26C-32294-57772

3 vaccinations 10 coded responses 35 check-ins 10 free-text entries 9 call cases

Sex: —
Age at first dose: 66+
ZIP prefix: 070 / NJ
Registered: 2021-01-06

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

2021-01-04
Dose 1 — Moderna
2021-01-06
Registered in v-safe
2021-01-06
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Site: Pain · None

Adult check-in
2021-01-07
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-01-10
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-01-11
Health check-in — day 7, dose 1
Feeling: Good · None

Adult check-in
2021-01-18
Health check-in — day 14, dose 1
Feeling: Good

Adult check-in
2021-01-25
Health check-in — day 21, dose 1
Feeling: Good

Adult check-in
2021-01-31
Dose 2 — Moderna
2021-02-01
Health check-in — days 1–6 daily, dose 2
Feeling: Good · None

Adult check-in
2021-02-02
Health check-in — days 1–6 daily, dose 2
Feeling: Good · None

Adult check-in
2021-02-03
Health check-in — days 1–6 daily, dose 2
Feeling: Good · None

Adult check-in
2021-02-04
Health check-in — days 1–6 daily, dose 2
Feeling: Good · None

Adult check-in
2021-02-05
Health check-in — days 1–6 daily, dose 2
Feeling: Good · None

Adult check-in
2021-02-06
Health check-in — days 1–6 daily, dose 2
Feeling: Good · None

Adult check-in
2021-02-07
Health check-in — day 7, dose 2
Feeling: Good · None

Adult check-in
2021-02-14
Health check-in — day 14, dose 2
Feeling: Good

Adult check-in
2021-02-21
Health check-in — day 21, dose 2
Feeling: Good

Adult check-in
2021-02-28
Health check-in — day 28, dose 2
Feeling: Good

Adult check-in
2021-03-07
Health check-in — day 35, dose 2
Feeling: Good

Adult check-in
2021-03-14
Health check-in — day 42, dose 2
Feeling: Good

Adult check-in
2021-05-02
Survey response — 3 months, dose 2
MedDRA: Myasthenia gravis — Feeling: Fair · Get care from a doctor or other healthcare professional · Emergency room or emergency department visit, Hospitalization

Free text: New Myasthenia Gravis diagnosis

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-02
Report sent to call center — 3 months, dose 2
Get care from a doctor or other healthcare professional

1 call case(s)
2021-08-01
Survey response — 6 months, dose 2
MedDRA: Myasthenia gravis — Feeling: Good · Get care from a doctor or other healthcare professional · Hospitalization

Free text: New diagnosis of Myasthenia Gravis

MedDRA releases: 2021-09,2024-11 · check-in free text available
2021-08-01
Report sent to call center — 6 months, dose 2
Get care from a doctor or other healthcare professional

1 call case(s)
2021-08-13
Call 1 — Left Voicemail
2021-10-25
Dose 3 — Moderna
2021-10-25
Survey response — day 0, dose 3
MedDRA: Hospitalisation, Myasthenia gravis, Pre-existing disease — Feeling: Poor · Site: Swelling · Fatigue or tiredness · 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: 3 hrs after Moderna booster symptoms of my Myasthenia Gravis started debilitating me. I am now taking IGIF infusions daily for 5 days at hospital. MD believes this happened due to the vaccine. To be watched with other autoimmune people

MedDRA releases: 2024-11 · check-in free text available
2021-10-25
Report sent to call center — day 0, dose 3
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)
2021-10-26
Survey response — days 1–6 daily, dose 3
MedDRA: Myasthenia gravis, Pre-existing disease, Unevaluable event — Feeling: Poor · Fatigue or tiredness · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional

Free text: Systemic reaction (other): Myasthenia Gravis exacerbation · Healthcare visit (other): IVIG infusion

MedDRA releases: 2024-11 · check-in free text available
2021-10-26
Report sent to call center — days 1–6 daily, dose 3
Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional

1 call case(s)
2021-10-27
Survey response — days 1–6 daily, dose 3
MedDRA: Hospitalisation, Myasthenic syndrome — Feeling: Poor · Fatigue or tiredness, Abdominal pain · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional

Free text: Systemic reaction (other): Vaccine activated symptoms of Myasthenia Gravis · Healthcare visit (other): Immune globulin IV infusions at hospital for 5 days

MedDRA releases: 2024-11 · check-in free text available
2021-10-27
Report sent to call center — days 1–6 daily, dose 3
Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional

1 call case(s)
2021-10-28
Survey response — days 1–6 daily, dose 3
MedDRA: Myasthenia gravis, Pre-existing disease, Unevaluable event — Feeling: Poor · Fatigue or tiredness, Abdominal pain · 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): 3 hrs after the Moderna booster my myasthenia Gravis started active symptoms which have progressed even after starting on steroid and increased doses of Mestinon my MS medication. Please notify the researchers. I am an RN · Healthcare visit (other): On IVIG infusions daily x 5 days

MedDRA releases: 2024-11 · check-in free text available
2021-10-28
Report sent to call center — days 1–6 daily, dose 3
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)
2021-10-28
Call 1 — Left Voicemail
2021-10-29
Survey response — days 1–6 daily, dose 3
MedDRA: Hospitalisation, Myasthenia gravis, Pre-existing disease — Feeling: Poor · Fatigue or tiredness, Abdominal pain

Free text: Activation 3hrs after my Moderna booster shot. I started symptoms of active myasthenia Gravis exacerbated symptoms requiring me to have AiVIF immune globulin infusions in hospital for last 5 days Today was last day. I would like to be notified by res

MedDRA releases: 2024-11 · check-in free text available
2021-10-30
Survey response — days 1–6 daily, dose 3
MedDRA: Adverse reaction, Asthenia, Muscular weakness, Myasthenia gravis, Pre-existing disease, Unevaluable event — Feeling: Poor · Fatigue or tiredness · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultation, Hospitalization

