22H-15510-84171

2 vaccinations 11 coded responses 20 check-ins 11 free-text entries 1 call case

Sex: Female
Age at first dose: 41-45
ZIP prefix: 320 / FL
Registered: 2021-03-03

Relationship: Self
Race: White
Ethnicity: Not Hispanic or Latino

Timeline

Registration Vaccinations Survey responses Call reports Cases without a report Call attempts Call successful Pregnancy survey

2021-03-03
Registered in v-safe
2021-03-03
Dose 1 — Moderna
2021-03-03
Survey response — day 0, dose 1
MedDRA: Hypoaesthesia oral — Feeling: Good · Site: Pain, Redness, Swelling, Itching · Headache, Joint pains, Muscle or body aches, Nausea

Free text: Tongue and lip numbness

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-04
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Site: Pain · Fatigue or tiredness

Adult check-in
2021-03-05
Survey response — days 1–6 daily, dose 1
MedDRA: Abnormal dreams — Feeling: Fair · Site: Pain · Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to work

Free text: Vivid dreams- I never remember my dreams and this has been both nights

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-06
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Headache, Fatigue or tiredness

Adult check-in
2021-03-08
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Headache, Joint pains, Fatigue or tiredness, Rash, not including the immediate area around the injection site

Adult check-in
2021-03-12
Survey response — day 7, dose 1
MedDRA: Feeling abnormal — Feeling: Fair · Fatigue or tiredness, Rash, not including the immediate area around the injection site

Free text: Brain fog

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-17
Survey response — day 14, dose 1
MedDRA: Fatigue, Feeling abnormal — Feeling: Fair

Free text: A lot of fatigue and brain fog

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-24
Health check-in — day 21, dose 1
Feeling: Fair

Adult check-in
2021-03-31
Dose 2 — Moderna
2021-03-31
Survey response — day 0, dose 2
MedDRA: Burning sensation, Hypoaesthesia oral, Immediate post-injection reaction, Muscle rigidity, Skin burning sensation, Taste disorder — Feeling: Fair · Site: Pain, Swelling · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to work, Be unable to do your normal daily activities

Free text: Burning nerve pain from my head down to mid torso, down both arms starting 20min post shot and escalating. Numb tongue, taste is off, muscle rigidity back/shoulders

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-01
Survey response — days 1–6 daily, dose 2
MedDRA: Feeling abnormal, Neuralgia, Pyrexia, Self-medication — Feeling: Poor · Site: Pain · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Abdominal pain · Be unable to work, Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Emergency room or emergency department visit

Free text: Burning nerve pain, brain fog, on my way to the hospital for a fever of almost 103 ON acetaminophen

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-01
Report sent to call center — days 1–6 daily, dose 2
Be unable to work · Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional

1 call case(s)
2021-04-02
Survey response — days 1–6 daily, dose 2
MedDRA: Feeling abnormal, Malaise, Skin burning sensation — Feeling: Poor · Site: Pain · Fever · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to work, Be unable to do your normal daily activities

Free text: Burning all over neuropathic pain like acid being poured under my skin, brain fog, malaise

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-03
Survey response — days 1–6 daily, dose 2
MedDRA: Neuralgia, Skin burning sensation, Tinnitus — Feeling: Fair · Site: Pain · Fever · Muscle or body aches, Fatigue or tiredness · Be unable to work

Free text: New Tinnitus, acidic burning nerve pain all over under my skin

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-04
Survey response — days 1–6 daily, dose 2
MedDRA: Neuralgia, Pain — Feeling: Fair · Muscle or body aches, Fatigue or tiredness

Free text: Burning neuropathic pain under the skin

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-05
Survey response — days 1–6 daily, dose 2
MedDRA: Burning sensation, Paraesthesia — Feeling: Fair · Fever · Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to work

Free text: Burning nerve pins and needles like acid

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-07
Survey response — day 7, dose 2
MedDRA: Burning sensation, Neuralgia — Feeling: Fair · Site: Pain · Muscle or body aches

Free text: Weird nerve burning acidic pain from waist up

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-14
Health check-in — day 14, dose 2
Feeling: Good

Adult check-in
2021-04-21
Health check-in — day 21, dose 2
Feeling: Good

Adult check-in
2021-04-28
Health check-in — day 28, dose 2
Feeling: Good

Adult check-in
2021-05-05
Health check-in — day 35, dose 2
Feeling: Good

Adult check-in
2021-05-14
Health check-in — day 42, dose 2
Feeling: Fair

Adult check-in
2021-06-07
Call 1 — Left Voicemail

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-03-03	Moderna
2	2021-03-31	Moderna

Call center

1 call center case

1 unsuccessful

See the call center timeline

Free text

Release 4 — day 0, dose 1

2021-03-03

Systemic reaction (other): Tongue and lip numbness

Release 5 — days 1–6 daily, dose 1

2021-03-05

Systemic reaction (other): Vivid dreams- I never remember my dreams and this has been both nights

Release 5 — day 7, dose 1

2021-03-12

Systemic reaction (other): Brain fog

Release 5 — day 14, dose 1

2021-03-17

Symptoms: A lot of fatigue and brain fog

Release 6 — day 0, dose 2

2021-03-31

Systemic reaction (other): Burning nerve pain from my head down to mid torso, down both arms starting 20min post shot and escalating. Numb tongue, taste is off, muscle rigidity back/shoulders

Release 6 — days 1–6 daily, dose 2

2021-04-01

Systemic reaction (other): Burning nerve pain, brain fog, on my way to the hospital for a fever of almost 103 ON acetaminophen

2021-04-02

Systemic reaction (other): Burning all over neuropathic pain like acid being poured under my skin, brain fog, malaise

2021-04-03

Systemic reaction (other): New Tinnitus, acidic burning nerve pain all over under my skin

2021-04-04

Systemic reaction (other): Burning neuropathic pain under the skin

2021-04-05

Systemic reaction (other): Burning nerve pins and needles like acid

Release 7 — day 7, dose 2

2021-04-07

Systemic reaction (other): Weird nerve burning acidic pain from waist up

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	Fatigue	✓	✓	✓
SD	Feeling abnormal	✓	✓	✓
SRO	Abnormal dreams	✓	✓	✓
SRO	Burning sensation	✓	✓	✓
SRO	Feeling abnormal	✓	✓	✓
SRO	Hypoaesthesia oral	✓	✓	✓
SRO	Immediate post-injection reaction	✓	✓	✓
SRO	Malaise	✓	✓	✓
SRO	Muscle rigidity	✓	✓	✓
SRO	Neuralgia	✓	✓	✓
SRO	Pain	✓	✓	✓
SRO	Paraesthesia	✓	✓	✓
SRO	Pyrexia	✓	✓	✓
SRO	Self-medication	✓	✓	✓
SRO	Skin burning sensation	✓	✓	✓
SRO	Taste disorder	✓	✓	✓
SRO	Tinnitus	✓	✓	✓

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