2QE-94555-53523
1 vaccination
5 coded responses
11 check-ins
5 free-text entries
1 call case
- Sex
- Male
- Age at first dose
- 41-45
- ZIP prefix
- 080 / NJ
- Registered
- 2021-03-14
- Relationship
- Self
- Race
- Black or African American
- Ethnicity
- Not Hispanic or Latino
Timeline
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2021-03-09
Dose 1 — Moderna
-
2021-03-14
Registered in v-safe
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2021-03-14
Survey response — days 1–6 daily, dose 1MedDRA: Burning sensation, Hypoaesthesia, Paraesthesia, Pruritus — Feeling: Poor · Site: Pain, Itching · Be unable to work, Be unable to do your normal daily activitiesFree text: Numbness and burning in feet. Pin and needles in feet, hands, and trunk. Itching in the face treated with gabapentin and resolves the itching and some burning.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-03-15
Survey response — days 1–6 daily, dose 1MedDRA: Burning sensation, Hemiparesis, Muscle spasms, Paraesthesia — Feeling: Fair · Site: Pain, Itching · Be unable to work, Be unable to do your normal daily activitiesFree text: Weakness in left arm and leg, burning feet, systemic pinpricks, itching resolves with gabapentin, muscle spasms above left knee, hands, and top of forehead. No problems with balance.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-03-16
Survey response — day 7, dose 1MedDRA: Asthenia — Feeling: Poor · FeverFree text: WeaknessMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-03-23
Survey response — day 14, dose 1MedDRA: Muscle spasms, Muscular weakness, Neuralgia, Neuropathy peripheral, Pain, Photopsia — Feeling: Poor · Be unable to work, Be unable to do your normal daily activitiesFree text: Spasms and weakness in both legs. Weakness in left arm. Nerve pain and neuropathy in feet and behind the arms. Did see some stars but went away. Have been laying down most evenings. Pain get better with gabapentin. Will not take second shot.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-03-30
- 2021-04-06
- 2021-04-15
- 2021-04-20
- 2021-06-08
- 2021-09-09
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2022-03-11
Survey response — 12 months, dose 1MedDRA: Extrasystoles, Muscular weakness, Neurological symptom, Office visit — Feeling: Good · Be unable to work or attend school, Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultation, Outpatient clinic or urgent care clinic visit, Emergency room or emergency department visitFree text: Extra heart beat since August. Went to cardiology and they monitored it. It spontaneously went away last month. A lot better. Neurological symptoms are now resolved. Weakness in left leg has resolved as well. All the doctors warned against another vaMedDRA releases: 2024-11 · check-in free text available
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2022-03-11
Report sent to call center — 12 months, dose 1Be unable to work or attend school · Be unable to do your normal daily activities · Get care from a doctor or other healthcare prTelehealth, virtual health, or email health consultation · Outpatient clinic or urgent care clinic visit · Emergency room or emergency department visit · 1 call case(s)
- 2022-03-14
-
2022-03-15
Callback requested for11:00AM ET
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2022-03-15
Call successfulCompleted over the phone
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-03-09 | Moderna |
Call center
1 call center case
1 successful
VAERS report filed, before or during a call: 1
Free text
Release 5 — days 1–6 daily, dose 1
Systemic reaction (other): Numbness and burning in feet. Pin and needles in feet, hands, and trunk. Itching in the face treated with gabapentin and resolves the itching and some burning.
Systemic reaction (other): Weakness in left arm and leg, burning feet, systemic pinpricks, itching resolves with gabapentin, muscle spasms above left knee, hands, and top of forehead. No problems with balance.
Release 5 — day 7, dose 1
Systemic reaction (other): Weakness
Release 6 — day 14, dose 1
Symptoms: Spasms and weakness in both legs. Weakness in left arm. Nerve pain and neuropathy in feet and behind the arms. Did see some stars but went away. Have been laying down most evenings. Pain get better with gabapentin. Will not take second shot.
Release 11 — 12 months, dose 1
Symptoms: Extra heart beat since August. Went to cardiology and they monitored it. It spontaneously went away last month. A lot better. Neurological symptoms are now resolved. Weakness in left leg has resolved as well. All the doctors warned against another va cut off by CDC
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 | Extrasystoles | · | · | ✓ |
| SD | Muscle spasms | ✓ | ✓ | ✓ |
| SD | Muscular weakness | ✓ | ✓ | ✓ |
| SD | Neuralgia | ✓ | ✓ | ✓ |
| SD | Neurological symptom | · | · | ✓ |
| SD | Neuropathy peripheral | ✓ | ✓ | ✓ |
| SD | Office visit | · | · | ✓ |
| SD | Pain | ✓ | ✓ | ✓ |
| SD | Photopsia | ✓ | ✓ | ✓ |
| SRO | Asthenia | ✓ | ✓ | ✓ |
| SRO | Burning sensation | ✓ | ✓ | ✓ |
| SRO | Hemiparesis | ✓ | ✓ | ✓ |
| SRO | Hypoaesthesia | ✓ | ✓ | ✓ |
| SRO | Muscle spasms | ✓ | ✓ | ✓ |
| SRO | Paraesthesia | ✓ | ✓ | ✓ |
| SRO | Pruritus | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release