ZFF-17612-23368
2 vaccinations
4 coded responses
28 check-ins
4 free-text entries
1 call case
- Sex
- Female
- Age at first dose
- 46-50
- ZIP prefix
- 787 / TX
- Registered
- 2021-01-21
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-01-21
Registered in v-safe
-
2021-01-21
Dose 1 — Moderna
- 2021-01-21
- 2021-01-22
- 2021-01-23
- 2021-01-24
- 2021-01-25
- 2021-01-26
- 2021-01-27
- 2021-01-28
- 2021-02-04
- 2021-02-11
- 2021-02-18
- 2021-02-25
-
2021-03-03
Dose 2 — Moderna
-
2021-03-03
Survey response — day 0, dose 2MedDRA: Hypoaesthesia — Feeling: Fair · Site: Pain · Muscle or body achesFree text: Hand and arm numbnessMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-03-04
Survey response — days 1–6 daily, dose 2MedDRA: Hypoaesthesia, Lip swelling, Paraesthesia oral — Feeling: Poor · Site: Pain · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Abdominal pain · Be unable to work, Be unable to do your normal daily activitiesFree text: My lips felt swollen and were tingling, my left arm and hand (side I got the shot in) had numbnessMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-03-05
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Site: Pain · Fever · Headache, Muscle or body aches · Be unable to workAdult check-in
- 2021-03-06
-
2021-03-07
Survey response — days 1–6 daily, dose 2MedDRA: Lip injury, Lip swelling, Paraesthesia oral, Pelvic pain — Feeling: FairFree text: Pelvic pain, split lip that is having trouble healing as a result of the swollen and tingling lips the day of the 2nd shot.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-03-08
- 2021-03-09
- 2021-03-10
- 2021-03-17
- 2021-03-24
- 2021-03-31
- 2021-04-07
- 2021-04-14
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2021-06-02
Survey response — 3 months, dose 2MedDRA: Breast mass, Mandibular mass, Office visit, Unevaluable event, Uterine leiomyoma — Feeling: Fair · Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultation, Outpatient clinic or urgent care clinic visitFree text: Symptoms: Lump on my jaw, possibly a lymph node that is being evaluated. Lumps in my breasts that disappeared about 2 weeks ago, fibroids diagnosed this morning. · Healthcare visit (other): X-ray, ultrasounds, ct scanMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-06-02
Report sent to call center — 3 months, dose 2Get care from a doctor or other healthcare professional1 call case(s)
- 2021-09-01
- 2022-03-03
- 2022-04-14
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-01-21 | Moderna | |
| 2 | 2021-03-03 | Moderna |
Call center
| Reported | Outcome | VAERS-related outcome |
|---|---|---|
| 2021-06-02 | Unsuccessful |
Free text
Release 5 — day 0, dose 2
Systemic reaction (other): Hand and arm numbness
Release 5 — days 1–6 daily, dose 2
Systemic reaction (other): My lips felt swollen and were tingling, my left arm and hand (side I got the shot in) had numbness
Systemic reaction (other): Pelvic pain, split lip that is having trouble healing as a result of the swollen and tingling lips the day of the 2nd shot.
Release 8 — 3 months, dose 2
Symptoms: Lump on my jaw, possibly a lymph node that is being evaluated. Lumps in my breasts that disappeared about 2 weeks ago, fibroids diagnosed this morning.
Healthcare visit (other): X-ray, ultrasounds, ct scan
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 | Unevaluable event | ✓ | ✓ | ✓ |
| SD | Breast mass | ✓ | ✓ | ✓ |
| SD | Mandibular mass | ✓ | ✓ | ✓ |
| SD | Office visit | ✓ | ✓ | ✓ |
| SD | Uterine leiomyoma | ✓ | ✓ | ✓ |
| SRO | Hypoaesthesia | ✓ | ✓ | ✓ |
| SRO | Lip injury | ✓ | ✓ | ✓ |
| SRO | Lip swelling | ✓ | ✓ | ✓ |
| SRO | Paraesthesia oral | ✓ | ✓ | ✓ |
| SRO | Pelvic pain | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release