59W-74987-06862

3 vaccinations 5 coded responses 21 check-ins 5 free-text entries 2 call cases

Sex: Female
Age at first dose: 26-30
ZIP prefix: 015 / MA
Registered: 2021-04-22

Relationship: Self
Race: Asian
Ethnicity: Not Hispanic or Latino

Timeline

Registration Vaccinations Survey responses Call reports Cases without a report Call attempts Call successful Pregnancy survey

2021-04-22
Registered in v-safe
2021-04-22
Dose 1 — Moderna
2021-04-22
Health check-in — day 0, dose 1
Feeling: Good · Site: Pain · Muscle or body aches, Nausea

Adult check-in
2021-04-24
Survey response — days 1–6 daily, dose 1
MedDRA: Adverse reaction — Feeling: Fair · Fever · Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Free text: My left was paralyzed for about half a day and overnight one day after the first vaccine.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-25
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Headache, Muscle or body aches

Adult check-in
2021-04-26
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Site: Pain · Headache · Be unable to work, Be unable to do your normal daily activities

Adult check-in
2021-04-29
Health check-in — day 7, dose 1
Feeling: Good · Site: Pain, Swelling · Fatigue or tiredness

Adult check-in
2021-05-06
Health check-in — day 14, dose 1
Feeling: Fair

Adult check-in
2021-05-15
Health check-in — day 21, dose 1
Feeling: Good

Adult check-in
2021-05-20
Dose 2 — Moderna
2021-05-20
Survey response — day 0, dose 2
MedDRA: Somnolence — Feeling: Fair · Site: Pain · Muscle or body aches, Fatigue or tiredness · Be unable to work, Be unable to do your normal daily activities

Free text: Drowsiness

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-21
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Pain · Fever · Headache, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Adult check-in
2021-05-22
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Pain · Fever · Muscle or body aches, Fatigue or tiredness

Adult check-in
2021-05-25
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Pain · Headache, Muscle or body aches

Adult check-in
2021-05-26
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Pain · Headache, Fatigue or tiredness · Be unable to work, Be unable to do your normal daily activities

Adult check-in
2021-05-27
Health check-in — day 7, dose 2
Feeling: Fair · Site: Pain · Headache

Adult check-in
2021-06-12
Health check-in — day 21, dose 2
Feeling: Fair

Adult check-in
2021-06-17
Health check-in — day 28, dose 2
Feeling: Good

Adult check-in
2021-06-24
Survey response — day 35, dose 2
MedDRA: Aphasia, Cognitive disorder, Emotional distress, Insomnia, Language disorder, Mental impairment, Pre-existing disease, Soliloquy, Therapeutic response unexpected — Feeling: Fair · Be unable to work or attend school, Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultation

Free text: Prior to vaccination there was vocalized internal dialogue which has subsided tremendously, there was also assitantance with sleep with melatonin, difficulty regulating emotional outbursts and decision making, language difficulties spelling, speech..

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-06-24
Report sent to call center — day 35, dose 2
Be unable to work or attend school · Be unable to do your normal daily activities · Get care from a doctor or other healthcare pr

1 call case(s)
2021-06-30
Call 1 — Left Voicemail
2021-07-01
Health check-in — day 42, dose 2
Feeling: Fair

Adult check-in
2021-08-19
Health check-in — 3 months, dose 2
Feeling: Good

Adult check-in
2021-11-18
Survey response — 6 months, dose 2
MedDRA: Musculoskeletal disorder, Office visit, Paralysis, Peripheral paralysis — Feeling: Fair · Be unable to work or attend school, Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultation

Free text: Symptoms: I lost my use of my legs for about 5 secs while I was jogging. Temporary paralysis and partial paralysis on my left shoulder where the vaccine shot was given. · Healthcare visit (other): Neurologist and Primary Care

MedDRA releases: 2024-11 · check-in free text available
2021-11-18
Report sent to call center — 6 months, dose 2
Be unable to work or attend school · Be unable to do your normal daily activities · Get care from a doctor or other healthcare pr

Telehealth, virtual health, or email health consultation · 1 call case(s)
2021-11-22
Call 1 — Left Voicemail
2022-01-15
Dose 3 — Moderna
2022-07-17
Survey response — 6 months, dose 3
MedDRA: Depression, Office visit, Suicidal ideation — Feeling: Fair · Be unable to work or attend school, Be unable to do your normal daily activities

Free text: Severe depression and suicidal thoughts. Sought healthcare provider.

MedDRA releases: 2024-11 · check-in free text available
2023-01-15
Health check-in — 12 months, dose 3
Feeling: Fair

Adult check-in

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-04-22	Moderna
2	2021-05-20	Moderna
3	2022-01-15	Moderna	No

Call center

2 call center cases

1 successful · 1 unsuccessful

See the call center timeline

Free text

Release 7 — days 1–6 daily, dose 1

2021-04-24

Systemic reaction (other): My left was paralyzed for about half a day and overnight one day after the first vaccine.

Release 8 — day 0, dose 2

2021-05-20

Systemic reaction (other): Drowsiness

Release 9 — day 35, dose 2

2021-06-24

Symptoms: Prior to vaccination there was vocalized internal dialogue which has subsided tremendously, there was also assitantance with sleep with melatonin, difficulty regulating emotional outbursts and decision making, language difficulties spelling, speech.. cut off by CDC

Release 10 — 6 months, dose 2

2021-11-18

Symptoms: I lost my use of my legs for about 5 secs while I was jogging. Temporary paralysis and partial paralysis on my left shoulder where the vaccine shot was given.

Healthcare visit (other): Neurologist and Primary Care

Release 12 — 6 months, dose 3

2022-07-17

Symptoms: Severe depression and suicidal thoughts. Sought healthcare provider.

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	·	·	✓
SD	Aphasia	○	✓	○
SD	Cognitive disorder	✓	·	✓
SD	Depression	·	·	✓
SD	Emotional distress	✓	✓	✓
SD	Insomnia	✓	·	✓
SD	Language disorder	✓	✓	✓
SD	Mental impairment	✓	✓	✓
SD	Musculoskeletal disorder	·	·	✓
SD	Office visit	·	·	✓
SD	Paralysis	·	·	✓
SD	Peripheral paralysis	·	·	✓
SD	Pre-existing disease	○	✓	○
SD	Soliloquy	✓	·	✓
SD	Suicidal ideation	·	·	✓
SD	Therapeutic response unexpected	○	✓	○
SRO	Adverse reaction	✓	✓	✓
SRO	Somnolence	✓	✓	✓

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