6AJ-30455-91572

3 vaccinations 17 coded responses 26 check-ins 17 free-text entries 5 call cases

Sex: Female
Age at first dose: 41-45
ZIP prefix: 050 / VT
Registered: 2021-02-10

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

2021-02-09
Dose 1 — Moderna
2021-02-10
Registered in v-safe
2021-02-10
Survey response — days 1–6 daily, dose 1
MedDRA: Selective IgA immunodeficiency, Temporal lobe epilepsy, Type 1 diabetes mellitus — Feeling: Fair · Site: Pain, Redness · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea, Abdominal pain · Be unable to do your normal daily activities

Free text: Type 1 diabetic with Complete IGA deficiency and temporal lobe epilepsy

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-11
Survey response — days 1–6 daily, dose 1
MedDRA: Neck pain — Feeling: Fair · Site: Pain, Swelling · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to do your normal daily activities

Free text: Pain on side of neck

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-12
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Site: Pain · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to do your normal daily activities

Adult check-in
2021-02-13
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Site: Itching · Headache

Adult check-in
2021-02-14
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Headache

Adult check-in
2021-02-15
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Headache

Adult check-in
2021-02-16
Health check-in — day 7, dose 1
Feeling: Good · None

Adult check-in
2021-02-23
Health check-in — day 14, dose 1
Feeling: Good

Adult check-in
2021-03-02
Health check-in — day 21, dose 1
Feeling: Good

Adult check-in
2021-03-09
Health check-in — day 28, dose 1
Feeling: Good

Adult check-in
2021-03-16
Dose 2 — Moderna
2021-03-16
Survey response — day 0, dose 2
MedDRA: Blood glucose decreased — Feeling: Fair · Site: Pain, Swelling · Fever · Chills, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to work, Be unable to do your normal daily activities

Free text: Low blood sugars

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-17
Survey response — days 1–6 daily, dose 2
MedDRA: Feeling hot — Feeling: Poor · Site: Pain, Swelling, Itching · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea, Vomiting · Be unable to work, Be unable to do your normal daily activities

Free text: My body feels like its on fire

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-18
Survey response — days 1–6 daily, dose 2
MedDRA: Hypoaesthesia — Feeling: Poor · Site: Pain, Swelling, Itching · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea, Abdominal pain · Be unable to work, Be unable to do your normal daily activities

Free text: Numbness in hand and feet

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-19
Survey response — days 1–6 daily, dose 2
MedDRA: Chest discomfort, Paraesthesia — Feeling: Fair · Site: Pain, Itching · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea, Diarrhea, Abdominal pain · Be unable to work, Be unable to do your normal daily activities

Free text: Still having tingling in arms/hands, legs and feet and also chest pressure

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-20
Survey response — days 1–6 daily, dose 2
MedDRA: Burning sensation, Paraesthesia — Feeling: Fair · Site: Itching · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to work

Free text: Still have burning tingling feeling in my hands and feet

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-21
Survey response — days 1–6 daily, dose 2
MedDRA: Hypoaesthesia — Feeling: Fair · Site: Itching · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to work

Free text: Still having numbness of the hands and feet

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-22
Survey response — days 1–6 daily, dose 2
MedDRA: Hypoaesthesia, Neck pain — Feeling: Fair · Site: Pain, Itching · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to work

Free text: Still have neck pain andHands/feet numbness

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-23
Survey response — day 7, dose 2
MedDRA: Adverse reaction, Hypoaesthesia, Medical counselling, Paraesthesia — Feeling: Fair · Headache, Joint pains, 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

Free text: Systemic reaction (other): Still have numbness/tingling of the hands and feet, notified my Doctor yesterday since its not getting better · Healthcare visit (other): Phone call to provider feels its a immune response to the vaccine

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-23
Report sent to call center — day 7, 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)
2021-03-30
Survey response — day 14, dose 2
MedDRA: Arthralgia, Burning sensation, Hypoaesthesia — Feeling: Fair · Be unable to work, Be unable to do your normal daily activities

Free text: Still have numbness/burning in hands and feet since 2nd vaccine and joint pain

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-06
Survey response — day 21, dose 2
MedDRA: Arthralgia, Burning sensation, Hypoaesthesia, Medical counselling — Feeling: Fair · Be unable to work, Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional

Free text: Symptoms: Still having numbness/burning in extremities and joint pain.. · Healthcare visit (other): Emailed/phone call

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-06
Report sent to call center — day 21, 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)
2021-04-13
Survey response — day 28, dose 2
MedDRA: Arthralgia, Burning sensation, Hypoaesthesia — Feeling: Fair · Be unable to work, Be unable to do your normal daily activities

Free text: Still have numbness/burning in hands and feet along with joint pain

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-20
Survey response — day 35, dose 2
MedDRA: Arthralgia — Feeling: Fair · Be unable to work, Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit

Free text: The numbness/burning in hands and feet is not getting better saw a neurologist regarding it. Still have some joint pain as well

