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4UZ-15660-66087

2 vaccinations 7 coded responses 23 check-ins 7 free-text entries 0 call cases
Sex
Female
Age at first dose
46-50
ZIP prefix
782 / TX
Registered
2020-12-26
Relationship
Self
Race
White
Ethnicity
Hispanic or Latino

Timeline

  1. 2020-12-26
    Registered in v-safe
  2. 2020-12-26
    Dose 1 — Moderna
  3. 2020-12-27
    Survey response — days 1–6 daily, dose 1
    MedDRA: Hypoacusis, Hypoaesthesia — Feeling: Good · Site: Pain, Swelling
    Free text: Numbness to Left arm radiating to left hand. Left plantar foot numbness. Some hearing difficulty yesterday only.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  4. 2020-12-28
    Survey response — days 1–6 daily, dose 1
    MedDRA: Dry skin, Pruritus, Self-medication — Feeling: Good · Site: Pain
    Free text: Just dry skin with occasional itching at different areas in my body. Have been applying lotion and had to use calamine lotion yesterday twice to help in the evening.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  5. 2020-12-29
    Survey response — days 1–6 daily, dose 1
    MedDRA: Hypoaesthesia — Feeling: Good · Site: Pain
    Free text: L hand/pinky finger and ring finger and L plantar foot still feels numb.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  6. 2020-12-30
    Survey response — days 1–6 daily, dose 1
    MedDRA: Hypoaesthesia — Feeling: Good
    Free text: Left hand and fingers and left foot plantar continues with numbness.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  7. 2020-12-31
    Survey response — days 1–6 daily, dose 1
    MedDRA: Hypoaesthesia — Feeling: Good
    Free text: Left hand pinky finger and left ring finger and left side bottom of feet continue to feel numb.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  8. 2021-01-01
    Survey response — days 1–6 daily, dose 1
    MedDRA: Hypoaesthesia — Feeling: Good
    Free text: Left hand and left foot bottom side continues with numbness.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  9. 2021-01-02
    Health check-in — day 7, dose 1
    Feeling: Good · None
    Adult check-in
  10. 2021-01-09
    Health check-in — day 14, dose 1
    Feeling: Good
    Adult check-in
  11. 2021-01-16
    Health check-in — day 21, dose 1
    Feeling: Good
    Adult check-in
  12. 2021-01-23
    Dose 2 — Moderna
  13. 2021-01-23
    Health check-in — day 0, dose 2
    Feeling: Good · Site: Pain · None
    Adult check-in
  14. 2021-01-24
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · Site: Pain · None
    Adult check-in
  15. 2021-01-25
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · Site: Pain · None
    Adult check-in
  16. 2021-01-26
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · None
    Adult check-in
  17. 2021-01-29
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · None
    Adult check-in
  18. 2021-01-30
    Health check-in — day 7, dose 2
    Feeling: Good · None
    Adult check-in
  19. 2021-02-06
    Health check-in — day 14, dose 2
    Feeling: Good
    Adult check-in
  20. 2021-02-13
    Survey response — day 21, dose 2
    MedDRA: Chills, Gastrointestinal disorder, Headache, Nausea — Feeling: Good · Be unable to work
    Free text: Chills, headache, nausea/soar stomach. 2 days ago.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  21. 2021-02-22
    Health check-in — day 28, dose 2
    Feeling: Good
    Adult check-in
  22. 2021-02-27
    Health check-in — day 35, dose 2
    Feeling: Good
    Adult check-in
  23. 2021-03-06
    Health check-in — day 42, dose 2
    Feeling: Good
    Adult check-in
  24. 2021-04-24
    Health check-in — 3 months, dose 2
    Feeling: Good
    Adult check-in
  25. 2021-07-24
    Health check-in — 6 months, dose 2
    Feeling: Good
    Adult check-in
  26. 2022-01-23
    Health check-in — 12 months, dose 2
    Feeling: Good
    Adult check-in

Vaccinations

DoseDateManufacturerCo-administered
12020-12-26Moderna
22021-01-23Moderna

Free text

Release 1 — days 1–6 daily, dose 1

2020-12-27

Systemic reaction (other): Numbness to Left arm radiating to left hand. Left plantar foot numbness. Some hearing difficulty yesterday only.

2020-12-28

Systemic reaction (other): Just dry skin with occasional itching at different areas in my body. Have been applying lotion and had to use calamine lotion yesterday twice to help in the evening.

2020-12-29

Systemic reaction (other): L hand/pinky finger and ring finger and L plantar foot still feels numb.

2020-12-30

Systemic reaction (other): Left hand and fingers and left foot plantar continues with numbness.

2020-12-31

Systemic reaction (other): Left hand pinky finger and left ring finger and left side bottom of feet continue to feel numb.

2021-01-01

Systemic reaction (other): Left hand and left foot bottom side continues with numbness.

Release 4 — day 21, dose 2

2021-02-13

Symptoms: Chills, headache, nausea/soar stomach. 2 days ago.

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
SDChills ✓ ✓ ✓
SDGastrointestinal disorder ✓ ✓ ✓
SDHeadache ✓ ✓ ✓
SDNausea ✓ ✓ ✓
SRODry skin ✓ ✓ ✓
SROHypoacusis ✓ ✓ ✓
SROHypoaesthesia ✓ ✓ ✓
SROPruritus ✓ ✓ ✓
SROSelf-medication ✓ ✓ ✓

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

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