5ZB-17334-15070
4 vaccinations
2 coded responses
7 check-ins
2 free-text entries
0 call cases
- Sex
- Male
- Age at first dose
- 56-60
- ZIP prefix
- 926 / CA
- Registered
- 2022-04-29
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-03-04
Dose 1 — Moderna
-
2021-04-01
Dose 2 — Moderna
-
2021-11-11
Dose 3 — Moderna
-
2022-04-08
Dose 4 — Moderna
-
2022-04-29
Registered in v-safe
-
2022-04-29
Survey response — day 21, dose 4MedDRA: Hypoaesthesia, Neuropathy peripheral, Pain, Paraesthesia — Feeling: Fair · Be unable to do your normal daily activitiesFree text: On April 11, 2022, three days after my fourth shot, I began experiencing peripheral neuropathy symptoms in both feet, and slightly, in fingers. These symptoms (numbness, tingling, mild pain) have persisted for nearly three weeks, with no improvement.MedDRA releases: 2024-11 · check-in free text available
- 2022-05-06
- 2022-05-15
- 2022-05-20
- 2022-07-08
-
2022-10-07
Survey response — 6 months, dose 4MedDRA: Hypoaesthesia, Paraesthesia — Feeling: Good · Be unable to do your normal daily activitiesFree text: For several days I experienced symptoms of peripheral neuropathy (numbness and tingling) in both feet. These side effects are identical to ones after my last booster shot in April 2022, although they do seem to be lessening sooner.MedDRA releases: 2024-11 · check-in free text available
- 2023-04-10
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-03-04 | Moderna | No |
| 2 | 2021-04-01 | Moderna | No |
| 3 | 2021-11-11 | Moderna | No |
| 4 | 2022-04-08 | Moderna | No |
Free text
Release 11 — day 21, dose 4
Symptoms: On April 11, 2022, three days after my fourth shot, I began experiencing peripheral neuropathy symptoms in both feet, and slightly, in fingers. These symptoms (numbness, tingling, mild pain) have persisted for nearly three weeks, with no improvement. cut off by CDC
Release 12 — 6 months, dose 4
Symptoms: For several days I experienced symptoms of peripheral neuropathy (numbness and tingling) in both feet. These side effects are identical to ones after my last booster shot in April 2022, although they do seem to be lessening sooner.
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 | Hypoaesthesia | · | · | ✓ |
| SD | Neuropathy peripheral | · | · | ✓ |
| SD | Pain | · | · | ✓ |
| SD | Paraesthesia | · | · | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release