27B-18999-46589

2 vaccinations 12 coded responses 20 check-ins 12 free-text entries 7 call cases

Sex: Female
Age at first dose: 51-55
ZIP prefix: 978 / OR
Registered: 2021-02-25

Relationship: Self
Race: White
Ethnicity: Hispanic or Latino

Timeline

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

2021-02-24
Dose 1 — Moderna
2021-02-25
Registered in v-safe
2021-02-27
Survey response — days 1–6 daily, dose 1
MedDRA: Pre-existing disease — Feeling: Poor · Site: Pain, Swelling, Itching · Chills, Headache, Muscle or body aches, Fatigue or tiredness, Diarrhea · Be unable to work, Be unable to do your normal daily activities

Free text: Diabetes.artritis fibomialgia.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-28
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Site: Pain, Swelling, Itching · Fever · Chills, Headache, Muscle or body aches, Fatigue or tiredness, Diarrhea, Rash, not including the immediate area around the injection site · Be unable to work, Be unable to do your normal daily activities

Adult check-in
2021-03-01
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Site: Pain, Swelling, Itching · Headache, Fatigue or tiredness, Rash, not including the immediate area around the injection site · Be unable to do your normal daily activities

Adult check-in
2021-03-02
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Site: Pain, Swelling, Itching · Chills, Headache, Muscle or body aches · Be unable to do your normal daily activities

Adult check-in
2021-03-03
Health check-in — day 7, dose 1
Feeling: Fair · Site: Pain, Swelling, Itching · Headache, Fatigue or tiredness, Rash, not including the immediate area around the injection site · Be unable to do your normal daily activities

Adult check-in
2021-03-10
Survey response — day 14, dose 1
MedDRA: Herpes zoster, Office visit — Feeling: Poor · Be unable to work, Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultation

Free text: Symptoms: I got shingles · Healthcare visit (other): My doctor

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-10
Report sent to call center — day 14, dose 1
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)
2021-03-17
Survey response — day 21, dose 1
MedDRA: Asthenia, Mobility decreased, Pain in extremity — Feeling: Poor · Be unable to do your normal daily activities

Free text: Un able to moved my hand. As before is very weak and still hurts

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-24
Survey response — day 28, dose 1
MedDRA: Muscular weakness — Feeling: Fair · Be unable to do your normal daily activities

Free text: My arm is very weak.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-25
Dose 2 — Moderna
2021-03-26
Survey response — days 1–6 daily, dose 2
MedDRA: Paraesthesia oral — Feeling: Fair · Site: Pain, Swelling · Headache, Fatigue or tiredness · Be unable to do your normal daily activities

Free text: Tingling in lips.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-28
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Pain, Swelling, Itching · Headache, Joint pains · Be unable to do your normal daily activities

Adult check-in
2021-03-30
Survey response — days 1–6 daily, dose 2
MedDRA: Muscular weakness — Feeling: Fair · Site: Pain, Swelling · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultation

Free text: My left arm is weak after 1st vaccine.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-30
Report sent to call center — days 1–6 daily, dose 2
Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional

1 call case(s)
2021-03-31
Survey response — days 1–6 daily, dose 2
MedDRA: Mobility decreased, Pain in extremity — Feeling: Fair · Site: Pain, Swelling · Chills, Headache, Muscle or body aches, Fatigue or tiredness, Abdominal pain · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultation

Free text: Left arm still hurts. Un able to movement from the first vaccine.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-31
Report sent to call center — days 1–6 daily, dose 2
Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional

1 call case(s)
2021-04-01
Health check-in — day 7, dose 2
Feeling: Poor · Site: Pain, Swelling, Itching · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Diarrhea, Abdominal pain · Be unable to work, Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultation

Adult check-in
2021-04-01
Report sent to call center — day 7, 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)
2021-04-08
Survey response — day 14, dose 2
MedDRA: Muscular weakness, Pain in extremity — Feeling: Poor · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultation

Free text: Arm is very eaching. Very weak and hurts

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-08
Report sent to call center — day 14, dose 2
Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional

1 call case(s)
2021-04-22
Survey response — day 28, dose 2
MedDRA: Adverse reaction, Office visit — Feeling: Poor · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultation

