2L8-17700-17562

1 vaccination 12 coded responses 13 check-ins 12 free-text entries 11 call cases

Sex: Female
Age at first dose: 46-50
ZIP prefix: 773 / TX
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
Survey response — day 0, dose 1
MedDRA: Asthenia, Dizziness — Feeling: Poor · Site: Pain · Fever · Chills, Headache, Fatigue or tiredness · Be unable to work, Be unable to do your normal daily activities

Free text: Weakness and wooziness

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2020-12-30
Report sent to call center — day 0, dose 1
Be unable to work · Be unable to do your normal daily activities

1 call case(s)
2020-12-31
Survey response — days 1–6 daily, dose 1
MedDRA: Dizziness, Tachycardia — Feeling: Poor · Site: Pain · Headache, Fatigue or tiredness, Nausea, Diarrhea · Be unable to work, Be unable to do your normal daily activities

Free text: Tachycardia, wooziness

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2020-12-31
Report sent to call center — days 1–6 daily, dose 1
Be unable to work · Be unable to do your normal daily activities

1 call case(s)
2021-01-01
Survey response — days 1–6 daily, dose 1
MedDRA: Neuropathy peripheral, Tachycardia — Feeling: Fair · Site: Pain · Headache, Fatigue or tiredness, Nausea · Be unable to work, Be unable to do your normal daily activities

Free text: Tachycardia, neuropathy

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-01
Report sent to call center — days 1–6 daily, dose 1
Be unable to work · Be unable to do your normal daily activities

1 call case(s)
2021-01-02
Survey response — days 1–6 daily, dose 1
MedDRA: Muscular weakness — Feeling: Fair · Site: Pain · Headache, Fatigue or tiredness · Be unable to work

Free text: Muscle weakness

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-02
Report sent to call center — days 1–6 daily, dose 1
Be unable to work

1 call case(s)
2021-01-04
Survey response — days 1–6 daily, dose 1
MedDRA: Balance disorder — Feeling: Fair · Headache, Fatigue or tiredness · Be unable to work

Free text: Woke up at 1:00 am with moderate disequilibrium (lasted about two hours)

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-04
Report sent to call center — days 1–6 daily, dose 1
Be unable to work

1 call case(s)
2021-01-06
Survey response — day 7, dose 1
MedDRA: Balance disorder — Feeling: Fair · Fever · Chills, Headache, Fatigue or tiredness, Abdominal pain · Be unable to work

Free text: Disequilibrium (Before I received the shot - I was diagnosed with two autoimmune conditions and take methylprednisolone)

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-06
Report sent to call center — day 7, dose 1
Be unable to work

1 call case(s)
2021-01-13
Survey response — day 14, dose 1
MedDRA: Balance disorder, Migraine, Tinnitus — Feeling: Fair

Free text: Increase in migraines, overall disequilibrium, and tinnitus.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-20
Survey response — day 21, dose 1
MedDRA: Balance disorder, Bursitis, Migraine, Unevaluable event, Ventricular extrasystoles — Feeling: Fair · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional

Free text: Symptoms: Severe hip bursitis-have a doctors appointment next week for treatment. Have slip for bloodwork to check for rheumatoid arthritis and ANA. Large increase in migraine headaches, disequilibrium, and PVCs. Trying to decide if I should get second s · Healthcare visit (other): Appointment next Thursday

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-20
Report sent to call center — day 21, dose 1
Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional

1 call case(s)
2021-01-27
Survey response — day 28, dose 1
MedDRA: Inflammation, Rheumatoid arthritis, Specialist consultation — 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: I have a doctors appointment tomorrow morning to get evaluated for rheumatoid arthritis. I feel like I have so much inflammation in my body since the first covid vaccine. I do not feel comfortable getting my second vaccination yet... · Healthcare visit (other): Orthopedic/rheumatology

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-27
Report sent to call center — day 28, dose 1
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)
2021-02-04
Survey response — day 35, dose 1
MedDRA: Abdominal distension, Abdominal pain upper, Diarrhoea, Gastritis, Gastroenteritis, Muscle spasms, Nausea, Pain, Vomiting — Feeling: Poor · Be unable to work, Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Emergency room or emergency department visit

Free text: Gastritis/gastroenteritis (severe pain, nausea, vomiting, diarrhea, bloating, cramping, severe epigastric pain)

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-04
Report sent to call center — day 35, dose 1
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)
2021-02-12
Survey response — day 42, dose 1
MedDRA: Gastritis, Postural orthostatic tachycardia syndrome — Feeling: Fair · 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, Emergency room or emergency department visit

