6NH-11580-10920

2 vaccinations 13 coded responses 22 check-ins 13 free-text entries 0 call cases

Sex: Female
Age at first dose: 51-55
ZIP prefix: 933 / CA
Registered: 2021-07-18

Relationship: Self
Race: White
Ethnicity: Hispanic or Latino

Timeline Vaccinations Free text MedDRA terms

Timeline

Registration Vaccinations Survey responses Call reports Cases without a report Call attempts Call successful Pregnancy survey

2021-07-17
Dose 1 — Moderna
2021-07-18
Registered in v-safe
2021-07-18
Survey response — days 1–6 daily, dose 1
MedDRA: Hypoaesthesia, Hypoaesthesia oral, Migraine — Feeling: Fair · Site: Pain · Headache, Fatigue or tiredness, Nausea · Be unable to do your normal daily activities

Free text: Entumecimiento en manos pies y alrededor de la boca y migraÃ±a.

MedDRA releases: 2024-11 · check-in free text available
2021-07-19
Survey response — days 1–6 daily, dose 1
MedDRA: Hypoaesthesia, Hypoaesthesia oral — Feeling: Fair · Site: Pain, Redness, Swelling, Itching · Joint pains

Free text: Adormecimiento en la pierna isquierda y un poco alrededor de los labios.

MedDRA releases: 2024-11 · check-in free text available
2021-07-20
Survey response — days 1–6 daily, dose 1
MedDRA: Hypoaesthesia, Skin warm — Feeling: Good · Site: Itching · Muscle or body aches

Free text: Siento mi pie izquierdo dormido de la planta y al acostarme por la noche siento la planta de los pies calientes. mi

MedDRA releases: 2024-11 · check-in free text available
2021-07-21
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · None

Adult check-in
2021-07-22
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · None

Adult check-in
2021-07-23
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-07-24
Survey response — day 7, dose 1
MedDRA: Hypoaesthesia — Feeling: Fair · Site: Pain · Muscle or body aches

Free text: Siento la pierna del lado donde recibi la vacuna un poco dormida.

MedDRA releases: 2021-09,2024-11 · check-in free text available
2021-07-31
Survey response — day 14, dose 1
MedDRA: Hypoaesthesia, Swelling — Feeling: Fair

Free text: Sigo sintiendo un pie entumecido y se me inflamo un poco la vacuna el dia 11 pero ya estoy bien, siento dormidas algunas partes del cuerpo.

MedDRA releases: 2021-09,2024-11 · check-in free text available
2021-08-07
Survey response — day 21, dose 1
MedDRA: Unevaluable event — Feeling: Good

Free text: Dolor en la pierna.

MedDRA releases: 2021-09,2024-11 · check-in free text available
2021-08-14
Dose 2 — Moderna
2021-08-14
Survey response — day 0, dose 2
MedDRA: Hypoaesthesia, Hypoaesthesia oral, Pruritus — Feeling: Fair · Site: Pain · Fever · Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to do your normal daily activities

Free text: Comezon en palmas y planta de los pies, adormecimiento en partes del cuerpo y labios.

MedDRA releases: 2021-09,2024-11 · check-in free text available
2021-08-15
Survey response — days 1–6 daily, dose 2
MedDRA: Hypoaesthesia, Pruritus — Feeling: Fair · Site: Pain · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to do your normal daily activities

Free text: Comezon en manos y pies y entumecimiento en manos y pies.

MedDRA releases: 2021-09,2024-11 · check-in free text available
2021-08-16
Survey response — days 1–6 daily, dose 2
MedDRA: Dizziness, Hypoaesthesia, Pruritus — Feeling: Fair · Site: Pain, Redness, Itching · Headache, Fatigue or tiredness, Nausea

Free text: Comezon en planta delnpie y manos y un ligero adormecimiento de manos y pies y mareos leves.

