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4W7-29677-68550

1 vaccination 7 coded responses 10 check-ins 7 free-text entries 0 call cases
Sex
Male
Age at first dose
61-65
ZIP prefix
560 / MN
Registered
2021-02-03
Relationship
Self
Race
White
Ethnicity
Not Hispanic or Latino

Timeline

  1. 2021-02-03
    Registered in v-safe
  2. 2021-02-03
    Dose 1 — Moderna
  3. 2021-02-03
    Survey response — day 0, dose 1
    MedDRA: Paraesthesia — Feeling: Good
    Free text: Tingling at different points in my body.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  4. 2021-02-04
    Survey response — days 1–6 daily, dose 1
    MedDRA: Arthralgia, Hypoaesthesia, Myalgia — Feeling: Fair · Muscle or body aches
    Free text: My left hip joint was very sore over night, and most of today. The outside of my left leg and the outside half of my left foot has been num all day today. At this time my hip is fibe , but my left calf muscle is still sore, and the outside of my left foot is still num.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  5. 2021-02-05
    Survey response — days 1–6 daily, dose 1
    MedDRA: Asthenia, Hypoaesthesia — Feeling: Good · Joint pains, Muscle or body aches
    Free text: My left hip along with my left calf if better today. My left foot and ankle still are weak and a bit num feeling.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  6. 2021-02-07
    Survey response — days 1–6 daily, dose 1
    MedDRA: Muscular weakness, Paraesthesia — Feeling: Fair · Joint pains, Muscle or body aches
    Free text: Weakness in the left calf, ankle and foot. Also a tingling in that same area.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  7. 2021-02-08
    Survey response — days 1–6 daily, dose 1
    MedDRA: Arthralgia, Hypoaesthesia, Myalgia, Paraesthesia — Feeling: Fair · Joint pains, Muscle or body aches
    Free text: The joint pains and the muscle aches are still in the left leg from the knee to the the foot, with the ankle-foot area affected the most. There is still numbness and tingling from my calf through my foot.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  8. 2021-02-09
    Survey response — days 1–6 daily, dose 1
    MedDRA: Hypoaesthesia, Paraesthesia — Feeling: Fair · Joint pains, Muscle or body aches
    Free text: Still having problems with my left leg from my knee to my foot. Tingling and numbness in the area from my knee to my foot.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  9. 2021-02-10
    Survey response — day 7, dose 1
    MedDRA: Pre-existing disease — Feeling: Fair · Joint pains, Muscle or body aches
    Free text: Same issues in lower left leg that I have been reporting ovet the past several days.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  10. 2021-02-17
    Health check-in — day 14, dose 1
    Feeling: Good
    Adult check-in
  11. 2021-02-24
    Health check-in — day 21, dose 1
    Feeling: Fair
    Adult check-in
  12. 2021-03-03
    Health check-in — day 28, dose 1
    Feeling: Fair
    Adult check-in

Vaccinations

DoseDateManufacturerCo-administered
12021-02-03Moderna

Free text

Release 3 — day 0, dose 1

2021-02-03

Systemic reaction (other): Tingling at different points in my body.

Release 3 — days 1–6 daily, dose 1

2021-02-04

Systemic reaction (other): My left hip joint was very sore over night, and most of today. The outside of my left leg and the outside half of my left foot has been num all day today. At this time my hip is fibe , but my left calf muscle is still sore, and the outside of my left foot is still num.

2021-02-05

Systemic reaction (other): My left hip along with my left calf if better today. My left foot and ankle still are weak and a bit num feeling.

2021-02-07

Systemic reaction (other): Weakness in the left calf, ankle and foot. Also a tingling in that same area.

2021-02-08

Systemic reaction (other): The joint pains and the muscle aches are still in the left leg from the knee to the the foot, with the ankle-foot area affected the most. There is still numbness and tingling from my calf through my foot.

2021-02-09

Systemic reaction (other): Still having problems with my left leg from my knee to my foot. Tingling and numbness in the area from my knee to my foot.

Release 4 — day 7, dose 1

2021-02-10

Systemic reaction (other): Same issues in lower left leg that I have been reporting ovet the past several days.

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
SROArthralgia ✓ ✓ ✓
SROAsthenia ✓ ✓ ✓
SROHypoaesthesia ✓ ✓ ✓
SROMuscular weakness ✓ ✓ ✓
SROMyalgia ✓ ✓ ✓
SROParaesthesia ✓ ✓ ✓
SROPre-existing disease ✓ ✓ ✓

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