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Y82-94731-04368

2 vaccinations 8 coded responses 25 check-ins 8 free-text entries 0 call cases
Sex
Female
Age at first dose
66+
ZIP prefix
970 / OR
Registered
2020-12-29
Relationship
Self
Race
White
Ethnicity
Not Hispanic or Latino

Timeline

  1. 2020-12-28
    Dose 1 — Moderna
  2. 2020-12-29
    Registered in v-safe
  3. 2020-12-29
    Survey response — days 1–6 daily, dose 1
    MedDRA: Hypoaesthesia oral, Paraesthesia oral — Feeling: Good · Site: Pain · Joint pains
    Free text: Some tingling and numbness on left side of my mouth.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  4. 2020-12-30
    Survey response — days 1–6 daily, dose 1
    MedDRA: Hypoaesthesia oral — Feeling: Good · Fatigue or tiredness
    Free text: Still just a little numbness on the left side of my mouth.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  5. 2020-12-31
    Survey response — days 1–6 daily, dose 1
    MedDRA: Hypoaesthesia oral — Feeling: Good
    Free text: Still slight numbness on corners of mouth left side.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  6. 2021-01-01
    Survey response — days 1–6 daily, dose 1
    MedDRA: Hypoaesthesia oral — Feeling: Good · Site: Pain
    Free text: Slight numbness on corners on mouth on left side.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  7. 2021-01-02
    Survey response — days 1–6 daily, dose 1
    MedDRA: Hypoaesthesia oral — Feeling: Good · Site: Pain
    Free text: Slight numbness on corner of mouth on left side.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  8. 2021-01-03
    Survey response — days 1–6 daily, dose 1
    MedDRA: Hypoaesthesia oral — Feeling: Good · Site: Pain
    Free text: Numbness on the left side corners of my mouth.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  9. 2021-01-04
    Survey response — day 7, dose 1
    MedDRA: Hypoaesthesia oral — Feeling: Good · Site: Pain
    Free text: Slight numbness on corners of left side of mouth.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  10. 2021-01-13
    Health check-in — day 14, dose 1
    Feeling: Good
    Adult check-in
  11. 2021-01-18
    Health check-in — day 21, dose 1
    Feeling: Good
    Adult check-in
  12. 2021-01-25
    Health check-in — day 28, dose 1
    Feeling: Good
    Adult check-in
  13. 2021-02-01
    Dose 2 — Moderna
  14. 2021-02-02
    Health check-in — days 1–6 daily, dose 2
    Feeling: Poor · Site: Pain · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to do your normal daily activities
    Adult check-in
  15. 2021-02-03
    Health check-in — days 1–6 daily, dose 2
    Feeling: Fair · Site: Pain, Redness, Swelling · Headache, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities
    Adult check-in
  16. 2021-02-04
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · Site: Pain, Redness, Swelling · Muscle or body aches
    Adult check-in
  17. 2021-02-05
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · Site: Pain, Swelling · None
    Adult check-in
  18. 2021-02-06
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · Site: Itching · None
    Adult check-in
  19. 2021-02-07
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · None
    Adult check-in
  20. 2021-02-08
    Health check-in — day 7, dose 2
    Feeling: Good · Site: Itching · None
    Adult check-in
  21. 2021-02-15
    Health check-in — day 14, dose 2
    Feeling: Good
    Adult check-in
  22. 2021-02-22
    Health check-in — day 21, dose 2
    Feeling: Good
    Adult check-in
  23. 2021-03-01
    Health check-in — day 28, dose 2
    Feeling: Good
    Adult check-in
  24. 2021-03-08
    Health check-in — day 35, dose 2
    Feeling: Good
    Adult check-in
  25. 2021-03-15
    Health check-in — day 42, dose 2
    Feeling: Good
    Adult check-in
  26. 2021-05-03
    Health check-in — 3 months, dose 2
    Feeling: Good
    Adult check-in
  27. 2021-08-02
    Survey response — 6 months, dose 2
    MedDRA: Arthralgia, Gait disturbance — Feeling: Good
    Free text: Having pain in my hip, that is causing difficulty walking.
    MedDRA releases: 2021-09,2024-11 · check-in free text available
  28. 2022-02-01
    Health check-in — 12 months, dose 2
    Feeling: Good
    Adult check-in

Vaccinations

DoseDateManufacturerCo-administered
12020-12-28Moderna
22021-02-01Moderna

Free text

Release 1 — days 1–6 daily, dose 1

2020-12-29

Systemic reaction (other): Some tingling and numbness on left side of my mouth.

2020-12-30

Systemic reaction (other): Still just a little numbness on the left side of my mouth.

2020-12-31

Systemic reaction (other): Still slight numbness on corners of mouth left side.

2021-01-01

Systemic reaction (other): Slight numbness on corners on mouth on left side.

2021-01-02

Systemic reaction (other): Slight numbness on corner of mouth on left side.

2021-01-03

Systemic reaction (other): Numbness on the left side corners of my mouth.

Release 1 — day 7, dose 1

2021-01-04

Systemic reaction (other): Slight numbness on corners of left side of mouth.

Release 9 — 6 months, dose 2

2021-08-02

Symptoms: Having pain in my hip, that is causing difficulty walking.

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
SDArthralgia ✓ · ✓
SDGait disturbance ✓ · ✓
SROHypoaesthesia oral ✓ ✓ ✓
SROParaesthesia oral ✓ ✓ ✓

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