4TN-95303-10413

2 vaccinations 10 coded responses 13 check-ins 10 free-text entries 1 call case

Sex: Female
Age at first dose: 61-65
ZIP prefix: 078 / NJ
Registered: 2021-02-26

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

2021-01-21
Dose 1 — Moderna
2021-02-24
Dose 2 — Moderna
2021-02-26
Registered in v-safe
2021-02-26
Survey response — days 1–6 daily, dose 2
MedDRA: Paraesthesia — Feeling: Fair · Site: Swelling · Fever · Chills, Headache, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Free text: Symptoms aforementioned were severe yesterday 2/25/21. I was able to get to bathroom only all day yesterday. Also had paresthesia in left arm distally to the fingers. Today 2/26/21 all easing up and feeling much better.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-27
Survey response — days 1–6 daily, dose 2
MedDRA: Erythema, Eyelid oedema, Hordeolum, Scab, Self-medication — Feeling: Good · Fever · Chills · Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultation

Free text: Stye => lower, outer right eye. Severe edema, redness, crusty exudate early this morning. Treating with Tobramycin and warm compresses. Dissipating thru the day/evening. I am a RN of 47 years. This 2nd Covid Moderna injection had been an incredible challenge! I am otherwise totally healthy, on no meds, have not had any health encounters in my entire life than well visit checks and routine annual exams.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-27
Report sent to call center — days 1–6 daily, dose 2
Get care from a doctor or other healthcare professional

1 call case(s)
2021-02-28
Survey response — days 1–6 daily, dose 2
MedDRA: Erythema, Hordeolum, Hyposmia, Oedema — Feeling: Fair · Site: Swelling · Fever · Chills, Headache · Be unable to do your normal daily activities

Free text: Stye of left outer eye continues - however, edema, redness & exudate diminishing. Continue with Tobramycin & warm compresses

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-01
Survey response — days 1–6 daily, dose 2
MedDRA: Muscular weakness — Feeling: Fair · Fever · Chills, Muscle or body aches · Be unable to do your normal daily activities

Free text: Weakness upper legs

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-02
Survey response — days 1–6 daily, dose 2
MedDRA: Hordeolum, Oedema — Feeling: Fair · Fever · Chills, Fatigue or tiredness · Be unable to do your normal daily activities

Free text: Left eye stye / edema persists - however, diminishing.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-03
Survey response — day 7, dose 2
MedDRA: Hordeolum — Feeling: Fair · Chills, Fatigue or tiredness

Free text: Stye/swelling left eye almost resolved.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-10
Health check-in — day 14, dose 2
Feeling: Good

Adult check-in
2021-03-17
Survey response — day 21, dose 2
MedDRA: Asthenia, Paraesthesia — Feeling: Good

Free text: Paresthesia in left arm from shoulder to 2 middle fingers. Blanche return weak on 2 middle fingers. Both symptoms had been improving - now with increased intensity in the past couple of days.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-24
Survey response — day 28, dose 2
MedDRA: Paraesthesia, Sluggishness — Feeling: Good · Be unable to do your normal daily activities

Free text: Continue to have paresthesia in left arm (where I received both vaccines) increased intensity for the past 2 days; extends from left shoulder thru 3rd and 4 th fingers. Also with sluggish blanch return in 3rd and 4th fingers.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-31
Survey response — day 35, dose 2
MedDRA: Paraesthesia, Sluggishness — Feeling: Fair · Be unable to do your normal daily activities

Free text: Paresthesia continues in left arm extending thru 3rd / 4th fingers -increasing with increased activity. Blanch return remains sluggish in left 3rd/4th fingers.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-07
Survey response — day 42, dose 2
MedDRA: Injection site paraesthesia — Feeling: Fair · Be unable to do your normal daily activities

Free text: Paresthesia continues in left arm -site of injection - to 3rd & 4th fingers. Diminished blanch return in 3rd & 4th fingers. Intermittently increased with dependency and positioning.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-08-27
Health check-in — 6 months, dose 2
Feeling: Good

Adult check-in
2021-09-07
Call 1 — Left Voicemail
2022-02-24
Health check-in — 12 months, dose 2
Feeling: Good

Adult check-in

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-01-21	Moderna
2	2021-02-24	Moderna

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 4 — days 1–6 daily, dose 2

2021-02-26

Systemic reaction (other): Symptoms aforementioned were severe yesterday 2/25/21. I was able to get to bathroom only all day yesterday. Also had paresthesia in left arm distally to the fingers. Today 2/26/21 all easing up and feeling much better.

2021-02-27

Systemic reaction (other): Stye => lower, outer right eye. Severe edema, redness, crusty exudate early this morning. Treating with Tobramycin and warm compresses. Dissipating thru the day/evening. I am a RN of 47 years. This 2nd Covid Moderna injection had been an incredible challenge! I am otherwise totally healthy, on no meds, have not had any health encounters in my entire life than well visit checks and routine annual exams.

2021-02-28

Systemic reaction (other): Stye of left outer eye continues - however, edema, redness & exudate diminishing. Continue with Tobramycin & warm compresses

2021-03-01

Systemic reaction (other): Weakness upper legs

2021-03-02

Systemic reaction (other): Left eye stye / edema persists - however, diminishing.

Release 5 — day 7, dose 2

2021-03-03

Systemic reaction (other): Stye/swelling left eye almost resolved.

Release 5 — day 21, dose 2

2021-03-17

Symptoms: Paresthesia in left arm from shoulder to 2 middle fingers. Blanche return weak on 2 middle fingers. Both symptoms had been improving - now with increased intensity in the past couple of days.

Release 6 — day 28, dose 2

2021-03-24

Symptoms: Continue to have paresthesia in left arm (where I received both vaccines) increased intensity for the past 2 days; extends from left shoulder thru 3rd and 4 th fingers. Also with sluggish blanch return in 3rd and 4th fingers.

Release 6 — day 35, dose 2

2021-03-31

Symptoms: Paresthesia continues in left arm extending thru 3rd / 4th fingers -increasing with increased activity. Blanch return remains sluggish in left 3rd/4th fingers.

Release 7 — day 42, dose 2

2021-04-07

Symptoms: Paresthesia continues in left arm -site of injection - to 3rd & 4th fingers. Diminished blanch return in 3rd & 4th fingers. Intermittently increased with dependency and positioning.

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	Asthenia	✓	✓	✓
SD	Injection site paraesthesia	✓	✓	✓
SD	Paraesthesia	✓	✓	✓
SD	Sluggishness	✓	✓	✓
SRO	Erythema	✓	✓	✓
SRO	Eyelid oedema	✓	✓	✓
SRO	Hordeolum	✓	✓	✓
SRO	Hyposmia	✓	✓	✓
SRO	Muscular weakness	✓	✓	✓
SRO	Oedema	✓	✓	✓
SRO	Paraesthesia	✓	✓	✓
SRO	Scab	✓	✓	✓
SRO	Self-medication	✓	✓	✓

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