Free text: Systemic reaction (other): Extreme muscle weakness due to activation of my Myasthenia Gravis 3 hrs after getting the Moderna booster. Symptoms so bad I have had to have IV immune globulin treatments for 5 days at hospital. I am now on steroids and very debilitated. Neurologisv · Healthcare visit (other): Yesterday completed IVIG treatments at hospital x 5 days. No significant change in severe symptoms

MedDRA releases: 2024-11 · check-in free text available
2021-10-30
Report sent to call center — days 1–6 daily, dose 3
Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional

Telehealth, virtual health, or email health consultation · Hospitalization · 1 call case(s)
2021-10-31
Survey response — days 1–6 daily, dose 3
MedDRA: Hospitalisation, Myasthenia gravis, Pre-existing disease — Feeling: Poor · Fatigue or tiredness · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional

Free text: Systemic reaction (other): Exacerbated Myasthenia Gravis symptoms · Healthcare visit (other): IVIG IV infusions at hospital for 5 days fail. Completed 10/ 29

MedDRA releases: 2024-11 · check-in free text available
2021-10-31
Report sent to call center — days 1–6 daily, dose 3
Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional

1 call case(s)
2021-11-03
Survey response — day 7, dose 3
MedDRA: Hospitalisation, Muscular weakness, Office visit — Feeling: Poor · Fatigue or tiredness · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional

Free text: Systemic reaction (other): Still having muscle weakness arms and back · Healthcare visit (other): Neurology IV person visits X 2 IVIG treatment x5 completed on 10/29 T hospital.

MedDRA releases: 2024-11 · check-in free text available
2021-11-03
Report sent to call center — day 7, dose 3
Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional

1 call case(s)
2021-11-03
Call 1 — Left Voicemail
2021-11-03
Call successful
Completed over the phone
2021-11-08
Call 1 — Left Voicemail
2021-11-10
Health check-in — day 14, dose 3
Feeling: Fair

Adult check-in
2021-11-17
Health check-in — day 21, dose 3
Feeling: Fair

Adult check-in
2021-11-22
Health check-in — day 28, dose 3
Feeling: Fair

Adult check-in
2021-11-29
Health check-in — day 35, dose 3
Feeling: Fair

Adult check-in
2021-12-07
Health check-in — day 42, dose 3
Feeling: Good

Adult check-in
2022-01-24
Health check-in — 3 months, dose 3
Feeling: Good

Adult check-in
2022-10-25
Health check-in — 12 months, dose 3
Feeling: Good

Adult check-in

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-01-04	Moderna
2	2021-01-31	Moderna
3	2021-10-25	Moderna	No

Call center

9 call center cases

6 successful · 3 unsuccessful

VAERS report filed, before or during a call: 6

See the call center timeline

Free text

Release 8 — 3 months, dose 2

2021-05-02

Symptoms: New Myasthenia Gravis diagnosis

Release 9 — 6 months, dose 2

2021-08-01

Symptoms: New diagnosis of Myasthenia Gravis

Release 10 — day 0, dose 3

2021-10-25

Systemic reaction (other): 3 hrs after Moderna booster symptoms of my Myasthenia Gravis started debilitating me. I am now taking IGIF infusions daily for 5 days at hospital. MD believes this happened due to the vaccine. To be watched with other autoimmune people

Release 10 — days 1–6 daily, dose 3

2021-10-26

Systemic reaction (other): Myasthenia Gravis exacerbation

Healthcare visit (other): IVIG infusion

2021-10-27

Systemic reaction (other): Vaccine activated symptoms of Myasthenia Gravis

Healthcare visit (other): Immune globulin IV infusions at hospital for 5 days

2021-10-28

Systemic reaction (other): 3 hrs after the Moderna booster my myasthenia Gravis started active symptoms which have progressed even after starting on steroid and increased doses of Mestinon my MS medication. Please notify the researchers. I am an RN

Healthcare visit (other): On IVIG infusions daily x 5 days

2021-10-29

Systemic reaction (other): Activation 3hrs after my Moderna booster shot. I started symptoms of active myasthenia Gravis exacerbated symptoms requiring me to have AiVIF immune globulin infusions in hospital for last 5 days Today was last day. I would like to be notified by res cut off by CDC

2021-10-30

Systemic reaction (other): Extreme muscle weakness due to activation of my Myasthenia Gravis 3 hrs after getting the Moderna booster. Symptoms so bad I have had to have IV immune globulin treatments for 5 days at hospital. I am now on steroids and very debilitated. Neurologisv cut off by CDC

Healthcare visit (other): Yesterday completed IVIG treatments at hospital x 5 days. No significant change in severe symptoms

2021-10-31

Systemic reaction (other): Exacerbated Myasthenia Gravis symptoms

Healthcare visit (other): IVIG IV infusions at hospital for 5 days fail. Completed 10/ 29

Release 10 — day 7, dose 3

2021-11-03

Systemic reaction (other): Still having muscle weakness arms and back

Healthcare visit (other): Neurology IV person visits X 2 IVIG treatment x5 completed on 10/29 T hospital.

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	Adverse reaction	·	·	✓
HCVO	Hospitalisation	·	·	✓
HCVO	Office visit	·	·	✓
HCVO	Unevaluable event	·	·	✓
SD	Myasthenia gravis	✓	✓	✓
SRO	Asthenia	·	·	✓
SRO	Hospitalisation	·	·	✓
SRO	Muscular weakness	·	·	✓
SRO	Myasthenia gravis	·	·	✓
SRO	Myasthenic syndrome	·	·	✓
SRO	Pre-existing disease	·	·	✓
SRO	Unevaluable event	·	·	✓

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