68A-10272-95896

3 vaccinations 7 coded responses 28 check-ins 7 free-text entries 1 call case

Sex: Female
Age at first dose: 36-40
ZIP prefix: 490 / MI
Registered: 2021-01-09

Relationship: Self
Race: Black or African American
Ethnicity: Not Hispanic or Latino

Timeline

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

2021-01-07
Dose 1 — Moderna
2021-01-09
Registered in v-safe
2021-01-09
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Chills, Muscle or body aches

Adult check-in
2021-01-11
Survey response — days 1–6 daily, dose 1
MedDRA: Condition aggravated, Pain in extremity, Paraesthesia, Pre-existing disease — Feeling: Fair · Muscle or body aches

Free text: My neuropathy has been acting up Waymore than usual where my toes are in pain and tingling

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-12
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Fatigue or tiredness

Adult check-in
2021-01-13
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-01-14
Health check-in — day 7, dose 1
Feeling: Good · None

Adult check-in
2021-01-21
Survey response — day 14, dose 1
MedDRA: Blood glucose increased, Hypersomnia, Palpitations — Feeling: Fair · Be unable to do your normal daily activities

Free text: I think the first seven days my sugar was elevated after the shot and I was having heart palpitations. Ive been sleeping a lot

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-30
Health check-in — day 21, dose 1
Feeling: Good

Adult check-in
2021-02-04
Dose 2 — Moderna
2021-02-04
Health check-in — day 0, dose 2
Feeling: Fair · Fatigue or tiredness

Adult check-in
2021-02-05
Survey response — days 1–6 daily, dose 2
MedDRA: Blood glucose increased, Immediate post-injection reaction — Feeling: Fair · Site: Pain

Free text: My blood sugar has been elevated and it was elevated for like seven days after the first shot now with this one it is elevated again maybe 50 points higher than what it usually is

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-06
Survey response — days 1–6 daily, dose 2
MedDRA: Condition aggravated, Pre-existing disease — Feeling: Fair · Site: Pain · Muscle or body aches · Be unable to work

Free text: My blood sugars were elevated today as well way higher than what they normally are and I repeat that happen for about seven days after the first vaccination as well

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-07
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Muscle or body aches · Be unable to do your normal daily activities

Adult check-in
2021-02-08
Survey response — days 1–6 daily, dose 2
MedDRA: Blood glucose increased — Feeling: Good · Fatigue or tiredness

Free text: My Blood sugar is still elevated and has been since the day of the injection

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-09
Health check-in — days 1–6 daily, dose 2
Feeling: Good · None

Adult check-in
2021-02-10
Health check-in — days 1–6 daily, dose 2
Feeling: Good · None

Adult check-in
2021-02-12
Health check-in — day 7, dose 2
Feeling: Good · None

Adult check-in
2021-02-18
Health check-in — day 14, dose 2
Feeling: Good

Adult check-in
2021-02-25
Health check-in — day 21, dose 2
Feeling: Good

Adult check-in
2021-03-04
Health check-in — day 28, dose 2
Feeling: Good

Adult check-in
2021-03-11
Health check-in — day 35, dose 2
Feeling: Good

Adult check-in
2021-03-19
Health check-in — day 42, dose 2
Feeling: Fair

Adult check-in
2021-08-05
Health check-in — 6 months, dose 2
Feeling: Good

Adult check-in
2022-02-04
Survey response — 12 months, dose 2
MedDRA: Pre-existing disease — Feeling: Fair · Be unable to do your normal daily activities

Free text: kidney disease

MedDRA releases: 2024-11 · check-in free text available
2022-04-22
Dose 3 — Moderna
2022-04-27
Health check-in — days 1–6 daily, dose 3
Feeling: Fair · Site: Itching · Headache, Muscle or body aches

Adult check-in
2022-04-28
Health check-in — days 1–6 daily, dose 3
Feeling: Fair · None

Adult check-in
2022-05-01
Health check-in — day 7, dose 3
Feeling: Fair · Fever · Muscle or body aches

Adult check-in
2022-05-06
Health check-in — day 14, dose 3
Feeling: Good

Adult check-in
2022-06-07
Health check-in — day 42, dose 3
Feeling: Good

Adult check-in
2022-07-23
Survey response — 3 months, dose 3
MedDRA: Office visit, Renal disorder — Feeling: Good · Get care from a doctor or other healthcare professional

Free text: Symptoms: I got diagnose with kidney disease · Healthcare visit (other): Doctor office

MedDRA releases: 2024-11 · check-in free text available
2022-07-23
Report sent to call center — 3 months, dose 3
Get care from a doctor or other healthcare professional

1 call case(s)
2022-07-25
Call 1 — Left Voicemail

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-01-07	Moderna
2	2021-02-04	Moderna
3	2022-04-22	Moderna	No

Call center

1 call center case

1 unsuccessful

See the call center timeline

Free text

Release 1 — days 1–6 daily, dose 1

2021-01-11

Systemic reaction (other): My neuropathy has been acting up Waymore than usual where my toes are in pain and tingling

Release 2 — day 14, dose 1

2021-01-21

Symptoms: I think the first seven days my sugar was elevated after the shot and I was having heart palpitations. Ive been sleeping a lot

Release 3 — days 1–6 daily, dose 2

2021-02-05

Systemic reaction (other): My blood sugar has been elevated and it was elevated for like seven days after the first shot now with this one it is elevated again maybe 50 points higher than what it usually is

2021-02-06

Systemic reaction (other): My blood sugars were elevated today as well way higher than what they normally are and I repeat that happen for about seven days after the first vaccination as well

2021-02-08

Systemic reaction (other): My Blood sugar is still elevated and has been since the day of the injection

Release 11 — 12 months, dose 2

2022-02-04

Symptoms: kidney disease

Release 12 — 3 months, dose 3

2022-07-23

Symptoms: I got diagnose with kidney disease

Healthcare visit (other): Doctor office

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	Blood glucose increased	✓	✓	✓
SD	Hypersomnia	✓	✓	✓
SD	Palpitations	✓	✓	✓
SD	Pre-existing disease	·	·	✓
SD	Renal disorder	·	·	✓
SRO	Blood glucose increased	✓	✓	✓
SRO	Condition aggravated	✓	✓	✓
SRO	Immediate post-injection reaction	✓	✓	✓
SRO	Pain in extremity	✓	✓	✓
SRO	Paraesthesia	✓	✓	✓
SRO	Pre-existing disease	✓	✓	✓

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