4MJ-10048-18107
2 vaccinations
7 coded responses
18 check-ins
7 free-text entries
1 call case
- Sex
- Male
- Age at first dose
- 66+
- ZIP prefix
- 114 / NY
- Registered
- 2021-03-11
- Relationship
- Self
- Race
- Black or African American
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-02-25
Dose 1 — Moderna
-
2021-03-11
Registered in v-safe
- 2021-03-11
- 2021-03-20
-
2021-03-25
Dose 2 — Moderna
-
2021-03-25
Survey response — day 0, dose 2MedDRA: No adverse event — Feeling: GoodFree text: NoneMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-03-26
Survey response — days 1–6 daily, dose 2MedDRA: No adverse event — Feeling: Fair · Site: Pain · Fever · Chills, Joint pains, Muscle or body achesFree text: NoneMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-03-27
- 2021-03-28
- 2021-03-29
- 2021-03-30
-
2021-03-31
Survey response — days 1–6 daily, dose 2MedDRA: Pruritus — Feeling: GoodFree text: Body itchesMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-04-01
Survey response — day 7, dose 2MedDRA: Paraesthesia, Pruritus — Feeling: GoodFree text: Body Iches (like pins andneedles) all overMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-04-08
- 2021-04-15
-
2021-04-22
Survey response — day 28, dose 2MedDRA: Paraesthesia, Pruritus — Feeling: GoodFree text: Body itches. Feel like PINS AND NEEDLES.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-04-29
Survey response — day 35, dose 2MedDRA: Paraesthesia — Feeling: GoodFree text: Severe body iches(pins and needles) whenever I exert mysel sush as go for a walk, do work in the yard or around the house etcMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-05-06
- 2021-06-24
- 2021-09-23
-
2022-03-26
Survey response — 12 months, dose 2MedDRA: Paraesthesia, Pruritus — Feeling: Good · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visitFree text: Body iches: like pins and needles all over my body, front and back. This would last about 5 minutes and seems to happen when I exert myself or get emotional. Seems to have started after my second Moderna Vaccine shot.MedDRA releases: 2024-11 · check-in free text available
-
2022-03-26
Report sent to call center — 12 months, dose 2Get care from a doctor or other healthcare professionalOutpatient clinic or urgent care clinic visit · 1 call case(s)
- 2022-03-29
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-02-25 | Moderna | |
| 2 | 2021-03-25 | Moderna |
Call center
1 call center case
1 unsuccessful
Free text
Release 6 — day 0, dose 2
Systemic reaction (other): None
Release 6 — days 1–6 daily, dose 2
Systemic reaction (other): None
Systemic reaction (other): Body itches
Release 6 — day 7, dose 2
Systemic reaction (other): Body Iches (like pins andneedles) all over
Release 7 — day 28, dose 2
Symptoms: Body itches. Feel like PINS AND NEEDLES.
Release 8 — day 35, dose 2
Symptoms: Severe body iches(pins and needles) whenever I exert mysel sush as go for a walk, do work in the yard or around the house etc
Release 11 — 12 months, dose 2
Symptoms: Body iches: like pins and needles all over my body, front and back. This would last about 5 minutes and seems to happen when I exert myself or get emotional. Seems to have started after my second Moderna Vaccine shot.
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 | Paraesthesia | ✓ | ✓ | ✓ |
| SD | Pruritus | ✓ | ✓ | ✓ |
| SRO | No adverse event | ✓ | ✓ | ✓ |
| SRO | Paraesthesia | ✓ | ✓ | ✓ |
| SRO | Pruritus | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release