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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

  1. 2021-05-04
    Registered in v-safe
  2. 2021-05-04
    Dose 1 — Moderna
  3. 2021-05-04
    Survey response — day 0, dose 1
    MedDRA: 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 activities
    Free 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 pain
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  4. 2021-05-06
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · Site: Pain · None
    Adult check-in
  5. 2021-08-03
    Survey response — 3 months, dose 1
    MedDRA: 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 visit
    Free 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
  6. 2021-08-03
    Report sent to call center — 3 months, dose 1
    Be unable to work or attend school · Be unable to do your normal daily activities · Get care from a doctor or other healthcare pr
    1 call case(s)
  7. 2021-08-12

Vaccinations

DoseDateManufacturerCo-administered
12021-05-04Moderna

Call center

1 call center case

1 unsuccessful

See the call center timeline

Free text

Release 8 — day 0, dose 1

2021-05-04

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

2021-08-03

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

FieldPreferred term2021-092023-042024-11
SDBrain fog ✓ · ✓
SDCOVID-19 ✓ · ✓
SDDizziness ✓ · ✓
SDHeart rate increased ✓ · ✓
SDRespiratory disorder ✓ · ✓
SDTremor ✓ · ✓
SROEar pain ✓ ✓ ✓
SROHeadache ✓ ✓ ✓
SROHypoaesthesia ✓ ✓ ✓
SROPain in extremity ✓ ✓ ✓
SROParaesthesia ✓ ✓ ✓

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