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3Z5-21081-96757

2 vaccinations 6 coded responses 11 check-ins 6 free-text entries 1 call case
Sex
Female
Age at first dose
46-50
ZIP prefix
491 / MI
Registered
2021-03-22
Relationship
Self
Race
Multiracial
Ethnicity
Not Hispanic or Latino

Timeline

  1. 2021-02-20
    Dose 1 — Moderna
  2. 2021-03-19
    Dose 2 — Moderna
  3. 2021-03-22
    Registered in v-safe
  4. 2021-03-22
    Survey response — days 1–6 daily, dose 2
    MedDRA: Hypoaesthesia oral, Paraesthesia oral — Feeling: Fair · Site: Pain, Swelling · Chills, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea
    Free text: A numbing tingle sensation in my mouth and tongue.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  5. 2021-03-23
    Survey response — days 1–6 daily, dose 2
    MedDRA: Hypoaesthesia oral, Paraesthesia oral — Feeling: Fair · Site: Swelling · Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea
    Free text: Numbness and tingling in the mouth and tongue.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  6. 2021-03-24
    Survey response — days 1–6 daily, dose 2
    MedDRA: Hypoaesthesia oral, Paraesthesia oral — Feeling: Fair · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness
    Free text: Tingling and numbness in the mouth and tongue. Milder than yesterday.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  7. 2021-03-25
    Survey response — days 1–6 daily, dose 2
    MedDRA: Adverse reaction — Feeling: Good · Fatigue or tiredness
    Free text: Same thing about my mouth as previous days.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  8. 2021-03-26
    Health check-in — day 7, dose 2
    Feeling: Fair · Fatigue or tiredness, Nausea
    Adult check-in
  9. 2021-04-03
    Health check-in — day 14, dose 2
    Feeling: Fair
    Adult check-in
  10. 2021-04-09
    Health check-in — day 21, dose 2
    Feeling: Good
    Adult check-in
  11. 2021-04-16
    Survey response — day 28, dose 2
    MedDRA: Pain — Feeling: Fair
    Free text: Sore body aches
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  12. 2021-04-23
    Health check-in — day 35, dose 2
    Feeling: Fair
    Adult check-in
  13. 2021-05-02
    Health check-in — day 42, dose 2
    Feeling: Good
    Adult check-in
  14. 2021-06-18
    Survey response — 3 months, dose 2
    MedDRA: Arthralgia, Asthma, Body temperature fluctuation, Brain fog, Chills, Memory impairment, Office visit — Feeling: Poor · Be unable to work or attend school, Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit
    Free text: Symptoms: Foggy thoughts and memory recall. Also joint pain in my ankles and knees. I'm now waking up with my fingers clutched and popping when i stretch them out. I had a week where my body temp went up and down, chills, and a asthma like breathing. · Healthcare visit (other): Doctor follow up in person.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  15. 2021-06-18
    Report sent to call center — 3 months, dose 2
    Be unable to work or attend school · Be unable to do your normal daily activities · Get care from a doctor or other healthcare pr
    1 call case(s)
  16. 2021-06-24
    Call successful
    Does not wish to fill out VAERS report

Vaccinations

DoseDateManufacturerCo-administered
12021-02-20Moderna
22021-03-19Moderna

Call center

1 call center case

1 successful

See the call center timeline

Free text

Release 6 — days 1–6 daily, dose 2

2021-03-22

Systemic reaction (other): A numbing tingle sensation in my mouth and tongue.

2021-03-23

Systemic reaction (other): Numbness and tingling in the mouth and tongue.

2021-03-24

Systemic reaction (other): Tingling and numbness in the mouth and tongue. Milder than yesterday.

2021-03-25

Systemic reaction (other): Same thing about my mouth as previous days.

Release 7 — day 28, dose 2

2021-04-16

Symptoms: Sore body aches

Release 9 — 3 months, dose 2

2021-06-18

Symptoms: Foggy thoughts and memory recall. Also joint pain in my ankles and knees. I'm now waking up with my fingers clutched and popping when i stretch them out. I had a week where my body temp went up and down, chills, and a asthma like breathing.
Healthcare visit (other): Doctor follow up in person.

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
HCVOOffice visit ✓ ✓ ✓
SDArthralgia ✓ ✓ ✓
SDAsthma ✓ ✓ ✓
SDBody temperature fluctuation ✓ ✓ ✓
SDBrain fog ✓ ✓ ✓
SDChills ✓ ✓ ✓
SDMemory impairment ✓ ✓ ✓
SDPain ✓ ✓ ✓
SROAdverse reaction ✓ ✓ ✓
SROHypoaesthesia oral ✓ ✓ ✓
SROParaesthesia oral ✓ ✓ ✓

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