YZ7-20781-83422

2 vaccinations 17 coded responses 25 check-ins 17 free-text entries 7 call cases

Sex: Female
Age at first dose: 61-65
ZIP prefix: 044 / ME
Registered: 2021-02-13

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

2021-02-13
Registered in v-safe
2021-02-13
Dose 1 — Moderna
2021-02-13
Survey response — day 0, dose 1
MedDRA: Balance disorder — Feeling: Fair · Fatigue or tiredness

Free text: Wobbly...not dizzy but not right

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-14
Survey response — days 1–6 daily, dose 1
MedDRA: Balance disorder — Feeling: Fair · Site: Pain, Itching · Fever · Headache · Be unable to do your normal daily activities

Free text: Wobbliness, and also my normal temperature is about 97 just FYI

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-15
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-02-16
Survey response — days 1–6 daily, dose 1
MedDRA: Body temperature increased, Oropharyngeal pain — Feeling: Good · Fever

Free text: Slight sore throat And my normal temperature is 97.5 and it just went up for a little bit it wasn't a long time

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-17
Survey response — days 1–6 daily, dose 1
MedDRA: Pain in extremity — Feeling: Good · Fatigue or tiredness

Free text: A little lingering arm pain on the left side

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-18
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Fatigue or tiredness

Adult check-in
2021-02-19
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Fatigue or tiredness

Adult check-in
2021-02-20
Health check-in — day 7, dose 1
Feeling: Good · Fatigue or tiredness

Adult check-in
2021-02-27
Survey response — day 14, dose 1
MedDRA: Fatigue, Flushing, Hypersensitivity, Injection site rash, Paraesthesia — Feeling: Poor · Be unable to do your normal daily activities

Free text: Tingling in my hands and feet, a feeling of an allergic reaction, flushing, but nothing on my arm except maybe a very small circle around the injection site but not red at all there. Also today very tired. Tingling started about 10 days after vaccine

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-06
Survey response — day 21, dose 1
MedDRA: Neuropathy peripheral, Paraesthesia, Thermal burn — Feeling: Fair · Be unable to do your normal daily activities

Free text: Since the antibodies kicked in I have had continuing small fiber peripheral neuropathy issues.. tingling, burning, clearly related to the vaccine and the development of antibodies. I think this should be looked into because it has not gone away.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-13
Survey response — day 28, dose 1
MedDRA: Neuropathy peripheral — Feeling: Fair · Be unable to do your normal daily activities

Free text: I have had ongoing new neuropathy since eight days after the first vaccine. I have called Maderna and never got a call back. Not comfortable getting the second shot!

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-20
Health check-in — day 35, dose 1
Feeling: Fair

Adult check-in
2021-03-27
Survey response — day 42, dose 1
MedDRA: Hypoaesthesia, Office visit, Pain in extremity, Peripheral sensory neuropathy — Feeling: Fair · Get care from a doctor or other healthcare professional

Free text: Symptoms: Expanded sensory peripheral neuropathy. Painful hands feet numbness. Just like a lot of other people after the vaccine · Healthcare visit (other): Met with neurologist

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-27
Report sent to call center — day 42, dose 1
Get care from a doctor or other healthcare professional

1 call case(s)
2021-04-20
Dose 2 — Moderna
2021-04-20
Health check-in — day 0, dose 2
Feeling: Good · Site: Pain · Headache

Adult check-in
2021-04-21
Survey response — days 1–6 daily, dose 2
MedDRA: Paraesthesia — Feeling: Poor · Site: Pain · 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: Tingling in hands and feet

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-22
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Site: Pain · Muscle or body aches

Adult check-in
2021-04-23
Survey response — days 1–6 daily, dose 2
MedDRA: Dizziness, Hypoaesthesia, Paraesthesia — Feeling: Fair

Free text: Foot numbness and tingling, also dizziness

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-24
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Fatigue or tiredness

Adult check-in
2021-04-25
Survey response — days 1–6 daily, dose 2
MedDRA: Eye pain — Feeling: Fair · Muscle or body aches

