2HN-10812-27625

3 vaccinations 13 coded responses 27 check-ins 13 free-text entries 4 call cases

Sex: Female
Age at first dose: 46-50
ZIP prefix: 170 / PA
Registered: 2021-04-26

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

2021-03-27
Dose 1 — Moderna
2021-04-26
Registered in v-safe
2021-04-26
Dose 2 — Moderna
2021-04-26
Survey response — day 0, dose 2
MedDRA: Blood glucose increased, Medical counselling, Office visit — Feeling: Fair · Site: Pain · Headache, 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

Free text: Systemic reaction (other): Extremely high blood glucose readings · Healthcare visit (other): Spoke with physician at vaccination site

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-26
Report sent to call center — day 0, dose 2
Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional

1 call case(s)
2021-04-27
Survey response — days 1–6 daily, dose 2
MedDRA: Blood glucose increased — Feeling: Fair · Site: Pain, Swelling, Itching · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to do your normal daily activities

Free text: Extremely high glucose readings

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-28
Survey response — days 1–6 daily, dose 2
MedDRA: Blood glucose increased — Feeling: Poor · Site: Pain, Swelling, Itching · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea, Vomiting · Be unable to do your normal daily activities

Free text: Extremely high glucose readings

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-29
Survey response — days 1–6 daily, dose 2
MedDRA: Blood glucose increased, Neuropathy peripheral, Pain in extremity, Unevaluable event — Feeling: Poor · Site: Pain, Swelling, Itching · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea, Abdominal pain · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit

Free text: Systemic reaction (other): High glucose readings; Very painful neuropathy the arm/hand of the arm I was vaccinated in. Experienced neuropathy in both lower legs/feet for an hour today · Healthcare visit (other): My doctor's appt is tomorrow afternoon.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-29
Report sent to call center — days 1–6 daily, dose 2
Get care from a doctor or other healthcare professional

1 call case(s)
2021-04-30
Survey response — days 1–6 daily, dose 2
MedDRA: Blood glucose increased, Neuropathy peripheral — Feeling: Poor · Site: Pain, Swelling, Itching · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to do your normal daily activities

Free text: High glucose readings, Neuropathy in atm/hand of arm that was injected

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-01
Survey response — days 1–6 daily, dose 2
MedDRA: Blood glucose increased, Chest pain — Feeling: Fair · Site: Pain · Joint pains, Muscle or body aches, Fatigue or tiredness, Abdominal pain · Be unable to do your normal daily activities

Free text: High glucpse, chest pain upon any activity

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-02
Survey response — days 1–6 daily, dose 2
MedDRA: Chest pain, Neuropathy peripheral — Feeling: Good · Site: Pain · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Free text: Chest pain with any activity, neuropathy in arm/hand/foot/leg on side of injection

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-04
Survey response — day 7, dose 2
MedDRA: Chest pain — Feeling: Good · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to do your normal daily activities

Free text: Chest pain with any activity

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-10
Survey response — day 14, dose 2
MedDRA: Gastrooesophageal reflux disease — Feeling: Fair

Free text: Severe acid reflux

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-17
Survey response — day 21, dose 2
MedDRA: Hypoaesthesia — Feeling: Poor · 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: Numbness and loss of walking on left side of body one morning which proceeded to not being able to stand up at all.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-17
Report sent to call center — day 21, dose 2
Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional

1 call case(s)
2021-05-24
Survey response — day 28, dose 2
MedDRA: Diarrhoea, Fatigue, Headache — Feeling: Fair · Be unable to do your normal daily activities

Free text: Extreme fatigue, increased headaches, diarrhea

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-31
Survey response — day 35, dose 2
MedDRA: Back pain, Pain in extremity, Unevaluable event — Feeling: Fair · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional

Free text: Symptoms: Pain in calves & lower back · Healthcare visit (other): Upcoming appt

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-31
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)
2021-06-07
Health check-in — day 42, dose 2
Feeling: Fair

Adult check-in
2021-10-25
Health check-in — 6 months, dose 2
Feeling: Fair

Adult check-in
2021-11-03
Dose 3 — Moderna
2021-11-04
Health check-in — days 1–6 daily, dose 3
Feeling: Good · Site: Pain, Itching · Joint pains, Muscle or body aches

