XZW-99614-92145
1 vaccination
6 coded responses
10 check-ins
6 free-text entries
1 call case
- Sex
- Male
- Age at first dose
- 21-25
- ZIP prefix
- 301 / GA
- Registered
- 2021-01-21
- Relationship
- Self
Timeline
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2021-01-21
Registered in v-safe
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2021-01-21
Dose 1 — Moderna
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2021-01-22
Survey response — days 1–6 daily, dose 1MedDRA: Hypoaesthesia, Paraesthesia — Feeling: Fair · Site: Pain, Swelling · Fever · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Abdominal pain · Be unable to work, Be unable to do your normal daily activitiesFree text: Numbness/tingling in my fingers, toes, and faceMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-01-23
Health check-in — days 1–6 daily, dose 1Feeling: Good · Site: Pain · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activitiesAdult check-in
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2021-01-24
Health check-in — days 1–6 daily, dose 1Feeling: Good · Headache, Joint pains, Muscle or body aches, Fatigue or tirednessAdult check-in
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2021-01-25
Survey response — days 1–6 daily, dose 1MedDRA: Balance disorder, Dysstasia, Fatigue, Sensory loss — Feeling: Fair · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to work, Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultationFree text: Loss of feeling in my feet and toes. Hard to stand without losing balance or being fatigued.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-01-25
Report sent to call center — days 1–6 daily, dose 1Be unable to work · Get care from a doctor or other healthcare professional1 call case(s)
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2021-01-26
Survey response — days 1–6 daily, dose 1MedDRA: Hypoaesthesia, Paraesthesia — Feeling: Fair · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Abdominal pain · Be unable to work, Be unable to do your normal daily activitiesFree text: Still tingling in numbness in my feet and handsMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-01-27
Health check-in — days 1–6 daily, dose 1Feeling: Fair · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to work, Be unable to do your normal daily activitiesAdult check-in
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2021-01-28
Health check-in — day 7, dose 1Feeling: Fair · Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to workAdult check-in
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2021-02-04
Survey response — day 14, dose 1MedDRA: Pain, Paraesthesia — Feeling: Poor · Be unable to work, Be unable to do your normal daily activitiesFree text: Diagnosed witb bilateral leg paresthesia, paresthesia of both hands, and acute lain of both kneesMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-02-11
Survey response — day 21, dose 1MedDRA: Dyskinesia, Muscle spasms, Sensory loss — Feeling: Fair · Be unable to do your normal daily activitiesFree text: Loss of sensations on the left side of my face. Uncontrollable neck spasms making my head jerk in one directionMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-02-18
Survey response — day 28, dose 1MedDRA: Office visit, Trigeminal neuralgia — Feeling: Fair · Be unable to work, Be unable to do your normal daily activitiesFree text: Neurologist says i have trigeminal neuralgiaMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-06-03
Call successfulReported to VAERS voluntarily prior to GDIT contact
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-01-21 | Moderna |
Call center
| Reported | Outcome | VAERS-related outcome |
|---|---|---|
| 2021-01-25 | Successful 2021-06-03 |
Reported to VAERS voluntarily prior to GDIT contact |
Free text
Release 2 — days 1–6 daily, dose 1
Systemic reaction (other): Numbness/tingling in my fingers, toes, and face
Systemic reaction (other): Loss of feeling in my feet and toes. Hard to stand without losing balance or being fatigued.
Systemic reaction (other): Still tingling in numbness in my feet and hands
Release 3 — day 14, dose 1
Symptoms: Diagnosed witb bilateral leg paresthesia, paresthesia of both hands, and acute lain of both knees
Release 4 — day 21, dose 1
Symptoms: Loss of sensations on the left side of my face. Uncontrollable neck spasms making my head jerk in one direction
Release 4 — day 28, dose 1
Symptoms: Neurologist says i have trigeminal neuralgia
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 | Dyskinesia | ✓ | ✓ | ✓ |
| SD | Muscle spasms | ✓ | ✓ | ✓ |
| SD | Office visit | ✓ | ✓ | ✓ |
| SD | Pain | ✓ | ✓ | ✓ |
| SD | Paraesthesia | ✓ | ✓ | ✓ |
| SD | Sensory loss | ✓ | ✓ | ✓ |
| SD | Trigeminal neuralgia | ✓ | ✓ | ✓ |
| SRO | Balance disorder | ✓ | ✓ | ✓ |
| SRO | Dysstasia | ✓ | ✓ | ✓ |
| SRO | Fatigue | ✓ | ✓ | ✓ |
| SRO | Hypoaesthesia | ✓ | ✓ | ✓ |
| SRO | Paraesthesia | ✓ | ✓ | ✓ |
| SRO | Sensory loss | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release