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ZBC-12439-36292

1 vaccination 2 coded responses 5 check-ins 2 free-text entries 1 call case
Sex
Female
Age at first dose
61-65
ZIP prefix
921 / CA
Registered
2021-04-14
Relationship
Self
Race
Asian
Ethnicity
N/A

Timeline

  1. 2021-04-01
    Dose 1 — Moderna
  2. 2021-04-14
    Registered in v-safe
  3. 2021-04-14
    Survey response — day 7, dose 1
    MedDRA: Abdominal distension, Blepharospasm, Burning sensation, Disturbance in attention, Erythema, Feeling of body temperature change, Hypoaesthesia, Hypoaesthesia oral, Immunisation reaction, Injection site erythema, Injection site pain, Injection site swelling, Nausea, Office visit, Pain, Pruritus, Somnolence, Swelling — Feeling: Fair · Site: Itching · Headache, Fatigue or tiredness · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit
    Free text: The night after my vaccination , itching on my feet and palms , patchy redness on palms , no fever but very drowsy..... exactly 5 days after the vaccination , injection site was swollen , red, and felt burning around it ..... felt numbness on left face , left side of my lips numb and felt swollen , neck , shoulder and back swollen with so much itchiness .... cant stay focus and been so drowsy feeling burning and hot while also feeling so cold on the other side ....nauseated and my eyes seemed twitching .... went to urgent care Saturday -April 10, and was informed Im having a reaction to the vaccine , was prescribed with Zyrtec and prednisone 5 mgs. In a dose pack and still taking it .... redness gone but still having itchiness and body aches , abdominal bloating ...
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  4. 2021-04-14
    Report sent to call center — day 7, dose 1
    Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional
    1 call case(s)
  5. 2021-04-17
    Health check-in — day 14, dose 1
    Feeling: Fair
    Adult check-in
  6. 2021-04-22
    Health check-in — day 21, dose 1
    Feeling: Fair
    Adult check-in
  7. 2021-07-01
    Survey response — 3 months, dose 1
    MedDRA: Pain in extremity, Paraesthesia — Feeling: Fair
    Free text: On and off tingling pain on lower legs
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  8. 2022-04-01
  9. 2022-04-03
    Health check-in — 12 months, dose 1
    Feeling: Fair
    Adult check-in

Vaccinations

DoseDateManufacturerCo-administered
12021-04-01Moderna

Call center

ReportedOutcomeVAERS-related outcome
2021-04-14 Unsuccessful

Free text

Release 7 — day 7, dose 1

2021-04-14

Systemic reaction (other): The night after my vaccination , itching on my feet and palms , patchy redness on palms , no fever but very drowsy..... exactly 5 days after the vaccination , injection site was swollen , red, and felt burning around it ..... felt numbness on left face , left side of my lips numb and felt swollen , neck , shoulder and back swollen with so much itchiness .... cant stay focus and been so drowsy feeling burning and hot while also feeling so cold on the other side ....nauseated and my eyes seemed twitching .... went to urgent care Saturday -April 10, and was informed Im having a reaction to the vaccine , was prescribed with Zyrtec and prednisone 5 mgs. In a dose pack and still taking it .... redness gone but still having itchiness and body aches , abdominal bloating ...

Release 9 — 3 months, dose 1

2021-07-01

Symptoms: On and off tingling pain on lower legs

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
SDPain in extremity ✓ ✓ ✓
SDParaesthesia ✓ ✓ ✓
SROAbdominal distension ✓ ✓ ✓
SROBlepharospasm ✓ ✓ ✓
SROBurning sensation ✓ ✓ ✓
SRODisturbance in attention ✓ ✓ ✓
SROErythema ✓ ✓ ✓
SROFeeling of body temperature change ✓ ✓ ✓
SROHypoaesthesia ✓ ✓ ✓
SROHypoaesthesia oral ✓ ✓ ✓
SROImmunisation reaction ✓ ✓ ✓
SROInjection site erythema ✓ ✓ ✓
SROInjection site pain ✓ ✓ ✓
SROInjection site swelling ✓ ✓ ✓
SRONausea ✓ ✓ ✓
SROOffice visit ✓ ✓ ✓
SROPain ✓ ✓ ✓
SROPruritus ✓ ✓ ✓
SROSomnolence ✓ ✓ ✓
SROSwelling ✓ ✓ ✓

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