52F-17987-98588
1 vaccination
2 coded responses
5 check-ins
2 free-text entries
2 call cases
- Sex
- Female
- Age at first dose
- 66+
- ZIP prefix
- 844 / UT
- Registered
- 2021-01-29
- Relationship
- Self
Timeline
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2021-01-28
Dose 1 — Moderna
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2021-01-29
Registered in v-safe
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2021-01-29
Survey response — days 1–6 daily, dose 1MedDRA: Muscular weakness, Paraesthesia oral — Feeling: Fair · Site: Pain, Redness, Swelling, Itching · Chills, Muscle or body aches, Fatigue or tiredness, Nausea, Abdominal pain, Rash, not including the immediate area around the injection siteFree text: Not today, but about 30 minutes after the shot, had a tingly feeling in my lips. Also at that time and within an hour later, a weakened feeling in legs when walking. Both went away within 1-2 hours.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-01-31
Health check-in — days 1–6 daily, dose 1Feeling: Good · Site: Redness · Muscle or body aches, Abdominal pain, Rash, not including the immediate area around the injection siteAdult check-in
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2021-02-01
Health check-in — days 1–6 daily, dose 1Feeling: Fair · Site: Pain, Redness, Itching · Muscle or body aches, Abdominal pain, Rash, not including the immediate area around the injection siteAdult check-in
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2021-02-02
Survey response — days 1–6 daily, dose 1MedDRA: Rash — Feeling: Good · Site: Redness, Itching · Muscle or body aches, Rash, not including the immediate area around the injection site · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visitFree text: Rash has persisted before having Covid, unknown time. It continues, but may be an allergic reaction. A month after Covid, I had the shot. I dont know if the rash was from Covid originally (just undiagnosed), from the shot, or from an allergy. It has continued now for almost 2 months. Its being treated by a dermatologist now.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-02-02
Report sent to call center — days 1–6 daily, dose 1Get care from a doctor or other healthcare professional1 call case(s)
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2021-02-03
Health check-in — days 1–6 daily, dose 1Feeling: Fair · Site: Redness · Headache, Muscle or body aches, Fatigue or tiredness, Abdominal pain, Rash, not including the immediate area around the injection site · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visitAdult check-in
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2021-02-03
Report sent to call center — days 1–6 daily, dose 1Get care from a doctor or other healthcare professional1 call case(s)
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2021-06-16
Call successfulDoes not wish to fill out VAERS report
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-01-28 | Moderna |
Call center
2 call center cases
2 successful
Free text
Release 3 — days 1–6 daily, dose 1
Systemic reaction (other): Not today, but about 30 minutes after the shot, had a tingly feeling in my lips. Also at that time and within an hour later, a weakened feeling in legs when walking. Both went away within 1-2 hours.
Healthcare visit (other): Rash has persisted before having Covid, unknown time. It continues, but may be an allergic reaction. A month after Covid, I had the shot. I dont know if the rash was from Covid originally (just undiagnosed), from the shot, or from an allergy. It has continued now for almost 2 months. Its being treated by a dermatologist now.
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 | Rash | ✓ | ✓ | ✓ |
| SRO | Muscular weakness | ✓ | ✓ | ✓ |
| SRO | Paraesthesia oral | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release