5GS-33047-22706
2 vaccinations
6 coded responses
9 check-ins
6 free-text entries
0 call cases
- Sex
- Female
- Age at first dose
- 31-35
- ZIP prefix
- 891 / NV
- Registered
- 2021-03-17
- Relationship
- Self
- Race
- Asian
- Ethnicity
- Hispanic or Latino
Timeline
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2021-03-16
Dose 1 — Moderna
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2021-03-17
Registered in v-safe
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2021-03-17
Survey response — days 1–6 daily, dose 1MedDRA: Hypoaesthesia, Paraesthesia — Feeling: Fair · Site: Pain, Swelling · Muscle or body achesFree text: Left side Hand, leg, and foot tingling & slight numbness (like it fell asleep but less intense). Injection was also on left side. Started yesterday (day I received injection).MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-03-25
Survey response — day 7, dose 1MedDRA: Tenderness — Feeling: Fair · Site: Redness, Swelling, Itching · Muscle or body aches, Fatigue or tirednessFree text: Tenderness in the underarm areaMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-03-30
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2021-04-13
Dose 2 — Moderna
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2021-04-13
Health check-in — day 0, dose 2Feeling: Fair · Site: Pain, Swelling · Muscle or body aches, Abdominal pain · Be unable to do your normal daily activitiesAdult check-in
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2021-04-14
Survey response — days 1–6 daily, dose 2MedDRA: Back pain, Hypoaesthesia, Insomnia, Pain in extremity — Feeling: Poor · Site: Pain, Swelling · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to work, Be unable to do your normal daily activitiesFree text: My left leg and lower back have been in bad pain since last night to where I could barely even sleep. It feels almost numb like its falling asleepMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-04-15
Survey response — days 1–6 daily, dose 2MedDRA: Back pain, Hypoaesthesia, Pain, Paraesthesia — Feeling: Good · Site: Pain, Swelling · Headache, Muscle or body achesFree text: Lower back pain, left leg tingling/numbness/painMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-04-16
Survey response — days 1–6 daily, dose 2MedDRA: Hypoaesthesia, Pain in extremity — Feeling: Good · Headache, Muscle or body aches, Fatigue or tirednessFree text: Left Leg numbness/painMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-04-20
Survey response — day 7, dose 2MedDRA: Injection site rash — Feeling: Good · Site: Redness, Itching · Fatigue or tirednessFree text: Have 4 red, itchy bumps next to injection site (not at the injection site though)MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-04-27
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-03-16 | Moderna | |
| 2 | 2021-04-13 | Moderna |
Free text
Release 5 — days 1–6 daily, dose 1
Systemic reaction (other): Left side Hand, leg, and foot tingling & slight numbness (like it fell asleep but less intense). Injection was also on left side. Started yesterday (day I received injection).
Release 6 — day 7, dose 1
Systemic reaction (other): Tenderness in the underarm area
Release 7 — days 1–6 daily, dose 2
Systemic reaction (other): My left leg and lower back have been in bad pain since last night to where I could barely even sleep. It feels almost numb like its falling asleep
Systemic reaction (other): Lower back pain, left leg tingling/numbness/pain
Systemic reaction (other): Left Leg numbness/pain
Release 7 — day 7, dose 2
Systemic reaction (other): Have 4 red, itchy bumps next to injection site (not at the injection site though)
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 |
|---|---|---|---|---|
| SRO | Back pain | ✓ | ✓ | ✓ |
| SRO | Hypoaesthesia | ✓ | ✓ | ✓ |
| SRO | Injection site rash | ✓ | ✓ | ✓ |
| SRO | Insomnia | ✓ | ✓ | ✓ |
| SRO | Pain | ✓ | ✓ | ✓ |
| SRO | Pain in extremity | ✓ | ✓ | ✓ |
| SRO | Paraesthesia | ✓ | ✓ | ✓ |
| SRO | Tenderness | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release