia, Immediate post-injection reaction, Myalgia, Paraesthesia, Pyrexia — Feeling: Poor · Be unable to work, Be unable to do your normal daily activitiesFree text: Received my second vaccine immediately had numbness tingling and burning same arm as injection from neck to pink and ring finger. This lasted 12 hours. Now have fever, fatigue, muscle achesMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-03-09
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2021-04-17
Survey response — 3 months, dose 1MedDRA: Arthralgia, Arthritis — Feeling: Fair · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visitFree text: Arthritis pain in jointsMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-04-17
Report sent to call center — 3 months, dose 1Get care from a doctor or other healthcare professional1 call case(s)
- 2021-11-28
-
2022-01-14
Survey response — 12 months, dose 1MedDRA: COVID-19, Office visit, Pain — 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 professionalFree text: Symptoms: I got the new Vaccine felt like I got hit by a truck, then contracted Covid 2 weeks later · Healthcare visit (other): In home visiting doctor careMedDRA releases: 2024-11 · check-in free text available
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2022-01-14
Report sent to call center — 12 months, dose 1Be 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)
- 2022-01-19
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-01-14 | Moderna |
Call center
| Reported | Outcome | VAERS-related outcome |
|---|---|---|
| 2021-01-14 | Unsuccessful | |
| 2021-04-17 | Unsuccessful | |
| 2022-01-14 | Unsuccessful |
Free text
Release 2 — day 0, dose 1
Systemic reaction (other): Parathesis, numbness from waist up, loss of sensation arms hands chest face throat and tongue, throat and tongue swelling, burning
Release 3 — day 21, dose 1
Symptoms: Received my second vaccine immediately had numbness tingling and burning same arm as injection from neck to pink and ring finger. This lasted 12 hours. Now have fever, fatigue, muscle aches
Release 7 — 3 months, dose 1
Symptoms: Arthritis pain in joints
Release 10 — 12 months, dose 1
Symptoms: I got the new Vaccine felt like I got hit by a truck, then contracted Covid 2 weeks later
Healthcare visit (other): In home visiting doctor care
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 | Arthralgia | ✓ | ✓ | ✓ |
| SD | Arthritis | ✓ | ✓ | ○ |
| SD | Burning sensation | ✓ | ✓ | ✓ |
| SD | COVID-19 | · | · | ✓ |
| SD | Fatigue | ✓ | ✓ | ✓ |
| SD | Hypoaesthesia | ✓ | ✓ | ✓ |
| SD | Immediate post-injection reaction | ✓ | ✓ | ✓ |
| SD | Myalgia | ✓ | ✓ | ✓ |
| SD | Pain | · | · | ✓ |
| SD | Paraesthesia | ✓ | ✓ | ✓ |
| SD | Pyrexia | ✓ | ✓ | ✓ |
| SRO | Oral discomfort | ✓ | ✓ | ✓ |
| SRO | Pharyngeal swelling | ✓ | ✓ | ✓ |
| SRO | Sensory loss | ✓ | ✓ | ✓ |
| SRO | Swollen tongue | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release