YEG-27521-64110
1 vaccination
3 coded responses
3 check-ins
3 free-text entries
2 call cases
- Sex
- Female
- Age at first dose
- 61-65
- ZIP prefix
- 751 / TX
- Registered
- 2021-05-07
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-04-13
Dose 1 — Moderna
-
2021-05-07
Registered in v-safe
-
2021-05-07
Survey response — day 21, dose 1MedDRA: Electric shock sensation, Erythema, Flushing, Gait disturbance, Limb discomfort, Musculoskeletal stiffness, Pain in extremity, Paraesthesia, Pruritus — Feeling: Poor · Be unable to do your normal daily activitiesFree text: My body from head to toe is itchy..my face feels a little stiff,tingling and itchy and red flush. Constant Pain and heavyness in my injection arm as well has itching.this is the same down in my legs and toes making it hard to walk. Feels like a shockMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-05-11
Survey response — day 28, dose 1MedDRA: Flushing, Hypoaesthesia, Movement disorder, Pain in extremity — Feeling: Fair · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visitFree text: Severe pain in legs, feet, could not barely move my legs they hurt so bad...the flushing and novacain feeling in my face increasedMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-05-11
Report sent to call center — day 28, dose 1Get care from a doctor or other healthcare professional1 call case(s)
-
2021-05-18
Survey response — day 35, dose 1MedDRA: Tremor — Feeling: Poor · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visitFree text: The tremors have moved up to my faceMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-05-18
Report sent to call center — day 35, dose 1Get care from a doctor or other healthcare professional1 call case(s)
- 2022-04-07
- 2022-04-07
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-04-13 | Moderna |
Call center
| Reported | Outcome | VAERS-related outcome |
|---|---|---|
| 2021-05-11 | Unsuccessful | |
| 2021-05-18 | Unsuccessful |
Free text
Release 8 — day 21, dose 1
Symptoms: My body from head to toe is itchy..my face feels a little stiff,tingling and itchy and red flush. Constant Pain and heavyness in my injection arm as well has itching.this is the same down in my legs and toes making it hard to walk. Feels like a shock cut off by CDC
Release 8 — day 28, dose 1
Symptoms: Severe pain in legs, feet, could not barely move my legs they hurt so bad...the flushing and novacain feeling in my face increased
Release 8 — day 35, dose 1
Symptoms: The tremors have moved up to my face
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 | Electric shock sensation | ✓ | ✓ | ✓ |
| SD | Erythema | ✓ | ✓ | ✓ |
| SD | Flushing | ✓ | ✓ | ✓ |
| SD | Gait disturbance | ✓ | ✓ | ✓ |
| SD | Hypoaesthesia | ✓ | ✓ | ✓ |
| SD | Limb discomfort | ✓ | ✓ | ✓ |
| SD | Movement disorder | ✓ | ✓ | ✓ |
| SD | Musculoskeletal stiffness | ✓ | ✓ | ✓ |
| SD | Pain in extremity | ✓ | ✓ | ✓ |
| SD | Paraesthesia | ✓ | ✓ | ✓ |
| SD | Pruritus | ✓ | ✓ | ✓ |
| SD | Tremor | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release