2MJ-24284-20661
2 vaccinations
24 coded responses
28 check-ins
24 free-text entries
2 call cases
- Sex
- Female
- Age at first dose
- 61-65
- ZIP prefix
- 981 / WA
- Registered
- 2021-08-10
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
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2021-08-10
Registered in v-safe
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2021-08-10
Dose 1 — Moderna
- 2021-08-10
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2021-08-11
Survey response — days 1–6 daily, dose 1MedDRA: Cough, Dyspnoea, Neuropathy peripheral, Office visit, Palpitations — Feeling: Poor · Site: Pain · Fever · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Diarrhea, Abdominal pain · Be unable to work or attend school, Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultationFree text: Systemic reaction (other): Racing heart rate, cough trouble catching my breath , nerve pain feet and hands · Healthcare visit (other): Called my cardiologist officeMedDRA releases: 2021-09,2024-11 · check-in free text available
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2021-08-11
Report sent to call center — days 1–6 daily, dose 1Be unable to work or attend school · Be unable to do your normal daily activities · Get care from a doctor or other healthcare pr1 call case(s)
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2021-08-12
Survey response — days 1–6 daily, dose 1MedDRA: Back pain, Ear congestion — Feeling: Poor · Site: Pain · Fever · Muscle or body aches, Fatigue or tiredness · Be unable to work or attend school, Be unable to do your normal daily activitiesFree text: Ears are closed, pain in lower back by kidneysMedDRA releases: 2021-09,2024-11 · check-in free text available
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2021-08-13
Survey response — days 1–6 daily, dose 1MedDRA: Oropharyngeal pain — Feeling: Fair · Site: Pain · Muscle or body aches, DiarrheaFree text: Sore throat could be our air qualityMedDRA releases: 2021-09,2024-11 · check-in free text available
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2021-08-14
Survey response — days 1–6 daily, dose 1MedDRA: Asthenia, Tremor — Feeling: Fair · Site: Pain · Muscle or body aches, DiarrheaFree text: Weak and shakyMedDRA releases: 2021-09,2024-11 · check-in free text available
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2021-08-15
Survey response — days 1–6 daily, dose 1MedDRA: Hypoaesthesia, Tremor — Feeling: Fair · Site: Pain · Muscle or body aches · Be unable to do your normal daily activitiesFree text: Very shaky and my second toe is numbMedDRA releases: 2021-09,2024-11 · check-in free text available
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2021-08-16
Survey response — days 1–6 daily, dose 1MedDRA: Neuralgia — Feeling: Good · Muscle or body aches, DiarrheaFree text: Nerve pain in the nightMedDRA releases: 2021-09,2024-11 · check-in free text available
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2021-08-17
Survey response — day 7, dose 1MedDRA: Neuralgia, Tremor, Vision blurred — Feeling: Fair · Joint pains, Muscle or body achesFree text: Tremors, and nerve pain in feet, blurry vision when wakingMedDRA releases: 2021-09,2024-11 · check-in free text available
- 2021-08-19
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2021-08-24
Survey response — day 14, dose 1MedDRA: Lymphadenopathy, Oropharyngeal pain, SARS-CoV-2 test negative — Feeling: FairFree text: Developed swollen lymph nodes in arm and soar throat was tested for covid and negativeMedDRA releases: 2021-09,2024-11 · check-in free text available
- 2021-08-24
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2021-08-31
Survey response — day 21, dose 1MedDRA: Lymphadenopathy, Oropharyngeal pain, Rhinorrhoea — Feeling: Poor · Be unable to do your normal daily activitiesFree text: Runny nose, soar throat, swollen lymph glandsMedDRA releases: 2021-09,2024-11 · check-in free text available
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2021-09-07
Survey response — day 28, dose 1MedDRA: Brain fog, Contusion, Lymphadenopathy, Myalgia, Tremor — Feeling: Fair · Be unable to work or attend schoolFree text: Swollen lymph nodes, more tremors, brain fog, bruising, shakes, muscle painMedDRA releases: 2024-11 · check-in free text available
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2021-09-14
