27D-26520-39338
2 vaccinations
3 coded responses
5 check-ins
3 free-text entries
1 call case
- Sex
- Female
- Age at first dose
- 51-55
- ZIP prefix
- 064 / CT
- Registered
- 2021-01-16
- Relationship
- Self
Timeline
-
2020-12-30
Dose 1 — Moderna
-
2021-01-16
Registered in v-safe
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2021-01-16
Survey response — day 14, dose 1MedDRA: Asthenia, Hypoaesthesia, Pain in extremity — Feeling: GoodFree text: My right arm felt like i I bc was kicked by a horse the day after vaccine, this has decreased at a reg rate. However the soreness ( which is tolerable) has not dissipated. Im2 weeks out and my arm has decreased strength and numbness to r handMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-01-27
Dose 2 — Moderna
-
2021-01-29
Health check-in — days 1–6 daily, dose 2Feeling: Poor · Site: Pain · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to work, Be unable to do your normal daily activitiesAdult check-in
-
2021-01-30
Survey response — days 1–6 daily, dose 2MedDRA: Acupuncture, Asthenia, Hypoaesthesia — Feeling: Good · Muscle or body aches · Get care from a doctor or other healthcare professionalFree text: Systemic reaction (other): Since my 1st injection on 12/30Ive experienced mild to moderate numbness & decreased strength which I believe to be consistent with ( SIRVS) to affected arm · Healthcare visit (other): AcupunctureMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-01-30
Report sent to call center — days 1–6 daily, dose 2Get care from a doctor or other healthcare professional1 call case(s)
- 2021-01-31
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2021-02-01
Survey response — days 1–6 daily, dose 2MedDRA: Shoulder injury related to vaccine administration, Unevaluable event — Feeling: Good · Muscle or body achesFree text: Same issue:r arm from 1st shot 12/30 has SIRVSMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-05-26
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2020-12-30 | Moderna | |
| 2 | 2021-01-27 | Moderna |
Call center
1 call center case
1 unsuccessful
1 wait over 3 months for a first call
Free text
Release 2 — day 14, dose 1
Symptoms: My right arm felt like i I bc was kicked by a horse the day after vaccine, this has decreased at a reg rate. However the soreness ( which is tolerable) has not dissipated. Im2 weeks out and my arm has decreased strength and numbness to r hand
Release 3 — days 1–6 daily, dose 2
Systemic reaction (other): Since my 1st injection on 12/30Ive experienced mild to moderate numbness & decreased strength which I believe to be consistent with ( SIRVS) to affected arm
Healthcare visit (other): Acupuncture
Systemic reaction (other): Same issue:r arm from 1st shot 12/30 has SIRVS
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 | Acupuncture | ✓ | ✓ | ✓ |
| SD | Asthenia | ✓ | ✓ | ✓ |
| SD | Hypoaesthesia | ✓ | ✓ | ✓ |
| SD | Pain in extremity | ✓ | ✓ | ✓ |
| SRO | Asthenia | ✓ | ✓ | ✓ |
| SRO | Hypoaesthesia | ✓ | ✓ | ✓ |
| SRO | Shoulder injury related to vaccine administration | ✓ | · | ✓ |
| SRO | Unevaluable event | ○ | ✓ | ○ |
✓ active code · ○ coded but marked inactive · blank = not in that release