2X6-33775-03268

2 vaccinations 9 coded responses 24 check-ins 9 free-text entries 1 call case

Sex: Female
Age at first dose: 21-25
ZIP prefix: 921 / CA
Registered: 2021-05-25

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

2021-05-25
Registered in v-safe
2021-05-25
Dose 1 — Moderna
2021-05-25
Survey response — day 0, dose 1
MedDRA: Hypoaesthesia, Hypoaesthesia oral, Immediate post-injection reaction, Medical observation — Feeling: Poor · Site: Pain · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit

Free text: Systemic reaction (other): My tongue and feet went completely numb 5 minutes after my vaccination · Healthcare visit (other): I was under observation for an hour because of the numbness

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-25
Report sent to call center — day 0, dose 1
Get care from a doctor or other healthcare professional

1 call case(s)
2021-05-26
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Site: Pain · Chills, Muscle or body aches

Adult check-in
2021-05-27
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-05-28
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-05-29
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-05-31
Survey response — days 1–6 daily, dose 1
MedDRA: Tenderness, Vasodilatation — Feeling: Good

Free text: The veins in my hands are larger then usual and painful to touch

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-06-03
Survey response — day 7, dose 1
MedDRA: Fatigue — Feeling: Fair · Fatigue or tiredness · Be unable to do your normal daily activities

Free text: Extreme fatigue. No matter how much I sleep Im still exhausted

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-06-10
Health check-in — day 14, dose 1
Feeling: Good

Adult check-in
2021-06-15
Survey response — day 21, dose 1
MedDRA: Heavy menstrual bleeding — Feeling: Fair

Free text: The most extremely heavy menstrual period I have ever experienced

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-06-22
Dose 2 — Moderna
2021-06-22
Health check-in — day 0, dose 2
Feeling: Fair · Site: Pain, Itching · Headache, Muscle or body aches, Fatigue or tiredness

Adult check-in
2021-06-23
Survey response — days 1–6 daily, dose 2
MedDRA: Insomnia — Feeling: Poor · Site: Pain · Fever · Chills, Headache, Joint pains, Muscle or body aches · Be unable to work or attend school, Be unable to do your normal daily activities

Free text: Insomnia

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-06-24
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Site: Pain · None

Adult check-in
2021-06-25
Survey response — days 1–6 daily, dose 2
MedDRA: Lymph node pain, Neck pain — Feeling: Fair

Free text: Neck/lymph node pain

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-06-26
Survey response — days 1–6 daily, dose 2
MedDRA: Lymph node pain, Neck pain — Feeling: Good

Free text: Neck/ lymph node pain

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-06-27
Health check-in — days 1–6 daily, dose 2
Feeling: Good · None

Adult check-in
2021-06-28
Health check-in — days 1–6 daily, dose 2
Feeling: Good · None

Adult check-in
2021-06-29
Health check-in — day 7, dose 2
Feeling: Good · None

Adult check-in
2021-07-06
Health check-in — day 14, dose 2
Feeling: Good

Adult check-in
2021-07-13
Health check-in — day 21, dose 2
Feeling: Good

Adult check-in
2021-07-20
Survey response — day 28, dose 2
MedDRA: Pregnancy — Feeling: Good

Free text: Pregnancy

MedDRA releases: 2024-11 · check-in free text available
2021-07-27
Survey response — day 35, dose 2
MedDRA: Pregnancy — Feeling: Good

Free text: Pregnancy

MedDRA releases: 2021-09,2024-11 · check-in free text available
2021-08-03
Health check-in — day 42, dose 2
Feeling: Good

Adult check-in
2021-09-21
Health check-in — 3 months, dose 2
Feeling: Good

Adult check-in
2021-12-21
Health check-in — 6 months, dose 2
Feeling: Good

Adult check-in
2022-04-28
Call 1 — Left Voicemail

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-05-25	Moderna
2	2021-06-22	Moderna	No

Call center

Reported	Outcome	VAERS-related outcome
2021-05-25	Unsuccessful

Free text

Release 8 — day 0, dose 1

2021-05-25

Systemic reaction (other): My tongue and feet went completely numb 5 minutes after my vaccination

Healthcare visit (other): I was under observation for an hour because of the numbness

Release 8 — days 1–6 daily, dose 1

2021-05-31

Systemic reaction (other): The veins in my hands are larger then usual and painful to touch

Release 8 — day 7, dose 1

2021-06-03

Systemic reaction (other): Extreme fatigue. No matter how much I sleep Im still exhausted

Release 9 — day 21, dose 1

2021-06-15

Symptoms: The most extremely heavy menstrual period I have ever experienced

Release 9 — days 1–6 daily, dose 2

2021-06-23

Systemic reaction (other): Insomnia

2021-06-25

Systemic reaction (other): Neck/lymph node pain

2021-06-26

Systemic reaction (other): Neck/ lymph node pain

Release 9 — day 28, dose 2

2021-07-20

Symptoms: Pregnancy

Release 9 — day 35, dose 2

2021-07-27

Symptoms: Pregnancy

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	Hypoaesthesia	✓	✓	✓
HCVO	Medical observation	✓	✓	✓
SD	Heavy menstrual bleeding	✓	✓	✓
SD	Pregnancy	✓	·	✓
SRO	Fatigue	✓	✓	✓
SRO	Hypoaesthesia	✓	✓	✓
SRO	Hypoaesthesia oral	✓	✓	✓
SRO	Immediate post-injection reaction	✓	✓	✓
SRO	Insomnia	✓	✓	✓
SRO	Lymph node pain	✓	✓	✓
SRO	Neck pain	✓	✓	✓
SRO	Tenderness	✓	✓	✓
SRO	Vasodilatation	✓	✓	✓

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