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5B4-44857-11526

1 vaccination 1 coded response 5 check-ins 1 free-text entry 2 call cases
Sex
Female
Age at first dose
36-40
ZIP prefix
920 / CA
Registered
2021-01-09
Relationship
Self

Timeline

  1. 2021-01-09
    Registered in v-safe
  2. 2021-01-09
    Dose 1 — Moderna
  3. 2021-01-09
    Survey response — day 0, dose 1
    MedDRA: Adverse reaction, Asthenia, Hypoaesthesia, Immediate post-injection reaction, Medical observation, Muscular weakness, Paraesthesia, Peripheral coldness — Feeling: Fair · Muscle or body aches · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional
    Free text: Systemic reaction (other): Immediately after getting the vaccine on my left deltoid my entire left arm felt like it had fallen asleep. I had a lot of weakness in the arm and tingling in my left hand. I didn't have the strength to pick up a bottle of water with my arm. My left hand/fingers got very cold. I was monitored for 30 minutes due to this and when I finally started to leave my legs got really weak and almost collapsed. I was then sent back for observation for another 45-60 minutes and given a dose of Benadryl. I still have some weakness in my left arm. · Healthcare visit (other): I was kept for almost 2 hours at the hospital I received the vaccine at due to the adverse reaction. A nurse and physician were monitoring my vitals and I was given 1 dose of Benadryl.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  4. 2021-01-09
    Report sent to call center — day 0, dose 1
    Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional
    1 call case(s)
  5. 2021-01-10
    Health check-in — days 1–6 daily, dose 1
    Feeling: Fair · Site: Pain, Swelling · Fatigue or tiredness · Be unable to do your normal daily activities
    Adult check-in
  6. 2021-01-10
    Report sent to call center — days 1–6 daily, dose 1
    Be unable to do your normal daily activities
    1 call case(s)
  7. 2021-01-11
    Health check-in — days 1–6 daily, dose 1
    Feeling: Fair · Site: Pain, Swelling · Fatigue or tiredness
    Adult check-in
  8. 2021-01-13
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · Site: Pain, Swelling · None
    Adult check-in
  9. 2021-01-15
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · Site: Pain, Swelling · None
    Adult check-in
  10. 2021-02-19

Vaccinations

DoseDateManufacturerCo-administered
12021-01-09Moderna

Call center

2 call center cases

2 unsuccessful

See the call center timeline

Free text

Release 1 — day 0, dose 1

2021-01-09

Systemic reaction (other): Immediately after getting the vaccine on my left deltoid my entire left arm felt like it had fallen asleep. I had a lot of weakness in the arm and tingling in my left hand. I didn't have the strength to pick up a bottle of water with my arm. My left hand/fingers got very cold. I was monitored for 30 minutes due to this and when I finally started to leave my legs got really weak and almost collapsed. I was then sent back for observation for another 45-60 minutes and given a dose of Benadryl. I still have some weakness in my left arm.
Healthcare visit (other): I was kept for almost 2 hours at the hospital I received the vaccine at due to the adverse reaction. A nurse and physician were monitoring my vitals and I was given 1 dose of Benadryl.

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
HCVOAdverse reaction ✓ ✓ ✓
HCVOMedical observation ✓ ✓ ✓
SROAsthenia ✓ ✓ ✓
SROHypoaesthesia ✓ ✓ ✓
SROImmediate post-injection reaction ✓ ✓ ✓
SROMedical observation ✓ ✓ ✓
SROMuscular weakness ✓ ✓ ✓
SROParaesthesia ✓ ✓ ✓
SROPeripheral coldness ✓ ✓ ✓

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