5WV-67778-75555

2 vaccinations 10 coded responses 17 check-ins 10 free-text entries 4 call cases

Sex: Female
Age at first dose: 36-40
ZIP prefix: 325 / FL
Registered: 2021-04-11

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

2021-03-27
Dose 1 — Moderna
2021-04-11
Registered in v-safe
2021-04-11
Survey response — day 14, dose 1
MedDRA: Abdominal pain lower, Anxiety, Headache, Hypoaesthesia, Paraesthesia — Feeling: Poor · Be unable to work, Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultation, Outpatient clinic or urgent care clinic visit, Emergency room or emergency department visit

Free text: Headaches, facial numbness, tingling scalp, arm paresthesia, anxiety, pain in right lower abdomen

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-11
Report sent to call center — day 14, dose 1
Be unable to work · Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional

1 call case(s)
2021-04-17
Survey response — day 21, dose 1
MedDRA: Chest pain — Feeling: Fair · 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: Chest pain

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-17
Report sent to call center — day 21, dose 1
Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional

1 call case(s)
2021-04-24
Dose 2 — Moderna
2021-04-24
Health check-in — day 0, dose 2
Feeling: Fair · Site: Pain · Headache, Fatigue or tiredness

Adult check-in
2021-04-25
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Site: Pain, Redness, Swelling · Fatigue or tiredness

Adult check-in
2021-04-26
Survey response — days 1–6 daily, dose 2
MedDRA: Electric shock sensation, Headache — Feeling: Good · Site: Pain, Redness, Swelling · Headache, Nausea

Free text: The headaches are like brain zaps

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-27
Survey response — days 1–6 daily, dose 2
MedDRA: Paraesthesia — Feeling: Fair · Site: Pain · Headache

Free text: Tingling head

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-28
Survey response — days 1–6 daily, dose 2
MedDRA: Paraesthesia — Feeling: Fair · Headache

Free text: Tingling head

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-30
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Headache, Muscle or body aches

Adult check-in
2021-05-01
Survey response — day 7, dose 2
MedDRA: Injection site bruising — Feeling: Good

Free text: Bad bruise at injection site

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-08
Health check-in — day 14, dose 2
Feeling: Good

Adult check-in
2021-05-15
Health check-in — day 21, dose 2
Feeling: Good

Adult check-in
2021-05-22
Survey response — day 28, dose 2
MedDRA: Paraesthesia — Feeling: Fair · 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: The tingling of the arms legs and scalp/face.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-22
Report sent to call center — day 28, dose 2
Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional

1 call case(s)
2021-05-29
Survey response — day 35, dose 2
MedDRA: Paraesthesia — Feeling: Fair · Be unable to do your normal daily activities

Free text: I've had tingling in my head, arms, and legs for most days since the 1st vaccine. The tingling moved to my feet and hands this week.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-06-05
Survey response — day 42, dose 2
MedDRA: Paraesthesia — Feeling: Fair

Free text: The tingling of my arms, legs, and scalp has moved to hands and feet as well.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-07-24
Survey response — 3 months, dose 2
MedDRA: Encephalomyelitis, Guillain-Barre syndrome, Office visit, Pain of skin, Paraesthesia, Tremor — 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, Outpatient clinic or urgent care clinic visit

Free text: Tingling and vibrating of extremeties. stinging sensation on skin. Neurologist thinks I had encephalomyelitis or GBS. When are you going to call me to discuss??

MedDRA releases: 2021-09,2024-11 · check-in free text available
2021-07-24
Report sent to call center — 3 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

1 call case(s)
2021-07-29
Call successful
Participant prefers to complete VAERS report online
2021-10-25
Health check-in — 6 months, dose 2
Feeling: Fair

Adult check-in
2022-04-24
Health check-in — 12 months, dose 2
Feeling: Fair

Adult check-in

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-03-27	Moderna
2	2021-04-24	Moderna

Call center

4 call center cases

4 successful

See the call center timeline

Free text

Release 7 — day 14, dose 1

2021-04-11

Symptoms: Headaches, facial numbness, tingling scalp, arm paresthesia, anxiety, pain in right lower abdomen

Release 7 — day 21, dose 1

2021-04-17

Symptoms: Chest pain

Release 8 — days 1–6 daily, dose 2

2021-04-26

Systemic reaction (other): The headaches are like brain zaps

2021-04-27

Systemic reaction (other): Tingling head

2021-04-28

Systemic reaction (other): Tingling head

Release 8 — day 7, dose 2

2021-05-01

Systemic reaction (other): Bad bruise at injection site

Release 8 — day 28, dose 2

2021-05-22

Symptoms: The tingling of the arms legs and scalp/face.

Release 8 — day 35, dose 2

2021-05-29

Symptoms: I've had tingling in my head, arms, and legs for most days since the 1st vaccine. The tingling moved to my feet and hands this week.

Release 8 — day 42, dose 2

2021-06-05

Symptoms: The tingling of my arms, legs, and scalp has moved to hands and feet as well.

Release 9 — 3 months, dose 2

2021-07-24

Symptoms: Tingling and vibrating of extremeties. stinging sensation on skin. Neurologist thinks I had encephalomyelitis or GBS. When are you going to call me to discuss??

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	Abdominal pain lower	✓	✓	✓
SD	Anxiety	✓	✓	✓
SD	Chest pain	✓	✓	✓
SD	Encephalomyelitis	✓	·	✓
SD	Guillain-Barre syndrome	✓	·	✓
SD	Headache	✓	✓	✓
SD	Hypoaesthesia	✓	✓	✓
SD	Office visit	✓	·	✓
SD	Pain of skin	✓	·	✓
SD	Paraesthesia	✓	✓	✓
SD	Tremor	✓	·	✓
SRO	Electric shock sensation	✓	✓	✓
SRO	Headache	✓	✓	✓
SRO	Injection site bruising	✓	✓	✓
SRO	Paraesthesia	✓	✓	✓

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