ZB3-80967-21390
2 vaccinations
2 coded responses
11 check-ins
2 free-text entries
0 call cases
- Sex
- Male
- Age at first dose
- 66+
- ZIP prefix
- 079 / NJ
- Registered
- 2021-02-20
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-01-19
Dose 1 — Moderna
-
2021-02-16
Dose 2 — Moderna
-
2021-02-20
Registered in v-safe
-
2021-02-20
Health check-in — days 1–6 daily, dose 2Feeling: Good · Site: Pain · Fatigue or tirednessAdult check-in
-
2021-02-21
Survey response — days 1–6 daily, dose 2MedDRA: Aphasia — Feeling: Good · Site: Itching · Fatigue or tiredness · Be unable to do your normal daily activitiesFree text: On 2/17 approx 18 hours after vaccination #2 and about 2 hours into a hemodialysis treatment I experiemced a trans corny episode of receptive and expressive aphasia. During that time I was attempting to text with my sister who was concerned and texted beck wondering if I was having a stroke. I was unable to read her inquiry at the time. Other staff at the dialysis center noted me acting oddly. The episode spontaeously resolved after about 2.5 hours with no apparent residual effects. There have been no repeated episodes during subsequent treatments.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-02-22
- 2021-02-23
- 2021-03-02
- 2021-03-09
- 2021-03-16
- 2021-03-23
- 2021-03-30
- 2021-05-18
-
2021-08-17
Survey response — 6 months, dose 2MedDRA: Dialysis, Visual impairment — Feeling: FairFree text: Had booster on 8/15. On 8/17 on dialysis had had visual problems that resolved after treatment.MedDRA releases: 2021-09,2024-11 · check-in free text available
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-01-19 | Moderna | |
| 2 | 2021-02-16 | Moderna |
Free text
Release 4 — days 1–6 daily, dose 2
Systemic reaction (other): On 2/17 approx 18 hours after vaccination #2 and about 2 hours into a hemodialysis treatment I experiemced a trans corny episode of receptive and expressive aphasia. During that time I was attempting to text with my sister who was concerned and texted beck wondering if I was having a stroke. I was unable to read her inquiry at the time. Other staff at the dialysis center noted me acting oddly. The episode spontaeously resolved after about 2.5 hours with no apparent residual effects. There have been no repeated episodes during subsequent treatments.
Release 9 — 6 months, dose 2
Symptoms: Had booster on 8/15. On 8/17 on dialysis had had visual problems that resolved after treatment.
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 | Dialysis | ✓ | · | ✓ |
| SD | Visual impairment | ✓ | · | ✓ |
| SRO | Aphasia | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release