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Y74-24458-64863

2 vaccinations 5 coded responses 16 check-ins 5 free-text entries 0 call cases
Sex
Female
Age at first dose
31-35
ZIP prefix
913 / CA
Registered
2020-12-31
Relationship
Self
Race
White
Ethnicity
Not Hispanic or Latino

Timeline

  1. 2020-12-30
    Dose 1 — Moderna
  2. 2020-12-31
    Registered in v-safe
  3. 2020-12-31
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · Site: Pain · Headache
    Adult check-in
  4. 2021-01-01
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · Site: Pain · Fatigue or tiredness
    Adult check-in
  5. 2021-01-02
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · Fatigue or tiredness
    Adult check-in
  6. 2021-01-03
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · Fatigue or tiredness
    Adult check-in
  7. 2021-01-05
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · None
    Adult check-in
  8. 2021-01-06
    Survey response — day 7, dose 1
    MedDRA: Hypoaesthesia — Feeling: Fair · Fatigue or tiredness
    Free text: Numbness
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  9. 2021-01-13
    Survey response — day 14, dose 1
    MedDRA: Hypoaesthesia — Feeling: Good
    Free text: I experienced some numbness on my face and legs . Overall numbness on the last side of my body.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  10. 2021-01-20
    Survey response — day 21, dose 1
    MedDRA: Central nervous system lesion, Hypoaesthesia, Magnetic resonance imaging head abnormal, Pre-existing disease — Feeling: Fair · Be unable to work
    Free text: Numbness on the left side of my body but I have multiple sclerosis and had an MRI exam on Monday. I have a new active lesion on my brainstem
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  11. 2021-01-28
    Dose 2 — Moderna
  12. 2021-01-28
    Survey response — day 0, dose 2
    MedDRA: Hypoaesthesia — Feeling: Good · Fatigue or tiredness
    Free text: Numbness but I have MS and had an attack on January 4Th 5 days after first dose of vaccine so I am not sure if the vaccine had anything to do with the ms attack or not
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  13. 2021-01-29
    Survey response — days 1–6 daily, dose 2
    MedDRA: Hypoaesthesia — Feeling: Fair · Site: Pain · Fever · Headache, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities
    Free text: Numbness on the left side of my body
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  14. 2021-01-31
    Health check-in — days 1–6 daily, dose 2
    Feeling: Fair · None
    Adult check-in
  15. 2021-02-02
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · None
    Adult check-in
  16. 2021-02-04
    Health check-in — day 7, dose 2
    Feeling: Good · None
    Adult check-in
  17. 2021-02-20
    Health check-in — day 21, dose 2
    Feeling: Good
    Adult check-in
  18. 2021-04-29
    Health check-in — 3 months, dose 2
    Feeling: Good
    Adult check-in
  19. 2021-07-31
    Health check-in — 6 months, dose 2
    Feeling: Good
    Adult check-in

Vaccinations

DoseDateManufacturerCo-administered
12020-12-30Moderna
22021-01-28Moderna

Free text

Release 1 — day 7, dose 1

2021-01-06

Systemic reaction (other): Numbness

Release 1 — day 14, dose 1

2021-01-13

Symptoms: I experienced some numbness on my face and legs . Overall numbness on the last side of my body.

Release 2 — day 21, dose 1

2021-01-20

Symptoms: Numbness on the left side of my body but I have multiple sclerosis and had an MRI exam on Monday. I have a new active lesion on my brainstem

Release 2 — day 0, dose 2

2021-01-28

Systemic reaction (other): Numbness but I have MS and had an attack on January 4Th 5 days after first dose of vaccine so I am not sure if the vaccine had anything to do with the ms attack or not

Release 3 — days 1–6 daily, dose 2

2021-01-29

Systemic reaction (other): Numbness on the left side of my body

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

FieldPreferred term2021-092023-042024-11
SDCentral nervous system lesion ✓ ✓ ✓
SDHypoaesthesia ✓ ✓ ✓
SDMagnetic resonance imaging head abnormal ✓ ✓ ✓
SDPre-existing disease ✓ ✓ ✓
SROHypoaesthesia ✓ ✓ ✓

✓ active code · ○ coded but marked inactive · blank = not in that release