YQT-30759-01194
2 vaccinations
7 coded responses
9 check-ins
7 free-text entries
0 call cases
- Sex
- Male
- Age at first dose
- 66+
- ZIP prefix
- 330 / FL
- Registered
- 2021-04-02
- Relationship
- Self
- Race
- N/A
- Ethnicity
- N/A
Timeline
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2021-03-13
Dose 1 — Moderna
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2021-04-02
Registered in v-safe
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2021-04-02
Survey response — day 14, dose 1MedDRA: Injection site paraesthesia, Paraesthesia — Feeling: GoodFree text: Tingling sensation in left shoulder, upper arm, left upper neck close in the vicinity of the vaccine injection site. This condition began within two days of the injection and continues today. I am concerned that the prospective second vaccine may aMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-04-03
Survey response — day 21, dose 1MedDRA: Injection site paraesthesia, Paraesthesia — Feeling: GoodFree text: Continued tingling in shoulder and neck around injection site.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-04-10
Dose 2 — Moderna
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2021-04-10
Survey response — day 0, dose 2MedDRA: Injection site paraesthesia, Paraesthesia — Feeling: Fair · Site: ItchingFree text: Major "tingling" still going on in vicinity of FIRST injection.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-04-11
Survey response — days 1–6 daily, dose 2MedDRA: Injection site paraesthesia — Feeling: Fair · Site: Itching · Muscle or body aches, Abdominal pain · Be unable to do your normal daily activitiesFree text: Continued "tingling" in the vicinity of the FIRST injection.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-04-12
Survey response — days 1–6 daily, dose 2MedDRA: Paraesthesia — Feeling: Fair · Site: Itching · Fatigue or tiredness, Abdominal painFree text: Tingling" in shoulder and surrounding area of FIRST injection.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-04-13
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Site: Itching · Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activitiesAdult check-in
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2021-04-16
Survey response — days 1–6 daily, dose 2MedDRA: Pre-existing disease — Feeling: Fair · Site: Itching · Joint pains, Muscle or body aches, Fatigue or tiredness, Abdominal pain · Be unable to do your normal daily activitiesFree text: Continuous "tingling" in vicinity of FIRST injection.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-07-12
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2022-04-12
Survey response — 12 months, dose 2MedDRA: Paraesthesia — Feeling: GoodFree text: Tingling sensation in my left neck and shoulder in vicinity of my first shot have persisted from second day after my first shot and continuing until today.MedDRA releases: 2024-11 · check-in free text available
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-03-13 | Moderna | |
| 2 | 2021-04-10 | Moderna |
Free text
Release 6 — day 14, dose 1
Symptoms: Tingling sensation in left shoulder, upper arm, left upper neck close in the vicinity of the vaccine injection site. This condition began within two days of the injection and continues today. I am concerned that the prospective second vaccine may a cut off by CDC
Release 6 — day 21, dose 1
Symptoms: Continued tingling in shoulder and neck around injection site.
Release 7 — day 0, dose 2
Systemic reaction (other): Major "tingling" still going on in vicinity of FIRST injection.
Release 7 — days 1–6 daily, dose 2
Systemic reaction (other): Continued "tingling" in the vicinity of the FIRST injection.
Systemic reaction (other): Tingling" in shoulder and surrounding area of FIRST injection.
Systemic reaction (other): Continuous "tingling" in vicinity of FIRST injection.
Release 11 — 12 months, dose 2
Symptoms: Tingling sensation in my left neck and shoulder in vicinity of my first shot have persisted from second day after my first shot and continuing until today.
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 | Injection site paraesthesia | ✓ | ✓ | ✓ |
| SD | Paraesthesia | ✓ | ✓ | ✓ |
| SRO | Injection site paraesthesia | ✓ | ✓ | ✓ |
| SRO | Paraesthesia | ✓ | ✓ | ✓ |
| SRO | Pre-existing disease | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release