5RG-99954-21446
1 vaccination
5 coded responses
6 check-ins
5 free-text entries
4 call cases
- Sex
- Male
- Age at first dose
- 36-40
- ZIP prefix
- 122 / NY
- Registered
- 2021-01-07
- Relationship
- Self
- Race
- Other
- Ethnicity
- N/A
Timeline
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2020-12-27
Dose 1 — Moderna
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2021-01-07
Registered in v-safe
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2021-01-07
Survey response — day 7, dose 1MedDRA: Myalgia — Feeling: Poor · Headache, Muscle or body aches, Fatigue or tiredness · Be unable to work, Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultationFree text: Facial muscle painMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-01-07
Report sent to call center — day 7, dose 1Be unable to work · Get care from a doctor or other healthcare professional1 call case(s)
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2021-01-24
Survey response — day 28, dose 1MedDRA: Facial pain, Fatigue, Pain in extremity, Tendon pain — Feeling: Poor · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultationFree text: Still having face pain Seen neurologist, it is not Bells palsy When my face feel tired my whole body gets very fatiguedMy hand tendon are hurting stillMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-01-24
Report sent to call center — day 28, 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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2021-01-31
Survey response — day 35, dose 1MedDRA: Facial pain, Fatigue — Feeling: FairFree text: Fatigue is better but facial pain still happensMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-02-11
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2021-03-28
Survey response — 3 months, dose 1MedDRA: Fatigue, Hypoaesthesia, Office visit, Polyneuropathy — Feeling: Poor · Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultationFree text: The doctor think I developed poly neuritis related to the vaccine Facial numbness on both sides and both hands and feet Severe fatigue waxining and weaningMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-03-28
Report sent to call center — 3 months, dose 1Get care from a doctor or other healthcare professional1 call case(s)
- 2021-06-01
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2021-06-29
Survey response — 6 months, dose 1MedDRA: Hypoacusis, Paraesthesia, Visual impairment — Feeling: Fair · Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultationFree text: Vision and hearing problemTingling all over face and body I. WavesMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-06-29
Report sent to call center — 6 months, dose 1Get care from a doctor or other healthcare professional1 call case(s)
- 2021-12-27
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2020-12-27 | Moderna |
Call center
4 call center cases
4 unsuccessful
1 wait over 3 months for a first call
Free text
Release 1 — day 7, dose 1
Systemic reaction (other): Facial muscle pain
Release 2 — day 28, dose 1
Symptoms: Still having face pain Seen neurologist, it is not Bells palsy When my face feel tired my whole body gets very fatiguedMy hand tendon are hurting still
Release 3 — day 35, dose 1
Symptoms: Fatigue is better but facial pain still happens
Release 6 — 3 months, dose 1
Symptoms: The doctor think I developed poly neuritis related to the vaccine Facial numbness on both sides and both hands and feet Severe fatigue waxining and weaning
Release 9 — 6 months, dose 1
Symptoms: Vision and hearing problemTingling all over face and body I. Waves
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 |
|---|---|---|---|---|
| SD | Facial pain | ✓ | ✓ | ✓ |
| SD | Fatigue | ✓ | ✓ | ✓ |
| SD | Hypoacusis | ✓ | ✓ | ✓ |
| SD | Hypoaesthesia | ✓ | ✓ | ✓ |
| SD | Office visit | ✓ | · | ✓ |
| SD | Pain in extremity | ✓ | ✓ | ✓ |
| SD | Paraesthesia | ✓ | ✓ | ✓ |
| SD | Polyneuropathy | ○ | ✓ | ○ |
| SD | Tendon pain | ✓ | ✓ | ✓ |
| SD | Visual impairment | ✓ | ✓ | ✓ |
| SRO | Myalgia | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release