ZNF-14988-50884

2 vaccinations 12 coded responses 21 check-ins 12 free-text entries 2 call cases

Sex: Male
Age at first dose: 56-60
ZIP prefix: 067 / CT
Registered: 2020-12-30

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

2020-12-30
Registered in v-safe
2020-12-30
Dose 1 — Moderna
2020-12-30
Health check-in — day 0, dose 1
Feeling: Good · Site: Swelling · None

Adult check-in
2021-01-01
Survey response — days 1–6 daily, dose 1
MedDRA: Paraesthesia — Feeling: Fair · Site: Pain · Headache, Muscle or body aches, Fatigue or tiredness

Free text: Tingling in toes, intermittent

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-02
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Site: Pain · Headache, Muscle or body aches, Fatigue or tiredness

Adult check-in
2021-01-06
Survey response — day 7, dose 1
MedDRA: Hypoaesthesia, Paraesthesia — Feeling: Fair · Fever · Muscle or body aches, Fatigue or tiredness

Free text: Numbness or tingling in feet on and off since vaccine.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-13
Survey response — day 14, dose 1
MedDRA: Arthralgia, Asthenia, Fatigue, Pain — Feeling: Fair · Be unable to work

Free text: Body and joint aches, fatigue, feeling of weakness

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-13
Report sent to call center — day 14, dose 1
Be unable to work

1 call case(s)
2021-01-21
Survey response — day 21, dose 1
MedDRA: Arthralgia, Fatigue, Hypoaesthesia, Injection site pain — Feeling: Fair · Be unable to do your normal daily activities

Free text: Numbness in feet and hands on and off. Joint pain. Fatigue. Noticed reoccurrence of pain at site of shot.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-27
Dose 2 — Moderna
2021-01-27
Survey response — day 0, dose 2
MedDRA: Dizziness — Feeling: Fair · Site: Pain · Headache

Free text: Light headed- mild

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-28
Survey response — days 1–6 daily, dose 2
MedDRA: Dizziness — Feeling: Fair · Site: Pain, Swelling · Chills, Headache, Fatigue or tiredness

Free text: Dizziness

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-29
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Pain, Swelling · Headache, Muscle or body aches, Fatigue or tiredness, Abdominal pain

Adult check-in
2021-01-30
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Pain · Headache, Fatigue or tiredness, Abdominal pain

Adult check-in
2021-01-31
Survey response — days 1–6 daily, dose 2
MedDRA: Paraesthesia — Feeling: Good · Site: Pain · Muscle or body aches, Fatigue or tiredness, Nausea

Free text: Tingling numb toes on and off since first vaccine dose

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-01
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Site: Pain · Joint pains, Muscle or body aches, Fatigue or tiredness

Adult check-in
2021-02-02
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Adult check-in
2021-02-03
Survey response — day 7, dose 2
MedDRA: Hypoaesthesia — Feeling: Fair · Fever · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Free text: Numbness in toes on and off since first shot.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-10
Survey response — day 14, dose 2
MedDRA: Arthralgia, Hypoaesthesia — Feeling: Fair · Be unable to do your normal daily activities

Free text: Intermittent Numbness in feet and toes. Increased pain and aches in joints

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-17
Health check-in — day 21, dose 2
Feeling: Fair

Adult check-in
2021-02-24
Survey response — day 28, dose 2
MedDRA: Abdominal pain, Arthralgia, Fatigue, Malaise, Pain — Feeling: Poor · Be unable to do your normal daily activities

Free text: Fatigue, achy , joint pain, abdominal pain, malaise.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-03
Health check-in — day 35, dose 2
Feeling: Fair

Adult check-in
2021-03-10
Survey response — day 42, dose 2
MedDRA: Fatigue, Hypoaesthesia — Feeling: Fair · Be unable to do your normal daily activities

Free text: Continued numbness in toes. Tire easily.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-28
Survey response — 3 months, dose 2
MedDRA: Neuropathy peripheral, Unevaluable event — Feeling: Fair · Get care from a doctor or other healthcare professional

Free text: Symptoms: Continued neuropathy in toes · Healthcare visit (other): Scheduled with primary care

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-28
Report sent to call center — 3 months, dose 2
Get care from a doctor or other healthcare professional

1 call case(s)
2021-06-11
Call 1 — Left Voicemail
2021-06-11
Call successful
Participant prefers to complete VAERS report online
2021-07-29
Health check-in — 6 months, dose 2
Feeling: Fair

Adult check-in

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2020-12-30	Moderna
2	2021-01-27	Moderna

Call center

Reported	Outcome	VAERS-related outcome
2021-01-13	priority 2/3
2021-04-28	Successful 2021-06-11	Participant prefers to complete VAERS report online

Free text

Release 1 — days 1–6 daily, dose 1

2021-01-01

Systemic reaction (other): Tingling in toes, intermittent

Release 1 — day 7, dose 1

2021-01-06

Systemic reaction (other): Numbness or tingling in feet on and off since vaccine.

Release 1 — day 14, dose 1

2021-01-13

Symptoms: Body and joint aches, fatigue, feeling of weakness

Release 2 — day 21, dose 1

2021-01-21

Symptoms: Numbness in feet and hands on and off. Joint pain. Fatigue. Noticed reoccurrence of pain at site of shot.

Release 2 — day 0, dose 2

2021-01-27

Systemic reaction (other): Light headed- mild

Release 2 — days 1–6 daily, dose 2

2021-01-28

Systemic reaction (other): Dizziness

Release 3 — days 1–6 daily, dose 2

2021-01-31

Systemic reaction (other): Tingling numb toes on and off since first vaccine dose

Release 3 — day 7, dose 2

2021-02-03

Systemic reaction (other): Numbness in toes on and off since first shot.

Release 4 — day 14, dose 2

2021-02-10

Symptoms: Intermittent Numbness in feet and toes. Increased pain and aches in joints

Release 4 — day 28, dose 2

2021-02-24

Symptoms: Fatigue, achy , joint pain, abdominal pain, malaise.

Release 5 — day 42, dose 2

2021-03-10

Symptoms: Continued numbness in toes. Tire easily.

Release 8 — 3 months, dose 2

2021-04-28

Symptoms: Continued neuropathy in toes

Healthcare visit (other): Scheduled with primary care

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	Unevaluable event	✓	✓	✓
SD	Abdominal pain	✓	✓	✓
SD	Arthralgia	✓	✓	✓
SD	Asthenia	✓	✓	✓
SD	Fatigue	✓	✓	✓
SD	Hypoaesthesia	✓	✓	✓
SD	Injection site pain	✓	✓	✓
SD	Malaise	✓	✓	✓
SD	Neuropathy peripheral	✓	✓	✓
SD	Pain	✓	✓	✓
SRO	Dizziness	✓	✓	✓
SRO	Hypoaesthesia	✓	✓	✓
SRO	Paraesthesia	✓	✓	✓

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