6RQ-23650-97885
2 vaccinations
7 coded responses
7 check-ins
7 free-text entries
5 call cases
- Sex
- Female
- Age at first dose
- 41-45
- ZIP prefix
- 980 / WA
- Registered
- 2021-05-05
- Relationship
- Self
- Race
- Asian
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-03-29
Dose 1 — Moderna
-
2021-04-26
Dose 2 — Moderna
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2021-05-05
Registered in v-safe
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2021-05-11
Survey response — day 14, dose 2MedDRA: Arthralgia, Insomnia, Pain in extremity, Paraesthesia — Feeling: Poor · Be unable to do your normal daily activitiesFree text: Im feeling pain in my left shoulder areaTrouble sleeping at nightHand hurts still tingling all over my left arm after 15 days of my 2nd Moderna covid vaccineMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-05-20
Survey response — day 21, dose 2MedDRA: Electric shock sensation, Office visit, Pain, Pain in extremity, Paraesthesia — Feeling: Poor · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visitFree text: Symptoms: Tingling on my left armElectrical little shocks on my palmForearm is painful Throbbing down to all my fingertips all 5 · Healthcare visit (other): EMG at Neuroscience at Valley HospitalMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-05-20
Report sent to call center — day 21, 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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2021-05-25
Survey response — day 28, dose 2MedDRA: Pain, Paraesthesia — Feeling: Poor · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visitFree text: Tingling all over left arm all the way to my fingertips 24/7Throbbing all over my fingertips Weakness left armShoulder painMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-05-25
Report sent to call center — day 28, 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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2021-06-08
Survey response — day 42, dose 2MedDRA: Mobility decreased, Palpitations, Paraesthesia, Physiotherapy — Feeling: Poor · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visitFree text: Symptoms: Tingling wnd pain all day and night my whole arm down to my fingertips Cant straighten out my palmPalpitations on my fingertips left hand · Healthcare visit (other): Physical TherapyMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-06-08
Report sent to call center — day 42, 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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2021-07-27
Survey response — 3 months, dose 2MedDRA: Pain in extremity — Feeling: Poor · Be unable to do your normal daily activitiesFree text: My right hand has also been painful.MedDRA releases: 2021-09,2024-11 · check-in free text available
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2021-10-27
Survey response — 6 months, dose 2MedDRA: Office visit, Pre-existing disease — Feeling: Poor · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professionalFree text: Symptoms: My CRPS is spreading · Healthcare visit (other): In clinicMedDRA releases: 2024-11 · check-in free text available
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2021-10-27
Report sent to call center — 6 months, dose 2Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional1 call case(s)
- 2021-10-28
- 2021-10-29
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2021-10-29
Call successfulCompleted over the phone
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2022-04-27
Survey response — 12 months, dose 2MedDRA: Allodynia, Brain fog, Dizziness, Mobility decreased, Muscular weakness, Pain, Pain in extremity, Paraesthesia, Tinnitus — Feeling: Poor · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit, Emergency room or emergency department visitFree text: Internal vibrating full body head to toe Parasthesia left arm hand Allodynia left Hand Continuous burning stabbing pain left Hand Dizziness Tinnitus Weakness in my left arm Loss ability to use my left arm Hand due to pain Brain fog DizyMedDRA releases: 2024-11 · check-in free text available
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2022-04-27
Report sent to call center — 12 months, dose 2Be unable to do your normal daily activities · Get care from a doctor or other healthcare professionalOutpatient clinic or urgent care clinic visit · Emergency room or emergency department visit · 1 call case(s)
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2022-04-29
Call successfulReported to VAERS during previous contact from GDIT
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-03-29 | Moderna | |
| 2 | 2021-04-26 | Moderna |
Call center
5 call center cases
5 successful
VAERS report filed, before or during a call: 5
Free text
Release 8 — day 14, dose 2
Symptoms: Im feeling pain in my left shoulder areaTrouble sleeping at nightHand hurts still tingling all over my left arm after 15 days of my 2nd Moderna covid vaccine
Release 8 — day 21, dose 2
Symptoms: Tingling on my left armElectrical little shocks on my palmForearm is painful Throbbing down to all my fingertips all 5
Healthcare visit (other): EMG at Neuroscience at Valley Hospital
Release 8 — day 28, dose 2
Symptoms: Tingling all over left arm all the way to my fingertips 24/7Throbbing all over my fingertips Weakness left armShoulder pain
Release 8 — day 42, dose 2
Symptoms: Tingling wnd pain all day and night my whole arm down to my fingertips Cant straighten out my palmPalpitations on my fingertips left hand
Healthcare visit (other): Physical Therapy
Release 9 — 3 months, dose 2
Symptoms: My right hand has also been painful.
Release 10 — 6 months, dose 2
Release 11 — 12 months, dose 2
Symptoms: Internal vibrating full body head to toe Parasthesia left arm hand Allodynia left Hand Continuous burning stabbing pain left Hand Dizziness Tinnitus Weakness in my left arm Loss ability to use my left arm Hand due to pain Brain fog Dizy
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 | ✓ | ✓ | ✓ |
| HCVO | Physiotherapy | ✓ | ✓ | ✓ |
| SD | Allodynia | · | · | ✓ |
| SD | Arthralgia | ✓ | ✓ | ✓ |
| SD | Brain fog | · | · | ✓ |
| SD | Dizziness | · | · | ✓ |
| SD | Electric shock sensation | ✓ | ✓ | ✓ |
| SD | Insomnia | ✓ | ✓ | ✓ |
| SD | Mobility decreased | ✓ | ✓ | ✓ |
| SD | Muscular weakness | · | · | ✓ |
| SD | Pain | ✓ | ✓ | ✓ |
| SD | Pain in extremity | ✓ | ✓ | ✓ |
| SD | Palpitations | ✓ | ✓ | ✓ |
| SD | Paraesthesia | ✓ | ✓ | ✓ |
| SD | Pre-existing disease | · | · | ✓ |
| SD | Tinnitus | · | · | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release