Adult check-in
2021-11-05
Health check-in — days 1–6 daily, dose 3
Feeling: Good · Site: Pain · Muscle or body aches

Adult check-in
2021-11-06
Health check-in — days 1–6 daily, dose 3
Feeling: Good · None

Adult check-in
2021-11-08
Health check-in — days 1–6 daily, dose 3
Feeling: Fair · Site: Itching · Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Adult check-in
2021-11-11
Health check-in — day 7, dose 3
Feeling: Good · Fatigue or tiredness

Adult check-in
2021-11-17
Health check-in — day 14, dose 3
Feeling: Fair

Adult check-in
2021-11-24
Health check-in — day 21, dose 3
Feeling: Good

Adult check-in
2021-12-01
Health check-in — day 28, dose 3
Feeling: Good

Adult check-in
2021-12-08
Health check-in — day 35, dose 3
Feeling: Good

Adult check-in
2021-12-15
Health check-in — day 42, dose 3
Feeling: Fair

Adult check-in
2021-12-29
Call 1 — Left Voicemail
2022-02-04
Health check-in — 3 months, dose 3
Feeling: Fair

Adult check-in
2022-05-04
Health check-in — 6 months, dose 3
Feeling: Good

Adult check-in
2022-11-03
Survey response — 12 months, dose 3
MedDRA: Fatigue, Headache, Nausea — Feeling: Fair · Be unable to do your normal daily activities

Free text: Headache, fatigue, nausea

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

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-03-27	Moderna
2	2021-04-26	Moderna
3	2021-11-03	Moderna	No

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 8 — day 0, dose 2

2021-04-26

Systemic reaction (other): Extremely high blood glucose readings

Healthcare visit (other): Spoke with physician at vaccination site

Release 8 — days 1–6 daily, dose 2

2021-04-27

Systemic reaction (other): Extremely high glucose readings

2021-04-28

Systemic reaction (other): Extremely high glucose readings

2021-04-29

Systemic reaction (other): High glucose readings; Very painful neuropathy the arm/hand of the arm I was vaccinated in. Experienced neuropathy in both lower legs/feet for an hour today

Healthcare visit (other): My doctor's appt is tomorrow afternoon.

2021-04-30

Systemic reaction (other): High glucose readings, Neuropathy in atm/hand of arm that was injected

2021-05-01

Systemic reaction (other): High glucpse, chest pain upon any activity

2021-05-02

Systemic reaction (other): Chest pain with any activity, neuropathy in arm/hand/foot/leg on side of injection

Release 8 — day 7, dose 2

2021-05-04

Systemic reaction (other): Chest pain with any activity

Release 8 — day 14, dose 2

2021-05-10

Symptoms: Severe acid reflux

Release 8 — day 21, dose 2

2021-05-17

Symptoms: Numbness and loss of walking on left side of body one morning which proceeded to not being able to stand up at all.

Release 8 — day 28, dose 2

2021-05-24

Symptoms: Extreme fatigue, increased headaches, diarrhea

Release 8 — day 35, dose 2

2021-05-31

Symptoms: Pain in calves & lower back

Healthcare visit (other): Upcoming appt

Release 12 — 12 months, dose 3

2022-11-03

Symptoms: Headache, fatigue, nausea

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	✓	✓	✓
HCVO	Office visit	✓	✓	✓
HCVO	Unevaluable event	✓	✓	✓
SD	Back pain	✓	✓	✓
SD	Diarrhoea	✓	✓	✓
SD	Fatigue	✓	✓	✓
SD	Gastrooesophageal reflux disease	✓	✓	✓
SD	Headache	✓	✓	✓
SD	Hypoaesthesia	✓	✓	✓
SD	Nausea	·	·	✓
SD	Pain in extremity	✓	✓	✓
SRO	Blood glucose increased	✓	✓	✓
SRO	Chest pain	✓	✓	✓
SRO	Neuropathy peripheral	✓	✓	✓
SRO	Pain in extremity	✓	✓	✓

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