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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

  1. 2020-12-30
    Dose 1 — Moderna
  2. 2021-01-16
    Registered in v-safe
  3. 2021-01-16
    Survey response — day 14, dose 1
    MedDRA: Asthenia, Hypoaesthesia, Pain in extremity — Feeling: Good
    Free 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 hand
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  4. 2021-01-27
    Dose 2 — Moderna
  5. 2021-01-29
    Health check-in — days 1–6 daily, dose 2
    Feeling: 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 activities
    Adult check-in
  6. 2021-01-30
    Survey response — days 1–6 daily, dose 2
    MedDRA: Acupuncture, Asthenia, Hypoaesthesia — Feeling: Good · Muscle or body aches · Get care from a doctor or other healthcare professional
    Free 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): Acupuncture
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  7. 2021-01-30
    Report sent to call center — days 1–6 daily, dose 2
    Get care from a doctor or other healthcare professional
    1 call case(s)
  8. 2021-01-31
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · None
    Adult check-in
  9. 2021-02-01
    Survey response — days 1–6 daily, dose 2
    MedDRA: Shoulder injury related to vaccine administration, Unevaluable event — Feeling: Good · Muscle or body aches
    Free text: Same issue:r arm from 1st shot 12/30 has SIRVS
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  10. 2021-05-26

Vaccinations

DoseDateManufacturerCo-administered
12020-12-30Moderna
22021-01-27Moderna

Call center

1 call center case

1 unsuccessful

1 wait over 3 months for a first call

See the call center timeline

Free text

Release 2 — day 14, dose 1

2021-01-16

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

2021-01-30

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

2021-02-01

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

FieldPreferred term2021-092023-042024-11
HCVOAcupuncture ✓ ✓ ✓
SDAsthenia ✓ ✓ ✓
SDHypoaesthesia ✓ ✓ ✓
SDPain in extremity ✓ ✓ ✓
SROAsthenia ✓ ✓ ✓
SROHypoaesthesia ✓ ✓ ✓
SROShoulder injury related to vaccine administration ✓ · ✓
SROUnevaluable event ○ ✓ ○

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