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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

  1. 2021-03-13
    Dose 1 — Moderna
  2. 2021-04-02
    Registered in v-safe
  3. 2021-04-02
    Survey response — day 14, dose 1
    MedDRA: Injection site paraesthesia, Paraesthesia — Feeling: Good
    Free 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 a
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  4. 2021-04-03
    Survey response — day 21, dose 1
    MedDRA: Injection site paraesthesia, Paraesthesia — Feeling: Good
    Free text: Continued tingling in shoulder and neck around injection site.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  5. 2021-04-10
    Dose 2 — Moderna
  6. 2021-04-10
    Survey response — day 0, dose 2
    MedDRA: Injection site paraesthesia, Paraesthesia — Feeling: Fair · Site: Itching
    Free text: Major "tingling" still going on in vicinity of FIRST injection.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  7. 2021-04-11
    Survey response — days 1–6 daily, dose 2
    MedDRA: Injection site paraesthesia — Feeling: Fair · Site: Itching · Muscle or body aches, Abdominal pain · Be unable to do your normal daily activities
    Free text: Continued "tingling" in the vicinity of the FIRST injection.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  8. 2021-04-12
    Survey response — days 1–6 daily, dose 2
    MedDRA: Paraesthesia — Feeling: Fair · Site: Itching · Fatigue or tiredness, Abdominal pain
    Free text: Tingling" in shoulder and surrounding area of FIRST injection.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  9. 2021-04-13
    Health check-in — days 1–6 daily, dose 2
    Feeling: Fair · Site: Itching · Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities
    Adult check-in
  10. 2021-04-16
    Survey response — days 1–6 daily, dose 2
    MedDRA: 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 activities
    Free text: Continuous "tingling" in vicinity of FIRST injection.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  11. 2021-07-12
    Health check-in — 3 months, dose 2
    Feeling: Good
    Adult check-in
  12. 2022-04-12
    Survey response — 12 months, dose 2
    MedDRA: Paraesthesia — Feeling: Good
    Free 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

DoseDateManufacturerCo-administered
12021-03-13Moderna
22021-04-10Moderna

Free text

Release 6 — day 14, dose 1

2021-04-02

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

2021-04-03

Symptoms: Continued tingling in shoulder and neck around injection site.

Release 7 — day 0, dose 2

2021-04-10

Systemic reaction (other): Major "tingling" still going on in vicinity of FIRST injection.

Release 7 — days 1–6 daily, dose 2

2021-04-11

Systemic reaction (other): Continued "tingling" in the vicinity of the FIRST injection.

2021-04-12

Systemic reaction (other): Tingling" in shoulder and surrounding area of FIRST injection.

2021-04-16

Systemic reaction (other): Continuous "tingling" in vicinity of FIRST injection.

Release 11 — 12 months, dose 2

2022-04-12

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

FieldPreferred term2021-092023-042024-11
SDInjection site paraesthesia ✓ ✓ ✓
SDParaesthesia ✓ ✓ ✓
SROInjection site paraesthesia ✓ ✓ ✓
SROParaesthesia ✓ ✓ ✓
SROPre-existing disease ✓ ✓ ✓

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