Y8W-28620-72773

2 vaccinations 12 coded responses 20 check-ins 12 free-text entries 2 call cases

Sex: Female
Age at first dose: 51-55
ZIP prefix: 222 / VA
Registered: 2021-01-26

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

2021-01-25
Dose 1 — Moderna
2021-01-26
Registered in v-safe
2021-01-26
Survey response — days 1–6 daily, dose 1
MedDRA: Nasal pruritus, Respiratory tract congestion — Feeling: Poor · Site: Pain, Swelling, Itching · Fever · Chills, Headache, Joint pains, Fatigue or tiredness · Be unable to do your normal daily activities

Free text: Congestion on left side and a itchy nose

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-27
Survey response — days 1–6 daily, dose 1
MedDRA: Vertigo — Feeling: Poor · Site: Swelling · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea

Free text: Vertigo

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-29
Survey response — days 1–6 daily, dose 1
MedDRA: Dyskinesia, Hypoaesthesia, Muscle twitching, Paraesthesia — Feeling: Poor · Site: Swelling · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to work, Be unable to do your normal daily activities

Free text: Twitching - involuntary muscle movement in fingers and face. Numbness and tinge lung in both hands and arms

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-30
Survey response — days 1–6 daily, dose 1
MedDRA: Injection site pain, Paraesthesia — Feeling: Poor · Site: Swelling · Fever · Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to work, Be unable to do your normal daily activities

Free text: Still ti felt pins and needles feeling in my right shoulder arm and fingers - this is NOT the side of the injection . Injection on left pain and tingling on right .

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-31
Survey response — days 1–6 daily, dose 1
MedDRA: Dizziness, Hypoaesthesia, Muscle twitching, Paraesthesia — Feeling: Fair · Site: Swelling · Headache, Muscle or body aches

Free text: Numbness and tingling , dizziness, small twitches

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-01
Survey response — day 7, dose 1
MedDRA: Arthralgia, Hypoaesthesia, Paraesthesia — Feeling: Fair · Site: Swelling · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Free text: I am experiencing tingling and numbness in my left arm and fingers - and pain in my left shoulder. numbness

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-08
Survey response — day 14, dose 1
MedDRA: Wheezing — Feeling: Good

Free text: Wheezing

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-15
Health check-in — day 21, dose 1
Feeling: Fair

Adult check-in
2021-02-22
Dose 2 — Moderna
2021-02-22
Survey response — day 0, dose 2
MedDRA: Dizziness — Feeling: Fair · Site: Pain, Swelling · Joint pains, Muscle or body aches, Fatigue or tiredness

Free text: Dizzy

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-23
Survey response — days 1–6 daily, dose 2
MedDRA: Dizziness, Hypoaesthesia, Paraesthesia — Feeling: Poor · Site: Pain, Redness, Swelling · Fever · Chills, Headache, Joint pains, Muscle or body aches, 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: Very dizzy and numbness and tingling in both hands and forearms

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-23
Report sent to call center — days 1–6 daily, 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)
2021-02-24
Survey response — days 1–6 daily, dose 2
MedDRA: Hypoaesthesia — Feeling: Poor · Site: Pain, Redness, Swelling · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea, Diarrhea · Be unable to work, Be unable to do your normal daily activities

Free text: Numbness and fingering in both hands

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-25
Survey response — days 1–6 daily, dose 2
MedDRA: Hypoaesthesia, Paraesthesia — Feeling: Fair · Site: Pain · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness

Free text: Tinge king and numbness in my hands

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-28
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Site: Pain · Fever · Chills, Headache, Fatigue or tiredness

Adult check-in
2021-03-01
Health check-in — day 7, dose 2
Feeling: Fair · Site: Swelling · Headache, Fatigue or tiredness, Diarrhea

Adult check-in
2021-03-08
Health check-in — day 14, dose 2
Feeling: Good

Adult check-in
2021-03-15
Health check-in — day 21, dose 2
Feeling: Good

Adult check-in
2021-03-22
Health check-in — day 28, dose 2
Feeling: Good

Adult check-in
2021-04-05
Health check-in — day 42, dose 2
Feeling: Fair

Adult check-in
2021-05-26
Health check-in — 3 months, dose 2
Feeling: Fair

Adult check-in
2021-08-23
Survey response — 6 months, dose 2
MedDRA: Peripheral swelling — Feeling: Good · Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultation

Free text: My feet swell

MedDRA releases: 2021-09,2024-11 · check-in free text available
2021-08-23
Report sent to call center — 6 months, dose 2
Get care from a doctor or other healthcare professional

1 call case(s)
2021-08-25
Call 1 — Left Voicemail

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-01-25	Moderna
2	2021-02-22	Moderna

Call center

Reported	Outcome	VAERS-related outcome
2021-02-23	Unsuccessful
2021-08-23	Unsuccessful

Free text

Release 2 — days 1–6 daily, dose 1

2021-01-26

Systemic reaction (other): Congestion on left side and a itchy nose

2021-01-27

Systemic reaction (other): Vertigo

Release 3 — days 1–6 daily, dose 1

2021-01-29

Systemic reaction (other): Twitching - involuntary muscle movement in fingers and face. Numbness and tinge lung in both hands and arms

2021-01-30

Systemic reaction (other): Still ti felt pins and needles feeling in my right shoulder arm and fingers - this is NOT the side of the injection . Injection on left pain and tingling on right .

2021-01-31

Systemic reaction (other): Numbness and tingling , dizziness, small twitches

Release 3 — day 7, dose 1

2021-02-01

Systemic reaction (other): I am experiencing tingling and numbness in my left arm and fingers - and pain in my left shoulder. numbness

Release 3 — day 14, dose 1

2021-02-08

Symptoms: Wheezing

Release 4 — day 0, dose 2

2021-02-22

Systemic reaction (other): Dizzy

Release 4 — days 1–6 daily, dose 2

2021-02-23

Systemic reaction (other): Very dizzy and numbness and tingling in both hands and forearms

2021-02-24

Systemic reaction (other): Numbness and fingering in both hands

2021-02-25

Systemic reaction (other): Tinge king and numbness in my hands

Release 9 — 6 months, dose 2

2021-08-23

Symptoms: My feet swell

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	Peripheral swelling	✓	·	✓
SD	Wheezing	✓	✓	✓
SRO	Arthralgia	✓	✓	✓
SRO	Dizziness	✓	✓	✓
SRO	Dyskinesia	✓	✓	✓
SRO	Hypoaesthesia	✓	✓	✓
SRO	Injection site pain	✓	✓	✓
SRO	Muscle twitching	✓	✓	✓
SRO	Nasal pruritus	✓	✓	✓
SRO	Paraesthesia	✓	✓	✓
SRO	Respiratory tract congestion	✓	✓	✓
SRO	Vertigo	✓	✓	✓

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