Y3R-14685-38680
1 vaccination
6 coded responses
8 check-ins
6 free-text entries
5 call cases
- Sex
- Female
- Age at first dose
- 36-40
- ZIP prefix
- 828 / WY
- Registered
- 2021-11-12
- Relationship
- Self
- Race
- N/A
- Ethnicity
- N/A
Timeline
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2021-11-01
Dose 1 — Moderna
-
2021-11-12
Registered in v-safe
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2021-11-12
Survey response — day 7, dose 1MedDRA: Hypoaesthesia, Paraesthesia — Feeling: Poor · Joint pains · 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: Numbness, tingling in extremitiesMedDRA releases: 2024-11 · check-in free text available
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2021-11-12
Report sent to call center — day 7, dose 1Be unable to do your normal daily activities · Get care from a doctor or other healthcare professionalOutpatient clinic or urgent care clinic visit · 1 call case(s)
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2021-11-15
Survey response — day 14, dose 1MedDRA: Hypoaesthesia, Spinal pain — Feeling: Poor · Be unable to work or attend school, 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: Horrible spine pain that's gotten worse over the past 3 days. Numbness in the extremities is spreading further up them.MedDRA releases: 2024-11 · check-in free text available
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2021-11-15
Report sent to call center — day 14, dose 1Be unable to work or attend school · Be unable to do your normal daily activities · Get care from a doctor or other healthcare prOutpatient clinic or urgent care clinic visit · 1 call case(s)
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2021-11-15
Call successfulReported to VAERS voluntarily prior to GDIT contact
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2021-11-16
Call successfulReported to VAERS voluntarily prior to GDIT contact
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2021-11-22
Survey response — day 21, dose 1MedDRA: Hypoaesthesia, Hypoaesthesia oral, Spinal pain — Feeling: Poor · Be unable to work or attend school, 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: Cheek numbness in addition to the tongue and lip numbness, upper leg numbness in addition to the feet and finger numbness, spinal painMedDRA releases: 2024-11 · check-in free text available
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2021-11-22
Report sent to call center — day 21, dose 1Be unable to work or attend school · Be unable to do your normal daily activities · Get care from a doctor or other healthcare prOutpatient clinic or urgent care clinic visit · 1 call case(s)
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2021-11-29
Survey response — day 28, dose 1MedDRA: Hypoaesthesia, Spinal pain — Feeling: Poor · Be unable to work or attend school, 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: Spinal pain and feet numbness are worse.MedDRA releases: 2024-11 · check-in free text available
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2021-11-29
Report sent to call center — day 28, dose 1Be unable to work or attend school · Be unable to do your normal daily activities · Get care from a doctor or other healthcare prOutpatient clinic or urgent care clinic visit · 1 call case(s)
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2021-11-29
Call successfulReported to VAERS voluntarily prior to GDIT contact
- 2021-11-30
- 2021-12-06
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2021-12-15
Survey response — day 42, dose 1MedDRA: Hypoaesthesia, Neuralgia, Spinal pain — Feeling: Poor · Be unable to do your normal daily activitiesFree text: My numbness in my feet and legs are getting worse to where I now have neuropathic pain. My back spinal pain is worse.MedDRA releases: 2024-11 · check-in free text available
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2022-02-01
Survey response — 3 months, dose 1MedDRA: Burning sensation, Muscle spasms, Office visit, Paraesthesia — Feeling: Poor · Get care from a doctor or other healthcare professionalFree text: Symptoms: Burning sensation, muscle cramps, worse tingling · Healthcare visit (other): NeurologistMedDRA releases: 2024-11 · check-in free text available
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2022-02-01
Report sent to call center — 3 months, dose 1Get care from a doctor or other healthcare professional1 call case(s)
- 2022-02-02
- 2022-05-02
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-11-01 | Moderna | No |
Call center
| Reported | Outcome | VAERS-related outcome |
|---|---|---|
| 2021-11-12 | Successful 2021-11-15 |
Reported to VAERS voluntarily prior to GDIT contact |
| 2021-11-15 | Successful 2021-11-16 |
Reported to VAERS voluntarily prior to GDIT contact |
| 2021-11-22 | Successful 2021-11-29 |
Reported to VAERS voluntarily prior to GDIT contact |
| 2021-11-29 | Unsuccessful | |
| 2022-02-01 | Unsuccessful |
Free text
Release 10 — day 7, dose 1
Systemic reaction (other): Numbness, tingling in extremities
Release 10 — day 14, dose 1
Symptoms: Horrible spine pain that's gotten worse over the past 3 days. Numbness in the extremities is spreading further up them.
Release 10 — day 21, dose 1
Symptoms: Cheek numbness in addition to the tongue and lip numbness, upper leg numbness in addition to the feet and finger numbness, spinal pain
Release 10 — day 28, dose 1
Symptoms: Spinal pain and feet numbness are worse.
Release 10 — day 42, dose 1
Symptoms: My numbness in my feet and legs are getting worse to where I now have neuropathic pain. My back spinal pain is worse.
Release 11 — 3 months, dose 1
Symptoms: Burning sensation, muscle cramps, worse tingling
Healthcare visit (other): Neurologist
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 | Burning sensation | · | · | ✓ |
| SD | Hypoaesthesia | · | · | ✓ |
| SD | Hypoaesthesia oral | · | · | ✓ |
| SD | Muscle spasms | · | · | ✓ |
| SD | Neuralgia | · | · | ✓ |
| SD | Paraesthesia | · | · | ✓ |
| SD | Spinal pain | · | · | ✓ |
| SRO | Hypoaesthesia | · | · | ✓ |
| SRO | Paraesthesia | · | · | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release