Free text: My eye on the side where the shot was and is painful and red

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-26
Survey response — days 1–6 daily, dose 2
MedDRA: Immunisation reaction, Irritability, Pruritus, Rash, Unevaluable event — Feeling: Poor · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Rash, not including the immediate area around the injection site · 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: Systemic reaction (other): I got covid arm on both elbows and across my face yesterday just 5 minutes after filling this out at 4:00 p.m.. feel itchy and irritated as if I have an allergy to something The rash is not rich itchy but my body is · Healthcare visit (other): Could not possibly travel due to my condition

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-26
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)
2021-04-27
Survey response — day 7, dose 2
MedDRA: Ocular hyperaemia, Office visit, Type IV hypersensitivity reaction — Feeling: Good · Get care from a doctor or other healthcare professional

Free text: Systemic reaction (other): My eye still has redness in it which I believe was connected to the Maderna delayed rash on my elbows and my face which nobody seems to be interested in. · Healthcare visit (other): Going to see an eye doctor

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-27
Report sent to call center — day 7, dose 2
Get care from a doctor or other healthcare professional

1 call case(s)
2021-05-06
Survey response — day 14, dose 2
MedDRA: Neck pain, Office visit, Swelling, Tendonitis, X-ray — Feeling: Fair · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional

Free text: Symptoms: Due to swelling from the vaccine I have neck pain, and tendonitis in my left wrist. · Healthcare visit (other): Doctor's appointments and x-rays

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-06
Report sent to call center — day 14, dose 2
Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional

1 call case(s)
2021-05-11
Survey response — day 21, dose 2
MedDRA: Feeling hot, Nonspecific reaction, Office visit, Peripheral swelling, Spinal disorder — Feeling: Fair · Be unable to work, Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional

Free text: Symptoms: Since the initial swelling of my arms and the heat in my neck and back after the vaccine I have had ongoing issues with my neck spine shoulder wrist · Healthcare visit (other): X-ray, cat scan, doctor's appointments

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-11
Report sent to call center — day 21, 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)
2021-05-18
Survey response — day 28, dose 2
MedDRA: Arthralgia, Medical counselling, Neck pain, Paraesthesia — Feeling: Good · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit

Free text: Symptoms: neck, wrist and joint pain, tingling, ... All since the shot, · Healthcare visit (other): Regular deficit appt with orthopedic, also neurologist, pain doctor and nurse

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-18
Report sent to call center — day 28, dose 2
Get care from a doctor or other healthcare professional

1 call case(s)
2021-05-25
Survey response — day 35, dose 2
MedDRA: Central nervous system lesion, Magnetic resonance imaging head abnormal, Neuropathy peripheral, Office visit, White matter lesion — Feeling: Good · Get care from a doctor or other healthcare professional

Free text: Symptoms: Ongoing neck and peripheral neuropathy symptoms. Also new white brain matter issues shown via MRI · Healthcare visit (other): Regular doctor, imaging

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-25
Report sent to call center — day 35, dose 2
Get care from a doctor or other healthcare professional

1 call case(s)
2022-01-20
Call 1 — Left Voicemail

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-02-13	Moderna
2	2021-04-20	Moderna

Call center

Reported	Outcome	VAERS-related outcome
2021-03-27	Unsuccessful
2021-04-26	Unsuccessful
2021-04-27	Unsuccessful
2021-05-06	Unsuccessful
2021-05-11	Unsuccessful
2021-05-18	Unsuccessful
2021-05-25	Unsuccessful	Reported to VAERS voluntarily prior to GDIT contact

Free text

Release 4 — day 0, dose 1

2021-02-13

Systemic reaction (other): Wobbly...not dizzy but not right

Release 4 — days 1–6 daily, dose 1

2021-02-14

Systemic reaction (other): Wobbliness, and also my normal temperature is about 97 just FYI

2021-02-16

Systemic reaction (other): Slight sore throat And my normal temperature is 97.5 and it just went up for a little bit it wasn't a long time

2021-02-17

Systemic reaction (other): A little lingering arm pain on the left side

Release 4 — day 14, dose 1

2021-02-27

Symptoms: Tingling in my hands and feet, a feeling of an allergic reaction, flushing, but nothing on my arm except maybe a very small circle around the injection site but not red at all there. Also today very tired. Tingling started about 10 days after vaccine cut off by CDC

Release 5 — day 21, dose 1

2021-03-06

Symptoms: Since the antibodies kicked in I have had continuing small fiber peripheral neuropathy issues.. tingling, burning, clearly related to the vaccine and the development of antibodies. I think this should be looked into because it has not gone away.

