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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

  1. 2020-12-23
    Dose 1 — Moderna
  2. 2021-01-21
    Dose 2 — Moderna
  3. 2021-01-22
    Registered in v-safe
  4. 2021-01-22
    Health check-in — days 1–6 daily, dose 2
    Feeling: 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 activities
    Adult check-in
  5. 2021-01-23
    Survey response — days 1–6 daily, dose 2
    MedDRA: Hypoaesthesia oral, Lip dry, Paraesthesia oral — Feeling: Good · Site: Pain · Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities
    Free 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
  6. 2021-01-24
    Survey response — days 1–6 daily, dose 2
    MedDRA: Oral discomfort — Feeling: Good · Site: Pain · Nausea
    Free 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
  7. 2021-01-25
    Survey response — days 1–6 daily, dose 2
    MedDRA: Hypoaesthesia oral — Feeling: Good · Nausea
    Free 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
  8. 2021-01-26
    Survey response — days 1–6 daily, dose 2
    MedDRA: Oral discomfort — Feeling: Good · Site: Pain, Itching
    Free 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
  9. 2021-01-27
    Survey response — days 1–6 daily, dose 2
    MedDRA: Adverse reaction — Feeling: Good · Site: Pain, Itching
    Free text: Same lip issue reported already remains
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  10. 2021-01-29
    Survey response — day 7, dose 2
    MedDRA: Unevaluable event — Feeling: Good · Site: Pain, Itching
    Free text: Lip issue previously reported still occurred
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  11. 2021-02-04
    Health check-in — day 14, dose 2
    Feeling: Good
    Adult check-in
  12. 2021-02-20
    Health check-in — day 28, dose 2
    Feeling: Good
    Adult check-in
  13. 2021-03-04
    Health check-in — day 42, dose 2
    Feeling: Good
    Adult check-in
  14. 2021-04-24
    Health check-in — 3 months, dose 2
    Feeling: Good
    Adult check-in
  15. 2021-07-22
    Health check-in — 6 months, dose 2
    Feeling: Good
    Adult check-in
  16. 2021-10-25
    Dose 3 — Moderna
  17. 2021-10-27
    Health check-in — days 1–6 daily, dose 3
    Feeling: Good · Site: Pain, Itching · Fatigue or tiredness, Nausea
    Adult check-in
  18. 2021-10-28
    Health check-in — days 1–6 daily, dose 3
    Feeling: Good · Site: Pain · Nausea
    Adult check-in
  19. 2021-10-30
    Health check-in — days 1–6 daily, dose 3
    Feeling: Good · Site: Pain · None
    Adult check-in
  20. 2021-10-31
    Health check-in — days 1–6 daily, dose 3
    Feeling: Good · None
    Adult check-in
  21. 2021-11-01
    Health check-in — day 7, dose 3
    Feeling: Good · None
    Adult check-in
  22. 2021-11-09
    Health check-in — day 14, dose 3
    Feeling: Good
    Adult check-in
  23. 2021-11-15
    Health check-in — day 21, dose 3
    Feeling: Good
    Adult check-in
  24. 2021-11-22
    Health check-in — day 28, dose 3
    Feeling: Good
    Adult check-in
  25. 2021-11-29
    Health check-in — day 35, dose 3
    Feeling: Good
    Adult check-in
  26. 2021-12-06
    Health check-in — day 42, dose 3
    Feeling: Good
    Adult check-in
  27. 2022-01-24
    Health check-in — 3 months, dose 3
    Feeling: Good
    Adult check-in
  28. 2022-04-25
    Health check-in — 6 months, dose 3
    Feeling: Good
    Adult check-in
  29. 2022-10-25
    Health check-in — 12 months, dose 3
    Feeling: Good
    Adult check-in

Vaccinations

DoseDateManufacturerCo-administered
12020-12-23Moderna
22021-01-21Moderna
32021-10-25Moderna No

Free text

Release 2 — days 1–6 daily, dose 2

2021-01-23

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.

2021-01-24

Systemic reaction (other): Still odd sensation in part of lower lip. Cant tell if related or not.

2021-01-25

Systemic reaction (other): Lip numb issue previously entered still remains. Minor but not present prior.

2021-01-26

Systemic reaction (other): Reporting same odd lip sensation, still cant pinpoint it but status not changed and not there prior to shot.

2021-01-27

Systemic reaction (other): Same lip issue reported already remains

Release 3 — day 7, dose 2

2021-01-29

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

FieldPreferred term2021-092023-042024-11
SROAdverse reaction ✓ ✓ ✓
SROHypoaesthesia oral ✓ ✓ ✓
SROLip dry ✓ ✓ ✓
SROOral discomfort ✓ ✓ ✓
SROParaesthesia oral ✓ ✓ ✓
SROUnevaluable event ✓ ✓ ✓

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