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2LG-22631-14156

2 vaccinations 6 coded responses 25 check-ins 6 free-text entries 2 call cases
Sex
Female
Age at first dose
56-60
ZIP prefix
856 / AZ
Registered
2020-12-30
Relationship
Self
Race
White
Ethnicity
Not Hispanic or Latino

Timeline

  1. 2020-12-30
    Registered in v-safe
  2. 2020-12-30
    Dose 1 — Moderna
  3. 2020-12-30
    Health check-in — day 0, dose 1
    Feeling: Good · Headache
    Adult check-in
  4. 2020-12-31
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · Site: Pain · None
    Adult check-in
  5. 2021-01-01
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · Site: Pain · Diarrhea
    Adult check-in
  6. 2021-01-02
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · None
    Adult check-in
  7. 2021-01-03
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · None
    Adult check-in
  8. 2021-01-04
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · None
    Adult check-in
  9. 2021-01-05
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · None
    Adult check-in
  10. 2021-01-06
    Health check-in — day 7, dose 1
    Feeling: Good · None
    Adult check-in
  11. 2021-01-13
    Survey response — day 14, dose 1
    MedDRA: Fatigue — Feeling: Good
    Free text: I have had bouts of extreme exhaustion which I can't attribute to anything. Short periods of laying down or an afternoon coffee at work helped. Otherwise, no symptoms.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  12. 2021-01-22
    Health check-in — day 21, dose 1
    Feeling: Good
    Adult check-in
  13. 2021-01-27
    Dose 2 — Moderna
  14. 2021-01-27
    Health check-in — day 0, dose 2
    Feeling: Good · None
    Adult check-in
  15. 2021-01-28
    Survey response — days 1–6 daily, dose 2
    MedDRA: Unevaluable event — Feeling: Fair · Site: Pain, Redness · Fever · Chills, Muscle or body aches, Fatigue or tiredness
    Free text: All symptoms started 26 hours after my shot. Not sure, but I feel like Im getting wors
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  16. 2021-01-29
    Survey response — days 1–6 daily, dose 2
    MedDRA: Pyrexia — Feeling: Good · Site: Pain · Fever · Headache, Joint pains
    Free text: Fever left me by 10am today with Tylenol. Feeling much better now
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  17. 2021-01-31
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · None
    Adult check-in
  18. 2021-02-01
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · Fatigue or tiredness
    Adult check-in
  19. 2021-02-02
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · Fatigue or tiredness
    Adult check-in
  20. 2021-02-03
    Health check-in — day 7, dose 2
    Feeling: Good · None
    Adult check-in
  21. 2021-02-10
    Survey response — day 14, dose 2
    MedDRA: Asthenia, Fatigue, Skin discolouration, Somnolence — Feeling: Fair
    Free text: I am feeling very tired most of the time. No energy. Have had 2 episodes of short duration fever (1 to 2 hours at night) 99.0- high for me.While I have been able to do normal daily activities, Id rather sleep at times. Arm still black & blue a bit
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  22. 2021-02-17
    Health check-in — day 21, dose 2
    Feeling: Good
    Adult check-in
  23. 2021-02-24
    Health check-in — day 28, dose 2
    Feeling: Good
    Adult check-in
  24. 2021-03-03
    Health check-in — day 35, dose 2
    Feeling: Good
    Adult check-in
  25. 2021-03-10
    Health check-in — day 42, dose 2
    Feeling: Good
    Adult check-in
  26. 2021-04-28
    Health check-in — 3 months, dose 2
    Feeling: Good
    Adult check-in
  27. 2021-07-28
    Survey response — 6 months, dose 2
    MedDRA: Hypoaesthesia, Immediate post-injection reaction, Office visit, Paraesthesia — Feeling: Fair · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit
    Free text: Symptoms: Left upper anterior thigh numbness with left leg to foot tingling all the time . Walking not effected. Started right after shot#2. Didnt think much about it till now, six months later, where the symptoms persist and are much worse · Healthcare visit (other): My family doctor
    MedDRA releases: 2021-09,2024-11 · check-in free text available
  28. 2021-07-28
    Report sent to call center — 6 months, dose 2
    Get care from a doctor or other healthcare professional
    1 call case(s)
  29. 2021-08-05
  30. 2022-01-27
    Survey response — 12 months, dose 2
    MedDRA: Hypoaesthesia, Office visit, Paraesthesia, Unevaluable event — Feeling: Fair · Get care from a doctor or other healthcare professional
    Free text: Symptoms: I am going through neurological work up for numb and tingly left upper thigh- anterior and posterior. Started between my first and second vax last Jan.Doc says he's seen this weird symptom in others post vax patients. · Healthcare visit (other): My PCP referred me to neurologist
    MedDRA releases: 2024-11 · check-in free text available
  31. 2022-01-27
    Report sent to call center — 12 months, dose 2
    Get care from a doctor or other healthcare professional
    1 call case(s)
  32. 2022-01-31
  33. 2022-02-01
  34. 2022-02-01
    Call successful
    Completed over the phone

Vaccinations

DoseDateManufacturerCo-administered
12020-12-30Moderna
22021-01-27Moderna

Call center

2 call center cases

2 successful

VAERS report filed, before or during a call: 2

See the call center timeline

Free text

Release 1 — day 14, dose 1

2021-01-13

Symptoms: I have had bouts of extreme exhaustion which I can't attribute to anything. Short periods of laying down or an afternoon coffee at work helped. Otherwise, no symptoms.

Release 3 — days 1–6 daily, dose 2

2021-01-28

Systemic reaction (other): All symptoms started 26 hours after my shot. Not sure, but I feel like Im getting wors

2021-01-29

Systemic reaction (other): Fever left me by 10am today with Tylenol. Feeling much better now

Release 4 — day 14, dose 2

2021-02-10

Symptoms: I am feeling very tired most of the time. No energy. Have had 2 episodes of short duration fever (1 to 2 hours at night) 99.0- high for me.While I have been able to do normal daily activities, Id rather sleep at times. Arm still black & blue a bit

Release 9 — 6 months, dose 2

2021-07-28

Symptoms: Left upper anterior thigh numbness with left leg to foot tingling all the time . Walking not effected. Started right after shot#2. Didnt think much about it till now, six months later, where the symptoms persist and are much worse
Healthcare visit (other): My family doctor

Release 11 — 12 months, dose 2

2022-01-27

Symptoms: I am going through neurological work up for numb and tingly left upper thigh- anterior and posterior. Started between my first and second vax last Jan.Doc says he's seen this weird symptom in others post vax patients.
Healthcare visit (other): My PCP referred me to neurologist

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

FieldPreferred term2021-092023-042024-11
HCVOOffice visit ✓ · ✓
HCVOUnevaluable event · · ✓
SDAsthenia ✓ ✓ ✓
SDFatigue ✓ ✓ ✓
SDHypoaesthesia ✓ · ✓
SDImmediate post-injection reaction ✓ · ✓
SDOffice visit · · ✓
SDParaesthesia ✓ · ✓
SDSkin discolouration ✓ ✓ ✓
SDSomnolence ✓ ✓ ✓
SROPyrexia ✓ ✓ ✓
SROUnevaluable event ✓ ✓ ✓

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