39D-30053-83595

2 vaccinations 9 coded responses 19 check-ins 9 free-text entries 5 call cases

Sex: Female
Age at first dose: 51-55
ZIP prefix: 190 / PA
Registered: 2021-03-04

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

2021-03-04
Registered in v-safe
2021-03-04
Dose 1 — Moderna
2021-03-04
Health check-in — day 0, dose 1
Feeling: Good · Site: Pain · None

Adult check-in
2021-03-05
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Site: Pain · None

Adult check-in
2021-03-06
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Site: Pain · None

Adult check-in
2021-03-07
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-03-08
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-03-09
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Joint pains, Muscle or body aches, Fatigue or tiredness

Adult check-in
2021-03-10
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Muscle or body aches

Adult check-in
2021-03-11
Survey response — day 7, dose 1
MedDRA: Axillary pain — Feeling: Fair · Site: Pain · Muscle or body aches

Free text: Mild pain in armpit on side of injection.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-20
Health check-in — day 14, dose 1
Feeling: Good

Adult check-in
2021-03-27
Survey response — day 21, dose 1
MedDRA: Abdominal pain upper, Paraesthesia, Visual impairment — Feeling: Fair · 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: Visual disturbance in right eye. Pins and needle sensations throughout my face and along upper and lower extremities. Right upper quadrant abdominal pain.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-27
Report sent to call center — day 21, dose 1
Get care from a doctor or other healthcare professional

1 call case(s)
2021-04-01
Dose 2 — Moderna
2021-04-01
Survey response — day 0, dose 2
MedDRA: Swollen tongue — Feeling: Fair · Site: Pain, Itching · Fatigue or tiredness · Be unable to do your normal daily activities

Free text: Tongue felt heavy

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-02
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Pain, Itching · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Abdominal pain · Be unable to work, Be unable to do your normal daily activities

Adult check-in
2021-04-04
Survey response — days 1–6 daily, dose 2
MedDRA: Musculoskeletal stiffness — Feeling: Fair · Site: Pain · Chills, Headache, Fatigue or tiredness, Abdominal pain · Be unable to do your normal daily activities

Free text: Left sided neck stiffness

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-05
Survey response — days 1–6 daily, dose 2
MedDRA: Headache, Hypoaesthesia, Neck pain, Paraesthesia — Feeling: Poor · Site: Pain · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to work, Get care from a doctor or other healthcare professional · Emergency room or emergency department visit

Free text: Tingling in hands and feet. Left neck and head pain and numbness

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-05
Report sent to call center — days 1–6 daily, dose 2
Be unable to work · Get care from a doctor or other healthcare professional

1 call case(s)
2021-04-08
Survey response — day 7, dose 2
MedDRA: Paraesthesia — Feeling: Fair · Site: Pain · Headache, Muscle or body aches, Fatigue or tiredness, Abdominal pain

Free text: Pins and needles sensation in hands and feet.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-24
Survey response — day 21, dose 2
MedDRA: Abdominal pain, Paraesthesia — Feeling: Fair · Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultation

Free text: Abdominal pain and increased tingling in body

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-24
Report sent to call center — day 21, dose 2
Get care from a doctor or other healthcare professional

1 call case(s)
2021-05-17
Survey response — day 42, dose 2
MedDRA: Abdominal pain, Paraesthesia — Feeling: Fair · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit

Free text: The pins and needles sensation all over my body. Abdominal pain continues.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-17
Report sent to call center — day 42, dose 2
Get care from a doctor or other healthcare professional

1 call case(s)
2021-06-16
Call 1 — Left Voicemail
2021-07-01
Health check-in — 3 months, dose 2
Feeling: Fair

Adult check-in
2021-10-02
Survey response — 6 months, dose 2
MedDRA: Abdominal pain, Hypoaesthesia, Hypoaesthesia eye, Office visit, Paraesthesia, Tinnitus — Feeling: Fair · 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: Symptoms: Increased numbness and tingling in all extremities. Now with those symptoms felt in face, eye, torso. Right sided abdominal pain and ringing in ears continues. · Healthcare visit (other): In person health visit. MRI

MedDRA releases: 2024-11 · check-in free text available
2021-10-02
Report sent to call center — 6 months, dose 2
Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional

Telehealth, virtual health, or email health consultation · 1 call case(s)
2021-10-06
Call 1 — Left Voicemail
2021-10-13
Call 2 — Left Voicemail

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-03-04	Moderna
2	2021-04-01	Moderna

Call center

5 call center cases

5 unsuccessful

See the call center timeline

Free text

Release 5 — day 7, dose 1

2021-03-11

Systemic reaction (other): Mild pain in armpit on side of injection.

Release 6 — day 21, dose 1

2021-03-27

Symptoms: Visual disturbance in right eye. Pins and needle sensations throughout my face and along upper and lower extremities. Right upper quadrant abdominal pain.

Release 6 — day 0, dose 2

2021-04-01

Systemic reaction (other): Tongue felt heavy

Release 6 — days 1–6 daily, dose 2

2021-04-04

Systemic reaction (other): Left sided neck stiffness

2021-04-05

Systemic reaction (other): Tingling in hands and feet. Left neck and head pain and numbness

Release 7 — day 7, dose 2

2021-04-08

Systemic reaction (other): Pins and needles sensation in hands and feet.

Release 7 — day 21, dose 2

2021-04-24

Symptoms: Abdominal pain and increased tingling in body

Release 8 — day 42, dose 2

2021-05-17

Symptoms: The pins and needles sensation all over my body. Abdominal pain continues.

Release 9 — 6 months, dose 2

2021-10-02

Symptoms: Increased numbness and tingling in all extremities. Now with those symptoms felt in face, eye, torso. Right sided abdominal pain and ringing in ears continues.

Healthcare visit (other): In person health visit. MRI

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	Office visit	·	·	✓
SD	Abdominal pain	✓	✓	✓
SD	Abdominal pain upper	✓	✓	✓
SD	Hypoaesthesia	·	·	✓
SD	Hypoaesthesia eye	·	·	✓
SD	Paraesthesia	✓	✓	✓
SD	Tinnitus	·	·	✓
SD	Visual impairment	✓	✓	✓
SRO	Axillary pain	✓	✓	✓
SRO	Headache	✓	✓	✓
SRO	Hypoaesthesia	✓	✓	✓
SRO	Musculoskeletal stiffness	✓	✓	✓
SRO	Neck pain	✓	✓	✓
SRO	Paraesthesia	✓	✓	✓
SRO	Swollen tongue	✓	✓	✓

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