2E4-33081-38850
2 vaccinations
4 coded responses
21 check-ins
4 free-text entries
0 call cases
- Sex
- Female
- Age at first dose
- 66+
- ZIP prefix
- 341 / FL
- 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
Survey response — day 0, dose 1MedDRA: Unevaluable event — Feeling: Good · Site: Pain · Fatigue or tirednessFree text: Felt that pulse rate about 1 1/2 hours after vaccination. Feel like its stable now.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-01-16
- 2021-01-20
- 2021-01-21
- 2021-01-28
-
2021-02-04
Survey response — day 21, dose 1MedDRA: Condition aggravated, Fatigue, Guillain-Barre syndrome, Pre-existing disease — Feeling: GoodFree text: Not sure if I have just been tired for other reasons, but also my nerves which, were impacted by Guillian Barre like symptoms over a year ago, have been acting up. My neurologist had cleared me for taking vaccines. Next inoculation next week.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-02-11
Dose 2 — Moderna
-
2021-02-11
Health check-in — day 0, dose 2Feeling: Good · Site: Pain · Fever · Fatigue or tirednessAdult check-in
- 2021-02-12
-
2021-02-13
Survey response — days 1–6 daily, dose 2MedDRA: Adverse reaction — Feeling: Good · Fatigue or tirednessFree text: I have polyneuropathy caused by a reaction to a severe intestinal infection in 2019. This has been resolving according to my neurologist. In the 5 or so weeks since my first and now second vaccination, I feel that I have relapsed with my paresthesia sensations. I dont know if the vaccine could have contributed to this, or if its coincidental as I had never fully recovered from this disorder.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-02-14
- 2021-02-15
- 2021-02-16
- 2021-02-18
- 2021-02-25
- 2021-03-04
- 2021-03-11
- 2021-03-19
- 2021-03-25
- 2021-05-13
- 2021-08-12
-
2022-02-11
Survey response — 12 months, dose 2MedDRA: Paraesthesia, Pre-existing disease — Feeling: GoodFree text: I have paresthesias as a result of an infection @ two years ago. Diagnosed as Guillian Barre like, but not confirmed. Think that they have been more noticeable since vaccinations.MedDRA releases: 2024-11 · check-in free text available
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-01-14 | Moderna | |
| 2 | 2021-02-11 | Moderna |
Free text
Release 2 — day 0, dose 1
Systemic reaction (other): Felt that pulse rate about 1 1/2 hours after vaccination. Feel like its stable now.
Release 3 — day 21, dose 1
Symptoms: Not sure if I have just been tired for other reasons, but also my nerves which, were impacted by Guillian Barre like symptoms over a year ago, have been acting up. My neurologist had cleared me for taking vaccines. Next inoculation next week.
Release 4 — days 1–6 daily, dose 2
Systemic reaction (other): I have polyneuropathy caused by a reaction to a severe intestinal infection in 2019. This has been resolving according to my neurologist. In the 5 or so weeks since my first and now second vaccination, I feel that I have relapsed with my paresthesia sensations. I dont know if the vaccine could have contributed to this, or if its coincidental as I had never fully recovered from this disorder.
Release 11 — 12 months, dose 2
Symptoms: I have paresthesias as a result of an infection @ two years ago. Diagnosed as Guillian Barre like, but not confirmed. Think that they have been more noticeable since vaccinations.
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 | Condition aggravated | ✓ | ✓ | ✓ |
| SD | Fatigue | ✓ | ✓ | ✓ |
| SD | Guillain-Barre syndrome | ✓ | ✓ | ✓ |
| SD | Paraesthesia | · | · | ✓ |
| SD | Pre-existing disease | ✓ | ✓ | ✓ |
| SRO | Adverse reaction | ✓ | ✓ | ✓ |
| SRO | Unevaluable event | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release