6VX-12402-51909

2 vaccinations 7 coded responses 23 check-ins 7 free-text entries 1 call case

Sex: Female
Age at first dose: 51-55
ZIP prefix: 065 / CT
Registered: 2021-03-19

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

2021-03-18
Dose 1 — Moderna
2021-03-19
Registered in v-safe
2021-03-19
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Site: Pain, Itching · None

Adult check-in
2021-03-20
Survey response — days 1–6 daily, dose 1
MedDRA: Fatigue — Feeling: Good · Site: Pain · Fatigue or tiredness

Free text: My fatigue is probably just because I am a long-hauler and have been tired for a year now, since I had it

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-21
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Fatigue or tiredness, Diarrhea

Adult check-in
2021-03-22
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-03-23
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Diarrhea

Adult check-in
2021-03-24
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-03-25
Survey response — day 7, dose 1
MedDRA: Headache — Feeling: Fair · Fever · Headache, Diarrhea · Be unable to work

Free text: The headaches are more like stabbing nerve pain

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-01
Survey response — day 14, dose 1
MedDRA: Ear disorder, Office visit, Skin warm — Feeling: Good · Get care from a doctor or other healthcare professional

Free text: Symptoms: My left ear is blue, totally blue and warm · Healthcare visit (other): Made a visit with my pcp

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-01
Report sent to call center — day 14, dose 1
Get care from a doctor or other healthcare professional

1 call case(s)
2021-04-08
Survey response — day 21, dose 1
MedDRA: Cyanosis, Headache, Neuralgia, Pain — Feeling: Good

Free text: Those shooting pain headaches and my blue ear and another blue spot on my knee, nerve pain down my arms

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-15
Dose 2 — Moderna
2021-04-15
Health check-in — day 0, dose 2
Feeling: Good · Site: Pain · None

Adult check-in
2021-04-16
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Pain · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness

Adult check-in
2021-04-17
Health check-in — days 1–6 daily, dose 2
Feeling: Good · None

Adult check-in
2021-04-19
Health check-in — days 1–6 daily, dose 2
Feeling: Good · None

Adult check-in
2021-04-21
Health check-in — days 1–6 daily, dose 2
Feeling: Good · None

Adult check-in
2021-04-22
Health check-in — day 7, dose 2
Feeling: Good · None

Adult check-in
2021-04-29
Health check-in — day 14, dose 2
Feeling: Good

Adult check-in
2021-05-06
Health check-in — day 21, dose 2
Feeling: Good

Adult check-in
2021-05-13
Survey response — day 28, dose 2
MedDRA: Brain fog, Hypoaesthesia — Feeling: Good

Free text: I have brain fog, and yesterday my arms both went numb

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-20
Health check-in — day 35, dose 2
Feeling: Good

Adult check-in
2021-05-27
Health check-in — day 42, dose 2
Feeling: Good

Adult check-in
2021-06-08
Call 1 — Left Voicemail
2021-07-15
Survey response — 3 months, dose 2
MedDRA: Abnormal dreams, Diarrhoea, Fatigue, Head discomfort, Headache, Hypoaesthesia, Mobility decreased — Feeling: Good · Be unable to work or attend school

Free text: Numbness in my arms, weird headaches, diarrhea, and extreme fatigue- dreams at night and I cannot get out of bed in the morning. So exausted, its like I am under water

MedDRA releases: 2021-09,2024-11 · check-in free text available
2021-10-15
Health check-in — 6 months, dose 2
Feeling: Good

Adult check-in
2022-04-15
Survey response — 12 months, dose 2
MedDRA: Diarrhoea haemorrhagic, Fatigue, Oropharyngeal pain — Feeling: Good · Be unable to work or attend school

Free text: Sore throat, maybe allergies? Still chronic fatigue persists and bloody diarrhea at times

MedDRA releases: 2024-11 · check-in free text available

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-03-18	Moderna
2	2021-04-15	Moderna

Call center

1 call center case

1 unsuccessful

See the call center timeline

Free text

Release 6 — days 1–6 daily, dose 1

2021-03-20

Systemic reaction (other): My fatigue is probably just because I am a long-hauler and have been tired for a year now, since I had it

Release 6 — day 7, dose 1

2021-03-25

Systemic reaction (other): The headaches are more like stabbing nerve pain

Release 6 — day 14, dose 1

2021-04-01

Symptoms: My left ear is blue, totally blue and warm

Healthcare visit (other): Made a visit with my pcp

Release 7 — day 21, dose 1

2021-04-08

Symptoms: Those shooting pain headaches and my blue ear and another blue spot on my knee, nerve pain down my arms

Release 8 — day 28, dose 2

2021-05-13

Symptoms: I have brain fog, and yesterday my arms both went numb

Release 9 — 3 months, dose 2

2021-07-15

Symptoms: Numbness in my arms, weird headaches, diarrhea, and extreme fatigue- dreams at night and I cannot get out of bed in the morning. So exausted, its like I am under water

Release 11 — 12 months, dose 2

2022-04-15

Symptoms: Sore throat, maybe allergies? Still chronic fatigue persists and bloody diarrhea at times

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	Abnormal dreams	✓	·	✓
SD	Brain fog	✓	✓	✓
SD	Cyanosis	✓	✓	✓
SD	Diarrhoea	✓	·	✓
SD	Diarrhoea haemorrhagic	·	·	✓
SD	Ear disorder	✓	✓	✓
SD	Fatigue	✓	·	✓
SD	Head discomfort	✓	·	✓
SD	Headache	✓	✓	✓
SD	Hypoaesthesia	✓	✓	✓
SD	Mobility decreased	✓	·	✓
SD	Neuralgia	✓	✓	✓
SD	Oropharyngeal pain	·	·	✓
SD	Pain	✓	✓	✓
SD	Skin warm	✓	✓	✓
SRO	Fatigue	✓	✓	✓
SRO	Headache	✓	✓	✓

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