NF2-12809-91526

4 vaccinations 5 coded responses 44 check-ins 5 free-text entries 1 call case

Sex: Female
Age at first dose: 36-40
ZIP prefix: 921 / CA
Registered: 2021-02-02

Relationship: Self
Race: Multiracial
Ethnicity: Hispanic or Latino

Registered dependents

VED-29453-36508 Child or adolescent in my care · Male · 2022-07-13

RWR-28286-29620 Child or adolescent in my care · Male · 2023-04-11

Timeline

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

2021-02-01
Dose 1 — Moderna
2021-02-02
Registered in v-safe
2021-02-02
Survey response — days 1–6 daily, dose 1
MedDRA: Hypoaesthesia, Paraesthesia — Feeling: Good · Site: Pain, Itching

Free text: Tingling and numbness in hand of the arm that was injected

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-03
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Site: Pain, Redness, Swelling · None

Adult check-in
2021-02-05
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Site: Pain · None

Adult check-in
2021-02-06
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-02-07
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-02-08
Health check-in — day 7, dose 1
Feeling: Good · None

Adult check-in
2021-02-17
Health check-in — day 14, dose 1
Feeling: Good

Adult check-in
2021-02-22
Health check-in — day 21, dose 1
Feeling: Good

Adult check-in
2021-02-25
Dose 2 — Moderna
2021-02-25
Survey response — day 0, dose 2
MedDRA: Dizziness, Paraesthesia — Feeling: Good · Site: Pain, Redness, Swelling

Free text: Tingling hand on same arm as injection, slight dizziness after

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-26
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Site: Pain, Redness, Swelling, Itching · Fatigue or tiredness

Adult check-in
2021-02-27
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Site: Pain, Redness, Swelling, Itching · None

Adult check-in
2021-03-01
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Site: Pain, Redness, Swelling, Itching · None

Adult check-in
2021-03-02
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Site: Redness, Swelling, Itching · None

Adult check-in
2021-03-03
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Site: Redness, Swelling, Itching · Fatigue or tiredness

Adult check-in
2021-03-04
Health check-in — day 7, dose 2
Feeling: Good · Site: Redness, Itching · None

Adult check-in
2021-03-11
Health check-in — day 14, dose 2
Feeling: Good

Adult check-in
2021-03-18
Health check-in — day 21, dose 2
Feeling: Good

Adult check-in
2021-03-25
Health check-in — day 28, dose 2
Feeling: Good

Adult check-in
2021-04-01
Health check-in — day 35, dose 2
Feeling: Good

Adult check-in
2021-04-08
Health check-in — day 42, dose 2
Feeling: Good

Adult check-in
2021-05-27
Health check-in — 3 months, dose 2
Feeling: Good

Adult check-in
2021-08-26
Health check-in — 6 months, dose 2
Feeling: Good

Adult check-in
2022-01-12
Dose 3 — Moderna
2022-01-12
Survey response — day 0, dose 3
MedDRA: Paraesthesia — Feeling: Good · Site: Pain

Free text: Tingling arm and hand on injection side

MedDRA releases: 2024-11 · check-in free text available
2022-01-13
Health check-in — days 1–6 daily, dose 3
Feeling: Good · Site: Pain, Swelling · None

Adult check-in
2022-01-14
Health check-in — days 1–6 daily, dose 3
Feeling: Good · Site: Pain, Swelling · Fatigue or tiredness

Adult check-in
2022-01-15
Health check-in — days 1–6 daily, dose 3
Feeling: Good · Site: Pain · None

Adult check-in
2022-01-16
Health check-in — days 1–6 daily, dose 3
Feeling: Good · Site: Pain · None

Adult check-in
2022-01-17
Health check-in — days 1–6 daily, dose 3
Feeling: Good · None

Adult check-in
2022-01-18
Health check-in — days 1–6 daily, dose 3
Feeling: Good · None

Adult check-in
2022-01-19
Health check-in — day 7, dose 3
Feeling: Good · None

Adult check-in
2022-01-26
Health check-in — day 14, dose 3
Feeling: Good

Adult check-in
2022-02-02
Health check-in — day 21, dose 3
Feeling: Good

Adult check-in
2022-02-11
Health check-in — day 28, dose 3
Feeling: Good

Adult check-in
2022-02-16
Survey response — day 35, dose 3
MedDRA: Chest pain — Feeling: Fair · Be unable to do your normal daily activities

Free text: Chest pain

MedDRA releases: 2024-11 · check-in free text available
2022-02-25
Health check-in — day 42, dose 3
Feeling: Good

Adult check-in
2022-04-15
Health check-in — 3 months, dose 3
Feeling: Good

Adult check-in
2022-07-13
Survey response — 6 months, dose 3
MedDRA: COVID-19 — 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: Positive for Covid

MedDRA releases: 2024-11 · check-in free text available
2022-07-13
Report sent to call center — 6 months, dose 3
Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional

Telehealth, virtual health, or email health consultation · 1 call case(s)
2022-07-14
Call successful
Not applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill
2022-09-23
Dose 4 — Moderna
Co-administered: Flu
2022-10-02
Health check-in — day 7, dose 4
Feeling: Good · Site: Pain · None

Adult check-in
2022-10-07
Health check-in — day 14, dose 4
Feeling: Good

Adult check-in
2022-10-14
Health check-in — day 21, dose 4
Feeling: Good

Adult check-in
2022-10-21
Health check-in — day 28, dose 4
Feeling: Good

Adult check-in
2022-10-30
Health check-in — day 35, dose 4
Feeling: Good

Adult check-in
2022-12-25
Health check-in — 3 months, dose 4
Feeling: Good

Adult check-in
2023-03-24
Health check-in — 6 months, dose 4
Feeling: Good

Adult check-in

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-02-01	Moderna
2	2021-02-25	Moderna
3	2022-01-12	Moderna	No
4	2022-09-23	Moderna	Flu

Call center

1 call center case

1 successful

See the call center timeline

Free text

Release 3 — days 1–6 daily, dose 1

2021-02-02

Systemic reaction (other): Tingling and numbness in hand of the arm that was injected

Release 4 — day 0, dose 2

2021-02-25

Systemic reaction (other): Tingling hand on same arm as injection, slight dizziness after

Release 10 — day 0, dose 3

2022-01-12

Systemic reaction (other): Tingling arm and hand on injection side

Release 11 — day 35, dose 3

2022-02-16

Symptoms: Chest pain

Release 12 — 6 months, dose 3

2022-07-13

Symptoms: Positive for Covid

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	Chest pain	·	·	✓
SD	COVID-19	·	·	✓
SRO	Dizziness	✓	✓	✓
SRO	Hypoaesthesia	✓	✓	✓
SRO	Paraesthesia	✓	✓	✓

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