57Z-33568-40502

4 vaccinations 8 coded responses 39 check-ins 8 free-text entries 1 call case

Sex: Female
Age at first dose: 61-65
ZIP prefix: 440 / OH
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: Fair · Site: Pain · Chills, Fatigue or tiredness, Nausea · Be unable to work, Be unable to do your normal daily activities

Adult check-in
2020-12-30
Report sent to call center — days 1–6 daily, dose 1
Be unable to work · Be unable to do your normal daily activities

1 call case(s)
2020-12-31
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Site: Pain · None

Adult check-in
2021-01-01
Health check-in — days 1–6 daily, dose 1
Feeling: Good · 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
Health check-in — day 7, dose 1
Feeling: Good · None

Adult check-in
2021-01-13
Health check-in — day 14, dose 1
Feeling: Good

Adult check-in
2021-01-19
Health check-in — day 21, dose 1
Feeling: Good

Adult check-in
2021-01-26
Dose 2 — Moderna
2021-01-26
Survey response — day 0, dose 2
MedDRA: Paraesthesia — Feeling: Fair · Site: Pain · Chills, Headache, Fatigue or tiredness

Free text: Tingling in my feet

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-27
Survey response — days 1–6 daily, dose 2
MedDRA: Paraesthesia — Feeling: Poor · Site: Pain · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea, Vomiting, Abdominal pain · Be unable to work, Be unable to do your normal daily activities

Free text: Tingling in feet and hand of arm injected.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-28
Survey response — days 1–6 daily, dose 2
MedDRA: Paraesthesia — Feeling: Poor · Site: Pain · Headache, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to work, Be unable to do your normal daily activities

Free text: Feet tingling

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-29
Survey response — days 1–6 daily, dose 2
MedDRA: Hypoaesthesia, Paraesthesia — Feeling: Fair · Site: Pain · Chills, Muscle or body aches, Fatigue or tiredness, Nausea, Diarrhea · Be unable to work

Free text: Numbness and tingling in the hand of the injection arm.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-30
Survey response — days 1–6 daily, dose 2
MedDRA: Condition aggravated, Hypoaesthesia, Neuropathy peripheral, Paraesthesia, Pre-existing disease — Feeling: Fair · Site: Pain · Chills, Muscle or body aches, Fatigue or tiredness, Nausea, Abdominal pain · Be unable to work, Be unable to do your normal daily activities

Free text: Tingling neuropathy in feet. This began with a viral syndrome 11 months ago but worsened after the second vaccine. Hand numbness and tingling began after second vaccine. This is moderate intensity.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-31
Survey response — days 1–6 daily, dose 2
MedDRA: Paraesthesia — Feeling: Fair · Site: Pain · Fatigue or tiredness, Nausea · Be unable to do your normal daily activities

Free text: Tingling left hand and feet

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-01
Health check-in — days 1–6 daily, dose 2
Feeling: Poor · Chills, Headache, Fatigue or tiredness, Nausea · Be unable to do your normal daily activities

Adult check-in
2021-02-02
Health check-in — day 7, dose 2
Feeling: Fair · Chills, Headache, Fatigue or tiredness, Nausea

Adult check-in
2021-02-09
Health check-in — day 14, dose 2
Feeling: Fair

Adult check-in
2021-02-16
Health check-in — day 21, dose 2
Feeling: Good

Adult check-in
2021-02-23
Health check-in — day 28, dose 2
Feeling: Good

Adult check-in
2021-03-02
Health check-in — day 35, dose 2
Feeling: Good

Adult check-in
2021-03-10
Health check-in — day 42, dose 2
Feeling: Good

Adult check-in
2021-04-28
Health check-in — 3 months, dose 2
Feeling: Good

Adult check-in
2021-07-28
Health check-in — 6 months, dose 2
Feeling: Good

Adult check-in
2021-11-09
Dose 3 — Moderna
2022-01-26
Health check-in — 12 months, dose 2
Feeling: Good

Adult check-in
2022-04-30
Dose 4 — Pfizer-BioNTech
2022-05-01
Health check-in — days 1–6 daily, dose 4
Feeling: Poor · Site: Pain · Chills, Headache, Fatigue or tiredness, Nausea · Be unable to do your normal daily activities

Adult check-in
2022-05-03
Health check-in — days 1–6 daily, dose 4
Feeling: Good · None

Adult check-in
2022-05-05
Health check-in — days 1–6 daily, dose 4
Feeling: Good · None

Adult check-in
2022-05-06
Health check-in — days 1–6 daily, dose 4
Feeling: Good · None

Adult check-in
2022-05-08
Survey response — day 7, dose 4
MedDRA: COVID-19, Decreased appetite, Fatigue, Paraesthesia — Feeling: Fair · Fatigue or tiredness

Free text: The past few days fatigue and the tingling sensations in my feet that I have had after COVID and all the COVID vaccines. Also loss of appetite that has occurred after all vaccines and COVID.

MedDRA releases: 2024-11 · check-in free text available
2022-05-16
Health check-in — day 14, dose 4
Feeling: Good

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

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

Adult check-in
2022-06-04
Health check-in — day 35, dose 4
Feeling: Good

Adult check-in
2022-06-11
Health check-in — day 42, dose 4
Feeling: Good

Adult check-in
2022-07-30
Health check-in — 3 months, dose 4
Feeling: Good

Adult check-in
2022-10-29
Survey response — 6 months, dose 4
MedDRA: Epistaxis — Feeling: Good

Free text: Day 10 after the vaccine I got a bloody nose off and on during the day.

MedDRA releases: 2024-11 · check-in free text available
2023-05-02
Health check-in — 12 months, dose 4
Feeling: Good

Adult check-in

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2020-12-29	Moderna
2	2021-01-26	Moderna
3	2021-11-09	Moderna	No
4	2022-04-30	Pfizer-BioNTech	No

Call center

1 call center case

1 priority 2/3 (triaged and no follow up)

See the call center timeline

Free text

Release 2 — day 0, dose 2

2021-01-26

Systemic reaction (other): Tingling in my feet

Release 2 — days 1–6 daily, dose 2

2021-01-27

Systemic reaction (other): Tingling in feet and hand of arm injected.

2021-01-28

Systemic reaction (other): Feet tingling

Release 3 — days 1–6 daily, dose 2

2021-01-29

Systemic reaction (other): Numbness and tingling in the hand of the injection arm.

2021-01-30

Systemic reaction (other): Tingling neuropathy in feet. This began with a viral syndrome 11 months ago but worsened after the second vaccine. Hand numbness and tingling began after second vaccine. This is moderate intensity.

2021-01-31

Systemic reaction (other): Tingling left hand and feet

Release 11 — day 7, dose 4

2022-05-08

Systemic reaction (other): The past few days fatigue and the tingling sensations in my feet that I have had after COVID and all the COVID vaccines. Also loss of appetite that has occurred after all vaccines and COVID.

Release 12 — 6 months, dose 4

2022-10-29

Symptoms: Day 10 after the vaccine I got a bloody nose off and on during the day.

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	Epistaxis	·	·	✓
SRO	Condition aggravated	✓	✓	✓
SRO	COVID-19	·	·	✓
SRO	Decreased appetite	·	·	✓
SRO	Fatigue	·	·	✓
SRO	Hypoaesthesia	✓	✓	✓
SRO	Neuropathy peripheral	✓	✓	✓
SRO	Paraesthesia	✓	✓	✓
SRO	Pre-existing disease	✓	✓	✓

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