5VY-97402-95958

2 vaccinations 10 coded responses 23 check-ins 10 free-text entries 2 call cases

Sex: Female
Age at first dose: 26-30
ZIP prefix: 038 / NH
Registered: 2021-01-27

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

2021-01-26
Dose 1 — Moderna
2021-01-27
Registered in v-safe
2021-01-27
Survey response — days 1–6 daily, dose 1
MedDRA: Feeling abnormal, Hyperhidrosis, Pyrexia — Feeling: Poor · Site: Pain · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea, Abdominal pain · Be unable to do your normal daily activities

Free text: sweats, fever, brain fog

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-28
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Site: Pain · Diarrhea

Adult check-in
2021-01-29
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-01-30
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Chills

Adult check-in
2021-01-31
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-02-01
Survey response — days 1–6 daily, dose 1
MedDRA: Oropharyngeal pain — Feeling: Fair · Headache, Joint pains, Fatigue or tiredness · Be unable to do your normal daily activities

Free text: sore throat

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-02
Survey response — day 7, dose 1
MedDRA: Oropharyngeal pain — Feeling: Fair · Headache, Fatigue or tiredness

Free text: sore throat

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-09
Survey response — day 14, dose 1
MedDRA: Nasopharyngitis, Neck pain — Feeling: Fair · Be unable to do your normal daily activities

Free text: feel like i have a coldworsening neck pain

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-16
Survey response — day 21, dose 1
MedDRA: Fatigue, Feeling abnormal — Feeling: Fair · Be unable to do your normal daily activities

Free text: relentless fatigue, brain fog

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-23
Health check-in — day 28, dose 1
Feeling: Good

Adult check-in
2021-02-24
Dose 2 — Moderna
2021-02-27
Survey response — days 1–6 daily, dose 2
MedDRA: Fatigue — Feeling: Fair · Site: Pain · Headache, Joint pains, Muscle or body aches, Nausea, Diarrhea

Free text: worn out

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-28
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Joint pains, Nausea, Diarrhea, Abdominal pain

Adult check-in
2021-03-01
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Joint pains, Diarrhea

Adult check-in
2021-03-02
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Fatigue or tiredness, Diarrhea

Adult check-in
2021-03-03
Health check-in — day 7, dose 2
Feeling: Good · Diarrhea

Adult check-in
2021-03-10
Health check-in — day 14, dose 2
Feeling: Good

Adult check-in
2021-03-17
Health check-in — day 21, dose 2
Feeling: Good

Adult check-in
2021-03-24
Health check-in — day 28, dose 2
Feeling: Good

Adult check-in
2021-03-31
Health check-in — day 35, dose 2
Feeling: Good

Adult check-in
2021-04-07
Survey response — day 42, dose 2
MedDRA: Burning sensation, Fatigue, Hypoaesthesia, Pain in extremity, Paraesthesia — Feeling: Poor · Be unable to do your normal daily activities

Free text: im extremely fatigued beyond any normal limit, and i have developed new burning and tingling pain and numbness in my hands and feet. this has slowly worsened over the last month or so

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-28
Survey response — 3 months, dose 2
MedDRA: Medical counselling, Neuralgia — Feeling: Poor · Get care from a doctor or other healthcare professional

Free text: Symptoms: since my second dose i developed nerve pain in hands and feet · Healthcare visit (other): consult in person

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-28
Report sent to call center — 3 months, dose 2
Get care from a doctor or other healthcare professional

1 call case(s)
2021-08-27
Survey response — 6 months, dose 2
MedDRA: Adverse reaction, Pre-existing disease — Feeling: Fair · Be unable to do your normal daily activities

Free text: new systemic symptoms, unspecified possibly autoimmune or worsening of EDS

MedDRA releases: 2021-09,2024-11 · check-in free text available
2022-02-24
Survey response — 12 months, dose 2
MedDRA: Pleurisy — Feeling: Poor · 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: pleurisy among other things

MedDRA releases: 2024-11 · check-in free text available
2022-02-24
Report sent to call center — 12 months, dose 2
Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional

Telehealth, virtual health, or email health consultation · 1 call case(s)
2022-02-25
Call successful
Not applicable (accidental reporting or does not believe symptoms are related to vaccine)

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-01-26	Moderna
2	2021-02-24	Moderna

Call center

2 call center cases

2 successful

See the call center timeline

Free text

Release 2 — days 1–6 daily, dose 1

2021-01-27

Systemic reaction (other): sweats, fever, brain fog

Release 3 — days 1–6 daily, dose 1

2021-02-01

Systemic reaction (other): sore throat

Release 3 — day 7, dose 1

2021-02-02

Systemic reaction (other): sore throat

Release 3 — day 14, dose 1

2021-02-09

Symptoms: feel like i have a coldworsening neck pain

Release 4 — day 21, dose 1

2021-02-16

Symptoms: relentless fatigue, brain fog

Release 4 — days 1–6 daily, dose 2

2021-02-27

Systemic reaction (other): worn out

Release 7 — day 42, dose 2

2021-04-07

Symptoms: im extremely fatigued beyond any normal limit, and i have developed new burning and tingling pain and numbness in my hands and feet. this has slowly worsened over the last month or so

Release 8 — 3 months, dose 2

2021-05-28

Symptoms: since my second dose i developed nerve pain in hands and feet

Healthcare visit (other): consult in person

Release 9 — 6 months, dose 2

2021-08-27

Symptoms: new systemic symptoms, unspecified possibly autoimmune or worsening of EDS

Release 11 — 12 months, dose 2

2022-02-24

Symptoms: pleurisy among other things

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	Medical counselling	✓	✓	✓
SD	Adverse reaction	✓	·	✓
SD	Burning sensation	✓	✓	✓
SD	Fatigue	✓	✓	✓
SD	Feeling abnormal	✓	✓	✓
SD	Hypoaesthesia	✓	✓	✓
SD	Nasopharyngitis	✓	✓	✓
SD	Neck pain	✓	✓	✓
SD	Neuralgia	✓	✓	✓
SD	Pain in extremity	✓	✓	✓
SD	Paraesthesia	✓	✓	✓
SD	Pleurisy	·	·	✓
SD	Pre-existing disease	✓	·	✓
SRO	Fatigue	✓	✓	✓
SRO	Feeling abnormal	✓	✓	✓
SRO	Hyperhidrosis	✓	✓	✓
SRO	Oropharyngeal pain	✓	✓	✓
SRO	Pyrexia	✓	✓	✓

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