ZPL-72967-02505

3 vaccinations 8 coded responses 40 check-ins 8 free-text entries 1 call case

Sex: Female
Age at first dose: 36-40
ZIP prefix: 074 / NJ
Registered: 2021-03-08

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

2021-03-08
Registered in v-safe
2021-03-10
Dose 1 — Moderna
2021-03-10
Survey response — day 0, dose 1
MedDRA: Glossodynia, Hypoaesthesia, Oral pain, Paraesthesia oral — Feeling: Fair · Fever · Fatigue or tiredness, Abdominal pain

Free text: Pain and tingling on tongue and in mouth; temporary numbness on face

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-11
Survey response — days 1–6 daily, dose 1
MedDRA: Back pain, Sciatica — Feeling: Fair · Site: Pain, Swelling · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea, Abdominal pain

Free text: Lower back pain and Sciatica-type symptoms

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-12
Survey response — days 1–6 daily, dose 1
MedDRA: Oral pain — Feeling: Good · Site: Swelling, Itching · Fatigue or tiredness, Nausea

Free text: Some mouth pain and soreness in mouth

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-13
Health check-in — days 1–6 daily, dose 1
Feeling: Poor · Site: Redness, Swelling, Itching · Chills, Headache, Fatigue or tiredness, Nausea · Be unable to do your normal daily activities

Adult check-in
2021-03-14
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Site: Redness · Headache, Fatigue or tiredness, Nausea

Adult check-in
2021-03-15
Survey response — days 1–6 daily, dose 1
MedDRA: Hypoaesthesia, Paraesthesia — Feeling: Fair · Site: Redness, Itching · Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Free text: Numbness and tingling in legs and feet

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-16
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Fatigue or tiredness

Adult check-in
2021-03-17
Health check-in — day 7, dose 1
Feeling: Fair · Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Adult check-in
2021-03-24
Survey response — day 14, dose 1
MedDRA: Hypoaesthesia, Muscular weakness — 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: Numbness and weakness in legs and right arm. The sensation seems to move around and come on occasionally in my legs/feet. My arm has the feeling more consistently (opposite arm from site injection).

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-24
Report sent to call center — day 14, dose 1
Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional

1 call case(s)
2021-03-31
Health check-in — day 21, dose 1
Feeling: Fair

Adult check-in
2021-04-07
Dose 2 — Moderna
2021-04-07
Health check-in — day 0, dose 2
Feeling: Fair · None

Adult check-in
2021-04-08
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Swelling · Muscle or body aches, Fatigue or tiredness

Adult check-in
2021-04-09
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Swelling, Itching · Fatigue or tiredness

Adult check-in
2021-04-10
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Site: Swelling, Itching · Muscle or body aches, Fatigue or tiredness

Adult check-in
2021-04-11
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Swelling · Fatigue or tiredness

Adult check-in
2021-04-12
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Itching · Muscle or body aches, Fatigue or tiredness

Adult check-in
2021-04-13
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Adult check-in
2021-04-14
Health check-in — day 7, dose 2
Feeling: Fair · Muscle or body aches, Fatigue or tiredness

Adult check-in
2021-04-21
Health check-in — day 14, dose 2
Feeling: Fair

Adult check-in
2021-04-28
Health check-in — day 21, dose 2
Feeling: Fair

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

Adult check-in
2021-05-12
Health check-in — day 35, dose 2
Feeling: Good

Adult check-in
2021-05-19
Health check-in — day 42, dose 2
Feeling: Good

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

Adult check-in
2021-10-06
Health check-in — 6 months, dose 2
Feeling: Fair

Adult check-in
2021-12-07
Dose 3 — Moderna
2021-12-07
Survey response — day 0, dose 3
MedDRA: Oropharyngeal pain — Feeling: Fair · Site: Pain, Swelling · Fatigue or tiredness

Free text: Sore throat

MedDRA releases: 2024-11 · check-in free text available
2021-12-08
Health check-in — days 1–6 daily, dose 3
Feeling: Fair · Site: Pain, Redness, Swelling, Itching · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea, Diarrhea · Be unable to do your normal daily activities