Survey response — day 35, dose 1MedDRA: Diarrhoea, Dizziness, Gingival pain, Headache, Lymphadenopathy, Muscle spasms, Tremor — Feeling: Fair · Be unable to work or attend school, Be unable to do your normal daily activitiesFree text: Tremors cramping spasms swelling in one breast lymph node selling dizziness headache lose stool painful gumsMedDRA releases: 2024-11 · check-in free text available
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2021-09-21
Dose 2 — ModernaCo-administered: Other
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2021-09-21
Survey response — day 0, dose 2MedDRA: Confusional state, Muscle spasms, Tremor — Feeling: Poor · Muscle or body aches · Be unable to work or attend school, Be unable to do your normal daily activitiesFree text: Tremors and hand spasms confusionMedDRA releases: 2024-11 · check-in free text available
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2021-09-22
Survey response — days 1–6 daily, dose 2MedDRA: Back pain, Cough, Dyskinesia, Hypoaesthesia, Lymphadenopathy, Neck pain, Neuralgia, Tremor, Weight increased — Feeling: Poor · Site: Pain · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Abdominal pain · Be unable to work or attend school, Be unable to do your normal daily activitiesFree text: Coughing and weight gain of 6 lbs in the night swollen lymph gland nueropothy pain in neck pain in lower back numbness in hands jerking tremorsMedDRA releases: 2024-11 · check-in free text available
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2021-09-23
Survey response — days 1–6 daily, dose 2MedDRA: Blood test abnormal — Feeling: Fair · Site: Pain, Swelling · Fever · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to work or attend school, Be unable to do your normal daily activitiesFree text: Had blood work done came back unusually high in a few areasMedDRA releases: 2024-11 · check-in free text available
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2021-09-24
Survey response — days 1–6 daily, dose 2MedDRA: Blood test abnormal, Dyspnoea, Muscle spasms, Muscle twitching, Tremor, Visual impairment — Feeling: Fair · Site: Pain, Swelling · Headache, Fatigue or tiredness · Be unable to work or attend school, Be unable to do your normal daily activitiesFree text: Twitching on face, shaky hands cramping of hands, visual disturbances, shortness of breath, blood test came back irregularMedDRA releases: 2024-11 · check-in free text available
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2021-09-25
Survey response — days 1–6 daily, dose 2MedDRA: Abdominal pain upper, Coordination abnormal, Muscle spasms, Pain in extremity, Paraesthesia — Feeling: Fair · Fever · Headache, Muscle or body aches, Fatigue or tiredness · Be unable to work or attend school, Be unable to do your normal daily activitiesFree text: Cramping and spasms in hands that make coordination difficult and painful, feet tingle, pain in upper abdomenMedDRA releases: 2024-11 · check-in free text available
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2021-09-26
Survey response — days 1–6 daily, dose 2MedDRA: Back pain, Insomnia, Muscle spasms, Muscle twitching, Pain — Feeling: Fair · Headache, Muscle or body aches, Fatigue or tiredness, Rash, not including the immediate area around the injection site · Be unable to work or attend school, Be unable to do your normal daily activitiesFree text: Spasms, cramping, neurological twitching, pain all over including lower back, insomniaMedDRA releases: 2024-11 · check-in free text available
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2021-09-27
Survey response — days 1–6 daily, dose 2MedDRA: Muscle spasms — Feeling: Fair · Headache, Muscle or body aches, Abdominal pain · Be unable to work or attend schoolFree text: Cramping and spasmsMedDRA releases: 2024-11 · check-in free text available
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2021-09-28
Survey response — day 7, dose 2MedDRA: Muscle spasms — Feeling: Fair · Headache, Muscle or body aches, Abdominal pain, Rash, not including the immediate area around the injection site · Be unable to work or attend schoolFree text: Cramping and spasms in handsMedDRA releases: 2024-11 · check-in free text available
- 2021-10-05
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2021-10-12
