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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

  1. 2020-12-30
    Registered in v-safe
  2. 2020-12-30
    Dose 1 — Moderna
  3. 2020-12-30
    Survey response — day 0, dose 1
    MedDRA: Paraesthesia — Feeling: Good · Site: Pain
    Free text: My hand below the injection site is tingling.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  4. 2020-12-31
    Survey response — days 1–6 daily, dose 1
    MedDRA: Deafness unilateral, Muscle fatigue — Feeling: Good · Site: Pain · Nausea
    Free 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
  5. 2021-01-01
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · None
    Adult check-in
  6. 2021-01-02
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · Muscle or body aches · Be unable to do your normal daily activities
    Adult check-in
  7. 2021-01-02
    Report sent to call center — days 1–6 daily, dose 1
    Be unable to do your normal daily activities
    1 call case(s)
  8. 2021-01-03
    Survey response — days 1–6 daily, dose 1
    MedDRA: Back pain, Paraesthesia — Feeling: Fair · Muscle or body aches · Be unable to do your normal daily activities
    Free text: Mild hand tingling below injection site, moderate unusual low back pain
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  9. 2021-01-03
    Report sent to call center — days 1–6 daily, dose 1
    Be unable to do your normal daily activities
    1 call case(s)
  10. 2021-01-04
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · None
    Adult check-in
  11. 2021-01-06
    Survey response — day 7, dose 1
    MedDRA: Discomfort — Feeling: Good · Muscle or body aches
    Free text: Mild axillary discomfort on injection side
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  12. 2021-01-13
    Health check-in — day 14, dose 1
    Feeling: Good
    Adult check-in
  13. 2021-01-21
    Survey response — day 21, dose 1
    MedDRA: Back pain — Feeling: Good · Be unable to do your normal daily activities
    Free text: Low back pain
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  14. 2021-03-31
    Survey response — 3 months, dose 1
    MedDRA: Arthralgia, Bell's palsy, Hypoaesthesia, Lymphadenopathy, Paraesthesia — Feeling: Good
    Free 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
  15. 2021-07-02
    Health check-in — 6 months, dose 1
    Feeling: Good
    Adult check-in
  16. 2021-12-31
    Health check-in — 12 months, dose 1
    Feeling: Good
    Adult check-in

Vaccinations

DoseDateManufacturerCo-administered
12020-12-30Moderna

Call center

2 call center cases

2 priority 2/3 (triaged and no follow up)

See the call center timeline

Free text

Release 1 — day 0, dose 1

2020-12-30

Systemic reaction (other): My hand below the injection site is tingling.

Release 1 — days 1–6 daily, dose 1

2020-12-31

Systemic reaction (other): Mild muscle fatigue in neck above injection site. Moderate but temporary loss of hearing on same side as injection.

2021-01-03

Systemic reaction (other): Mild hand tingling below injection site, moderate unusual low back pain

Release 1 — day 7, dose 1

2021-01-06

Systemic reaction (other): Mild axillary discomfort on injection side

Release 2 — day 21, dose 1

2021-01-21

Symptoms: Low back pain

Release 6 — 3 months, dose 1

2021-03-31

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

FieldPreferred term2021-092023-042024-11
SDArthralgia ✓ ✓ ✓
SDBack pain ✓ ✓ ✓
SDBell's palsy ✓ ✓ ✓
SDHypoaesthesia ✓ ✓ ✓
SDLymphadenopathy ✓ ✓ ✓
SDParaesthesia ✓ ✓ ✓
SROBack pain ✓ ✓ ✓
SRODeafness unilateral ✓ ✓ ✓
SRODiscomfort ✓ ✓ ✓
SROMuscle fatigue ✓ ✓ ✓
SROParaesthesia ✓ ✓ ✓

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