Adult check-in
2021-12-09
Health check-in — days 1–6 daily, dose 3
Feeling: Fair · Site: Swelling · Headache, Joint pains, Fatigue or tiredness · Be unable to do your normal daily activities

Adult check-in
2021-12-10
Health check-in — days 1–6 daily, dose 3
Feeling: Good · Site: Redness · Fatigue or tiredness

Adult check-in
2021-12-11
Health check-in — days 1–6 daily, dose 3
Feeling: Fair · Fatigue or tiredness, Nausea · Be unable to do your normal daily activities

Adult check-in
2021-12-12
Health check-in — days 1–6 daily, dose 3
Feeling: Good · None

Adult check-in
2021-12-13
Health check-in — days 1–6 daily, dose 3
Feeling: Poor · Fatigue or tiredness, Nausea, Diarrhea · Be unable to do your normal daily activities

Adult check-in
2021-12-14
Survey response — day 7, dose 3
MedDRA: Fatigue, Mood altered — Feeling: Fair · Fatigue or tiredness · Be unable to do your normal daily activities

Free text: Extreme moodiness and fatigue

MedDRA releases: 2024-11 · check-in free text available
2021-12-21
Health check-in — day 14, dose 3
Feeling: Good

Adult check-in
2021-12-28
Survey response — day 21, dose 3
MedDRA: Depression, Fatigue, Headache — Feeling: Poor · Be unable to do your normal daily activities

Free text: Extreme fatigue, depression, and headaches

MedDRA releases: 2024-11 · check-in free text available
2022-01-04
Health check-in — day 28, dose 3
Feeling: Good

Adult check-in
2022-01-11
Health check-in — day 35, dose 3
Feeling: Good

Adult check-in
2022-01-18
Health check-in — day 42, dose 3
Feeling: Good

Adult check-in
2022-03-08
Health check-in — 3 months, dose 3
Feeling: Good

Adult check-in
2022-03-08
Call 1 — Requested Callback
2022-03-09
Callback requested for
02:00PM ET
2022-03-11
Call 2 — Left Voicemail
2022-06-07
Health check-in — 6 months, dose 3
Feeling: Good

Adult check-in

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-03-10	Moderna
2	2021-04-07	Moderna
3	2021-12-07	Moderna	No

Call center

Reported	Outcome	VAERS-related outcome
2021-03-24	Unsuccessful

Free text

Release 5 — day 0, dose 1

2021-03-10

Systemic reaction (other): Pain and tingling on tongue and in mouth; temporary numbness on face

Release 5 — days 1–6 daily, dose 1

2021-03-11

Systemic reaction (other): Lower back pain and Sciatica-type symptoms

2021-03-12

Systemic reaction (other): Some mouth pain and soreness in mouth

2021-03-15

Systemic reaction (other): Numbness and tingling in legs and feet

Release 6 — day 14, dose 1

2021-03-24

Symptoms: Numbness and weakness in legs and right arm. The sensation seems to move around and come on occasionally in my legs/feet. My arm has the feeling more consistently (opposite arm from site injection).

Release 10 — day 0, dose 3

2021-12-07

Systemic reaction (other): Sore throat

Release 10 — day 7, dose 3

2021-12-14

Systemic reaction (other): Extreme moodiness and fatigue

Release 10 — day 21, dose 3

2021-12-28

Symptoms: Extreme fatigue, depression, and headaches

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	Depression	·	·	✓
SD	Fatigue	·	·	✓
SD	Headache	·	·	✓
SD	Hypoaesthesia	✓	✓	✓
SD	Muscular weakness	✓	✓	✓
SRO	Back pain	✓	✓	✓
SRO	Fatigue	·	·	✓
SRO	Glossodynia	✓	✓	✓
SRO	Hypoaesthesia	✓	✓	✓
SRO	Mood altered	·	·	✓
SRO	Oral pain	✓	✓	✓
SRO	Oropharyngeal pain	·	·	✓
SRO	Paraesthesia	✓	✓	✓
SRO	Paraesthesia oral	✓	✓	✓
SRO	Sciatica	✓	✓	✓

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