3BC-20805-24107

4 vaccinations 8 coded responses 15 check-ins 8 free-text entries 0 call cases

Sex: Female
Age at first dose: 66+
ZIP prefix: 147 / NY
Registered: 2021-04-08

Relationship: Self
Race: White
Ethnicity: Not Hispanic or Latino

Timeline Vaccinations Free text MedDRA terms

Timeline

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

2021-03-05
Dose 1 — Moderna
2021-04-02
Dose 2 — Moderna
2021-04-08
Registered in v-safe
2021-04-08
Survey response — days 1–6 daily, dose 2
MedDRA: Asthenia, Gait disturbance, Hypoaesthesia — Feeling: Fair · Site: Pain, Itching · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Free text: Numb arms, hands, legs, feet and back. Am very weak and my gait is affected.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-09
Survey response — day 7, dose 2
MedDRA: Asthenia, Fine motor skill dysfunction, Gait disturbance, Hypoaesthesia, Mobility decreased, Walking aid user — Feeling: Fair · Site: Pain · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to do your normal daily activities

Free text: Have to use a cane to walk. Cannot lift arms or carry anything. Still numb all over. Very weak and manual dextetity is off.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-16
Survey response — day 14, dose 2
MedDRA: Asthenia, Gait disturbance, Hypoaesthesia, Limb discomfort, Mobility decreased, Musculoskeletal stiffness, Pyrexia — Feeling: Poor · Be unable to do your normal daily activities

Free text: I am numb over most of my body now. I still get low grade fevers everyday. I am very stiff, weak and have trouble walking and writing. My arms are very heavy and cannot lift with the arm with the shot.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-25
Survey response — day 21, dose 2
MedDRA: Mobility decreased, Paraesthesia — Feeling: Poor · Be unable to do your normal daily activities

Free text: Parathesia of arms and legs worse. I am scheduled to see a neurologist. Left arm (shot arm) almost useless and much worse.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-03
Survey response — day 28, dose 2
MedDRA: Gait disturbance, Hypoaesthesia, Paraesthesia, Pyrexia — Feeling: Poor · Be unable to do your normal daily activities

Free text: Numbness and pins and needles are worse, still difficulty walking and low grade fever everyday.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-14
Survey response — day 42, dose 2
MedDRA: Asthenia, Burning sensation, Freezing phenomenon, Gait disturbance, Mobility decreased, Neck pain, Paraesthesia — Feeling: Poor · Be unable to do your normal daily activities

Free text: More difficulty walking, more pain, more pins and needles and burning and freezing in hands and feet and arms. Left arm is about useless. Worse neck pain. Weak and limited movement.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-07-02
Survey response — 3 months, dose 2
MedDRA: Aphasia, Dysphonia, Dyspnoea, Fall, Gait disturbance, Limb discomfort, Memory impairment, Mobility decreased — Feeling: Poor · Be unable to do your normal daily activities

Free text: Very heavy arms, hands and legs. Hands snd arms feel like they are frozen and can hardly use them. I fall and cannot walk straight . I stumble over words and forget things , my voice has changed as well. I had an an emg yesterday .

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-10-03
Survey response — 6 months, dose 2
MedDRA: Hospitalisation, Intervertebral disc operation — Feeling: Poor · Be unable to do your normal daily activities

Free text: I am in the hospital right now. I had to have a cervical anterior discectomy and fusion.

MedDRA releases: 2024-11 · check-in free text available
2022-04-03
Health check-in — 12 months, dose 2
Feeling: Fair

Adult check-in
2022-04-21
Dose 3 — Moderna
2022-04-30
Dose 4 — Moderna
2022-04-30
Health check-in — day 0, dose 4
Feeling: Fair · Site: Pain, Swelling, Itching · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Adult check-in
2022-05-05
Health check-in — days 1–6 daily, dose 4
Feeling: Fair · Site: Pain · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Diarrhea · Be unable to do your normal daily activities

Adult check-in
2022-05-07
Health check-in — day 7, dose 4
Feeling: Fair · Site: Pain · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Diarrhea, Abdominal pain · Be unable to do your normal daily activities

Adult check-in
2022-05-16
Health check-in — day 14, dose 4
Feeling: Fair

Adult check-in
2022-05-23
Health check-in — day 21, dose 4
Feeling: Fair

Adult check-in
2022-05-30
Health check-in — day 28, dose 4
Feeling: Fair

Adult check-in

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-03-05	Moderna
2	2021-04-02	Moderna
3	2022-04-21	Moderna	No
4	2022-04-30	Moderna	No

Free text

Release 7 — days 1–6 daily, dose 2

2021-04-08

Systemic reaction (other): Numb arms, hands, legs, feet and back. Am very weak and my gait is affected.

Release 7 — day 7, dose 2

2021-04-09

Systemic reaction (other): Have to use a cane to walk. Cannot lift arms or carry anything. Still numb all over. Very weak and manual dextetity is off.

Release 7 — day 14, dose 2

2021-04-16

Symptoms: I am numb over most of my body now. I still get low grade fevers everyday. I am very stiff, weak and have trouble walking and writing. My arms are very heavy and cannot lift with the arm with the shot.

Release 7 — day 21, dose 2

2021-04-25

Symptoms: Parathesia of arms and legs worse. I am scheduled to see a neurologist. Left arm (shot arm) almost useless and much worse.

Release 8 — day 28, dose 2

2021-05-03

Symptoms: Numbness and pins and needles are worse, still difficulty walking and low grade fever everyday.

Release 8 — day 42, dose 2

2021-05-14

Symptoms: More difficulty walking, more pain, more pins and needles and burning and freezing in hands and feet and arms. Left arm is about useless. Worse neck pain. Weak and limited movement.

Release 9 — 3 months, dose 2

2021-07-02

Symptoms: Very heavy arms, hands and legs. Hands snd arms feel like they are frozen and can hardly use them. I fall and cannot walk straight . I stumble over words and forget things , my voice has changed as well. I had an an emg yesterday .

Release 9 — 6 months, dose 2

2021-10-03

Symptoms: I am in the hospital right now. I had to have a cervical anterior discectomy and fusion.

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
SD	Aphasia	✓	✓	✓
SD	Asthenia	✓	✓	✓
SD	Burning sensation	✓	✓	✓
SD	Dysphonia	✓	✓	✓
SD	Dyspnoea	✓	✓	✓
SD	Fall	✓	✓	✓
SD	Freezing phenomenon	✓	✓	✓
SD	Gait disturbance	✓	✓	✓
SD	Hospitalisation	·	·	✓
SD	Hypoaesthesia	✓	✓	✓
SD	Intervertebral disc operation	·	·	✓
SD	Limb discomfort	✓	✓	✓
SD	Memory impairment	✓	✓	✓
SD	Mobility decreased	✓	✓	✓
SD	Musculoskeletal stiffness	✓	✓	✓
SD	Neck pain	✓	✓	✓
SD	Paraesthesia	✓	✓	✓
SD	Pyrexia	✓	✓	✓
SRO	Asthenia	✓	✓	✓
SRO	Fine motor skill dysfunction	✓	✓	✓
SRO	Gait disturbance	✓	✓	✓
SRO	Hypoaesthesia	✓	✓	✓
SRO	Mobility decreased	✓	✓	✓
SRO	Walking aid user	✓	✓	✓

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