Z8J-28018-05513
5 vaccinations
5 coded responses
37 check-ins
5 free-text entries
0 call cases
- Sex
- Male
- Age at first dose
- 61-65
- ZIP prefix
- 780 / TX
- Registered
- 2021-01-11
- Relationship
- Self
- Race
- White
- Ethnicity
- Hispanic or Latino
Timeline
-
2021-01-11
Registered in v-safe
-
2021-01-11
Dose 1 — Moderna
- 2021-01-11
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2021-01-12
Health check-in — days 1–6 daily, dose 1Feeling: Fair · Site: Pain, Swelling · Joint pains, Muscle or body aches, Fatigue or tirednessAdult check-in
- 2021-01-13
-
2021-01-14
Health check-in — days 1–6 daily, dose 1Feeling: Good · Site: Itching · Muscle or body achesAdult check-in
- 2021-01-16
- 2021-01-18
- 2021-01-25
- 2021-02-01
- 2021-02-08
-
2021-02-09
Dose 2 — Moderna
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2021-02-10
Health check-in — days 1–6 daily, dose 2Feeling: Poor · Site: Pain · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activitiesAdult check-in
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2021-02-11
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Joint pains, Muscle or body aches · Be unable to do your normal daily activitiesAdult check-in
-
2021-02-12
Health check-in — days 1–6 daily, dose 2Feeling: Good · Headache, Muscle or body aches · Be unable to do your normal daily activitiesAdult check-in
-
2021-02-13
Health check-in — days 1–6 daily, dose 2Feeling: Good · None · Be unable to do your normal daily activitiesAdult check-in
- 2021-02-14
- 2021-02-15
- 2021-02-16
- 2021-02-23
- 2021-03-02
- 2021-03-09
- 2021-03-16
- 2021-03-23
- 2021-05-11
- 2021-08-10
-
2021-09-02
Dose 3 — Moderna
- 2021-12-02
- 2022-03-03
-
2022-05-11
Dose 4 — Moderna
-
2022-05-14
Health check-in — days 1–6 daily, dose 4Feeling: Fair · Site: Pain · Headache, Joint pains, Muscle or body achesAdult check-in
-
2022-05-15
Health check-in — days 1–6 daily, dose 4Feeling: Good · Joint pains, Muscle or body achesAdult check-in
-
2022-05-16
Health check-in — days 1–6 daily, dose 4Feeling: Good · Joint pains, Muscle or body achesAdult check-in
-
2022-05-17
Survey response — days 1–6 daily, dose 4MedDRA: Unevaluable event — Feeling: Good · Joint pains, Muscle or body achesFree text: Seem to be going away or getting ImmuneMedDRA releases: 2024-11 · check-in free text available
- 2022-05-18
- 2022-05-25
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2022-06-01
Survey response — day 21, dose 4MedDRA: Hypoaesthesia, Paraesthesia — Feeling: FairFree text: Tingling and numbness on my left arm and hand. It comes and goes though out the day.MedDRA releases: 2024-11 · check-in free text available
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2022-06-08
Survey response — day 28, dose 4MedDRA: Injection site hypoaesthesia, Injection site paraesthesia, Office visit — Feeling: Fair · Be unable to do your normal daily activitiesFree text: I saw my doctor because on my numbness and tingling on my arm were I received my booster. The doctor stated that he has seen a few other patients with the same symptoms. It's been a few weeks and the tingling and numbness continues.MedDRA releases: 2024-11 · check-in free text available
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2022-06-15
Survey response — day 35, dose 4MedDRA: Hypoaesthesia, Paraesthesia — Feeling: Fair · Be unable to do your normal daily activitiesFree text: Tingling and numbness still exist. Not going away!MedDRA releases: 2024-11 · check-in free text available
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2022-06-22
Survey response — day 42, dose 4MedDRA: Hypoaesthesia, Paraesthesia — Feeling: Fair · Be unable to do your normal daily activitiesFree text: The tingling and numbness still exist. It comes and goes all day and night long. Some days the numbness last 3 to 5 minutes.It starts with the tingling about a minute and ends with the numbness.MedDRA releases: 2024-11 · check-in free text available
- 2022-08-10
-
2022-09-19
Dose 5 — ModernaCo-administered: Tetanus
- 2022-11-09
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-01-11 | Moderna | |
| 2 | 2021-02-09 | Moderna | |
| 3 | 2021-09-02 | Moderna | No |
| 4 | 2022-05-11 | Moderna | No |
| 5 | 2022-09-19 | Moderna | Tetanus |
Free text
Release 11 — days 1–6 daily, dose 4
Systemic reaction (other): Seem to be going away or getting Immune
Release 11 — day 21, dose 4
Symptoms: Tingling and numbness on my left arm and hand. It comes and goes though out the day.
Release 11 — day 28, dose 4
Symptoms: I saw my doctor because on my numbness and tingling on my arm were I received my booster. The doctor stated that he has seen a few other patients with the same symptoms. It's been a few weeks and the tingling and numbness continues.
Release 12 — day 35, dose 4
Symptoms: Tingling and numbness still exist. Not going away!
Release 12 — day 42, dose 4
Symptoms: The tingling and numbness still exist. It comes and goes all day and night long. Some days the numbness last 3 to 5 minutes.It starts with the tingling about a minute and ends with the numbness.
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 | Hypoaesthesia | · | · | ✓ |
| SD | Injection site hypoaesthesia | · | · | ✓ |
| SD | Injection site paraesthesia | · | · | ✓ |
| SD | Office visit | · | · | ✓ |
| SD | Paraesthesia | · | · | ✓ |
| SRO | Unevaluable event | · | · | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release