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ZH5-19522-20011

3 vaccinations 5 coded responses 27 check-ins 5 free-text entries 4 call cases
Sex
Female
Age at first dose
36-40
ZIP prefix
752 / TX
Registered
2021-02-26
Relationship
Self
Race
White
Ethnicity
Not Hispanic or Latino

Timeline

  1. 2021-01-29
    Dose 1 — Moderna
  2. 2021-02-26
    Registered in v-safe
  3. 2021-02-26
    Dose 2 — Moderna
  4. 2021-02-26
    Health check-in — day 0, dose 2
    Feeling: Good · None
    Adult check-in
  5. 2021-02-27
    Survey response — days 1–6 daily, dose 2
    MedDRA: Hypoaesthesia — Feeling: Poor · Site: Pain · Fever · Chills, Headache, Joint pains, Muscle or body aches · Be unable to do your normal daily activities
    Free text: All 10 toes went completely numb
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  6. 2021-02-28
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · Site: Pain, Redness, Swelling · Headache, Muscle or body aches
    Adult check-in
  7. 2021-03-01
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · Site: Pain · Fatigue or tiredness
    Adult check-in
  8. 2021-03-02
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · Site: Pain · None
    Adult check-in
  9. 2021-03-03
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · None
    Adult check-in
  10. 2021-03-04
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · None
    Adult check-in
  11. 2021-03-05
    Health check-in — day 7, dose 2
    Feeling: Good · None
    Adult check-in
  12. 2021-03-12
    Health check-in — day 14, dose 2
    Feeling: Good
    Adult check-in
  13. 2021-03-19
    Health check-in — day 21, dose 2
    Feeling: Good
    Adult check-in
  14. 2021-03-26
    Health check-in — day 28, dose 2
    Feeling: Good
    Adult check-in
  15. 2021-04-02
    Health check-in — day 35, dose 2
    Feeling: Good
    Adult check-in
  16. 2021-04-09
    Survey response — day 42, dose 2
    MedDRA: Vertigo — Feeling: Good
    Free text: Vertigo started 4/1/21
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  17. 2021-05-28
    Survey response — 3 months, dose 2
    MedDRA: Hypertension, Vertigo — Feeling: Good · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit
    Free text: I had vertigo for about a month and was diagnosed with high blood pressure for the first time in my life. After a month of monitoring, Im now on BP meds.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  18. 2021-05-28
    Report sent to call center — 3 months, dose 2
    Get care from a doctor or other healthcare professional
    1 call case(s)
  19. 2021-08-27
    Health check-in — 6 months, dose 2
    Feeling: Good
    Adult check-in
  20. 2022-02-26
    Dose 3 — Moderna
  21. 2022-02-26
    Survey response — 12 months, dose 2
    MedDRA: COVID-19 — Feeling: Good · Be unable to work or attend school
    Free text: COVID + 1/4/22
    MedDRA releases: 2024-11 · check-in free text available
  22. 2022-03-01
    Health check-in — days 1–6 daily, dose 3
    Feeling: Fair · Site: Pain · Rash, not including the immediate area around the injection site · Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultation
    Adult check-in
  23. 2022-03-01
    Report sent to call center — days 1–6 daily, dose 3
    Get care from a doctor or other healthcare professional
    Telehealth, virtual health, or email health consultation · 1 call case(s)
  24. 2022-03-02
  25. 2022-03-03
    Health check-in — days 1–6 daily, dose 3
    Feeling: Good · Rash, not including the immediate area around the injection site
    Adult check-in
  26. 2022-03-04
    Health check-in — days 1–6 daily, dose 3
    Feeling: Fair · Rash, not including the immediate area around the injection site · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit
    Adult check-in
  27. 2022-03-04
    Report sent to call center — days 1–6 daily, dose 3
    Get care from a doctor or other healthcare professional
    Outpatient clinic or urgent care clinic visit · 1 call case(s)
  28. 2022-03-05
    Health check-in — day 7, dose 3
    Feeling: Good · Rash, not including the immediate area around the injection site
    Adult check-in
  29. 2022-03-07
  30. 2022-03-07
  31. 2022-03-12
    Health check-in — day 14, dose 3
    Feeling: Good
    Adult check-in
  32. 2022-03-19
    Health check-in — day 21, dose 3
    Feeling: Good
    Adult check-in
  33. 2022-03-26
    Health check-in — day 28, dose 3
    Feeling: Good
    Adult check-in
  34. 2022-04-02
    Health check-in — day 35, dose 3
    Feeling: Good
    Adult check-in
  35. 2022-04-09
    Health check-in — day 42, dose 3
    Feeling: Good
    Adult check-in
  36. 2022-05-30
    Survey response — 3 months, dose 3
    MedDRA: Amnesia, Brain fog, COVID-19, Sensitive skin — Feeling: Good · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit
    Free text: Significant brain fog, memory loss, increased skin sensitivity - I think more related to having COVID in Jan 2022
    MedDRA releases: 2024-11 · check-in free text available
  37. 2022-05-30
    Report sent to call center — 3 months, dose 3
    Get care from a doctor or other healthcare professional
    Outpatient clinic or urgent care clinic visit · 1 call case(s)
  38. 2022-06-01
  39. 2022-06-01
  40. 2022-06-01
  41. 2022-06-01
  42. 2022-06-06
  43. 2022-06-06
  44. 2022-06-06
  45. 2022-06-06
  46. 2022-08-27
    Health check-in — 6 months, dose 3
    Feeling: Good
    Adult check-in

Vaccinations

DoseDateManufacturerCo-administered
12021-01-29Moderna
22021-02-26Moderna
32022-02-26Moderna No

Call center

ReportedOutcomeVAERS-related outcome
2021-05-28 Unsuccessful
2022-03-01 Unsuccessful
2022-03-04 Unsuccessful
2022-05-30 Unsuccessful

Free text

Release 4 — days 1–6 daily, dose 2

2021-02-27

Systemic reaction (other): All 10 toes went completely numb

Release 7 — day 42, dose 2

2021-04-09

Symptoms: Vertigo started 4/1/21

Release 8 — 3 months, dose 2

2021-05-28

Symptoms: I had vertigo for about a month and was diagnosed with high blood pressure for the first time in my life. After a month of monitoring, Im now on BP meds.

Release 11 — 12 months, dose 2

2022-02-26

Symptoms: COVID + 1/4/22

Release 11 — 3 months, dose 3

2022-05-30

Symptoms: Significant brain fog, memory loss, increased skin sensitivity - I think more related to having COVID in Jan 2022

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

FieldPreferred term2021-092023-042024-11
SDAmnesia · · ✓
SDBrain fog · · ✓
SDCOVID-19 · · ✓
SDHypertension ✓ ✓ ✓
SDSensitive skin · · ✓
SDVertigo ✓ ✓ ✓
SROHypoaesthesia ✓ ✓ ✓

✓ active code · ○ coded but marked inactive · blank = not in that release

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