5Y3-33909-94047

2 vaccinations 10 coded responses 15 check-ins 10 free-text entries 2 call cases

Sex: Female
Age at first dose: 51-55
ZIP prefix: 508 / IA
Registered: 2021-01-20

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

2021-01-19
Dose 1 — Moderna
2021-01-20
Registered in v-safe
2021-01-20
Survey response — days 1–6 daily, dose 1
MedDRA: Injection site pain — Feeling: Good · Site: Swelling

Free text: Tenderness at injection site

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-22
Survey response — days 1–6 daily, dose 1
MedDRA: Hyperhidrosis — Feeling: Good · Site: Pain

Free text: Exess sweats

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-23
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Adult check-in
2021-01-24
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Muscle or body aches

Adult check-in
2021-01-25
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-02-16
Dose 2 — Moderna
2021-02-16
Survey response — day 0, dose 2
MedDRA: Pruritus — Feeling: Good · Site: Pain

Free text: Itching all over body

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-17
Survey response — days 1–6 daily, dose 2
MedDRA: Hot flush — Feeling: Poor · Site: Pain, Itching · Fever · Chills, Headache, Muscle or body aches, Nausea, Vomiting · Be unable to do your normal daily activities

Free text: Hot flashes

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-18
Survey response — days 1–6 daily, dose 2
MedDRA: Pruritus — Feeling: Poor · Site: Pain · Chills, Headache, Muscle or body aches, Nausea, Vomiting · Be unable to do your normal daily activities

Free text: Itching

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-19
Survey response — days 1–6 daily, dose 2
MedDRA: Monoplegia, Pruritus — Feeling: Poor · Site: Pain · Chills, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea · 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, Emergency room or emergency department visit

Free text: Right lower leg paralysis and itching

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-19
Report sent to call center — days 1–6 daily, dose 2
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)
2021-02-21
Survey response — days 1–6 daily, dose 2
MedDRA: Paraesthesia, Pruritus — Feeling: Fair · Site: Itching · Muscle or body aches, Fatigue or tiredness · Be unable to work, Be unable to do your normal daily activities

Free text: Right lower leg from knee down with tingling. Foot numb still. Terrible itching all over still

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-22
Survey response — days 1–6 daily, dose 2
MedDRA: Paraesthesia — Feeling: Fair · Fatigue or tiredness

Free text: Right foot continues to be tingly. Got little feeling back today. Would like to have someone call and discuss this issue with me. I have no choice. I have been working because i need income.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-25
Survey response — day 7, dose 2
MedDRA: Back pain, Muscle spasms, Pain in extremity — Feeling: Good · Headache, Fatigue or tiredness · Be unable to do your normal daily activities

Free text: Right lower leg feeling back. Pain and spasms in leg and lower back

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-05
Health check-in — day 14, dose 2
Feeling: Good

Adult check-in
2021-03-09
Health check-in — day 21, dose 2
Feeling: Good

Adult check-in
2021-08-12
Call 1 — Left Voicemail
2021-08-19
Survey response — 6 months, dose 2
MedDRA: Hypoaesthesia — Feeling: Good · Be unable to work or attend school, Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit, Emergency room or emergency department visit

Free text: Numbness in lower extremeties

MedDRA releases: 2021-09,2024-11 · check-in free text available
2021-08-19
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

1 call case(s)
2021-08-20
Call 1 — Left Voicemail

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-01-19	Moderna
2	2021-02-16	Moderna

Call center

2 call center cases

2 unsuccessful

1 wait over 3 months for a first call

See the call center timeline

Free text

Release 2 — days 1–6 daily, dose 1

2021-01-20

Systemic reaction (other): Tenderness at injection site

2021-01-22

Systemic reaction (other): Exess sweats

Release 4 — day 0, dose 2

2021-02-16

Systemic reaction (other): Itching all over body

Release 4 — days 1–6 daily, dose 2

2021-02-17

Systemic reaction (other): Hot flashes

2021-02-18

Systemic reaction (other): Itching

2021-02-19

Systemic reaction (other): Right lower leg paralysis and itching

2021-02-21

Systemic reaction (other): Right lower leg from knee down with tingling. Foot numb still. Terrible itching all over still

2021-02-22

Systemic reaction (other): Right foot continues to be tingly. Got little feeling back today. Would like to have someone call and discuss this issue with me. I have no choice. I have been working because i need income.

Release 4 — day 7, dose 2

2021-02-25

Systemic reaction (other): Right lower leg feeling back. Pain and spasms in leg and lower back

Release 9 — 6 months, dose 2

2021-08-19

Symptoms: Numbness in lower extremeties

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	Hypoaesthesia	✓	·	✓
SRO	Back pain	✓	✓	✓
SRO	Hot flush	✓	✓	✓
SRO	Hyperhidrosis	✓	✓	✓
SRO	Injection site pain	✓	✓	✓
SRO	Monoplegia	✓	✓	✓
SRO	Muscle spasms	✓	✓	✓
SRO	Pain in extremity	✓	✓	✓
SRO	Paraesthesia	✓	✓	✓
SRO	Pruritus	✓	✓	✓

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