4RP-28022-28989
3 vaccinations
6 coded responses
25 check-ins
6 free-text entries
0 call cases
- Sex
- Male
- Age at first dose
- 36-40
- ZIP prefix
- 068 / CT
- Registered
- 2021-01-22
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2020-12-23
Dose 1 — Moderna
-
2021-01-21
Dose 2 — Moderna
-
2021-01-22
Registered in v-safe
-
2021-01-22
Health check-in — days 1–6 daily, dose 2Feeling: Poor · Site: Pain, Swelling · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea, Diarrhea · Be unable to work, Be unable to do your normal daily activitiesAdult check-in
-
2021-01-23
Survey response — days 1–6 daily, dose 2MedDRA: Hypoaesthesia oral, Lip dry, Paraesthesia oral — Feeling: Good · Site: Pain · Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activitiesFree text: Mild lip tingle/numb on one side. Assume not related but reporting. Could be dry lips but has been there all day. A bit odd. Will update tomorrow if gone.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-01-24
Survey response — days 1–6 daily, dose 2MedDRA: Oral discomfort — Feeling: Good · Site: Pain · NauseaFree text: Still odd sensation in part of lower lip. Cant tell if related or not.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-01-25
Survey response — days 1–6 daily, dose 2MedDRA: Hypoaesthesia oral — Feeling: Good · NauseaFree text: Lip numb issue previously entered still remains. Minor but not present prior.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-01-26
Survey response — days 1–6 daily, dose 2MedDRA: Oral discomfort — Feeling: Good · Site: Pain, ItchingFree text: Reporting same odd lip sensation, still cant pinpoint it but status not changed and not there prior to shot.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-01-27
Survey response — days 1–6 daily, dose 2MedDRA: Adverse reaction — Feeling: Good · Site: Pain, ItchingFree text: Same lip issue reported already remainsMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-01-29
Survey response — day 7, dose 2MedDRA: Unevaluable event — Feeling: Good · Site: Pain, ItchingFree text: Lip issue previously reported still occurredMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-02-04
- 2021-02-20
- 2021-03-04
- 2021-04-24
- 2021-07-22
-
2021-10-25
Dose 3 — Moderna
-
2021-10-27
Health check-in — days 1–6 daily, dose 3Feeling: Good · Site: Pain, Itching · Fatigue or tiredness, NauseaAdult check-in
- 2021-10-28
- 2021-10-30
- 2021-10-31
- 2021-11-01
- 2021-11-09
- 2021-11-15
- 2021-11-22
- 2021-11-29
- 2021-12-06
- 2022-01-24
- 2022-04-25
- 2022-10-25
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2020-12-23 | Moderna | |
| 2 | 2021-01-21 | Moderna | |
| 3 | 2021-10-25 | Moderna | No |
Free text
Release 2 — days 1–6 daily, dose 2
Systemic reaction (other): Mild lip tingle/numb on one side. Assume not related but reporting. Could be dry lips but has been there all day. A bit odd. Will update tomorrow if gone.
Systemic reaction (other): Still odd sensation in part of lower lip. Cant tell if related or not.
Systemic reaction (other): Lip numb issue previously entered still remains. Minor but not present prior.
Systemic reaction (other): Reporting same odd lip sensation, still cant pinpoint it but status not changed and not there prior to shot.
Systemic reaction (other): Same lip issue reported already remains
Release 3 — day 7, dose 2
Systemic reaction (other): Lip issue previously reported still occurred
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 |
|---|---|---|---|---|
| SRO | Adverse reaction | ✓ | ✓ | ✓ |
| SRO | Hypoaesthesia oral | ✓ | ✓ | ✓ |
| SRO | Lip dry | ✓ | ✓ | ✓ |
| SRO | Oral discomfort | ✓ | ✓ | ✓ |
| SRO | Paraesthesia oral | ✓ | ✓ | ✓ |
| SRO | Unevaluable event | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release