Free text: Official diagnosis of gastritis and postural orthostatic tachycardia (dysautonomia)

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-12
Report sent to call center — day 42, dose 1
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)
2021-04-02
Health check-in — 3 months, dose 1
Feeling: Fair

Adult check-in
2021-05-06
Call 1 — Left Voicemail
2021-06-30
Survey response — 6 months, dose 1
MedDRA: Antinuclear antibody positive, Inflammation — Feeling: Good · 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: I now have a positive ANA (1:320 for both speckled and homogeneous pattern). It is the first time in my life I have had a positive ANA. I really want the second vaccine but I am very nervous that it will trigger even more inflammation & autoimmuni

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-06-30
Report sent to call center — 6 months, dose 1
Get care from a doctor or other healthcare professional

1 call case(s)
2021-07-02
Call 1 — Left Voicemail

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2020-12-30	Moderna

Call center

11 call center cases

5 unsuccessful · 6 priority 2/3 (triaged and no follow up)

See the call center timeline

Free text

Release 1 — day 0, dose 1

2020-12-30

Systemic reaction (other): Weakness and wooziness

Release 1 — days 1–6 daily, dose 1

2020-12-31

Systemic reaction (other): Tachycardia, wooziness

2021-01-01

Systemic reaction (other): Tachycardia, neuropathy

2021-01-02

Systemic reaction (other): Muscle weakness

2021-01-04

Systemic reaction (other): Woke up at 1:00 am with moderate disequilibrium (lasted about two hours)

Release 1 — day 7, dose 1

2021-01-06

Systemic reaction (other): Disequilibrium (Before I received the shot - I was diagnosed with two autoimmune conditions and take methylprednisolone)

Release 1 — day 14, dose 1

2021-01-13

Symptoms: Increase in migraines, overall disequilibrium, and tinnitus.

Release 2 — day 21, dose 1

2021-01-20

Symptoms: Severe hip bursitis-have a doctors appointment next week for treatment. Have slip for bloodwork to check for rheumatoid arthritis and ANA. Large increase in migraine headaches, disequilibrium, and PVCs. Trying to decide if I should get second s

Healthcare visit (other): Appointment next Thursday

Release 2 — day 28, dose 1

2021-01-27

Symptoms: I have a doctors appointment tomorrow morning to get evaluated for rheumatoid arthritis. I feel like I have so much inflammation in my body since the first covid vaccine. I do not feel comfortable getting my second vaccination yet...

Healthcare visit (other): Orthopedic/rheumatology

Release 3 — day 35, dose 1

2021-02-04

Symptoms: Gastritis/gastroenteritis (severe pain, nausea, vomiting, diarrhea, bloating, cramping, severe epigastric pain)

Release 4 — day 42, dose 1

2021-02-12

Symptoms: Official diagnosis of gastritis and postural orthostatic tachycardia (dysautonomia)

Release 9 — 6 months, dose 1

2021-06-30

Symptoms: I now have a positive ANA (1:320 for both speckled and homogeneous pattern). It is the first time in my life I have had a positive ANA. I really want the second vaccine but I am very nervous that it will trigger even more inflammation & autoimmuni

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	Specialist consultation	✓	✓	✓
HCVO	Unevaluable event	✓	✓	✓
SD	Abdominal distension	✓	✓	✓
SD	Abdominal pain upper	✓	✓	✓
SD	Antinuclear antibody positive	✓	✓	✓
SD	Balance disorder	✓	✓	✓
SD	Bursitis	✓	✓	✓
SD	Diarrhoea	✓	✓	✓
SD	Gastritis	✓	✓	✓
SD	Gastroenteritis	✓	✓	✓
SD	Inflammation	✓	✓	✓
SD	Migraine	✓	✓	✓
SD	Muscle spasms	✓	✓	✓
SD	Nausea	✓	✓	✓
SD	Pain	✓	✓	✓
SD	Postural orthostatic tachycardia syndrome	✓	✓	✓
SD	Rheumatoid arthritis	✓	✓	✓
SD	Tinnitus	✓	✓	✓
SD	Ventricular extrasystoles	✓	✓	✓
SD	Vomiting	✓	✓	✓
SRO	Asthenia	✓	✓	✓
SRO	Balance disorder	✓	✓	✓
SRO	Dizziness	✓	✓	✓
SRO	Muscular weakness	✓	✓	✓
SRO	Neuropathy peripheral	✓	✓	✓
SRO	Tachycardia	✓	✓	✓

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