4Y8-87053-21225
1 vaccination
5 coded responses
7 check-ins
5 free-text entries
2 call cases
- Sex
- Female
- Age at first dose
- 61-65
- ZIP prefix
- 487 / MI
- Registered
- 2021-03-11
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-03-08
Dose 1 — Moderna
-
2021-03-11
Registered in v-safe
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2021-03-11
Survey response — days 1–6 daily, dose 1MedDRA: Hypoaesthesia oral, Paraesthesia oral — Feeling: Fair · HeadacheFree text: Numb lips and tingling tongueMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-03-12
Survey response — days 1–6 daily, dose 1MedDRA: Hypoaesthesia oral, Immediate post-injection reaction, Paraesthesia oral — Feeling: FairFree text: Lips are numb on left side and left front side of my tongue is tingling. This started 30 minutes after my vaccine on MondayMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-03-13
Survey response — days 1–6 daily, dose 1MedDRA: Hypoaesthesia oral, Paraesthesia oral — Feeling: FairFree text: The left side of my lips are still numb and the left side of the tip of my tongue is still tinglingMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-03-22
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2021-03-31
Survey response — day 21, dose 1MedDRA: Hypoaesthesia, Office visit, Paraesthesia — Feeling: Fair · Get care from a doctor or other healthcare professionalFree text: Symptoms: I still have the same numbness and tingling that I described earlier. No one has called me back. It's been almost a month. · Healthcare visit (other): Dr.'s appt.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-03-31
Report sent to call center — day 21, dose 1Get care from a doctor or other healthcare professional1 call case(s)
- 2021-04-05
- 2022-01-23
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2022-02-02
Call successfulNot applicable (accidental reporting or does not believe symptoms are related to vaccine)
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2022-03-10
Survey response — 12 months, dose 1MedDRA: Eye disorder, Office visit — Feeling: Fair · Get care from a doctor or other healthcare professionalFree text: Symptoms: Eye issue · Healthcare visit (other): Eye doctors officeMedDRA releases: 2024-11 · check-in free text available
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2022-03-10
Report sent to call center — 12 months, dose 1Get care from a doctor or other healthcare professional1 call case(s)
- 2022-03-11
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-03-08 | Moderna |
Call center
2 call center cases
1 successful · 1 unsuccessful
1 wait over 3 months for a first call
Free text
Release 5 — days 1–6 daily, dose 1
Systemic reaction (other): Numb lips and tingling tongue
Systemic reaction (other): Lips are numb on left side and left front side of my tongue is tingling. This started 30 minutes after my vaccine on Monday
Systemic reaction (other): The left side of my lips are still numb and the left side of the tip of my tongue is still tingling
Release 6 — day 21, dose 1
Symptoms: I still have the same numbness and tingling that I described earlier. No one has called me back. It's been almost a month.
Healthcare visit (other): Dr.'s appt.
Release 11 — 12 months, dose 1
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 | Office visit | ✓ | ✓ | ✓ |
| SD | Eye disorder | · | · | ✓ |
| SD | Hypoaesthesia | ✓ | ✓ | ✓ |
| SD | Paraesthesia | ✓ | ✓ | ✓ |
| SRO | Hypoaesthesia oral | ✓ | ✓ | ✓ |
| SRO | Immediate post-injection reaction | · | · | ✓ |
| SRO | Paraesthesia oral | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release