Release 5 — day 28, dose 1

2021-03-13

Symptoms: I have had ongoing new neuropathy since eight days after the first vaccine. I have called Maderna and never got a call back. Not comfortable getting the second shot!

Release 6 — day 42, dose 1

2021-03-27

Symptoms: Expanded sensory peripheral neuropathy. Painful hands feet numbness. Just like a lot of other people after the vaccine

Healthcare visit (other): Met with neurologist

Release 7 — days 1–6 daily, dose 2

2021-04-21

Systemic reaction (other): Tingling in hands and feet

2021-04-23

Systemic reaction (other): Foot numbness and tingling, also dizziness

2021-04-25

Systemic reaction (other): My eye on the side where the shot was and is painful and red

Release 8 — days 1–6 daily, dose 2

2021-04-26

Systemic reaction (other): I got covid arm on both elbows and across my face yesterday just 5 minutes after filling this out at 4:00 p.m.. feel itchy and irritated as if I have an allergy to something The rash is not rich itchy but my body is

Healthcare visit (other): Could not possibly travel due to my condition

Release 8 — day 7, dose 2

2021-04-27

Systemic reaction (other): My eye still has redness in it which I believe was connected to the Maderna delayed rash on my elbows and my face which nobody seems to be interested in.

Healthcare visit (other): Going to see an eye doctor

Release 8 — day 14, dose 2

2021-05-06

Symptoms: Due to swelling from the vaccine I have neck pain, and tendonitis in my left wrist.

Healthcare visit (other): Doctor's appointments and x-rays

Release 8 — day 21, dose 2

2021-05-11

Symptoms: Since the initial swelling of my arms and the heat in my neck and back after the vaccine I have had ongoing issues with my neck spine shoulder wrist

Healthcare visit (other): X-ray, cat scan, doctor's appointments

Release 8 — day 28, dose 2

2021-05-18

Symptoms: neck, wrist and joint pain, tingling, ... All since the shot,

Healthcare visit (other): Regular deficit appt with orthopedic, also neurologist, pain doctor and nurse

Release 8 — day 35, dose 2

2021-05-25

Symptoms: Ongoing neck and peripheral neuropathy symptoms. Also new white brain matter issues shown via MRI

Healthcare visit (other): Regular doctor, imaging

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	Medical counselling	✓	✓	✓
HCVO	Office visit	✓	✓	✓
HCVO	Unevaluable event	✓	✓	✓
HCVO	X-ray	✓	✓	✓
SD	Arthralgia	✓	✓	✓
SD	Central nervous system lesion	✓	✓	○
SD	Fatigue	✓	✓	✓
SD	Feeling hot	✓	✓	✓
SD	Flushing	✓	✓	✓
SD	Hypersensitivity	✓	✓	✓
SD	Hypoaesthesia	✓	✓	✓
SD	Injection site rash	✓	✓	✓
SD	Magnetic resonance imaging head abnormal	·	·	✓
SD	Neck pain	✓	✓	✓
SD	Neuropathy peripheral	✓	✓	✓
SD	Nonspecific reaction	✓	✓	✓
SD	Pain in extremity	✓	✓	✓
SD	Paraesthesia	✓	✓	✓
SD	Peripheral sensory neuropathy	✓	✓	✓
SD	Peripheral swelling	✓	✓	✓
SD	Spinal disorder	✓	✓	✓
SD	Swelling	✓	✓	✓
SD	Tendonitis	✓	✓	✓
SD	Thermal burn	✓	✓	✓
SD	White matter lesion	·	·	✓
SRO	Balance disorder	✓	✓	✓
SRO	Body temperature increased	✓	✓	✓
SRO	Dizziness	✓	✓	✓
SRO	Eye pain	✓	✓	✓
SRO	Hypoaesthesia	✓	✓	✓
SRO	Immunisation reaction	✓	✓	✓
SRO	Irritability	✓	✓	✓
SRO	Ocular hyperaemia	✓	✓	✓
SRO	Oropharyngeal pain	✓	✓	✓
SRO	Pain in extremity	✓	✓	✓
SRO	Paraesthesia	✓	✓	✓
SRO	Pruritus	✓	✓	✓
SRO	Rash	✓	✓	✓
SRO	Type IV hypersensitivity reaction	✓	✓	✓

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