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595-14126-42815

2 vaccinations 6 coded responses 11 check-ins 6 free-text entries 0 call cases
Sex
Male
Age at first dose
51-55
ZIP prefix
303 / GA
Registered
2022-01-19
Relationship
Self
Race
Black or African American
Ethnicity
Not Hispanic or Latino

Timeline

  1. 2022-01-19
    Registered in v-safe
  2. 2022-01-19
    Dose 1 — Moderna
  3. 2022-01-19
    Health check-in — day 0, dose 1
    Feeling: Good · None
    Adult check-in
  4. 2022-02-04
    Survey response — day 14, dose 1
    MedDRA: Gait disturbance, Hypoaesthesia, Pain in extremity, Paraesthesia — Feeling: Poor · Be unable to do your normal daily activities
    Free text: I feel this shock in my fingers and toes, like a tingling feeling and numbness in my right arm and leg. To the level that I kind of drag my right leg to work, with pain.
    MedDRA releases: 2024-11 · check-in free text available
  5. 2022-02-09
    Survey response — day 21, dose 1
    MedDRA: Electric shock sensation, Gait disturbance, Limb discomfort, Pain — Feeling: Fair · Be unable to do your normal daily activities
    Free text: I'm having a constant shock in my right fingers and right toes, and some discomfort in my right leg from my waist down. I kind of drag my right leg to walk, with pain.
    MedDRA releases: 2024-11 · check-in free text available
  6. 2022-02-16
    Dose 2 — Moderna
  7. 2022-02-16
    Health check-in — day 0, dose 2
    Feeling: Good · None
    Adult check-in
  8. 2022-02-17
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · None
    Adult check-in
  9. 2022-02-18
    Survey response — days 1–6 daily, dose 2
    MedDRA: Electric shock sensation, Gait disturbance — Feeling: Good · Chills · Be unable to do your normal daily activities
    Free text: I feel something like a shock in my fingers and toes, and I seem to drag my right leg while working.
    MedDRA releases: 2024-11 · check-in free text available
  10. 2022-02-19
    Survey response — days 1–6 daily, dose 2
    MedDRA: Peripheral coldness — Feeling: Good · Chills · Be unable to do your normal daily activities
    Free text: Some chills in my fingers and toes
    MedDRA releases: 2024-11 · check-in free text available
  11. 2022-02-21
    Survey response — days 1–6 daily, dose 2
    MedDRA: Chills, Mobility decreased, Peripheral coldness — Feeling: Fair · Chills · Be unable to do your normal daily activities
    Free text: Some chills in my fingers and toes, makes me pull my right leg whenever I walk.
    MedDRA releases: 2024-11 · check-in free text available
  12. 2022-02-25
    Survey response — day 7, dose 2
    MedDRA: Chills — Feeling: Good · Chills · Be unable to do your normal daily activities
    Free text: Chills in my fingers and toes
    MedDRA releases: 2024-11 · check-in free text available
  13. 2022-03-04
    Health check-in — day 14, dose 2
    Feeling: Good
    Adult check-in
  14. 2022-04-01
    Health check-in — day 42, dose 2
    Feeling: Good
    Adult check-in

Vaccinations

DoseDateManufacturerCo-administered
12022-01-19Moderna No
22022-02-16Moderna No

Free text

Release 11 — day 14, dose 1

2022-02-04

Symptoms: I feel this shock in my fingers and toes, like a tingling feeling and numbness in my right arm and leg. To the level that I kind of drag my right leg to work, with pain.

Release 11 — day 21, dose 1

2022-02-09

Symptoms: I'm having a constant shock in my right fingers and right toes, and some discomfort in my right leg from my waist down. I kind of drag my right leg to walk, with pain.

Release 11 — days 1–6 daily, dose 2

2022-02-18

Systemic reaction (other): I feel something like a shock in my fingers and toes, and I seem to drag my right leg while working.

2022-02-19

Systemic reaction (other): Some chills in my fingers and toes

2022-02-21

Systemic reaction (other): Some chills in my fingers and toes, makes me pull my right leg whenever I walk.

Release 11 — day 7, dose 2

2022-02-25

Systemic reaction (other): Chills in my fingers and toes

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
SDElectric shock sensation · · ✓
SDGait disturbance · · ✓
SDHypoaesthesia · · ✓
SDLimb discomfort · · ✓
SDPain · · ✓
SDPain in extremity · · ✓
SDParaesthesia · · ✓
SROChills · · ✓
SROElectric shock sensation · · ✓
SROGait disturbance · · ✓
SROMobility decreased · · ✓
SROPeripheral coldness · · ✓

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