2AE-89428-85385

2 vaccinations 11 coded responses 14 check-ins 11 free-text entries 7 call cases

Sex: Female
Age at first dose: 36-40
ZIP prefix: 921 / CA
Registered: 2020-12-29

Relationship: Self
Race: Multiracial
Ethnicity: Hispanic or Latino

Timeline

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

2020-12-29
Registered in v-safe
2020-12-30
Dose 1 — Moderna
2020-12-30
Survey response — day 0, dose 1
MedDRA: Hypoaesthesia — Feeling: Fair · Site: Swelling · Chills, Nausea

Free text: Numb on AL

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-01
Survey response — days 1–6 daily, dose 1
MedDRA: Hypoaesthesia — Feeling: Fair · Site: Pain, Swelling

Free text: Light numbness on my index finger and thumb.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-02
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Site: Swelling · None

Adult check-in
2021-01-07
Health check-in — day 7, dose 1
Feeling: Good · None

Adult check-in
2021-01-13
Survey response — day 14, dose 1
MedDRA: Dizziness, Headache, Nausea — Feeling: Fair · Be unable to do your normal daily activities

Free text: On Saturday January 9, 2021 , while at work, my body felt as if I was going to faint. I felt nauseated, headache... Worst feeling ever!!! Lasted half of day....

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-13
Report sent to call center — day 14, dose 1
Be unable to do your normal daily activities

1 call case(s)
2021-01-21
Health check-in — day 21, dose 1
Feeling: Fair

Adult check-in
2021-01-27
Dose 2 — Moderna
2021-01-27
Survey response — day 0, dose 2
MedDRA: Hypoaesthesia, Office visit — Feeling: Poor · Site: Pain, Swelling · 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, Outpatient clinic or urgent care clinic visit

Free text: Systemic reaction (other): Numbness on my forearm. 7 + hrs · Healthcare visit (other): Urgent care Dr. Decided to keep me in observation for more than 2 hrs.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-27
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)
2021-01-28
Survey response — days 1–6 daily, dose 2
MedDRA: Hypoaesthesia — Feeling: Poor · Site: Pain, Swelling · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea, Abdominal pain, Rash, not including the immediate area around the injection site · 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: Numb forearm

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-28
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)
2021-01-29
Survey response — days 1–6 daily, dose 2
MedDRA: Hypoaesthesia — Feeling: Poor · Site: Pain, Redness, Swelling, Itching · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea, Abdominal pain, Rash, not including the immediate area around the injection site · 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: Numbness on my forearm

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-29
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)
2021-02-06
Survey response — day 7, dose 2
MedDRA: Emergency care, Pain, Syncope — Feeling: Poor · Site: Pain, Redness, Swelling · Muscle or body aches, Fatigue or tiredness, Nausea, Diarrhea, Abdominal pain · Be unable to work, Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit, Emergency room or emergency department visit, Hospitalization

Free text: Systemic reaction (other): Rushed to the emergency room. · Healthcare visit (other): ER vaginal ultrasound. I'm in pain. I fainted at WORK!!

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-06
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)
2021-02-11
Survey response — day 14, dose 2
MedDRA: Abdominal pain, Diabetes mellitus, Feeling abnormal, Headache, Pain, Vision blurred — Feeling: Poor · Be unable to work, Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit, Emergency room or emergency department visit, Hospitalization

Free text: I'm not the same. ... Head aches. Body aches. Sudden and dizziness, blurred vision, folding over. Abdominal pain unexplained. I want my life back

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-11
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)
2021-02-26
Survey response — day 28, dose 2
MedDRA: Movement disorder — Feeling: Fair · Be unable to work, Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit, Emergency room or emergency department visit

Free text: Couldn't move.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-26
Report sent to call center — day 28, 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)
2021-04-28
Survey response — 3 months, dose 2
MedDRA: Headache — Feeling: Fair · Be unable to work

Free text: Headaches,

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-06-07
Call 1 — Left Voicemail
2022-01-27
Survey response — 12 months, dose 2
MedDRA: Migraine, Rash — Feeling: Poor

Free text: Headache migraine. Rash

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

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2020-12-30	Moderna
2	2021-01-27	Moderna

Call center

7 call center cases

6 unsuccessful · 1 priority 2/3 (triaged and no follow up)

1 wait over 3 months for a first call

See the call center timeline

Free text

Release 1 — day 0, dose 1

2020-12-30

Systemic reaction (other): Numb on AL

Release 1 — days 1–6 daily, dose 1

2021-01-01

Systemic reaction (other): Light numbness on my index finger and thumb.

Release 1 — day 14, dose 1

2021-01-13

Symptoms: On Saturday January 9, 2021 , while at work, my body felt as if I was going to faint. I felt nauseated, headache... Worst feeling ever!!! Lasted half of day....

Release 2 — day 0, dose 2

2021-01-27

Systemic reaction (other): Numbness on my forearm. 7 + hrs

Healthcare visit (other): Urgent care Dr. Decided to keep me in observation for more than 2 hrs.

Release 3 — days 1–6 daily, dose 2

2021-01-28

Systemic reaction (other): Numb forearm

2021-01-29

Systemic reaction (other): Numbness on my forearm

Release 3 — day 7, dose 2

2021-02-06

Systemic reaction (other): Rushed to the emergency room.

Healthcare visit (other): ER vaginal ultrasound. I'm in pain. I fainted at WORK!!

Release 4 — day 14, dose 2

2021-02-11

Symptoms: I'm not the same. ... Head aches. Body aches. Sudden and dizziness, blurred vision, folding over. Abdominal pain unexplained. I want my life back

Release 4 — day 28, dose 2

2021-02-26

Symptoms: Couldn't move.

Release 8 — 3 months, dose 2

2021-04-28

Symptoms: Headaches,

Release 11 — 12 months, dose 2

2022-01-27

Symptoms: Headache migraine. Rash

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	Emergency care	✓	✓	✓
HCVO	Office visit	✓	✓	✓
HCVO	Pain	✓	✓	✓
HCVO	Syncope	✓	✓	✓
SD	Abdominal pain	✓	✓	✓
SD	Diabetes mellitus	✓	✓	✓
SD	Dizziness	✓	✓	✓
SD	Feeling abnormal	✓	✓	✓
SD	Headache	✓	✓	✓
SD	Migraine	·	·	✓
SD	Movement disorder	✓	✓	✓
SD	Nausea	✓	✓	✓
SD	Pain	✓	✓	✓
SD	Rash	·	·	✓
SD	Vision blurred	✓	✓	✓
SRO	Emergency care	✓	✓	✓
SRO	Hypoaesthesia	✓	✓	✓

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