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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

  1. 2021-02-25
    Dose 1 — Moderna
  2. 2021-03-11
    Registered in v-safe
  3. 2021-03-11
    Health check-in — day 14, dose 1
    Feeling: Good
    Adult check-in
  4. 2021-03-20
    Health check-in — day 21, dose 1
    Feeling: Good
    Adult check-in
  5. 2021-03-25
    Dose 2 — Moderna
  6. 2021-03-25
    Survey response — day 0, dose 2
    MedDRA: No adverse event — Feeling: Good
    Free text: None
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  7. 2021-03-26
    Survey response — days 1–6 daily, dose 2
    MedDRA: No adverse event — Feeling: Fair · Site: Pain · Fever · Chills, Joint pains, Muscle or body aches
    Free text: None
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  8. 2021-03-27
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · Site: Pain · Joint pains
    Adult check-in
  9. 2021-03-28
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · Muscle or body aches
    Adult check-in
  10. 2021-03-29
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · None
    Adult check-in
  11. 2021-03-30
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · None
    Adult check-in
  12. 2021-03-31
    Survey response — days 1–6 daily, dose 2
    MedDRA: Pruritus — Feeling: Good
    Free text: Body itches
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  13. 2021-04-01
    Survey response — day 7, dose 2
    MedDRA: Paraesthesia, Pruritus — Feeling: Good
    Free text: Body Iches (like pins andneedles) all over
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  14. 2021-04-08
    Health check-in — day 14, dose 2
    Feeling: Good
    Adult check-in
  15. 2021-04-15
    Health check-in — day 21, dose 2
    Feeling: Good
    Adult check-in
  16. 2021-04-22
    Survey response — day 28, dose 2
    MedDRA: Paraesthesia, Pruritus — Feeling: Good
    Free text: Body itches. Feel like PINS AND NEEDLES.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  17. 2021-04-29
    Survey response — day 35, dose 2
    MedDRA: Paraesthesia — Feeling: Good
    Free 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 etc
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  18. 2021-05-06
    Health check-in — day 42, dose 2
    Feeling: Good
    Adult check-in
  19. 2021-06-24
    Health check-in — 3 months, dose 2
    Feeling: Good
    Adult check-in
  20. 2021-09-23
    Health check-in — 6 months, dose 2
    Feeling: Good
    Adult check-in
  21. 2022-03-26
    Survey response — 12 months, dose 2
    MedDRA: Paraesthesia, Pruritus — Feeling: Good · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit
    Free 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
  22. 2022-03-26
    Report sent to call center — 12 months, dose 2
    Get care from a doctor or other healthcare professional
    Outpatient clinic or urgent care clinic visit · 1 call case(s)
  23. 2022-03-29

Vaccinations

DoseDateManufacturerCo-administered
12021-02-25Moderna
22021-03-25Moderna

Call center

1 call center case

1 unsuccessful

See the call center timeline

Free text

Release 6 — day 0, dose 2

2021-03-25

Systemic reaction (other): None

Release 6 — days 1–6 daily, dose 2

2021-03-26

Systemic reaction (other): None

2021-03-31

Systemic reaction (other): Body itches

Release 6 — day 7, dose 2

2021-04-01

Systemic reaction (other): Body Iches (like pins andneedles) all over

Release 7 — day 28, dose 2

2021-04-22

Symptoms: Body itches. Feel like PINS AND NEEDLES.

Release 8 — day 35, dose 2

2021-04-29

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

2022-03-26

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

FieldPreferred term2021-092023-042024-11
SDParaesthesia ✓ ✓ ✓
SDPruritus ✓ ✓ ✓
SRONo adverse event ✓ ✓ ✓
SROParaesthesia ✓ ✓ ✓
SROPruritus ✓ ✓ ✓

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