2G8-19717-89345

1 vaccination 6 coded responses 9 check-ins 6 free-text entries 4 call cases

Sex: Female
Age at first dose: 61-65
ZIP prefix: 970 / OR
Registered: 2021-03-16

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

2021-03-07
Dose 1 — Moderna
2021-03-16
Registered in v-safe
2021-03-16
Health check-in — day 7, dose 1
Feeling: Fair · Nausea

Adult check-in
2021-03-21
Health check-in — day 14, dose 1
Feeling: Good

Adult check-in
2021-03-29
Health check-in — day 21, dose 1
Feeling: Good

Adult check-in
2021-04-05
Survey response — day 28, dose 1
MedDRA: Chest discomfort, Dyspnoea, Immediate post-injection reaction — Feeling: Fair

Free text: My heart has twinges every one to two minutes..this is new. At time of injection I did have sudden chest pressure and difficult breathing.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-12
Survey response — day 35, dose 1
MedDRA: Discomfort, Heart rate irregular, Oedema peripheral — Feeling: Fair

Free text: Edema in legs. Irregular heartbeat and pressure since the Moderna injection. How long will this last? (b)(6). I will be scheduling a doctor appt.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-19
Survey response — day 42, dose 1
MedDRA: Heart rate increased, Hypertension — Feeling: Good · Get care from a doctor or other healthcare professional · Emergency room or emergency department visit

Free text: High blood pressure and fast heart rate while resting..160/88.. Heart 120. Usually have low bp of 107

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-19
Report sent to call center — day 42, dose 1
Get care from a doctor or other healthcare professional

1 call case(s)
2021-06-06
Survey response — 3 months, dose 1
MedDRA: Abnormal dreams, Diarrhoea, Muscular weakness, Tinnitus — Feeling: Poor · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit, Emergency room or emergency department visit

Free text: All new symptoms since vaccination..peripheral neuropathy, extreme muscle weakness, no appetite, lost 10 pounds, yellow diarrhea for the last 5 weeks. Ears ringing, vivid dreams. Any advice?

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-06-06
Report sent to call center — 3 months, dose 1
Get care from a doctor or other healthcare professional

1 call case(s)
2021-06-24
Call 1 — Left Voicemail
2021-09-07
Survey response — 6 months, dose 1
MedDRA: Acupuncture, Arthropathy, Joint swelling, Muscle atrophy, Physiotherapy, Skin tightness, Vein discolouration — Feeling: Poor · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultation, Outpatient clinic or urgent care clinic visit, Emergency room or emergency department visit

Free text: Symptoms: Muscle atrophy has caused problem with hips, knees, shoulders and TMJ. Going through physical therapy. Skin on face feels tight. Left ankle swells and blue veins. NONE of these issues prior to Moderna. I am willing to testify against approval by FDA · Healthcare visit (other): Also acupuncture and physical therapy..the above visits occured over past 6 months after the vaccine. 12 + doctor appointments.

MedDRA releases: 2024-11 · check-in free text available
2021-09-07
Report sent to call center — 6 months, dose 1
Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional

1 call case(s)
2021-09-10
Call 1 — Left Voicemail
2022-03-09
Survey response — 12 months, dose 1
MedDRA: Abnormal dreams, Connective tissue disorder, Dizziness postural, Headache, Heart rate increased, Muscular weakness, Office visit, Peripheral vascular disorder, Temporomandibular pain and dysfunction syndrome — Feeling: Poor · Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultation, Outpatient clinic or urgent care clinic visit

Free text: Extreme dizziness when standing. Tmj. Muscle weakness High heartrate. Neurologist said it is circulatory. Constant headache and nightly vivid dreams. These conditions started after the vaccine. Also connective t issue/muscle weakness.

MedDRA releases: 2024-11 · check-in free text available
2022-03-09
Report sent to call center — 12 months, dose 1
Get care from a doctor or other healthcare professional

Telehealth, virtual health, or email health consultation · Outpatient clinic or urgent care clinic visit · 1 call case(s)
2022-03-10
Call 1 — Could Not Reach Participant
2022-03-10
Call successful
Reported to VAERS voluntarily prior to GDIT contact

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-03-07	Moderna

Call center

4 call center cases

4 successful

VAERS report filed, before or during a call: 4

See the call center timeline

Free text

Release 6 — day 28, dose 1

2021-04-05

Symptoms: My heart has twinges every one to two minutes..this is new. At time of injection I did have sudden chest pressure and difficult breathing.

Release 7 — day 35, dose 1

2021-04-12

Symptoms: Edema in legs. Irregular heartbeat and pressure since the Moderna injection. How long will this last? (b)(6). I will be scheduling a doctor appt.

redacted (b)(6)

Release 7 — day 42, dose 1

2021-04-19

Symptoms: High blood pressure and fast heart rate while resting..160/88.. Heart 120. Usually have low bp of 107

Release 8 — 3 months, dose 1

2021-06-06

Symptoms: All new symptoms since vaccination..peripheral neuropathy, extreme muscle weakness, no appetite, lost 10 pounds, yellow diarrhea for the last 5 weeks. Ears ringing, vivid dreams. Any advice?

Release 9 — 6 months, dose 1

2021-09-07

Symptoms: Muscle atrophy has caused problem with hips, knees, shoulders and TMJ. Going through physical therapy. Skin on face feels tight. Left ankle swells and blue veins. NONE of these issues prior to Moderna. I am willing to testify against approval by FDA cut off by CDC

Healthcare visit (other): Also acupuncture and physical therapy..the above visits occured over past 6 months after the vaccine. 12 + doctor appointments.

Release 11 — 12 months, dose 1

2022-03-09

Symptoms: Extreme dizziness when standing. Tmj. Muscle weakness High heartrate. Neurologist said it is circulatory. Constant headache and nightly vivid dreams. These conditions started after the vaccine. Also connective t issue/muscle weakness.

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	Acupuncture	·	·	✓
HCVO	Physiotherapy	·	·	✓
SD	Abnormal dreams	✓	✓	✓
SD	Arthropathy	·	·	✓
SD	Chest discomfort	✓	✓	✓
SD	Connective tissue disorder	·	·	✓
SD	Diarrhoea	✓	✓	✓
SD	Discomfort	✓	✓	✓
SD	Dizziness postural	·	·	✓
SD	Dyspnoea	✓	✓	✓
SD	Headache	·	·	✓
SD	Heart rate increased	✓	✓	✓
SD	Heart rate irregular	✓	✓	✓
SD	Hypertension	✓	✓	✓
SD	Immediate post-injection reaction	✓	✓	✓
SD	Joint swelling	·	·	✓
SD	Muscle atrophy	·	·	✓
SD	Muscular weakness	✓	✓	✓
SD	Oedema peripheral	✓	✓	✓
SD	Office visit	·	·	✓
SD	Peripheral vascular disorder	·	·	✓
SD	Physiotherapy	·	·	✓
SD	Skin tightness	·	·	✓
SD	Temporomandibular pain and dysfunction syndrome	·	·	✓
SD	Tinnitus	✓	✓	✓
SD	Vein discolouration	·	·	✓

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