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-20
Report sent to call center — day 35, 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)
2021-04-27
Survey response — day 42, dose 2
MedDRA: Arthralgia, Burning sensation, Hypoaesthesia, Office visit, Paraesthesia — Feeling: Fair · Be unable to work, Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit

Free text: Symptoms: Still have the same numbness/tingling burning sensation in my hands and feet with some occasional joint pain still. · Healthcare visit (other): Seeing a neurologist

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-27
Report sent to call center — day 42, 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)
2021-06-15
Health check-in — 3 months, dose 2
Feeling: Fair

Adult check-in
2021-09-14
Survey response — 6 months, dose 2
MedDRA: Arthropathy, Neuropathy peripheral — Feeling: Fair · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit

Free text: Still have neuropathy and more issues with joints,

MedDRA releases: 2024-11 · check-in free text available
2021-09-14
Report sent to call center — 6 months, dose 2
Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional

1 call case(s)
2021-09-15
Call 1 — Could Not Reach Participant
2021-09-21
Call 2 — Could Not Reach Participant
2022-03-16
Survey response — 12 months, dose 2
MedDRA: Hypoaesthesia, Paraesthesia, Periarthritis, Small fibre neuropathy — Feeling: Fair · Be unable to do your normal daily activities

Free text: Severe Frozen shoulder and still have small fiber neuropathy (numbness/tingling in hands and feet)

MedDRA releases: 2024-11 · check-in free text available
2022-07-29
Dose 3 — Moderna

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-02-09	Moderna
2	2021-03-16	Moderna
3	2022-07-29	Moderna	No

Call center

5 call center cases

5 unsuccessful

See the call center timeline

Free text

Release 4 — days 1–6 daily, dose 1

2021-02-10

Systemic reaction (other): Type 1 diabetic with Complete IGA deficiency and temporal lobe epilepsy

2021-02-11

Systemic reaction (other): Pain on side of neck

Release 5 — day 0, dose 2

2021-03-16

Systemic reaction (other): Low blood sugars

Release 5 — days 1–6 daily, dose 2

2021-03-17

Systemic reaction (other): My body feels like its on fire

2021-03-18

Systemic reaction (other): Numbness in hand and feet

2021-03-19

Systemic reaction (other): Still having tingling in arms/hands, legs and feet and also chest pressure

Release 6 — days 1–6 daily, dose 2

2021-03-20

Systemic reaction (other): Still have burning tingling feeling in my hands and feet

2021-03-21

Systemic reaction (other): Still having numbness of the hands and feet

2021-03-22

Systemic reaction (other): Still have neck pain andHands/feet numbness

Release 6 — day 7, dose 2

2021-03-23

Systemic reaction (other): Still have numbness/tingling of the hands and feet, notified my Doctor yesterday since its not getting better

Healthcare visit (other): Phone call to provider feels its a immune response to the vaccine

Release 6 — day 14, dose 2

2021-03-30

Symptoms: Still have numbness/burning in hands and feet since 2nd vaccine and joint pain

Release 7 — day 21, dose 2

2021-04-06

Symptoms: Still having numbness/burning in extremities and joint pain..

Healthcare visit (other): Emailed/phone call

Release 7 — day 28, dose 2

2021-04-13

Symptoms: Still have numbness/burning in hands and feet along with joint pain

Release 7 — day 35, dose 2

2021-04-20

Symptoms: The numbness/burning in hands and feet is not getting better saw a neurologist regarding it. Still have some joint pain as well

Release 8 — day 42, dose 2

2021-04-27

Symptoms: Still have the same numbness/tingling burning sensation in my hands and feet with some occasional joint pain still.

Healthcare visit (other): Seeing a neurologist

Release 9 — 6 months, dose 2

2021-09-14

Symptoms: Still have neuropathy and more issues with joints,

Release 11 — 12 months, dose 2

2022-03-16

Symptoms: Severe Frozen shoulder and still have small fiber neuropathy (numbness/tingling in hands and feet)

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	Adverse reaction	✓	✓	✓
HCVO	Medical counselling	✓	✓	✓
HCVO	Office visit	✓	✓	✓
SD	Arthralgia	✓	✓	✓
SD	Arthropathy	·	·	✓
SD	Burning sensation	✓	✓	✓
SD	Hypoaesthesia	✓	✓	✓
SD	Neuropathy peripheral	·	·	✓
SD	Paraesthesia	✓	✓	✓
SD	Periarthritis	·	·	✓
SD	Small fibre neuropathy	·	·	✓
SRO	Blood glucose decreased	✓	✓	✓
SRO	Burning sensation	✓	✓	✓
SRO	Chest discomfort	✓	✓	✓
SRO	Feeling hot	✓	✓	✓
SRO	Hypoaesthesia	✓	✓	✓
SRO	Neck pain	✓	✓	✓
SRO	Paraesthesia	✓	✓	✓
SRO	Selective IgA immunodeficiency	✓	✓	✓
SRO	Temporal lobe epilepsy	✓	✓	✓
SRO	Type 1 diabetes mellitus	✓	✓	✓

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