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6B6-49023-40378

1 vaccination 6 coded responses 6 check-ins 6 free-text entries 4 call cases
Sex
Female
Age at first dose
66+
ZIP prefix
349 / FL
Registered
2021-01-27
Relationship
Self
Race
White
Ethnicity
Not Hispanic or Latino

Timeline

  1. 2021-01-22
    Dose 1 — Moderna
  2. 2021-01-27
    Registered in v-safe
  3. 2021-01-27
    Survey response — days 1–6 daily, dose 1
    MedDRA: Hypoaesthesia, Paraesthesia — Feeling: Poor · Site: Pain · Be unable to do your normal daily activities
    Free text: Tingling, numbness left side of body (injection site) from face to toes
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  4. 2021-01-29
    Survey response — day 7, dose 1
    MedDRA: Emergency care, Hypoaesthesia, Paraesthesia — Feeling: Poor · Site: Pain · Get care from a doctor or other healthcare professional · Emergency room or emergency department visit
    Free text: Numbness, pins and needles entire left side. Was seen in hospital ER to assess for stroke.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  5. 2021-01-29
    Report sent to call center — day 7, dose 1
    Get care from a doctor or other healthcare professional
    1 call case(s)
  6. 2021-02-11
    Survey response — day 14, dose 1
    MedDRA: Arthralgia, Hemiparesis, Neck pain, Pain in extremity — Feeling: Poor · Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultation
    Free text: Pain in neck, shoulder, arm. Continued weakness left side (vaccination site).
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  7. 2021-02-11
    Report sent to call center — day 14, dose 1
    Get care from a doctor or other healthcare professional
    1 call case(s)
  8. 2021-02-20
    Survey response — day 28, dose 1
    MedDRA: Arthralgia, Asthenia, Dysphagia, Emergency care, Lymphadenopathy, Pain in extremity — Feeling: Poor · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Emergency room or emergency department visit
    Free text: Returned to Emergency Room Friday, Feb 12 due to difficulty swallowing. Noticed lymph nodes in neck were enlarged, probably causing swallowing problems. About same time, pain developed left arm and shoulder. Weakness continues left side.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  9. 2021-02-20
    Report sent to call center — day 28, dose 1
    Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional
    1 call case(s)
  10. 2021-03-07
    Survey response — day 42, dose 1
    MedDRA: Medical counselling, Vision blurred — Feeling: Poor · Get care from a doctor or other healthcare professional
    Free text: Symptoms: Blurry vision left eye. · Healthcare visit (other): Eye Doctor
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  11. 2021-03-07
    Report sent to call center — day 42, dose 1
    Get care from a doctor or other healthcare professional
    1 call case(s)
  12. 2021-05-24
  13. 2021-07-23
    Survey response — 6 months, dose 1
    MedDRA: Paraesthesia — Feeling: Fair
    Free text: Tingling, pins and needles in left leg and foot.
    MedDRA releases: 2021-09,2024-11 · check-in free text available

Vaccinations

DoseDateManufacturerCo-administered
12021-01-22Moderna

Call center

4 call center cases

4 unsuccessful

1 wait over 3 months for a first call

See the call center timeline

Free text

Release 2 — days 1–6 daily, dose 1

2021-01-27

Systemic reaction (other): Tingling, numbness left side of body (injection site) from face to toes

Release 3 — day 7, dose 1

2021-01-29

Systemic reaction (other): Numbness, pins and needles entire left side. Was seen in hospital ER to assess for stroke.

Release 4 — day 14, dose 1

2021-02-11

Symptoms: Pain in neck, shoulder, arm. Continued weakness left side (vaccination site).

Release 4 — day 28, dose 1

2021-02-20

Symptoms: Returned to Emergency Room Friday, Feb 12 due to difficulty swallowing. Noticed lymph nodes in neck were enlarged, probably causing swallowing problems. About same time, pain developed left arm and shoulder. Weakness continues left side.

Release 5 — day 42, dose 1

2021-03-07

Symptoms: Blurry vision left eye.
Healthcare visit (other): Eye Doctor

Release 9 — 6 months, dose 1

2021-07-23

Symptoms: Tingling, pins and needles in left leg and foot.

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
HCVOMedical counselling ✓ ✓ ✓
SDArthralgia ✓ ✓ ✓
SDAsthenia ✓ ✓ ✓
SDDysphagia ✓ ✓ ✓
SDEmergency care ✓ ✓ ✓
SDHemiparesis ✓ ✓ ✓
SDLymphadenopathy ✓ ✓ ✓
SDNeck pain ✓ ✓ ✓
SDPain in extremity ✓ ✓ ✓
SDParaesthesia ✓ · ✓
SDVision blurred ✓ ✓ ✓
SROEmergency care ✓ ✓ ✓
SROHypoaesthesia ✓ ✓ ✓
SROParaesthesia ✓ ✓ ✓

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