ZZW-27328-27082
1 vaccination
5 coded responses
6 check-ins
5 free-text entries
5 call cases
- Sex
- Female
- Age at first dose
- 51-55
- ZIP prefix
- 882 / NM
- Registered
- 2021-04-13
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
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2021-03-29
Dose 1 — Moderna
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2021-04-13
Registered in v-safe
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2021-04-13
Survey response — day 14, dose 1MedDRA: Fall, Injection site pain, Injection site swelling, Limb mass, Mobility decreased, Partial seizures, Seizure — Feeling: Poor · 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 visit, HospitalizationFree text: Day #1 pain and swelling in left upper arm injection siteDay#2. Large lump in left arm out developing Day#3&4 large lump increases, difficult to put arm down at side. #6 left side focal seizure, fell down began convulsions on left side for 5-8MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-04-13
Report sent to call center — day 14, dose 1Be unable to work · Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional1 call case(s)
- 2021-04-21
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2021-05-05
Survey response — day 35, dose 1MedDRA: Headache, Muscle twitching, Tinnitus, Tremor, Vision blurred — Feeling: Poor · 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 visit, HospitalizationFree text: Since my stroke episode I have had left side eye twitching, ear ringing and blurred vision. I also have tremors and continued headaches.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-05-05
Report sent to call center — day 35, dose 1Be 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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2021-05-12
Survey response — day 42, dose 1MedDRA: Blepharospasm, Brain fog, Fall, Headache, Hypoaesthesia, Pain in extremity — Feeling: Poor · 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 visit, HospitalizationFree text: Eye twitching, increased leg pain, headache, brain fog, numbness on left side of temple area. Fell down today because my left leg wouldnt work to hold me.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-05-12
Report sent to call center — day 42, dose 1Be 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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2021-06-30
Survey response — 3 months, dose 1MedDRA: Hypoaesthesia, Nausea, Pain in extremity, Paraesthesia, Tremor — Feeling: Poor · Be unable to work or attend school, 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: Extreme nausea, internal tremors, and numbness and tingling over left temple, left leg pain.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-06-30
Report sent to call center — 3 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)
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2021-07-02
Call successfulReported to VAERS voluntarily prior to GDIT contact
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2021-10-02
Survey response — 6 months, dose 1MedDRA: Cluster headache, Fatigue, Migraine, Muscular weakness — Feeling: Poor · Be unable to work or attend school, Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visitFree text: Migraine cluster headaches, legs stop working and give out, extreme exhaustionMedDRA releases: 2024-11 · check-in free text available
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2021-10-02
Report sent to call center — 6 months, dose 1Be unable to work or attend school · Get care from a doctor or other healthcare professionalOutpatient clinic or urgent care clinic visit · 1 call case(s)
- 2021-10-05
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-03-29 | Moderna |
Call center
5 call center cases
4 successful · 1 unsuccessful
VAERS report filed, before or during a call: 2
Free text
Release 7 — day 14, dose 1
Symptoms: Day #1 pain and swelling in left upper arm injection siteDay#2. Large lump in left arm out developing Day#3&4 large lump increases, difficult to put arm down at side. #6 left side focal seizure, fell down began convulsions on left side for 5-8
Release 8 — day 35, dose 1
Symptoms: Since my stroke episode I have had left side eye twitching, ear ringing and blurred vision. I also have tremors and continued headaches.
Release 8 — day 42, dose 1
Symptoms: Eye twitching, increased leg pain, headache, brain fog, numbness on left side of temple area. Fell down today because my left leg wouldnt work to hold me.
Release 9 — 3 months, dose 1
Symptoms: Extreme nausea, internal tremors, and numbness and tingling over left temple, left leg pain.
Release 9 — 6 months, dose 1
Symptoms: Migraine cluster headaches, legs stop working and give out, extreme exhaustion
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 |
|---|---|---|---|---|
| SD | Blepharospasm | ✓ | ✓ | ✓ |
| SD | Brain fog | ✓ | ✓ | ✓ |
| SD | Cluster headache | · | · | ✓ |
| SD | Fall | ✓ | ✓ | ✓ |
| SD | Fatigue | · | · | ✓ |
| SD | Headache | ✓ | ✓ | ✓ |
| SD | Hypoaesthesia | ✓ | ✓ | ✓ |
| SD | Injection site pain | ✓ | ✓ | ✓ |
| SD | Injection site swelling | ✓ | ✓ | ✓ |
| SD | Limb mass | ✓ | ✓ | ✓ |
| SD | Migraine | · | · | ✓ |
| SD | Mobility decreased | ✓ | ✓ | ✓ |
| SD | Muscle twitching | ✓ | ✓ | ✓ |
| SD | Muscular weakness | · | · | ✓ |
| SD | Nausea | ✓ | ✓ | ✓ |
| SD | Pain in extremity | ✓ | ✓ | ✓ |
| SD | Paraesthesia | ✓ | ✓ | ✓ |
| SD | Partial seizures | ✓ | ✓ | ✓ |
| SD | Seizure | ✓ | ✓ | ✓ |
| SD | Tinnitus | ✓ | ✓ | ✓ |
| SD | Tremor | ✓ | ✓ | ✓ |
| SD | Vision blurred | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release