29H-64273-65721

2 vaccinations 10 coded responses 19 check-ins 10 free-text entries 4 call cases

Sex: Male
Age at first dose: 51-55
ZIP prefix: 461 / IN
Registered: 2021-02-17

Relationship: Self
Race: Black or African American
Ethnicity: Not Hispanic or Latino

Timeline

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

2021-02-16
Dose 1 — Moderna
2021-02-17
Registered in v-safe
2021-02-17
Survey response — days 1–6 daily, dose 1
MedDRA: No adverse event — Feeling: Fair · Site: Pain, Swelling · Chills, Headache, Joint pains, Fatigue or tiredness, Nausea · Be unable to work, Be unable to do your normal daily activities

Free text: It at this time

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-18
Survey response — days 1–6 daily, dose 1
MedDRA: Arthralgia, Fatigue, Hypoaesthesia — Feeling: Fair · Site: Pain, Redness, Swelling · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to work, Be unable to do your normal daily activities

Free text: I still have numbness in both thighs down to my knees. Sharp pains that could shoot my legs at any time. Aching knees. Numbness in my toes both left and right feet, I also still get tired easily.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-19
Survey response — days 1–6 daily, dose 1
MedDRA: Arthralgia, Depression, Hypoaesthesia, Medical counselling, Mobility decreased — 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, Get care from a doctor or other healthcare professional

Free text: Systemic reaction (other): I still cant make a fist either hand do you have numbness in both left and right legs, from my thighs down to my knees. Numbness in my toes both left and right. Left shoulder pain. Depression. · Healthcare visit (other): Speak with the nurse again over the phone

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-19
Report sent to call center — days 1–6 daily, 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)
2021-02-21
Survey response — days 1–6 daily, dose 1
MedDRA: Burning sensation, Dyspnoea, Hypoaesthesia, Mobility decreased — Feeling: Fair · Site: Pain, Swelling · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to work, Be unable to do your normal daily activities

Free text: After COVID-19. Numbness in both thighs from the hips to the knees with burning at times, numbness in both feet be toes, Im still unable to close my hands/make a first, and shortness of breath.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-23
Survey response — day 7, dose 1
MedDRA: Dyspnoea exertional, Hypoaesthesia, Joint stiffness, Joint swelling — Feeling: Poor · Headache, Joint pains, Muscle or body aches · Be unable to work, Be unable to do your normal daily activities

Free text: Im still unable to make a fist with either hand, I continue to have numbness in both outer thighs from the hips down into my knees numbness in my toes on both feet, today my ankles are swollen, Im also experiencing shortness of breath after prolonged standing or exercise

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

Adult check-in
2021-03-09
Survey response — day 21, dose 1
MedDRA: Arthralgia, Pain in extremity — 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: Knees and legs continue to hurt worse

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-09
Report sent to call center — day 21, 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)
2021-03-16
Dose 2 — Moderna
2021-03-16
Survey response — day 0, dose 2
MedDRA: Arthralgia, Back pain, Joint swelling — Feeling: Poor · Muscle or body aches · 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: Swollen ankles, left shoulder pain,and back pain

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-16
Report sent to call center — day 0, 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)
2021-03-17
Health check-in — days 1–6 daily, dose 2
Feeling: Poor · Site: Pain, Redness, Swelling · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea, Vomiting · Be unable to work, Be unable to do your normal daily activities

Adult check-in
2021-03-19
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Pain, Swelling · Headache, Joint pains, Fatigue or tiredness · Be unable to work, Be unable to do your normal daily activities

Adult check-in
2021-03-20
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Pain · None

Adult check-in
2021-03-21
Survey response — days 1–6 daily, dose 2
MedDRA: Arthralgia, Bone pain, Hypoaesthesia, Malaise, Pain in extremity — Feeling: Fair · Be unable to work, Be unable to do your normal daily activities

Free text: Same coronavirus symptoms pain in the legs numbness achy bones knuckles shoulders numbness in feet

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-22
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Joint pains · Be unable to work, Be unable to do your normal daily activities

