629-81870-48673
1 vaccination
6 coded responses
12 check-ins
6 free-text entries
2 call cases
- Sex
- Female
- Age at first dose
- 51-55
- ZIP prefix
- 427 / KY
- Registered
- 2020-12-30
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
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2020-12-30
Registered in v-safe
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2020-12-30
Dose 1 — Moderna
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2020-12-30
Survey response — day 0, dose 1MedDRA: Paraesthesia — Feeling: Good · Site: PainFree text: My hand below the injection site is tingling.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2020-12-31
Survey response — days 1–6 daily, dose 1MedDRA: Deafness unilateral, Muscle fatigue — Feeling: Good · Site: Pain · NauseaFree text: Mild muscle fatigue in neck above injection site. Moderate but temporary loss of hearing on same side as injection.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-01-01
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2021-01-02
Health check-in — days 1–6 daily, dose 1Feeling: Good · Muscle or body aches · Be unable to do your normal daily activitiesAdult check-in
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2021-01-02
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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2021-01-03
Survey response — days 1–6 daily, dose 1MedDRA: Back pain, Paraesthesia — Feeling: Fair · Muscle or body aches · Be unable to do your normal daily activitiesFree text: Mild hand tingling below injection site, moderate unusual low back painMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-01-03
Report sent to call center — days 1–6 daily, dose 1Be unable to do your normal daily activities1 call case(s)
- 2021-01-04
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2021-01-06
Survey response — day 7, dose 1MedDRA: Discomfort — Feeling: Good · Muscle or body achesFree text: Mild axillary discomfort on injection sideMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-01-13
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2021-01-21
Survey response — day 21, dose 1MedDRA: Back pain — Feeling: Good · Be unable to do your normal daily activitiesFree text: Low back painMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-03-31
Survey response — 3 months, dose 1MedDRA: Arthralgia, Bell's palsy, Hypoaesthesia, Lymphadenopathy, Paraesthesia — Feeling: GoodFree text: Facial numbness Bella's Palsy/ TIA symptoms, enlarged feeling lymph nodes in axillary of injected arm. Joint pain hand numbness and tingling injected arm.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-07-02
- 2021-12-31
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2020-12-30 | Moderna |
Call center
2 call center cases
2 priority 2/3 (triaged and no follow up)
Free text
Release 1 — day 0, dose 1
Systemic reaction (other): My hand below the injection site is tingling.
Release 1 — days 1–6 daily, dose 1
Systemic reaction (other): Mild muscle fatigue in neck above injection site. Moderate but temporary loss of hearing on same side as injection.
Systemic reaction (other): Mild hand tingling below injection site, moderate unusual low back pain
Release 1 — day 7, dose 1
Systemic reaction (other): Mild axillary discomfort on injection side
Release 2 — day 21, dose 1
Symptoms: Low back pain
Release 6 — 3 months, dose 1
Symptoms: Facial numbness Bella's Palsy/ TIA symptoms, enlarged feeling lymph nodes in axillary of injected arm. Joint pain hand numbness and tingling injected arm.
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 | Arthralgia | ✓ | ✓ | ✓ |
| SD | Back pain | ✓ | ✓ | ✓ |
| SD | Bell's palsy | ✓ | ✓ | ✓ |
| SD | Hypoaesthesia | ✓ | ✓ | ✓ |
| SD | Lymphadenopathy | ✓ | ✓ | ✓ |
| SD | Paraesthesia | ✓ | ✓ | ✓ |
| SRO | Back pain | ✓ | ✓ | ✓ |
| SRO | Deafness unilateral | ✓ | ✓ | ✓ |
| SRO | Discomfort | ✓ | ✓ | ✓ |
| SRO | Muscle fatigue | ✓ | ✓ | ✓ |
| SRO | Paraesthesia | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release