Y2D-17060-18942

2 vaccinations 11 coded responses 24 check-ins 11 free-text entries 0 call cases

Sex: Female
Age at first dose: 56-60
ZIP prefix: 410 / KY
Registered: 2021-03-24

Relationship: Self
Race: White
Ethnicity: Not Hispanic or Latino

Timeline Vaccinations Free text MedDRA terms

Timeline

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

2021-03-24
Registered in v-safe
2021-03-24
Dose 1 — Moderna
2021-03-24
Health check-in — day 0, dose 1
Feeling: Good · None

Adult check-in
2021-03-26
Survey response — days 1–6 daily, dose 1
MedDRA: Cough, Respiratory tract congestion — Feeling: Poor · Site: Pain · Headache, Fatigue or tiredness

Free text: Congestion and cough

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-27
Survey response — days 1–6 daily, dose 1
MedDRA: Cough, Fatigue, Respiratory tract congestion — Feeling: Poor · Fatigue or tiredness

Free text: Congestion and cough. Fatigue.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-28
Survey response — days 1–6 daily, dose 1
MedDRA: Cough, Respiratory tract congestion — Feeling: Fair · Fatigue or tiredness

Free text: Still have congestion and cough

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-29
Survey response — days 1–6 daily, dose 1
MedDRA: Cough, Respiratory tract congestion — Feeling: Fair

Free text: Congestion, slight cough

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-30
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-04-02
Survey response — day 7, dose 1
MedDRA: Respiratory tract congestion — Feeling: Good · Site: Swelling

Free text: Congestion

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-07
Health check-in — day 14, dose 1
Feeling: Good

Adult check-in
2021-04-14
Health check-in — day 21, dose 1
Feeling: Good

Adult check-in
2021-04-21
Dose 2 — Moderna
2021-04-21
Survey response — day 0, dose 2
MedDRA: Feeling abnormal — Feeling: Poor · Site: Itching · Fever · Chills, Headache, Fatigue or tiredness, Nausea · Be unable to do your normal daily activities

Free text: Brain fog

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-22
Survey response — days 1–6 daily, dose 2
MedDRA: Feeling abnormal, Headache, Oropharyngeal pain — Feeling: Poor · Site: Pain, Swelling · Fever · Chills, Headache, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Free text: Sore throat (just the left side), and headache is just behind the left ear, also brain fog,

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-23
Survey response — days 1–6 daily, dose 2
MedDRA: Paraesthesia — Feeling: Fair · Site: Pain, Itching · Headache, Muscle or body aches, Fatigue or tiredness

Free text: Tingling and slight numbness in arm with injection site

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-24
Survey response — days 1–6 daily, dose 2
MedDRA: Hypoaesthesia, Muscle spasms, Paraesthesia — Feeling: Good · Site: Pain, Swelling · Fatigue or tiredness

Free text: Fingers Tingling and arm numbness in left arm (shot arm). Leg cramps in left leg

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-25
Survey response — days 1–6 daily, dose 2
MedDRA: Paraesthesia — Feeling: Good · Site: Pain, Swelling

Free text: Still have tingling in arm and leg, just left side (shot arm)

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-27
Health check-in — days 1–6 daily, dose 2
Feeling: Good · None

Adult check-in
2021-04-28
Health check-in — day 7, dose 2
Feeling: Good · None

Adult check-in
2021-05-05
Health check-in — day 14, dose 2
Feeling: Good

Adult check-in
2021-05-12
Health check-in — day 21, dose 2
Feeling: Good

Adult check-in
2021-05-19
Health check-in — day 28, dose 2
Feeling: Good

Adult check-in
2021-05-26
Survey response — day 35, dose 2
MedDRA: Dizziness, Paraesthesia — Feeling: Fair

Free text: Tingling and numbness in hand and arm (the same as the injection arm. These have been continuing since the shot. At least few times a week. Not every day. Also been dizzy lately.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-06-02
Health check-in — day 42, dose 2
Feeling: Good

Adult check-in
2021-07-21
Health check-in — 3 months, dose 2
Feeling: Good

Adult check-in
2021-10-20
Health check-in — 6 months, dose 2
Feeling: Good

Adult check-in
2022-04-23
Health check-in — 12 months, dose 2
Feeling: Good

Adult check-in

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-03-24	Moderna
2	2021-04-21	Moderna

Free text

Release 6 — days 1–6 daily, dose 1

2021-03-26

Systemic reaction (other): Congestion and cough

2021-03-27

Systemic reaction (other): Congestion and cough. Fatigue.

2021-03-28

Systemic reaction (other): Still have congestion and cough

2021-03-29

Systemic reaction (other): Congestion, slight cough

Release 6 — day 7, dose 1

2021-04-02

Systemic reaction (other): Congestion

Release 7 — day 0, dose 2

2021-04-21

Systemic reaction (other): Brain fog

Release 7 — days 1–6 daily, dose 2

2021-04-22

Systemic reaction (other): Sore throat (just the left side), and headache is just behind the left ear, also brain fog,

2021-04-23

Systemic reaction (other): Tingling and slight numbness in arm with injection site

2021-04-24

Systemic reaction (other): Fingers Tingling and arm numbness in left arm (shot arm). Leg cramps in left leg

2021-04-25

Systemic reaction (other): Still have tingling in arm and leg, just left side (shot arm)

Release 8 — day 35, dose 2

2021-05-26

Symptoms: Tingling and numbness in hand and arm (the same as the injection arm. These have been continuing since the shot. At least few times a week. Not every day. Also been dizzy lately.

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	Dizziness	✓	✓	✓
SD	Paraesthesia	✓	✓	✓
SRO	Cough	✓	✓	✓
SRO	Fatigue	✓	✓	✓
SRO	Feeling abnormal	✓	✓	✓
SRO	Headache	✓	✓	✓
SRO	Hypoaesthesia	✓	✓	✓
SRO	Muscle spasms	✓	✓	✓
SRO	Oropharyngeal pain	✓	✓	✓
SRO	Paraesthesia	✓	✓	✓
SRO	Respiratory tract congestion	✓	✓	✓

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