27U-31926-15560
4 vaccinations
6 coded responses
55 check-ins
5 free-text entries
0 call cases
- Sex
- Male
- Age at first dose
- 66+
- ZIP prefix
- 953 / CA
- Registered
- 2021-01-14
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-01-14
Registered in v-safe
-
2021-01-14
Dose 1 — Moderna
- 2021-01-14
- 2021-01-15
- 2021-01-16
- 2021-01-17
- 2021-01-18
- 2021-01-19
- 2021-01-21
- 2021-01-28
- 2021-02-04
-
2021-02-11
Dose 2 — Moderna
- 2021-02-11
-
2021-02-12
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Fever · Fatigue or tiredness · Be unable to do your normal daily activitiesAdult check-in
- 2021-02-13
- 2021-02-14
- 2021-02-15
- 2021-02-16
- 2021-02-17
- 2021-02-20
- 2021-02-25
- 2021-03-04
- 2021-03-11
- 2021-03-18
- 2021-03-25
- 2021-05-13
-
2021-08-13
Survey response — 6 months, dose 2MedDRA: Parkinson's disease — Feeling: GoodFree text: Diagnosed with ParkinsonsMedDRA releases: 2021-09,2024-11 · check-in free text available
-
2021-10-22
Dose 3 — Moderna
- 2021-10-22
-
2021-10-23
Survey response — days 1–6 daily, dose 3MedDRA: Asthenia, Balance disorder, Gait disturbance, Tremor — Feeling: Fair · Fever · Fatigue or tiredness · Be unable to do your normal daily activitiesFree text: General weakness and shaking more and balance and walking more hesitantly. This is his wife.MedDRA releases: 2024-11 · check-in free text available
- 2021-10-24
- 2021-10-25
- 2021-10-26
- 2021-10-27
- 2021-10-28
- 2021-10-31
- 2021-11-05
- 2021-11-12
- 2021-11-19
- 2021-11-28
- 2021-12-03
- 2022-01-21
- 2022-04-22
- 2022-10-23
-
2022-11-30
Dose 4 — Moderna
- 2022-11-30
-
2022-12-01
Survey response — days 1–6 daily, dose 4MedDRA: Feeding disorder, Gait disturbance, Movement disorder, Parkinson's disease, Pre-existing disease, Reaction to previous exposure to any vaccine — Feeling: Fair · Fever · Fatigue or tiredness · Be unable to do your normal daily activitiesFree text: Parkinson's symptoms made worse. Can hardly walk . Had to be fed. Mind is not communicating with hands and feet. This happened the last time he got the 3rd shotMedDRA releases: 2024-11 · check-in free text available
-
2022-12-02
Survey response — days 1–6 daily, dose 4MedDRA: Balance disorder, Hydrocephalus, Mobility decreased, Parkinson's disease — Feeling: Good · Be unable to do your normal daily activitiesFree text: Still having mobility and balance issues from Parkinson's and hydrocephalus associated with the vaccineMedDRA releases: 2024-11 · check-in free text available
-
2022-12-03
Survey response — days 1–6 daily, dose 4MedDRA: Balance disorder, Mobility decreased — Feeling: Fair · Site: Pain, Redness, Swelling · Fatigue or tiredness, Nausea · Be unable to do your normal daily activitiesFree text: Mobility was better in the morning but by afternoon balance issues and slow movement returnedMedDRA releases: 2024-11 · check-in free text available
- 2022-12-04
- 2022-12-05
- 2022-12-06
- 2022-12-07
- 2022-12-15
- 2022-12-21
- 2022-12-28
- 2023-01-04
- 2023-01-12
- 2023-03-01
-
2023-05-31
Survey response — 6 months, dose 4MedDRA: Asthenia, Loss of personal independence in daily activities, Parkinsonism, Pre-existing disease, Sluggishness — Feeling: Fair · Be unable to do your normal daily activitiesMedDRA releases: 2024-11
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-01-14 | Moderna | |
| 2 | 2021-02-11 | Moderna | |
| 3 | 2021-10-22 | Moderna | No |
| 4 | 2022-11-30 | Moderna | No |
Free text
Release 9 — 6 months, dose 2
Symptoms: Diagnosed with Parkinsons
Release 10 — days 1–6 daily, dose 3
Systemic reaction (other): General weakness and shaking more and balance and walking more hesitantly. This is his wife.
Release 12 — days 1–6 daily, dose 4
Systemic reaction (other): Parkinson's symptoms made worse. Can hardly walk . Had to be fed. Mind is not communicating with hands and feet. This happened the last time he got the 3rd shot
Systemic reaction (other): Still having mobility and balance issues from Parkinson's and hydrocephalus associated with the vaccine
Systemic reaction (other): Mobility was better in the morning but by afternoon balance issues and slow movement returned
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 | Asthenia | · | · | ✓ |
| SD | Loss of personal independence in daily activities | · | · | ✓ |
| SD | Parkinson's disease | ✓ | · | ✓ |
| SD | Parkinsonism | · | · | ✓ |
| SD | Pre-existing disease | · | · | ✓ |
| SD | Sluggishness | · | · | ✓ |
| SRO | Asthenia | · | · | ✓ |
| SRO | Balance disorder | · | · | ✓ |
| SRO | Feeding disorder | · | · | ✓ |
| SRO | Gait disturbance | · | · | ✓ |
| SRO | Hydrocephalus | · | · | ✓ |
| SRO | Mobility decreased | · | · | ✓ |
| SRO | Movement disorder | · | · | ✓ |
| SRO | Parkinson's disease | · | · | ✓ |
| SRO | Pre-existing disease | · | · | ✓ |
| SRO | Reaction to previous exposure to any vaccine | · | · | ✓ |
| SRO | Tremor | · | · | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release