4VS-31728-75734
1 vaccination
6 coded responses
14 check-ins
6 free-text entries
4 call cases
- Sex
- Male
- Age at first dose
- 46-50
- ZIP prefix
- 920 / CA
- Registered
- 2021-01-13
- Relationship
- Self
- Race
- Other
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-01-13
Registered in v-safe
-
2021-01-13
Dose 1 — Moderna
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2021-01-13
Survey response — day 0, dose 1MedDRA: Flushing, Immediate post-injection reaction, Paraesthesia — Feeling: Fair · Site: Pain · FeverFree text: Face was flush and tingly for an hour after the injectionMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-01-14
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2021-01-15
Health check-in — days 1–6 daily, dose 1Feeling: Good · Site: Pain · Joint pains, NauseaAdult check-in
- 2021-01-17
- 2021-01-18
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2021-01-19
Survey response — days 1–6 daily, dose 1MedDRA: Immunisation, Unevaluable event — Feeling: GoodFree text: Note that I received Moderna lot (b)(6)MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-01-22
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2021-01-27
Survey response — day 14, dose 1MedDRA: Feeling hot, Flushing, Medical counselling, Paraesthesia, Skin burning sensation — Feeling: Poor · Get care from a doctor or other healthcare professionalFree text: Symptoms: Im feeling intense burning and tingling under my skin. Feel very flush and hot although no fever. Onset was a couple of days ago but also experienced this effect briefly after the injection. · Healthcare visit (other): Consult with physician friendsMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-01-27
Report sent to call center — day 14, dose 1Get care from a doctor or other healthcare professional1 call case(s)
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2021-02-04
Survey response — day 21, dose 1MedDRA: Burning sensation, Paraesthesia — Feeling: Poor · Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultationFree text: Burning and tingling sensation under my skin.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-02-04
Report sent to call center — day 21, dose 1Get care from a doctor or other healthcare professional1 call case(s)
- 2021-02-10
- 2021-02-17
- 2021-02-25
- 2021-04-13
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2021-04-14
Survey response — 3 months, dose 1MedDRA: Condition aggravated, Pre-existing disease — Feeling: Poor · 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 visitFree text: Small fiber neuropathy and auoummune flare-upsMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-04-14
Report sent to call center — 3 months, dose 1Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional1 call case(s)
- 2021-04-16
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2021-04-16
Call successfulCompleted over the phone
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2021-07-14
Survey response — 6 months, dose 1MedDRA: Hypoaesthesia — Feeling: Poor · Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultationFree text: Numbness in armsMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-07-14
Report sent to call center — 6 months, dose 1Get care from a doctor or other healthcare professional1 call case(s)
- 2021-07-22
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-01-13 | Moderna |
Call center
4 call center cases
2 successful · 2 unsuccessful
VAERS report filed, before or during a call: 2
Free text
Release 1 — day 0, dose 1
Systemic reaction (other): Face was flush and tingly for an hour after the injection
Release 2 — days 1–6 daily, dose 1
Release 2 — day 14, dose 1
Symptoms: Im feeling intense burning and tingling under my skin. Feel very flush and hot although no fever. Onset was a couple of days ago but also experienced this effect briefly after the injection.
Healthcare visit (other): Consult with physician friends
Release 3 — day 21, dose 1
Symptoms: Burning and tingling sensation under my skin.
Release 7 — 3 months, dose 1
Symptoms: Small fiber neuropathy and auoummune flare-ups
Release 9 — 6 months, dose 1
Symptoms: Numbness in arms
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 |
|---|---|---|---|---|
| HCVO | Medical counselling | ✓ | ✓ | ✓ |
| SD | Burning sensation | ✓ | ✓ | ✓ |
| SD | Condition aggravated | ✓ | ✓ | ✓ |
| SD | Feeling hot | ✓ | ✓ | ✓ |
| SD | Flushing | ✓ | ✓ | ✓ |
| SD | Hypoaesthesia | ✓ | ✓ | ✓ |
| SD | Paraesthesia | ✓ | ✓ | ✓ |
| SD | Pre-existing disease | ✓ | ✓ | ✓ |
| SD | Skin burning sensation | ✓ | ✓ | ✓ |
| SRO | Flushing | ✓ | ✓ | ✓ |
| SRO | Immediate post-injection reaction | ✓ | ✓ | ✓ |
| SRO | Immunisation | ✓ | ✓ | ○ |
| SRO | Paraesthesia | ✓ | ✓ | ✓ |
| SRO | Unevaluable event | · | · | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release