Y4L-28246-13420

2 vaccinations 8 coded responses 23 check-ins 8 free-text entries 2 call cases

Sex: Female
Age at first dose: 61-65
ZIP prefix: 131 / NY
Registered: 2021-03-19

Relationship: Self
Race: American Indian or Alaska Native
Ethnicity: Not Hispanic or Latino

Timeline

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

2021-03-19
Registered in v-safe
2021-03-19
Dose 1 — Moderna
2021-03-19
Health check-in — day 0, dose 1
Feeling: Good · Site: Pain · Fatigue or tiredness

Adult check-in
2021-03-20
Survey response — days 1–6 daily, dose 1
MedDRA: Hypoaesthesia, Paraesthesia, Paraesthesia oral, Unevaluable event — Feeling: Fair · Site: Pain · Muscle or body aches · Get care from a doctor or other healthcare professional

Free text: Systemic reaction (other): Tingling and numbness in my arms and legs. · Healthcare visit (other): My regular PCP has Saturday hours

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-20
Report sent to call center — days 1–6 daily, dose 1
Get care from a doctor or other healthcare professional

1 call case(s)
2021-03-21
Survey response — days 1–6 daily, dose 1
MedDRA: Paraesthesia — Feeling: Good · Site: Pain · Muscle or body aches

Free text: Pins and needles in arms and legs.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-22
Survey response — days 1–6 daily, dose 1
MedDRA: Hypoaesthesia, Paraesthesia — Feeling: Good · Muscle or body aches

Free text: Tingling and numbness in extremities

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-23
Survey response — days 1–6 daily, dose 1
MedDRA: Hypoaesthesia, Paraesthesia — Feeling: Good · Muscle or body aches

Free text: Tingling and numbness in my extremities

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-24
Survey response — days 1–6 daily, dose 1
MedDRA: Hypoaesthesia, Paraesthesia — Feeling: Good

Free text: Still have tingling and numbness in my extremities

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-26
Health check-in — day 7, dose 1
Feeling: Good · Muscle or body aches

Adult check-in
2021-04-02
Health check-in — day 14, dose 1
Feeling: Good

Adult check-in
2021-04-09
Health check-in — day 21, dose 1
Feeling: Good

Adult check-in
2021-04-16
Dose 2 — Moderna
2021-04-16
Health check-in — day 0, dose 2
Feeling: Good · Site: Pain · None

Adult check-in
2021-04-17
Survey response — days 1–6 daily, dose 2
MedDRA: Paraesthesia — Feeling: Fair · Site: Pain, Swelling · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to do your normal daily activities

Free text: Tingling in my extremities like with the first dose

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-18
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Site: Pain · Headache, Muscle or body aches, Fatigue or tiredness

Adult check-in
2021-04-19
Survey response — days 1–6 daily, dose 2
MedDRA: Ophthalmic migraine — Feeling: Fair · Headache, Fatigue or tiredness

Free text: I have had 5 ocular migraines since my injection

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-21
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Headache

Adult check-in
2021-04-25
Health check-in — day 7, dose 2
Feeling: Good · None

Adult check-in
2021-04-30
Health check-in — day 14, dose 2
Feeling: Good

Adult check-in
2021-05-07
Health check-in — day 21, dose 2
Feeling: Good

Adult check-in
2021-05-14
Health check-in — day 28, dose 2
Feeling: Good

Adult check-in
2021-05-21
Health check-in — day 35, dose 2
Feeling: Good

Adult check-in
2021-05-28
Health check-in — day 42, dose 2
Feeling: Good

Adult check-in
2021-07-16
Health check-in — 3 months, dose 2
Feeling: Fair

Adult check-in
2021-10-15
Health check-in — 6 months, dose 2
Feeling: Fair

Adult check-in
2021-12-28
Call 1 — Left Voicemail
2022-04-16
Survey response — 12 months, dose 2
MedDRA: Clostridium difficile infection, Office visit, Palpitations — 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: Symptoms: Heart palpitations. Currently wearing a 30 day Holter monitor. And I was recently diagnosed with C diff. · Healthcare visit (other): Doctor office for palpitations

MedDRA releases: 2024-11 · check-in free text available
2022-04-16
Report sent to call center — 12 months, dose 2
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)
2022-04-19
Call successful
Participant prefers to complete VAERS report online

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-03-19	Moderna
2	2021-04-16	Moderna

Call center

Reported	Outcome	VAERS-related outcome
2021-03-20	Successful	Participant prefers to complete VAERS report online
2022-04-16	Successful 2022-04-19	Participant prefers to complete VAERS report online

Free text

Release 6 — days 1–6 daily, dose 1

2021-03-20

Systemic reaction (other): Tingling and numbness in my arms and legs.

Healthcare visit (other): My regular PCP has Saturday hours

2021-03-21

Systemic reaction (other): Pins and needles in arms and legs.

2021-03-22

Systemic reaction (other): Tingling and numbness in extremities

2021-03-23

Systemic reaction (other): Tingling and numbness in my extremities

2021-03-24

Systemic reaction (other): Still have tingling and numbness in my extremities

Release 7 — days 1–6 daily, dose 2

2021-04-17

Systemic reaction (other): Tingling in my extremities like with the first dose

2021-04-19

Systemic reaction (other): I have had 5 ocular migraines since my injection

Release 11 — 12 months, dose 2

2022-04-16

Symptoms: Heart palpitations. Currently wearing a 30 day Holter monitor. And I was recently diagnosed with C diff.

Healthcare visit (other): Doctor office for palpitations

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	·	·	✓
HCVO	Palpitations	·	·	✓
HCVO	Unevaluable event	✓	✓	✓
SD	Clostridium difficile infection	·	·	✓
SD	Palpitations	·	·	✓
SRO	Hypoaesthesia	✓	✓	✓
SRO	Ophthalmic migraine	✓	✓	✓
SRO	Paraesthesia	✓	✓	✓
SRO	Paraesthesia oral	✓	✓	✓

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