4U8-18001-95790
1 vaccination
2 coded responses
3 check-ins
2 free-text entries
1 call case
- Sex
- Female
- Age at first dose
- 36-40
- ZIP prefix
- 851 / AZ
- Registered
- 2021-05-04
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-05-04
Registered in v-safe
-
2021-05-04
Dose 1 — Moderna
-
2021-05-04
Survey response — day 0, dose 1MedDRA: Ear pain, Headache, Hypoaesthesia, Pain in extremity, Paraesthesia — Feeling: Fair · Site: Pain · Headache, Muscle or body aches, Abdominal pain · Be unable to do your normal daily activitiesFree text: My left arm (injection side) is numb and tingling with little shots of pain, like electricity, into my fingers. My fingers are stiff. This happened IMMEDIATELY with the shot and has not gone away for 2 hours now. Im getting numbness and tingling throughout all extremities and little tingles of pain. Headache on left side of my head and left ear painMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-05-06
-
2021-08-03
Survey response — 3 months, dose 1MedDRA: Brain fog, COVID-19, Dizziness, Heart rate increased, Respiratory disorder, Tremor — 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 · Telehealth, virtual health, or email health consultation, Outpatient clinic or urgent care clinic visit, Emergency room or emergency department visitFree text: Got COVID over a month after 2nd vaccination. major breathing issues, dizziness, brain fog, shakiness and rapid heart rate.MedDRA releases: 2021-09,2024-11 · check-in free text available
-
2021-08-03
Report sent to call center — 3 months, dose 1Be unable to work or attend school · Be unable to do your normal daily activities · Get care from a doctor or other healthcare pr1 call case(s)
- 2021-08-12
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-05-04 | Moderna |
Call center
1 call center case
1 unsuccessful
Free text
Release 8 — day 0, dose 1
Systemic reaction (other): My left arm (injection side) is numb and tingling with little shots of pain, like electricity, into my fingers. My fingers are stiff. This happened IMMEDIATELY with the shot and has not gone away for 2 hours now. Im getting numbness and tingling throughout all extremities and little tingles of pain. Headache on left side of my head and left ear pain
Release 9 — 3 months, dose 1
Symptoms: Got COVID over a month after 2nd vaccination. major breathing issues, dizziness, brain fog, shakiness and rapid heart rate.
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 | Brain fog | ✓ | · | ✓ |
| SD | COVID-19 | ✓ | · | ✓ |
| SD | Dizziness | ✓ | · | ✓ |
| SD | Heart rate increased | ✓ | · | ✓ |
| SD | Respiratory disorder | ✓ | · | ✓ |
| SD | Tremor | ✓ | · | ✓ |
| SRO | Ear pain | ✓ | ✓ | ✓ |
| SRO | Headache | ✓ | ✓ | ✓ |
| SRO | Hypoaesthesia | ✓ | ✓ | ✓ |
| SRO | Pain in extremity | ✓ | ✓ | ✓ |
| SRO | Paraesthesia | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release