Adult check-in
2021-03-25
Survey response — day 7, dose 2
MedDRA: Headache, Myalgia, Pain — Feeling: Fair · Headache, Muscle or body aches · Be unable to work, Be unable to do your normal daily activities

Free text: Headache, muscle and body ache legs and shoulder are all Covid related

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-30
Survey response — day 14, dose 2
MedDRA: Arthralgia, Medical counselling, Pain in extremity — Feeling: Poor · Be unable to work, Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional

Free text: Symptoms: Pain in my legs, knees, left shoulder and my knuckles still hurt · Healthcare visit (other): I spoke to my doctor already,

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-30
Report sent to call center — day 14, 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)
2021-04-06
Health check-in — day 21, dose 2
Feeling: Fair

Adult check-in
2021-04-13
Health check-in — day 28, dose 2
Feeling: Fair

Adult check-in
2021-08-12
Call 1 — Left Voicemail
2021-09-14
Health check-in — 6 months, dose 2
Feeling: Fair

Adult check-in
2022-03-16
Health check-in — 12 months, dose 2
Feeling: Poor

Adult check-in

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-02-16	Moderna
2	2021-03-16	Moderna

Call center

4 call center cases

4 unsuccessful

1 wait over 3 months for a first call

See the call center timeline

Free text

Release 4 — days 1–6 daily, dose 1

2021-02-17

Systemic reaction (other): It at this time

2021-02-18

Systemic reaction (other): I still have numbness in both thighs down to my knees. Sharp pains that could shoot my legs at any time. Aching knees. Numbness in my toes both left and right feet, I also still get tired easily.

2021-02-19

Systemic reaction (other): I still cant make a fist either hand do you have numbness in both left and right legs, from my thighs down to my knees. Numbness in my toes both left and right. Left shoulder pain. Depression.

Healthcare visit (other): Speak with the nurse again over the phone

2021-02-21

Systemic reaction (other): After COVID-19. Numbness in both thighs from the hips to the knees with burning at times, numbness in both feet be toes, Im still unable to close my hands/make a first, and shortness of breath.

Release 4 — day 7, dose 1

2021-02-23

Systemic reaction (other): Im still unable to make a fist with either hand, I continue to have numbness in both outer thighs from the hips down into my knees numbness in my toes on both feet, today my ankles are swollen, Im also experiencing shortness of breath after prolonged standing or exercise

Release 5 — day 21, dose 1

2021-03-09

Symptoms: Knees and legs continue to hurt worse

Release 5 — day 0, dose 2

2021-03-16

Systemic reaction (other): Swollen ankles, left shoulder pain,and back pain

Release 6 — days 1–6 daily, dose 2

2021-03-21

Systemic reaction (other): Same coronavirus symptoms pain in the legs numbness achy bones knuckles shoulders numbness in feet

Release 6 — day 7, dose 2

2021-03-25

Systemic reaction (other): Headache, muscle and body ache legs and shoulder are all Covid related

Release 6 — day 14, dose 2

2021-03-30

Symptoms: Pain in my legs, knees, left shoulder and my knuckles still hurt

Healthcare visit (other): I spoke to my doctor already,

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	Medical counselling	✓	✓	✓
SD	Arthralgia	✓	✓	✓
SD	Pain in extremity	✓	✓	✓
SRO	Arthralgia	✓	✓	✓
SRO	Back pain	✓	✓	✓
SRO	Bone pain	✓	✓	✓
SRO	Burning sensation	✓	✓	✓
SRO	Depression	✓	✓	✓
SRO	Dyspnoea	✓	✓	✓
SRO	Dyspnoea exertional	✓	✓	✓
SRO	Fatigue	✓	✓	✓
SRO	Headache	✓	✓	✓
SRO	Hypoaesthesia	✓	✓	✓
SRO	Joint stiffness	✓	✓	✓
SRO	Joint swelling	✓	✓	✓
SRO	Malaise	✓	✓	✓
SRO	Mobility decreased	✓	✓	✓
SRO	Myalgia	✓	✓	✓
SRO	No adverse event	✓	✓	✓
SRO	Pain	✓	✓	✓
SRO	Pain in extremity	✓	✓	✓

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