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
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2021-01-13
Registered in v-safe
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2021-01-13
Dose 1 — Moderna
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2021-01-13
Survey response — day 0, dose 1MedDRA: Chest discomfort, Coordination abnormal, Feeling drunk, Hypoaesthesia, Hypoaesthesia oral, Pre-existing disease, Tachycardia — Feeling: Poor · Site: Pain, Swelling · Fever · HeadacheFree 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 discomfortMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-01-14
Survey response — days 1–6 daily, dose 1MedDRA: Anxiety, Hypoaesthesia — Feeling: Fair · Site: Pain, Swelling · Headache, Muscle or body aches, Fatigue or tirednessFree text: Intermittent anxiety, numbness at hands, feet, faceMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-01-15
Survey response — days 1–6 daily, dose 1MedDRA: Anxiety, Hypoaesthesia — Feeling: Fair · Site: Pain · Fever · Headache, Fatigue or tirednessFree 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
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2021-01-16
Survey response — days 1–6 daily, dose 1MedDRA: Hypoaesthesia — Feeling: Fair · Site: Pain · Headache, Fatigue or tirednessFree text: Still intermittent numbness at handsMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-01-17
Survey response — days 1–6 daily, dose 1MedDRA: Hypoaesthesia — Feeling: Fair · Headache, Fatigue or tirednessFree text: Still have intermittent numbness at hands.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-01-18
Survey response — days 1–6 daily, dose 1MedDRA: Hypoaesthesia, Paraesthesia — Feeling: Fair · Headache, Fatigue or tirednessFree text: Intermittent numbness/tingling at hands.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-01-19
Survey response — days 1–6 daily, dose 1MedDRA: Hypoaesthesia, Paraesthesia — Feeling: Fair · Headache, Fatigue or tirednessFree text: Intermittent numbness and tingling at handsMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-01-22
Survey response — day 7, dose 1MedDRA: Hypoaesthesia, Paraesthesia — Feeling: Fair · Headache, Fatigue or tirednessFree text: Intermittent tingling/numbness at handsMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-01-28
- 2021-02-03
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2021-02-10
Dose 2 — Moderna
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2021-02-17
Survey response — day 7, dose 2MedDRA: Paraesthesia — Feeling: Fair · Site: Redness, Swelling, Itching · Headache, Fatigue or tirednessFree text: Tingling at handsMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-02-24
- 2021-03-04
- 2021-03-10
- 2021-03-17
- 2021-03-24
- 2021-05-14
- 2021-08-13
- 2022-02-11
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-01-13 | Moderna | |
| 2 | 2021-02-10 | Moderna |
Free text
Release 1 — day 0, dose 1
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
Systemic reaction (other): Intermittent anxiety, numbness at hands, feet, face
Release 2 — days 1–6 daily, dose 1
Systemic reaction (other): Had increased anxiety and anxiety attack yesterday, continue to have intermittent spells of numbness at hands, feet, face.
Systemic reaction (other): Still intermittent numbness at hands
Systemic reaction (other): Still have intermittent numbness at hands.
Systemic reaction (other): Intermittent numbness/tingling at hands.
Systemic reaction (other): Intermittent numbness and tingling at hands
Release 2 — day 7, dose 1
Systemic reaction (other): Intermittent tingling/numbness at hands
Release 4 — day 7, dose 2
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
| Field | Preferred term | 2021-09 | 2023-04 | 2024-11 |
|---|---|---|---|---|
| SRO | Anxiety | ✓ | ✓ | ✓ |
| SRO | Chest discomfort | ✓ | ✓ | ✓ |
| SRO | Coordination abnormal | ✓ | ✓ | ✓ |
| SRO | Feeling drunk | ✓ | ✓ | ✓ |
| SRO | Hypoaesthesia | ✓ | ✓ | ✓ |
| SRO | Hypoaesthesia oral | ✓ | ✓ | ✓ |
| SRO | Paraesthesia | ✓ | ✓ | ✓ |
| SRO | Pre-existing disease | ✓ | ✓ | ✓ |
| SRO | Tachycardia | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release