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ZWN-96821-06095

2 vaccinations 3 coded responses 7 check-ins 3 free-text entries 1 call case
Sex
Female
Age at first dose
41-45
ZIP prefix
219 / MD
Registered
2021-10-10
Relationship
Self
Race
White
Ethnicity
Not Hispanic or Latino

Timeline

  1. 2021-04-15
    Dose 1 — Moderna
  2. 2021-09-26
    Dose 2 — Moderna
  3. 2021-10-10
    Registered in v-safe
  4. 2021-10-10
    Survey response — day 14, dose 2
    MedDRA: Adnexa uteri pain, Arthralgia, Ear pain, Ear swelling, Hyperhidrosis, Hypersensitivity, Hypoaesthesia, Lymphadenopathy, Ovarian oedema, Paraesthesia, Pharyngeal swelling, Pre-existing disease, Swelling — Feeling: Poor · Be unable to work or attend school, 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: Sweats, swollen lymph nodes on side I received vaccine, ear pain and swelling, swelling in neck and throat on left side, increased allergic reactions, joint pain, numbness and tingling in feet and hands, increased swelling and pain around ovaries.
    MedDRA releases: 2024-11 · check-in free text available
  5. 2021-10-10
    Report sent to call center — day 14, dose 2
    Be unable to work or attend school · Be unable to do your normal daily activities · Get care from a doctor or other healthcare pr
    Outpatient clinic or urgent care clinic visit · 1 call case(s)
  6. 2021-10-18
    Health check-in — day 21, dose 2
    Feeling: Fair
    Adult check-in
  7. 2021-10-24
    Survey response — day 28, dose 2
    MedDRA: Fatigue, Hypoaesthesia, Paraesthesia — Feeling: Fair · Be unable to do your normal daily activities
    Free text: Numbness down arms and legs. Tingling in extremities. Fatigue
    MedDRA releases: 2024-11 · check-in free text available
  8. 2021-10-29
  9. 2021-11-01
    Survey response — day 35, dose 2
    MedDRA: Hypersensitivity, Hypoaesthesia, Muscle twitching, Paraesthesia, Pre-existing disease, Unevaluable event — Feeling: Poor · Be unable to work or attend school, Be unable to do your normal daily activities
    Free text: Tingling and numbness in feet, legs, arms, and hands, twitching and numbness in facial muscles on left side where I got the shot. More allergic reaction to things I eat and surroundings.
    MedDRA releases: 2024-11 · check-in free text available
  10. 2021-11-09
    Health check-in — day 42, dose 2
    Feeling: Fair
    Adult check-in
  11. 2021-12-27
    Health check-in — 3 months, dose 2
    Feeling: Fair
    Adult check-in
  12. 2022-03-29
    Health check-in — 6 months, dose 2
    Feeling: Fair
    Adult check-in

Vaccinations

DoseDateManufacturerCo-administered
12021-04-15Moderna No
22021-09-26Moderna No

Call center

1 call center case

1 unsuccessful

See the call center timeline

Free text

Release 10 — day 14, dose 2

2021-10-10

Symptoms: Sweats, swollen lymph nodes on side I received vaccine, ear pain and swelling, swelling in neck and throat on left side, increased allergic reactions, joint pain, numbness and tingling in feet and hands, increased swelling and pain around ovaries.

Release 10 — day 28, dose 2

2021-10-24

Symptoms: Numbness down arms and legs. Tingling in extremities. Fatigue

Release 10 — day 35, dose 2

2021-11-01

Symptoms: Tingling and numbness in feet, legs, arms, and hands, twitching and numbness in facial muscles on left side where I got the shot. More allergic reaction to things I eat and surroundings.

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
SDAdnexa uteri pain · · ✓
SDArthralgia · · ✓
SDEar pain · · ✓
SDEar swelling · · ✓
SDFatigue · · ✓
SDHyperhidrosis · · ✓
SDHypersensitivity · · ✓
SDHypoaesthesia · · ✓
SDLymphadenopathy · · ✓
SDMuscle twitching · · ✓
SDOvarian oedema · · ✓
SDParaesthesia · · ✓
SDPharyngeal swelling · · ✓
SDPre-existing disease · · ✓
SDSwelling · · ✓
SDUnevaluable event · · ✓

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