4CF-28179-16852

2 vaccinations 6 coded responses 21 check-ins 6 free-text entries 2 call cases

Sex: Female
Age at first dose: 46-50
ZIP prefix: 645 / MO
Registered: 2020-12-29

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

2020-12-29
Registered in v-safe
2020-12-29
Dose 1 — Moderna
2020-12-29
Health check-in — day 0, dose 1
Feeling: Good · Site: Pain · None

Adult check-in
2020-12-30
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Site: Pain, Redness, Swelling · None

Adult check-in
2020-12-31
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Site: Pain, Redness, Swelling, Itching · None

Adult check-in
2021-01-01
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Site: Swelling, Itching · None

Adult check-in
2021-01-02
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-01-03
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-01-04
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-01-05
Survey response — day 7, dose 1
MedDRA: Axillary pain — Feeling: Good · Site: Redness, Swelling, Itching

Free text: Been having some pain in axillary area of arm I received shot, maybe lymph node. I would call it mild.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-12
Health check-in — day 14, dose 1
Feeling: Good

Adult check-in
2021-01-23
Health check-in — day 21, dose 1
Feeling: Good

Adult check-in
2021-01-27
Dose 2 — Moderna
2021-01-27
Health check-in — day 0, dose 2
Feeling: Good · Site: Redness · None

Adult check-in
2021-01-28
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Pain, Redness · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness

Adult check-in
2021-01-30
Health check-in — days 1–6 daily, dose 2
Feeling: Good · None

Adult check-in
2021-01-31
Survey response — days 1–6 daily, dose 2
MedDRA: Paraesthesia — Feeling: Good · Diarrhea

Free text: Some tingling in shoulders, neck, and back.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-01
Survey response — days 1–6 daily, dose 2
MedDRA: Paraesthesia — Feeling: Good · Chills, Muscle or body aches

Free text: Tingling in legs off and on and some tingling in neck and shoulders off and on

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-02
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Joint pains, Muscle or body aches

Adult check-in
2021-02-03
Health check-in — day 7, dose 2
Feeling: Good · Joint pains, Muscle or body aches

Adult check-in
2021-02-10
Survey response — day 14, dose 2
MedDRA: Arthralgia, Paraesthesia — Feeling: Good

Free text: Having tingling in my feet and legs and some knee pain. It comes and goes. Also some tingling in neck and shoulder area that comes and goes

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-17
Health check-in — day 21, dose 2
Feeling: Good

Adult check-in
2021-03-12
Survey response — day 42, dose 2
MedDRA: Myalgia, Paraesthesia — Feeling: Fair · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit

Free text: Still having muscle pain, tingling in ankles, legs, upper body. It comes and goes. Not constant but has been going on for about 4 weeks. Have been referred to neurology. Couldn't get appt for 4 weeks out. see them 4/19

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-12
Report sent to call center — day 42, dose 2
Get care from a doctor or other healthcare professional

1 call case(s)
2021-05-04
Survey response — 3 months, dose 2
MedDRA: Arthralgia, Headache, Muscle tightness, Neurological symptom, Paraesthesia — Feeling: Fair · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit

Free text: Still having tingling, pain in joints, tightness in lower jaw, tingling in lower face, localized headaches. Feel like just having lots of neurological symptoms Going to see neurologist 5/11/21. I did not have these problems prior to the vaccination

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-04
Report sent to call center — 3 months, dose 2
Get care from a doctor or other healthcare professional

1 call case(s)
2021-12-16
Call 1 — Left Voicemail
2021-12-16
Call successful
Does not wish to fill out VAERS report

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2020-12-29	Moderna
2	2021-01-27	Moderna

Call center

2 call center cases

2 successful

1 wait over 3 months for a first call

See the call center timeline

Free text

Release 1 — day 7, dose 1

2021-01-05

Systemic reaction (other): Been having some pain in axillary area of arm I received shot, maybe lymph node. I would call it mild.

Release 3 — days 1–6 daily, dose 2

2021-01-31

Systemic reaction (other): Some tingling in shoulders, neck, and back.

2021-02-01

Systemic reaction (other): Tingling in legs off and on and some tingling in neck and shoulders off and on

Release 4 — day 14, dose 2

2021-02-10

Symptoms: Having tingling in my feet and legs and some knee pain. It comes and goes. Also some tingling in neck and shoulder area that comes and goes

Release 5 — day 42, dose 2

2021-03-12

Symptoms: Still having muscle pain, tingling in ankles, legs, upper body. It comes and goes. Not constant but has been going on for about 4 weeks. Have been referred to neurology. Couldn't get appt for 4 weeks out. see them 4/19

Release 8 — 3 months, dose 2

2021-05-04

Symptoms: Still having tingling, pain in joints, tightness in lower jaw, tingling in lower face, localized headaches. Feel like just having lots of neurological symptoms Going to see neurologist 5/11/21. I did not have these problems prior to the vaccination cut off by CDC

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	Arthralgia	✓	✓	✓
SD	Headache	✓	✓	✓
SD	Muscle tightness	✓	✓	✓
SD	Myalgia	✓	✓	✓
SD	Neurological symptom	✓	✓	✓
SD	Paraesthesia	✓	✓	✓
SRO	Axillary pain	✓	✓	✓
SRO	Paraesthesia	✓	✓	✓

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