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YD2-61965-40628

2 vaccinations 3 coded responses 12 check-ins 3 free-text entries 2 call cases
Sex
Male
Age at first dose
26-30
ZIP prefix
928 / CA
Registered
2021-04-09
Relationship
Self
Race
Other
Ethnicity
Hispanic or Latino

Timeline

  1. 2021-04-09
    Registered in v-safe
  2. 2021-04-09
    Dose 1 — Moderna
  3. 2021-04-09
    Survey response — day 0, dose 1
    MedDRA: Electric shock sensation, Hypoaesthesia, Immediate post-injection reaction — Feeling: Good · Site: Pain
    Free text: I had three mild jolts in my left arm, where I received the those one hour since my first dose and then two more times an hour after that. As of now its been 4 hours and my arm is feeling slightly numb.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  4. 2021-04-10
    Health check-in — days 1–6 daily, dose 1
    Feeling: Fair · Site: Pain · Nausea
    Adult check-in
  5. 2021-04-18
    Health check-in — day 7, dose 1
    Feeling: Good · None
    Adult check-in
  6. 2021-04-30
    Health check-in — day 21, dose 1
    Feeling: Good
    Adult check-in
  7. 2021-05-07
    Dose 2 — Moderna
  8. 2021-05-07
    Survey response — day 0, dose 2
    MedDRA: Hypoaesthesia — Feeling: Fair · Site: Pain · Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities
    Free text: Numbing arm
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  9. 2021-05-08
    Health check-in — days 1–6 daily, dose 2
    Feeling: Poor · Site: Pain · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea, Abdominal pain · Be unable to do your normal daily activities
    Adult check-in
  10. 2021-05-09
    Health check-in — days 1–6 daily, dose 2
    Feeling: Fair · Site: Pain · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities
    Adult check-in
  11. 2021-05-10
    Survey response — days 1–6 daily, dose 2
    MedDRA: Impaired work ability, Inflammation, Muscle spasms, Office visit, Pain — Feeling: Poor · Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to work, Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit
    Free text: It hurts to get out of bed and also to get out off a sitting position. I had to go to the doctor today and miss work. They gave me two shots. One for inflammation and a steroid. In addition to that a prescription for body spams. Its called Methocarbamol.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  12. 2021-05-10
    Report sent to call center — days 1–6 daily, dose 2
    Be unable to work · Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional
    1 call case(s)
  13. 2021-05-11
    Health check-in — days 1–6 daily, dose 2
    Feeling: Poor · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to work, Be unable to do your normal daily activities
    Adult check-in
  14. 2021-05-12
    Health check-in — days 1–6 daily, dose 2
    Feeling: Poor · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit
    Adult check-in
  15. 2021-05-12
    Report sent to call center — days 1–6 daily, dose 2
    Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional
    1 call case(s)
  16. 2021-05-13
    Health check-in — days 1–6 daily, dose 2
    Feeling: Poor · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to work, Be unable to do your normal daily activities
    Adult check-in
  17. 2021-05-30
    Health check-in — day 21, dose 2
    Feeling: Fair
    Adult check-in
  18. 2022-04-17

Vaccinations

DoseDateManufacturerCo-administered
12021-04-09Moderna
22021-05-07Moderna

Call center

ReportedOutcomeVAERS-related outcome
2021-05-10 Unsuccessful
2021-05-12 Unsuccessful

Free text

Release 7 — day 0, dose 1

2021-04-09

Systemic reaction (other): I had three mild jolts in my left arm, where I received the those one hour since my first dose and then two more times an hour after that. As of now its been 4 hours and my arm is feeling slightly numb.

Release 8 — day 0, dose 2

2021-05-07

Systemic reaction (other): Numbing arm

Release 8 — days 1–6 daily, dose 2

2021-05-10

Systemic reaction (other): It hurts to get out of bed and also to get out off a sitting position. I had to go to the doctor today and miss work. They gave me two shots. One for inflammation and a steroid. In addition to that a prescription for body spams. Its called Methocarbamol.

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
SROElectric shock sensation ✓ ✓ ✓
SROHypoaesthesia ✓ ✓ ✓
SROImmediate post-injection reaction ✓ ✓ ✓
SROImpaired work ability ✓ ✓ ✓
SROInflammation ✓ ✓ ✓
SROMuscle spasms ✓ ✓ ✓
SROOffice visit ✓ ✓ ✓
SROPain ✓ ✓ ✓

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