Z8P-20178-73845
2 vaccinations
5 coded responses
5 check-ins
5 free-text entries
4 call cases
- Sex
- Female
- Age at first dose
- 26-30
- ZIP prefix
- 640 / MO
- Registered
- 2020-12-27
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
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2020-12-24
Dose 1 — Moderna
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2020-12-27
Registered in v-safe
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2020-12-27
Survey response — days 1–6 daily, dose 1MedDRA: Pain — Feeling: Good · Site: Pain, Swelling · Fever · Headache, Joint pains, Muscle or body aches, Fatigue or tirednessFree text: Severe body achesMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-01-14
Survey response — day 21, dose 1MedDRA: Hypoaesthesia, Paraesthesia — Feeling: Fair · Be unable to do your normal daily activitiesFree text: Tingling and numbness in all extremitiesMedDRA 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 21, dose 1Be unable to do your normal daily activities1 call case(s)
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2021-01-20
Dose 2 — Moderna
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2021-01-25
Survey response — days 1–6 daily, dose 2MedDRA: Asthenia, Hypoaesthesia, Immediate post-injection reaction, Pain, Paraesthesia, Presyncope, Somnolence — Feeling: Poor · Site: Pain, Swelling · Headache, Muscle or body aches, Fatigue or tiredness, Diarrhea · Be unable to work, Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Emergency room or emergency department visitFree text: Systemic reaction (other): Head and nerve and muscle: weakness, numbness, feeling asleep, tingling, pain, all limbs worsening some gbs perhaps · Healthcare visit (other): Had initial er visit for acute vasovagal reaction minutes after second dose. The feeling in muscles limbs head had not gone away.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-01-25
Report sent to call center — days 1–6 daily, 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)
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2021-02-24
Survey response — day 35, dose 2MedDRA: Hypoaesthesia, Injection site reaction, Paraesthesia — Feeling: Fair · 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: Since got second covid shot 1/20, all limbs still experience worsening paresthesia/tingling and numbness like falling asleep. Worse on left side and worst at injection site. Worst on lateral 1st-3rd digits.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-02-24
Report sent to call center — day 35, dose 2Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional1 call case(s)
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2021-04-21
Survey response — 3 months, dose 2MedDRA: Fibromyalgia — Feeling: Fair · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visitFree text: Diagnosed with fibromyalgiaMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-04-21
Report sent to call center — 3 months, dose 2Get care from a doctor or other healthcare professional1 call case(s)
- 2021-06-01
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2020-12-24 | Moderna | |
| 2 | 2021-01-20 | Moderna |
Call center
| Reported | Outcome | VAERS-related outcome |
|---|---|---|
| 2021-01-14 | priority 2/3 | |
| 2021-01-25 | Unsuccessful | |
| 2021-02-24 | Unsuccessful | |
| 2021-04-21 | Unsuccessful |
Free text
Release 1 — days 1–6 daily, dose 1
Systemic reaction (other): Severe body aches
Release 2 — day 21, dose 1
Symptoms: Tingling and numbness in all extremities
Release 2 — days 1–6 daily, dose 2
Systemic reaction (other): Head and nerve and muscle: weakness, numbness, feeling asleep, tingling, pain, all limbs worsening some gbs perhaps
Healthcare visit (other): Had initial er visit for acute vasovagal reaction minutes after second dose. The feeling in muscles limbs head had not gone away.
Release 4 — day 35, dose 2
Symptoms: Since got second covid shot 1/20, all limbs still experience worsening paresthesia/tingling and numbness like falling asleep. Worse on left side and worst at injection site. Worst on lateral 1st-3rd digits.
Release 7 — 3 months, dose 2
Symptoms: Diagnosed with fibromyalgia
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 | Immediate post-injection reaction | ✓ | ✓ | ✓ |
| HCVO | Presyncope | ✓ | ✓ | ✓ |
| SD | Fibromyalgia | ✓ | ✓ | ✓ |
| SD | Hypoaesthesia | ✓ | ✓ | ✓ |
| SD | Injection site reaction | ✓ | ✓ | ✓ |
| SD | Paraesthesia | ✓ | ✓ | ✓ |
| SRO | Asthenia | ✓ | ✓ | ✓ |
| SRO | Hypoaesthesia | ✓ | ✓ | ✓ |
| SRO | Pain | ✓ | ✓ | ✓ |
| SRO | Paraesthesia | ✓ | ✓ | ✓ |
| SRO | Somnolence | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release