6XX-27312-72573
2 vaccinations
7 coded responses
20 check-ins
7 free-text entries
2 call cases
- Sex
- Male
- Age at first dose
- 46-50
- ZIP prefix
- 786 / TX
- Registered
- 2020-12-23
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2020-12-23
Registered in v-safe
-
2020-12-23
Dose 1 — Moderna
- 2020-12-27
- 2020-12-28
- 2020-12-29
- 2020-12-30
- 2021-01-06
-
2021-01-20
Dose 2 — Moderna
- 2021-01-20
-
2021-01-21
Survey response — days 1–6 daily, dose 2MedDRA: Lymphadenopathy — Feeling: Poor · Site: Pain · Fever · Headache, Fatigue or tiredness · Be unable to work, Be unable to do your normal daily activitiesFree text: Swollen lymph nodes bilaterally in my neck makes swallowing difficult. No respiratory problemsMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-01-22
Survey response — days 1–6 daily, dose 2MedDRA: Feeling hot, Pyrexia — Feeling: Fair · Site: Redness, Swelling · Fatigue or tiredness · Be unable to workFree text: Right side of my body (same side as shot) feels feverish (warm). Its separated midline and I could draw a line between the left and right side sensation.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-01-23
Survey response — days 1–6 daily, dose 2MedDRA: Hemiparesis, Paraesthesia — Feeling: Fair · Site: Pain, Swelling · Fatigue or tiredness · Be unable to workFree text: Still having right side (same side as injection) tingling and slight weaknessMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-01-25
Survey response — days 1–6 daily, dose 2MedDRA: Asthenia, Paraesthesia — Feeling: Fair · Site: Pain · Fatigue or tiredness · Be unable to workFree text: Right side body weakness and tingling sensation continuesMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-01-26
Survey response — days 1–6 daily, dose 2MedDRA: Asthenia, Sensory loss — Feeling: Fair · Fatigue or tiredness · Be unable to workFree text: Right side body weakness and reduced sensationMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-01-27
Survey response — day 7, dose 2MedDRA: Hemiparesis, Office visit, Sensory loss — Feeling: Fair · Fatigue or tiredness · Get care from a doctor or other healthcare professionalFree text: Systemic reaction (other): Right side body weakness and reduced sensation · Healthcare visit (other): PCP appointment yesterdayMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-01-27
Report sent to call center — day 7, dose 2Get care from a doctor or other healthcare professional1 call case(s)
-
2021-02-03
Survey response — day 14, dose 2MedDRA: Hemiparesis, Office visit, Sensitive skin — Feeling: Fair · Get care from a doctor or other healthcare professionalFree text: Symptoms: My right side weakness and reduced skin sensitivity continues. Same levels since the day after the 2nd dose with no changes. Blood work came back within normal limits last week. · Healthcare visit (other): PCP appointmentMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-02-03
Report sent to call center — day 14, dose 2Get care from a doctor or other healthcare professional1 call case(s)
- 2021-02-10
- 2021-02-20
- 2021-02-26
- 2021-03-03
-
2021-04-15
Callback requested for06:30P EST
- 2021-04-15
-
2021-04-15
Callback requested for06:30P EST
-
2021-04-15
Call successfulCompleted over the phone
- 2021-04-21
- 2021-07-22
- 2022-01-22
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2020-12-23 | Moderna | |
| 2 | 2021-01-20 | Moderna |
Call center
2 call center cases
2 successful
VAERS report filed, before or during a call: 2
Free text
Release 2 — days 1–6 daily, dose 2
Systemic reaction (other): Swollen lymph nodes bilaterally in my neck makes swallowing difficult. No respiratory problems
Systemic reaction (other): Right side of my body (same side as shot) feels feverish (warm). Its separated midline and I could draw a line between the left and right side sensation.
Systemic reaction (other): Still having right side (same side as injection) tingling and slight weakness
Systemic reaction (other): Right side body weakness and tingling sensation continues
Systemic reaction (other): Right side body weakness and reduced sensation
Release 2 — day 7, dose 2
Systemic reaction (other): Right side body weakness and reduced sensation
Healthcare visit (other): PCP appointment yesterday
Release 3 — day 14, dose 2
Symptoms: My right side weakness and reduced skin sensitivity continues. Same levels since the day after the 2nd dose with no changes. Blood work came back within normal limits last week.
Healthcare visit (other): PCP appointment
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 | Hemiparesis | ✓ | ✓ | ✓ |
| SD | Sensitive skin | ✓ | ✓ | ✓ |
| SRO | Asthenia | ✓ | ✓ | ✓ |
| SRO | Feeling hot | ✓ | ✓ | ✓ |
| SRO | Hemiparesis | ✓ | ✓ | ✓ |
| SRO | Lymphadenopathy | ✓ | ✓ | ✓ |
| SRO | Paraesthesia | ✓ | ✓ | ✓ |
| SRO | Pyrexia | ✓ | ✓ | ✓ |
| SRO | Sensory loss | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release