Free text: Symptoms: Left arm. And shoulder. I got referred to therapy for my arm · Healthcare visit (other): My dr.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-22
Report sent to call center — day 28, dose 2
Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional

1 call case(s)
2021-04-29
Survey response — day 35, dose 2
MedDRA: Amnesia, Deafness, Decreased appetite, Muscular weakness, Office visit — Feeling: Poor · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional

Free text: Symptoms: Headache. Lost of appetite and my arm very weak(left) lost of memory. Im not all there hearing · Healthcare visit (other): My general dr.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-29
Report sent to call center — day 35, dose 2
Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional

1 call case(s)
2021-05-06
Survey response — day 42, dose 2
MedDRA: Unevaluable event — Feeling: Poor · Be unable to do your normal daily activities

Free text: No straight in my left had

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-06-09
Call 1 — Left Voicemail
2021-06-24
Health check-in — 3 months, dose 2
Feeling: Poor

Adult check-in
2021-09-25
Health check-in — 6 months, dose 2
Feeling: Poor

Adult check-in
2022-03-26
Survey response — 12 months, dose 2
MedDRA: Decreased appetite, Fatigue, Memory impairment, Parosmia, Somnolence — Feeling: Fair · Be unable to do your normal daily activities

Free text: My fatigue is all day.I'm always tired.just want to sleep .i don't get hungry ,everything smells rawness.my memory got worse.

MedDRA releases: 2024-11 · check-in free text available

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-02-24	Moderna
2	2021-03-25	Moderna

Call center

7 call center cases

7 unsuccessful

See the call center timeline

Free text

Release 4 — days 1–6 daily, dose 1

2021-02-27

Systemic reaction (other): Diabetes.artritis fibomialgia.

Release 5 — day 14, dose 1

2021-03-10

Symptoms: I got shingles

Healthcare visit (other): My doctor

Release 5 — day 21, dose 1

2021-03-17

Symptoms: Un able to moved my hand. As before is very weak and still hurts

Release 6 — day 28, dose 1

2021-03-24

Symptoms: My arm is very weak.

Release 6 — days 1–6 daily, dose 2

2021-03-26

Systemic reaction (other): Tingling in lips.

2021-03-30

Systemic reaction (other): My left arm is weak after 1st vaccine.

2021-03-31

Systemic reaction (other): Left arm still hurts. Un able to movement from the first vaccine.

Release 7 — day 14, dose 2

2021-04-08

Symptoms: Arm is very eaching. Very weak and hurts

Release 7 — day 28, dose 2

2021-04-22

Symptoms: Left arm. And shoulder. I got referred to therapy for my arm

Healthcare visit (other): My dr.

Release 8 — day 35, dose 2

2021-04-29

Symptoms: Headache. Lost of appetite and my arm very weak(left) lost of memory. Im not all there hearing

Healthcare visit (other): My general dr.

Release 8 — day 42, dose 2

2021-05-06

Symptoms: No straight in my left had

Release 11 — 12 months, dose 2

2022-03-26

Symptoms: My fatigue is all day.I'm always tired.just want to sleep .i don't get hungry ,everything smells rawness.my memory got worse.

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
HCVO	Office visit	✓	✓	✓
SD	Adverse reaction	✓	✓	✓
SD	Amnesia	✓	✓	✓
SD	Asthenia	✓	✓	✓
SD	Deafness	✓	✓	✓
SD	Decreased appetite	✓	✓	✓
SD	Fatigue	·	·	✓
SD	Herpes zoster	✓	✓	✓
SD	Memory impairment	·	·	✓
SD	Mobility decreased	✓	✓	✓
SD	Muscular weakness	✓	✓	✓
SD	Pain in extremity	✓	✓	✓
SD	Parosmia	·	·	✓
SD	Somnolence	·	·	✓
SD	Unevaluable event	✓	✓	✓
SRO	Mobility decreased	✓	✓	✓
SRO	Muscular weakness	✓	✓	✓
SRO	Pain in extremity	✓	✓	✓
SRO	Paraesthesia oral	✓	✓	✓
SRO	Pre-existing disease	✓	✓	✓

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