3J6-72249-86906

3 vaccinations 10 coded responses 35 check-ins 10 free-text entries 3 call cases

Sex: Female
Age at first dose: 61-65
ZIP prefix: 181 / PA
Registered: 2021-02-16

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

2021-02-16
Registered in v-safe
2021-02-16
Dose 1 — Moderna
2021-02-16
Survey response — day 0, dose 1
MedDRA: Hypoaesthesia — Feeling: Good

Free text: Num forehead

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-17
Survey response — days 1–6 daily, dose 1
MedDRA: Hypoaesthesia, Paraesthesia — Feeling: Good · Site: Pain

Free text: my forehead still feels a little numb like a pins and needle feeling

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-18
Survey response — days 1–6 daily, dose 1
MedDRA: Fatigue, Hypoaesthesia oral — Feeling: Good · Site: Pain

Free text: woken i woke up my lips were a littlenumb, very tired yesterday

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-19
Survey response — days 1–6 daily, dose 1
MedDRA: Hypoaesthesia, Hypoaesthesia oral — Feeling: Good · Site: Pain

Free text: just numbness in forehead, lip numbness went away , forehead numbness is less very mild now

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-20
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-02-21
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-02-22
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-02-23
Health check-in — day 7, dose 1
Feeling: Good · None

Adult check-in
2021-03-02
Health check-in — day 14, dose 1
Feeling: Good

Adult check-in
2021-03-09
Health check-in — day 21, dose 1
Feeling: Good

Adult check-in
2021-03-16
Dose 2 — Moderna
2021-03-16
Health check-in — day 0, dose 2
Feeling: Good · Chills

Adult check-in
2021-03-17
Health check-in — days 1–6 daily, dose 2
Feeling: Poor · Site: Pain · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to work

Adult check-in
2021-03-18
Survey response — days 1–6 daily, dose 2
MedDRA: Feeling abnormal — Feeling: Good · Site: Pain · Nausea

Free text: foggy head

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-19
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Site: Pain · None

Adult check-in
2021-03-20
Health check-in — days 1–6 daily, dose 2
Feeling: Good · None

Adult check-in
2021-03-21
Health check-in — days 1–6 daily, dose 2
Feeling: Good · None

Adult check-in
2021-03-22
Health check-in — days 1–6 daily, dose 2
Feeling: Good · None

Adult check-in
2021-03-25
Health check-in — day 7, dose 2
Feeling: Good · None

Adult check-in
2021-03-30
Health check-in — day 14, dose 2
Feeling: Good

Adult check-in
2021-04-06
Health check-in — day 21, dose 2
Feeling: Good

Adult check-in
2021-04-13
Health check-in — day 28, dose 2
Feeling: Good

Adult check-in
2021-04-20
Health check-in — day 35, dose 2
Feeling: Good

Adult check-in
2021-04-28
Health check-in — day 42, dose 2
Feeling: Good

Adult check-in
2021-06-15
Survey response — 3 months, dose 2
MedDRA: Arthralgia, Unevaluable event — Feeling: Good · Get care from a doctor or other healthcare professional

Free text: Symptoms: joint soreness in finger and hip. · Healthcare visit (other): apt. scheduled for checkup will discuss then

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-06-15
Report sent to call center — 3 months, dose 2
Get care from a doctor or other healthcare professional

1 call case(s)
2021-06-23
Call 1 — Left Voicemail
2021-09-14
Survey response — 6 months, dose 2
MedDRA: Chest discomfort, Cough, Vertigo — Feeling: Good · Get care from a doctor or other healthcare professional · Emergency room or emergency department visit

Free text: vertigo off and onheaviness in chest after a two cough

MedDRA releases: 2024-11 · check-in free text available
2021-09-14
Report sent to call center — 6 months, dose 2
Get care from a doctor or other healthcare professional

1 call case(s)
2021-09-15
Call 1 — Left Voicemail
2021-10-24
Dose 3 — Moderna
2021-10-28
Health check-in — days 1–6 daily, dose 3
Feeling: Good · Site: Redness, Swelling · None

Adult check-in
2021-10-29
Health check-in — days 1–6 daily, dose 3
Feeling: Good · Site: Pain · None

Adult check-in
2021-10-31
Health check-in — day 7, dose 3
Feeling: Good · None

Adult check-in
2021-11-07
Health check-in — day 14, dose 3
Feeling: Good

Adult check-in
2021-11-16
Health check-in — day 21, dose 3
Feeling: Good

Adult check-in
2021-11-21
Health check-in — day 28, dose 3
Feeling: Good

Adult check-in
2021-11-28
Health check-in — day 35, dose 3
Feeling: Good

Adult check-in
2021-12-06
Survey response — day 42, dose 3
MedDRA: Hypertension — Feeling: Good

Free text: high blood pressure

MedDRA releases: 2024-11 · check-in free text available
2022-01-23
Survey response — 3 months, dose 3
MedDRA: Deafness unilateral — Feeling: Good

Free text: loss of hearing in one ear

MedDRA releases: 2024-11 · check-in free text available
2022-10-24
Survey response — 12 months, dose 3
MedDRA: Hypoaesthesia, Office visit — Feeling: Fair · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional

Free text: Symptoms: Legs are numb in morning and throughout day · Healthcare visit (other): MRI physical , pain management, therapy

MedDRA releases: 2024-11 · check-in free text available
2022-10-24
Report sent to call center — 12 months, dose 3
Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional

1 call case(s)
2022-10-25
Call 2 — Left Voicemail
2022-10-25
Call 2 — Left Voicemail
2022-10-25
Call 1 — Left Voicemail

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-02-16	Moderna
2	2021-03-16	Moderna
3	2021-10-24	Moderna	No

Call center

3 call center cases

3 unsuccessful

See the call center timeline

Free text

Release 4 — day 0, dose 1

2021-02-16

Systemic reaction (other): Num forehead

Release 4 — days 1–6 daily, dose 1

2021-02-17

Systemic reaction (other): my forehead still feels a little numb like a pins and needle feeling

2021-02-18

Systemic reaction (other): woken i woke up my lips were a littlenumb, very tired yesterday

2021-02-19

Systemic reaction (other): just numbness in forehead, lip numbness went away , forehead numbness is less very mild now

Release 5 — days 1–6 daily, dose 2

2021-03-18

Systemic reaction (other): foggy head

Release 9 — 3 months, dose 2

2021-06-15

Symptoms: joint soreness in finger and hip.

Healthcare visit (other): apt. scheduled for checkup will discuss then

Release 9 — 6 months, dose 2

2021-09-14

Symptoms: vertigo off and onheaviness in chest after a two cough

Release 10 — day 42, dose 3

2021-12-06

Symptoms: high blood pressure

Release 11 — 3 months, dose 3

2022-01-23

Symptoms: loss of hearing in one ear

Release 12 — 12 months, dose 3

2022-10-24

Symptoms: Legs are numb in morning and throughout day

Healthcare visit (other): MRI physical , pain management, therapy

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	·	·	✓
HCVO	Unevaluable event	✓	✓	✓
SD	Arthralgia	✓	✓	✓
SD	Chest discomfort	·	·	✓
SD	Cough	·	·	✓
SD	Deafness unilateral	·	·	✓
SD	Hypertension	·	·	✓
SD	Hypoaesthesia	·	·	✓
SD	Vertigo	·	·	✓
SRO	Fatigue	✓	✓	✓
SRO	Feeling abnormal	✓	✓	✓
SRO	Hypoaesthesia	✓	✓	✓
SRO	Hypoaesthesia oral	✓	✓	✓
SRO	Paraesthesia	✓	✓	✓

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