MedDRA releases: 2021-09,2024-11 · check-in free text available
2021-08-18
Survey response — days 1–6 daily, dose 2
MedDRA: Rash — Feeling: Fair · Site: Redness, Swelling · Rash, not including the immediate area around the injection site · Be unable to do your normal daily activities

Free text: Sarpullido en partes del cuerpo y en planta c bjx

MedDRA releases: 2021-09,2024-11 · check-in free text available
2021-08-19
Survey response — days 1–6 daily, dose 2
MedDRA: Hypoaesthesia, Pruritus — Feeling: Fair · Site: Itching · Be unable to do your normal daily activities

Free text: Adormecimiento en pies manos y cara. Comezon en plnata de pie al acostarme

MedDRA releases: 2021-09,2024-11 · check-in free text available
2021-08-20
Survey response — days 1–6 daily, dose 2
MedDRA: Unevaluable event — Feeling: Fair · Site: Swelling

Free text: E

MedDRA releases: 2021-09,2024-11 · check-in free text available
2021-08-21
Survey response — day 7, dose 2
MedDRA: Hypoaesthesia, Pruritus — Feeling: Fair · Site: Itching · Be unable to do your normal daily activities

Free text: Siento el pie ozquierdo se me duerme. Y mucha comezon

MedDRA releases: 2021-09,2024-11 · check-in free text available
2021-08-30
Health check-in — day 14, dose 2
Feeling: Good

Adult check-in
2021-09-05
Health check-in — day 21, dose 2
Feeling: Good

Adult check-in
2021-09-15
Health check-in — day 28, dose 2
Feeling: Good

Adult check-in
2021-09-20
Health check-in — day 35, dose 2
Feeling: Good

Adult check-in
2021-09-27
Health check-in — day 42, dose 2
Feeling: Good

Adult check-in
2022-02-12
Health check-in — 6 months, dose 2
Feeling: Good

Adult check-in

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-07-17	Moderna	No
2	2021-08-14	Moderna	No

Free text

Release 9 — days 1–6 daily, dose 1

2021-07-18

Systemic reaction (other): Entumecimiento en manos pies y alrededor de la boca y migraÃ±a.

2021-07-19

Systemic reaction (other): Adormecimiento en la pierna isquierda y un poco alrededor de los labios.

2021-07-20

Systemic reaction (other): Siento mi pie izquierdo dormido de la planta y al acostarme por la noche siento la planta de los pies calientes. mi

Release 9 — day 7, dose 1

2021-07-24

Systemic reaction (other): Siento la pierna del lado donde recibi la vacuna un poco dormida.

Release 9 — day 14, dose 1

2021-07-31

Symptoms: Sigo sintiendo un pie entumecido y se me inflamo un poco la vacuna el dia 11 pero ya estoy bien, siento dormidas algunas partes del cuerpo.

Release 9 — day 21, dose 1

2021-08-07

Symptoms: Dolor en la pierna.

Release 9 — day 0, dose 2

2021-08-14

Systemic reaction (other): Comezon en palmas y planta de los pies, adormecimiento en partes del cuerpo y labios.

Release 9 — days 1–6 daily, dose 2

2021-08-15

Systemic reaction (other): Comezon en manos y pies y entumecimiento en manos y pies.

2021-08-16

Systemic reaction (other): Comezon en planta delnpie y manos y un ligero adormecimiento de manos y pies y mareos leves.

2021-08-18

Systemic reaction (other): Sarpullido en partes del cuerpo y en planta c bjx

2021-08-19

Systemic reaction (other): Adormecimiento en pies manos y cara. Comezon en plnata de pie al acostarme

2021-08-20

Systemic reaction (other): E

Release 9 — day 7, dose 2

2021-08-21

Systemic reaction (other): Siento el pie ozquierdo se me duerme. Y mucha comezon

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	Swelling	✓	·	✓
SD	Unevaluable event	✓	·	✓
SRO	Dizziness	✓	·	✓
SRO	Hypoaesthesia	✓	·	✓
SRO	Hypoaesthesia oral	✓	·	✓
SRO	Migraine	·	·	✓
SRO	Pruritus	✓	·	✓
SRO	Rash	✓	·	✓
SRO	Skin warm	·	·	✓
SRO	Unevaluable event	✓	·	✓

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