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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

  1. 2021-04-13
    Dose 1 — Moderna
  2. 2021-05-07
    Registered in v-safe
  3. 2021-05-07
    Survey response — day 21, dose 1
    MedDRA: 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 activities
    Free 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 shock
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  4. 2021-05-11
    Survey response — day 28, dose 1
    MedDRA: Flushing, Hypoaesthesia, Movement disorder, Pain in extremity — Feeling: Fair · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit
    Free text: Severe pain in legs, feet, could not barely move my legs they hurt so bad...the flushing and novacain feeling in my face increased
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  5. 2021-05-11
    Report sent to call center — day 28, dose 1
    Get care from a doctor or other healthcare professional
    1 call case(s)
  6. 2021-05-18
    Survey response — day 35, dose 1
    MedDRA: Tremor — Feeling: Poor · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit
    Free text: The tremors have moved up to my face
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  7. 2021-05-18
    Report sent to call center — day 35, dose 1
    Get care from a doctor or other healthcare professional
    1 call case(s)
  8. 2022-04-07
  9. 2022-04-07

Vaccinations

DoseDateManufacturerCo-administered
12021-04-13Moderna

Call center

ReportedOutcomeVAERS-related outcome
2021-05-11 Unsuccessful
2021-05-18 Unsuccessful

Free text

Release 8 — day 21, dose 1

2021-05-07

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

2021-05-11

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

2021-05-18

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

FieldPreferred term2021-092023-042024-11
SDElectric shock sensation ✓ ✓ ✓
SDErythema ✓ ✓ ✓
SDFlushing ✓ ✓ ✓
SDGait disturbance ✓ ✓ ✓
SDHypoaesthesia ✓ ✓ ✓
SDLimb discomfort ✓ ✓ ✓
SDMovement disorder ✓ ✓ ✓
SDMusculoskeletal stiffness ✓ ✓ ✓
SDPain in extremity ✓ ✓ ✓
SDParaesthesia ✓ ✓ ✓
SDPruritus ✓ ✓ ✓
SDTremor ✓ ✓ ✓

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