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25U-31630-08780

2 vaccinations 9 coded responses 19 check-ins 9 free-text entries 0 call cases
Sex
Female
Age at first dose
31-35
ZIP prefix
920 / CA
Registered
2021-01-13
Relationship
Self
Race
White
Ethnicity
Not Hispanic or Latino

Timeline

  1. 2021-01-13
    Registered in v-safe
  2. 2021-01-13
    Dose 1 — Moderna
  3. 2021-01-13
    Survey response — day 0, dose 1
    MedDRA: Chest discomfort, Coordination abnormal, Feeling drunk, Hypoaesthesia, Hypoaesthesia oral, Pre-existing disease, Tachycardia — Feeling: Poor · Site: Pain, Swelling · Fever · Headache
    Free text: Had COVID-19 March-June 2020. History reactive airway disease. Today after vaccine had Intermittent numbness at hands, face, tongue, coordination issues, feeling drunk/like after taking muscle relaxants, mild tachycardia, chest discomfort
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  4. 2021-01-14
    Survey response — days 1–6 daily, dose 1
    MedDRA: Anxiety, Hypoaesthesia — Feeling: Fair · Site: Pain, Swelling · Headache, Muscle or body aches, Fatigue or tiredness
    Free text: Intermittent anxiety, numbness at hands, feet, face
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  5. 2021-01-15
    Survey response — days 1–6 daily, dose 1
    MedDRA: Anxiety, Hypoaesthesia — Feeling: Fair · Site: Pain · Fever · Headache, Fatigue or tiredness
    Free text: Had increased anxiety and anxiety attack yesterday, continue to have intermittent spells of numbness at hands, feet, face.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  6. 2021-01-16
    Survey response — days 1–6 daily, dose 1
    MedDRA: Hypoaesthesia — Feeling: Fair · Site: Pain · Headache, Fatigue or tiredness
    Free text: Still intermittent numbness at hands
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  7. 2021-01-17
    Survey response — days 1–6 daily, dose 1
    MedDRA: Hypoaesthesia — Feeling: Fair · Headache, Fatigue or tiredness
    Free text: Still have intermittent numbness at hands.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  8. 2021-01-18
    Survey response — days 1–6 daily, dose 1
    MedDRA: Hypoaesthesia, Paraesthesia — Feeling: Fair · Headache, Fatigue or tiredness
    Free text: Intermittent numbness/tingling at hands.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  9. 2021-01-19
    Survey response — days 1–6 daily, dose 1
    MedDRA: Hypoaesthesia, Paraesthesia — Feeling: Fair · Headache, Fatigue or tiredness
    Free text: Intermittent numbness and tingling at hands
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  10. 2021-01-22
    Survey response — day 7, dose 1
    MedDRA: Hypoaesthesia, Paraesthesia — Feeling: Fair · Headache, Fatigue or tiredness
    Free text: Intermittent tingling/numbness at hands
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  11. 2021-01-28
    Health check-in — day 14, dose 1
    Feeling: Fair
    Adult check-in
  12. 2021-02-03
    Health check-in — day 21, dose 1
    Feeling: Fair
    Adult check-in
  13. 2021-02-10
    Dose 2 — Moderna
  14. 2021-02-17
    Survey response — day 7, dose 2
    MedDRA: Paraesthesia — Feeling: Fair · Site: Redness, Swelling, Itching · Headache, Fatigue or tiredness
    Free text: Tingling at hands
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  15. 2021-02-24
    Health check-in — day 14, dose 2
    Feeling: Fair
    Adult check-in
  16. 2021-03-04
    Health check-in — day 21, dose 2
    Feeling: Fair
    Adult check-in
  17. 2021-03-10
    Health check-in — day 28, dose 2
    Feeling: Fair
    Adult check-in
  18. 2021-03-17
    Health check-in — day 35, dose 2
    Feeling: Fair
    Adult check-in
  19. 2021-03-24
    Health check-in — day 42, dose 2
    Feeling: Good
    Adult check-in
  20. 2021-05-14
    Health check-in — 3 months, dose 2
    Feeling: Fair
    Adult check-in
  21. 2021-08-13
    Health check-in — 6 months, dose 2
    Feeling: Fair
    Adult check-in
  22. 2022-02-11
    Health check-in — 12 months, dose 2
    Feeling: Good
    Adult check-in

Vaccinations

DoseDateManufacturerCo-administered
12021-01-13Moderna
22021-02-10Moderna

Free text

Release 1 — day 0, dose 1

2021-01-13

Systemic reaction (other): Had COVID-19 March-June 2020. History reactive airway disease. Today after vaccine had Intermittent numbness at hands, face, tongue, coordination issues, feeling drunk/like after taking muscle relaxants, mild tachycardia, chest discomfort

Release 1 — days 1–6 daily, dose 1

2021-01-14

Systemic reaction (other): Intermittent anxiety, numbness at hands, feet, face

Release 2 — days 1–6 daily, dose 1

2021-01-15

Systemic reaction (other): Had increased anxiety and anxiety attack yesterday, continue to have intermittent spells of numbness at hands, feet, face.

2021-01-16

Systemic reaction (other): Still intermittent numbness at hands

2021-01-17

Systemic reaction (other): Still have intermittent numbness at hands.

2021-01-18

Systemic reaction (other): Intermittent numbness/tingling at hands.

2021-01-19

Systemic reaction (other): Intermittent numbness and tingling at hands

Release 2 — day 7, dose 1

2021-01-22

Systemic reaction (other): Intermittent tingling/numbness at hands

Release 4 — day 7, dose 2

2021-02-17

Systemic reaction (other): Tingling at hands

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
SROAnxiety ✓ ✓ ✓
SROChest discomfort ✓ ✓ ✓
SROCoordination abnormal ✓ ✓ ✓
SROFeeling drunk ✓ ✓ ✓
SROHypoaesthesia ✓ ✓ ✓
SROHypoaesthesia oral ✓ ✓ ✓
SROParaesthesia ✓ ✓ ✓
SROPre-existing disease ✓ ✓ ✓
SROTachycardia ✓ ✓ ✓

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