6PN-16426-15657
2 vaccinations
5 coded responses
25 check-ins
5 free-text entries
2 call cases
- Sex
- Female
- Age at first dose
- 41-45
- ZIP prefix
- 038 / NH
- Registered
- 2020-12-29
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2020-12-29
Registered in v-safe
-
2020-12-29
Dose 1 — Moderna
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2020-12-29
Survey response — day 0, dose 1MedDRA: Hypoaesthesia — Feeling: GoodFree text: Little numbness in the injection armMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2020-12-30
Survey response — days 1–6 daily, dose 1MedDRA: Eyelid sensory disorder, Hypoaesthesia — Feeling: Fair · Site: Pain, SwellingFree text: After the shot (yesterday) I had numbness around my left eye and forehead.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2020-12-31
- 2021-01-01
- 2021-01-02
- 2021-01-03
- 2021-01-04
- 2021-01-05
- 2021-01-21
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2021-01-26
Dose 2 — Moderna
- 2021-01-26
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2021-01-27
Survey response — days 1–6 daily, dose 2MedDRA: Injection site pain — Feeling: Fair · Site: Pain, Swelling · Headache, Joint painsFree text: Soreness armpit (injection site)MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-01-28
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Site: Redness, Swelling · Headache, Joint pains, Fatigue or tiredness · Be unable to do your normal daily activitiesAdult check-in
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2021-01-29
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Site: Redness, Swelling · Fatigue or tiredness, DiarrheaAdult check-in
- 2021-01-30
- 2021-01-31
- 2021-02-01
- 2021-02-02
- 2021-02-09
- 2021-02-16
- 2021-02-23
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2021-03-03
Survey response — day 35, dose 2MedDRA: Muscle spasms, Muscular weakness, Office visit, Paraesthesia — Feeling: Fair · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professionalFree text: Symptoms: Muscle flutters/spasms and weakness since 2/1. Associated with extra walking that I started the week of my second dose. Still continuing with muscle tingling and weakness (some spasms) · Healthcare visit (other): Doctor (pcp) visit & bloodworkMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-03-03
Report sent to call center — day 35, dose 2Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional1 call case(s)
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2021-03-09
Survey response — day 42, dose 2MedDRA: Hypoaesthesia, Muscle spasms, Office visit — Feeling: Poor · Get care from a doctor or other healthcare professionalFree text: Symptoms: Muscle spasms & head and hand numbness · Healthcare visit (other): In person pcp aptMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-03-09
Report sent to call center — day 42, dose 2Get care from a doctor or other healthcare professional1 call case(s)
- 2021-04-30
- 2021-07-27
- 2021-12-15
- 2022-01-26
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2020-12-29 | Moderna | |
| 2 | 2021-01-26 | Moderna |
Call center
2 call center cases
2 unsuccessful
1 wait over 3 months for a first call
Free text
Release 1 — day 0, dose 1
Systemic reaction (other): Little numbness in the injection arm
Release 1 — days 1–6 daily, dose 1
Systemic reaction (other): After the shot (yesterday) I had numbness around my left eye and forehead.
Release 2 — days 1–6 daily, dose 2
Systemic reaction (other): Soreness armpit (injection site)
Release 5 — day 35, dose 2
Symptoms: Muscle flutters/spasms and weakness since 2/1. Associated with extra walking that I started the week of my second dose. Still continuing with muscle tingling and weakness (some spasms)
Healthcare visit (other): Doctor (pcp) visit & bloodwork
Release 5 — day 42, dose 2
Symptoms: Muscle spasms & head and hand numbness
Healthcare visit (other): In person pcp apt
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 |
|---|---|---|---|---|
| HCVO | Office visit | ✓ | ✓ | ✓ |
| SD | Hypoaesthesia | ✓ | ✓ | ✓ |
| SD | Muscle spasms | ✓ | ✓ | ✓ |
| SD | Muscular weakness | ✓ | ✓ | ✓ |
| SD | Paraesthesia | ✓ | ✓ | ✓ |
| SRO | Eyelid sensory disorder | ✓ | ✓ | ✓ |
| SRO | Hypoaesthesia | ✓ | ✓ | ✓ |
| SRO | Injection site hypoaesthesia | ○ | ○ | ○ |
| SRO | Injection site pain | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release