4FX-10803-80156

2 vaccinations 8 coded responses 25 check-ins 8 free-text entries 1 call case

Sex: Female
Age at first dose: 36-40
ZIP prefix: 870 / NM
Registered: 2021-07-30

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

2021-07-30
Registered in v-safe
2021-07-30
Dose 1 — Moderna
2021-07-30
Survey response — day 0, dose 1
MedDRA: Hypoaesthesia — Feeling: Good · Site: Swelling · Headache, Fatigue or tiredness, Nausea, Diarrhea, Rash, not including the immediate area around the injection site

Free text: Numbness in hands and feet

MedDRA releases: 2021-09,2024-11 · check-in free text available
2021-07-31
Survey response — days 1–6 daily, dose 1
MedDRA: Peripheral swelling, Swelling — Feeling: Good · Site: Pain, Swelling · Fatigue or tiredness, Nausea, Abdominal pain

Free text: Yesterday my left side arm, leg, foot, and neck swelled up but are normal now.

MedDRA releases: 2021-09,2024-11 · check-in free text available
2021-08-01
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Site: Pain, Itching · Fatigue or tiredness, Nausea, Abdominal pain

Adult check-in
2021-08-02
Survey response — days 1–6 daily, dose 1
MedDRA: Vision blurred — Feeling: Good · Site: Itching · Fatigue or tiredness

Free text: My vision has been a bit blurry and that has never happened to me before, I have always had excellent vision. It's getting better though.

MedDRA releases: 2021-09,2024-11 · check-in free text available
2021-08-03
Survey response — days 1–6 daily, dose 1
MedDRA: Hypersomnia, Vision blurred — Feeling: Good · Fatigue or tiredness

Free text: My blurry vision is now gone, but I have been sleeping for 12 hours

MedDRA releases: 2021-09,2024-11 · check-in free text available
2021-08-04
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Fatigue or tiredness, Diarrhea

Adult check-in
2021-08-05
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Fatigue or tiredness · Be unable to do your normal daily activities

Adult check-in
2021-08-06
Health check-in — day 7, dose 1
Feeling: Good · Site: Itching · Fatigue or tiredness

Adult check-in
2021-08-13
Survey response — day 14, dose 1
MedDRA: Rash, Vaccination site discolouration — Feeling: Good

Free text: Developed a rash on my arm that took three days to heal up and a circle around the vaccine site turned purple but also passed after three days.

MedDRA releases: 2021-09,2024-11 · check-in free text available
2021-08-20
Survey response — day 21, dose 1
MedDRA: Heart rate increased, Tremor — Feeling: Good · Be unable to do your normal daily activities

Free text: I have had off and on full body shaking and my heart rate has been kind of fast.

MedDRA releases: 2021-09,2024-11 · check-in free text available
2021-08-27
Dose 2 — Moderna
2021-08-27
Survey response — day 0, dose 2
MedDRA: Oral mucosal blistering — Feeling: Good · Site: Pain, Swelling · Muscle or body aches, Fatigue or tiredness

Free text: Small blisters in my mouth but they are fading

MedDRA releases: 2021-09,2024-11 · check-in free text available
2021-08-28
Health check-in — days 1–6 daily, dose 2
Feeling: Poor · Site: Pain, Redness, Swelling · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultation

Adult check-in
2021-08-28
Report sent to call center — days 1–6 daily, dose 2
Get care from a doctor or other healthcare professional

1 call case(s)
2021-08-29
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Redness, Swelling · Fever · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea, Diarrhea, Abdominal pain · Be unable to do your normal daily activities

Adult check-in
2021-08-30
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Site: Itching · Fatigue or tiredness, Abdominal pain

Adult check-in
2021-08-31
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Site: Pain · Fatigue or tiredness, Abdominal pain

Adult check-in
2021-09-01
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Fatigue or tiredness, Diarrhea · Be unable to do your normal daily activities

Adult check-in
2021-09-02
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Abdominal pain

Adult check-in
2021-09-03
Health check-in — day 7, dose 2
Feeling: Good · None

Adult check-in
2021-09-10
Health check-in — day 14, dose 2
Feeling: Good

Adult check-in
2021-09-17
Health check-in — day 21, dose 2
Feeling: Good

Adult check-in
2021-09-24
Health check-in — day 28, dose 2
Feeling: Good

Adult check-in
2021-10-01
Health check-in — day 35, dose 2
Feeling: Good

Adult check-in
2021-10-08
Health check-in — day 42, dose 2
Feeling: Good

Adult check-in
2021-11-26
Health check-in — 3 months, dose 2
Feeling: Good

Adult check-in
2021-12-14
Call 1 — Left Voicemail
2022-02-25
Survey response — 6 months, dose 2
MedDRA: Heart rate increased — Feeling: Good

Free text: Rapid heart rate

MedDRA releases: 2024-11 · check-in free text available

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-07-30	Moderna	No
2	2021-08-27	Moderna	No

Call center

1 call center case

1 unsuccessful

1 wait over 3 months for a first call

See the call center timeline

Free text

Release 9 — day 0, dose 1

2021-07-30

Systemic reaction (other): Numbness in hands and feet

Release 9 — days 1–6 daily, dose 1

2021-07-31

Systemic reaction (other): Yesterday my left side arm, leg, foot, and neck swelled up but are normal now.

2021-08-02

Systemic reaction (other): My vision has been a bit blurry and that has never happened to me before, I have always had excellent vision. It's getting better though.

2021-08-03

Systemic reaction (other): My blurry vision is now gone, but I have been sleeping for 12 hours

Release 9 — day 14, dose 1

2021-08-13

Symptoms: Developed a rash on my arm that took three days to heal up and a circle around the vaccine site turned purple but also passed after three days.

Release 9 — day 21, dose 1

2021-08-20

Symptoms: I have had off and on full body shaking and my heart rate has been kind of fast.

Release 9 — day 0, dose 2

2021-08-27

Systemic reaction (other): Small blisters in my mouth but they are fading

Release 11 — 6 months, dose 2

2022-02-25

Symptoms: Rapid heart rate

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	Heart rate increased	✓	·	✓
SD	Rash	✓	·	✓
SD	Tremor	✓	·	✓
SD	Vaccination site discolouration	✓	·	✓
SRO	Hypersomnia	✓	·	✓
SRO	Hypoaesthesia	✓	·	✓
SRO	Oral mucosal blistering	✓	·	✓
SRO	Peripheral swelling	✓	·	✓
SRO	Swelling	✓	·	✓
SRO	Vision blurred	✓	·	✓

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