YZR-22143-48641
1 vaccination
6 coded responses
10 check-ins
6 free-text entries
2 call cases
- Sex
- Female
- Age at first dose
- 46-50
- ZIP prefix
- 714 / LA
- Registered
- 2021-02-04
- Relationship
- Self
- Race
- Other
- Ethnicity
- N/A
Timeline
-
2021-02-01
Dose 1 — Moderna
-
2021-02-04
Registered in v-safe
-
2021-02-04
Survey response — days 1–6 daily, dose 1MedDRA: Flushing, Pruritus — Feeling: Good · Site: Pain, Redness, Swelling, Itching · Joint pains, Muscle or body achesFree text: Face flushing and itchy today & within 1 hr of injectionMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-02-05
Survey response — days 1–6 daily, dose 1MedDRA: Emergency care, Flushing, Paraesthesia, Rash — Feeling: Fair · Site: Pain, Redness, Swelling, Itching · Rash, not including the immediate area around the injection site · Get care from a doctor or other healthcare professional · Emergency room or emergency department visitFree text: Pins & needles sensations in hands, legs & face. Flushing & rash on face & neck, required ER visitMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-02-05
Report sent to call center — days 1–6 daily, dose 1Get care from a doctor or other healthcare professional1 call case(s)
-
2021-02-06
Survey response — days 1–6 daily, dose 1MedDRA: Flushing, Paraesthesia — Feeling: Good · Site: Pain, Redness, ItchingFree text: Face flushing and pins and needles sensations in hands and legsMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-02-07
Survey response — days 1–6 daily, dose 1MedDRA: Paraesthesia — Feeling: Good · Site: Pain, RednessFree text: Hands and legs continue to have pins and needles sensation since 2/4/2021, no improvement, setting appt with primary care tomorrowMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-02-08
Survey response — day 7, dose 1MedDRA: Office visit, Paraesthesia — Feeling: Good · Get care from a doctor or other healthcare professionalFree text: Systemic reaction (other): Pins and needles sensations in hands, legs, feet and face · Healthcare visit (other): Primary care physicianMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-02-08
Report sent to call center — day 7, dose 1Get care from a doctor or other healthcare professional1 call case(s)
- 2021-02-15
-
2021-02-22
Survey response — day 21, dose 1MedDRA: Insomnia, Pain in extremity, Paraesthesia — Feeling: Good · Be unable to do your normal daily activitiesFree text: Unexplained leg pain, having difficulty sleeping due to the pain. Seems to be better during the day. Still experiencing pins and needles in right arm & leg, right side is where I was vaccinated. This side effect is improving.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-03-01
-
2021-07-02
Call successfulDoes not wish to fill out VAERS report
- 2021-08-02
- 2022-02-01
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-02-01 | Moderna |
Call center
| Reported | Outcome | VAERS-related outcome |
|---|---|---|
| 2021-02-05 | Successful | Does not wish to fill out VAERS report |
| 2021-02-08 | Successful 2021-07-02 |
Does not wish to fill out VAERS report |
Free text
Release 3 — days 1–6 daily, dose 1
Systemic reaction (other): Face flushing and itchy today & within 1 hr of injection
Systemic reaction (other): Pins & needles sensations in hands, legs & face. Flushing & rash on face & neck, required ER visit
Systemic reaction (other): Face flushing and pins and needles sensations in hands and legs
Systemic reaction (other): Hands and legs continue to have pins and needles sensation since 2/4/2021, no improvement, setting appt with primary care tomorrow
Release 3 — day 7, dose 1
Systemic reaction (other): Pins and needles sensations in hands, legs, feet and face
Healthcare visit (other): Primary care physician
Release 4 — day 21, dose 1
Symptoms: Unexplained leg pain, having difficulty sleeping due to the pain. Seems to be better during the day. Still experiencing pins and needles in right arm & leg, right side is where I was vaccinated. This side effect is improving.
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 |
|---|---|---|---|---|
| HCVO | Office visit | ✓ | ✓ | ✓ |
| SD | Insomnia | ✓ | ✓ | ✓ |
| SD | Pain in extremity | ✓ | ✓ | ✓ |
| SD | Paraesthesia | ✓ | ✓ | ✓ |
| SRO | Emergency care | ✓ | ✓ | ✓ |
| SRO | Flushing | ✓ | ✓ | ✓ |
| SRO | Paraesthesia | ✓ | ✓ | ✓ |
| SRO | Pruritus | ✓ | ✓ | ✓ |
| SRO | Rash | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release