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
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2021-01-09
Registered in v-safe
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2021-01-09
Dose 1 — Moderna
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2021-01-09
Survey response — day 0, dose 1MedDRA: 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 professionalFree 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
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2021-01-09
Report sent to call center — day 0, dose 1Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional1 call case(s)
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2021-01-10
Health check-in — days 1–6 daily, dose 1Feeling: Fair · Site: Pain, Swelling · Fatigue or tiredness · Be unable to do your normal daily activitiesAdult check-in
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2021-01-10
Report sent to call center — days 1–6 daily, dose 1Be unable to do your normal daily activities1 call case(s)
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2021-01-11
Health check-in — days 1–6 daily, dose 1Feeling: Fair · Site: Pain, Swelling · Fatigue or tirednessAdult check-in
- 2021-01-13
- 2021-01-15
- 2021-02-19
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-01-09 | Moderna |
Call center
2 call center cases
2 unsuccessful
Free text
Release 1 — day 0, dose 1
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
| Field | Preferred term | 2021-09 | 2023-04 | 2024-11 |
|---|---|---|---|---|
| HCVO | Adverse reaction | ✓ | ✓ | ✓ |
| HCVO | Medical observation | ✓ | ✓ | ✓ |
| SRO | Asthenia | ✓ | ✓ | ✓ |
| SRO | Hypoaesthesia | ✓ | ✓ | ✓ |
| SRO | Immediate post-injection reaction | ✓ | ✓ | ✓ |
| SRO | Medical observation | ✓ | ✓ | ✓ |
| SRO | Muscular weakness | ✓ | ✓ | ✓ |
| SRO | Paraesthesia | ✓ | ✓ | ✓ |
| SRO | Peripheral coldness | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release