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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

  1. 2021-03-04
    Dose 1 — Moderna
  2. 2021-04-01
    Dose 2 — Moderna
  3. 2021-11-11
    Dose 3 — Moderna
  4. 2022-04-08
    Dose 4 — Moderna
  5. 2022-04-29
    Registered in v-safe
  6. 2022-04-29
    Survey response — day 21, dose 4
    MedDRA: Hypoaesthesia, Neuropathy peripheral, Pain, Paraesthesia — Feeling: Fair · Be unable to do your normal daily activities
    Free 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
  7. 2022-05-06
    Health check-in — day 28, dose 4
    Feeling: Fair
    Adult check-in
  8. 2022-05-15
    Health check-in — day 35, dose 4
    Feeling: Good
    Adult check-in
  9. 2022-05-20
    Health check-in — day 42, dose 4
    Feeling: Fair
    Adult check-in
  10. 2022-07-08
    Health check-in — 3 months, dose 4
    Feeling: Good
    Adult check-in
  11. 2022-10-07
    Survey response — 6 months, dose 4
    MedDRA: Hypoaesthesia, Paraesthesia — Feeling: Good · Be unable to do your normal daily activities
    Free 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
  12. 2023-04-10
    Health check-in — 12 months, dose 4
    Feeling: Good
    Adult check-in

Vaccinations

DoseDateManufacturerCo-administered
12021-03-04Moderna No
22021-04-01Moderna No
32021-11-11Moderna No
42022-04-08Moderna No

Free text

Release 11 — day 21, dose 4

2022-04-29

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

2022-10-07

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

FieldPreferred term2021-092023-042024-11
SDHypoaesthesia · · ✓
SDNeuropathy peripheral · · ✓
SDPain · · ✓
SDParaesthesia · · ✓

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