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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

  1. 2021-02-01
    Dose 1 — Moderna
  2. 2021-02-04
    Registered in v-safe
  3. 2021-02-04
    Survey response — days 1–6 daily, dose 1
    MedDRA: Flushing, Pruritus — Feeling: Good · Site: Pain, Redness, Swelling, Itching · Joint pains, Muscle or body aches
    Free text: Face flushing and itchy today & within 1 hr of injection
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  4. 2021-02-05
    Survey response — days 1–6 daily, dose 1
    MedDRA: 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 visit
    Free text: Pins & needles sensations in hands, legs & face. Flushing & rash on face & neck, required ER visit
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  5. 2021-02-05
    Report sent to call center — days 1–6 daily, dose 1
    Get care from a doctor or other healthcare professional
    1 call case(s)
  6. 2021-02-06
    Survey response — days 1–6 daily, dose 1
    MedDRA: Flushing, Paraesthesia — Feeling: Good · Site: Pain, Redness, Itching
    Free text: Face flushing and pins and needles sensations in hands and legs
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  7. 2021-02-07
    Survey response — days 1–6 daily, dose 1
    MedDRA: Paraesthesia — Feeling: Good · Site: Pain, Redness
    Free text: Hands and legs continue to have pins and needles sensation since 2/4/2021, no improvement, setting appt with primary care tomorrow
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  8. 2021-02-08
    Survey response — day 7, dose 1
    MedDRA: Office visit, Paraesthesia — Feeling: Good · Get care from a doctor or other healthcare professional
    Free text: Systemic reaction (other): Pins and needles sensations in hands, legs, feet and face · Healthcare visit (other): Primary care physician
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  9. 2021-02-08
    Report sent to call center — day 7, dose 1
    Get care from a doctor or other healthcare professional
    1 call case(s)
  10. 2021-02-15
    Health check-in — day 14, dose 1
    Feeling: Good
    Adult check-in
  11. 2021-02-22
    Survey response — day 21, dose 1
    MedDRA: Insomnia, Pain in extremity, Paraesthesia — Feeling: Good · Be unable to do your normal daily activities
    Free 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
  12. 2021-03-01
    Health check-in — day 28, dose 1
    Feeling: Good
    Adult check-in
  13. 2021-07-02
    Call successful
    Does not wish to fill out VAERS report
  14. 2021-08-02
    Health check-in — 6 months, dose 1
    Feeling: Good
    Adult check-in
  15. 2022-02-01
    Health check-in — 12 months, dose 1
    Feeling: Good
    Adult check-in

Vaccinations

DoseDateManufacturerCo-administered
12021-02-01Moderna

Call center

ReportedOutcomeVAERS-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

2021-02-04

Systemic reaction (other): Face flushing and itchy today & within 1 hr of injection

2021-02-05

Systemic reaction (other): Pins & needles sensations in hands, legs & face. Flushing & rash on face & neck, required ER visit

2021-02-06

Systemic reaction (other): Face flushing and pins and needles sensations in hands and legs

2021-02-07

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

2021-02-08

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

2021-02-22

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

FieldPreferred term2021-092023-042024-11
HCVOOffice visit ✓ ✓ ✓
SDInsomnia ✓ ✓ ✓
SDPain in extremity ✓ ✓ ✓
SDParaesthesia ✓ ✓ ✓
SROEmergency care ✓ ✓ ✓
SROFlushing ✓ ✓ ✓
SROParaesthesia ✓ ✓ ✓
SROPruritus ✓ ✓ ✓
SRORash ✓ ✓ ✓

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