Survey response — day 21, dose 2MedDRA: Condition aggravated, Cough, Fatigue, Pre-existing disease, Tremor, Unevaluable event — Feeling: Fair · Be unable to work or attend school, Be unable to do your normal daily activitiesFree text: Worsening tremors and spasms , cough, soars and fatigueMedDRA releases: 2024-11 · check-in free text available
- 2021-10-19
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2021-10-26
Survey response — day 35, dose 2MedDRA: Alopecia — Feeling: Fair · Be unable to work or attend schoolFree text: Hair loss balding spotsMedDRA releases: 2024-11 · check-in free text available
- 2021-11-02
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2021-12-21
Survey response — 3 months, dose 2MedDRA: Alopecia, Asthma, Inflammation, Lymphadenopathy, Pain, Pre-existing disease, Rash, Unevaluable event — Feeling: Good · Be unable to work or attend school, 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 visitFree text: Symptoms: Rashes, hair loss, swollen lymph glands, worsen asthma, inflammation, body aches · Healthcare visit (other): They found what was first to believe d to be a dvt under my arm now is unknownMedDRA releases: 2024-11 · check-in free text available
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2021-12-21
Report sent to call center — 3 months, dose 2Be unable to work or attend school · Be unable to do your normal daily activities · Get care from a doctor or other healthcare prTelehealth, virtual health, or email health consultation · Outpatient clinic or urgent care clinic visit · Emergency room or emergency department visit · 1 call case(s)
- 2021-12-22
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2021-12-23
Callback requested for05:00PM ET
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2021-12-23
Call successfulCompleted over the phone
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2022-03-22
Survey response — 6 months, dose 2MedDRA: Arthralgia, Oedema peripheral — Feeling: Poor · Be unable to work or attend school, Be unable to do your normal daily activitiesFree text: Swelling under arm and severe pain in shoulderMedDRA releases: 2024-11 · check-in free text available
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2022-09-21
Survey response — 12 months, dose 2MedDRA: Alopecia, COVID-19, Cognitive disorder, Condition aggravated, Contusion, Decreased appetite, Fatigue, Gastric ulcer, Hypoaesthesia, Inflammation, Insomnia, Intestinal ulcer, Muscle spasms, Neuropathy peripheral, Pre-existing disease, Skin lesion, Tendon rupture, Thrombosis, Tremor — Feeling: Poor · Be unable to work or attend school, Be unable to do your normal daily activitiesFree text: covid 2 time, long Covid symptoms returned, tremors, cognitive issues, insomnia, lack of appetite, fatigue, skin lessons, intestinal and stomach ulcers, cramping, spasms, inflammation, torn tendons, clots, bruising, numbness, neuropathy, hair lossMedDRA releases: 2024-11 · check-in free text available
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-08-10 | Moderna | No |
| 2 | 2021-09-21 | Moderna | Other |
Call center
2 call center cases
2 successful
VAERS report filed, before or during a call: 1
Free text
Release 9 — days 1–6 daily, dose 1
Systemic reaction (other): Racing heart rate, cough trouble catching my breath , nerve pain feet and hands
Healthcare visit (other): Called my cardiologist office
Systemic reaction (other): Ears are closed, pain in lower back by kidneys
Systemic reaction (other): Sore throat could be our air quality
Systemic reaction (other): Weak and shaky
Systemic reaction (other): Very shaky and my second toe is numb
Systemic reaction (other): Nerve pain in the night
Release 9 — day 7, dose 1
Systemic reaction (other): Tremors, and nerve pain in feet, blurry vision when waking
Release 9 — day 14, dose 1
Symptoms: Developed swollen lymph nodes in arm and soar throat was tested for covid and negative
Release 9 — day 21, dose 1
Symptoms: Runny nose, soar throat, swollen lymph glands
Release 9 — day 28, dose 1
Symptoms: Swollen lymph nodes, more tremors, brain fog, bruising, shakes, muscle pain
Release 9 — day 35, dose 1
Symptoms: Tremors cramping spasms swelling in one breast lymph node selling dizziness headache lose stool painful gums
Release 9 — day 0, dose 2
Systemic reaction (other): Tremors and hand spasms confusion
Release 9 — days 1–6 daily, dose 2
Systemic reaction (other): Coughing and weight gain of 6 lbs in the night swollen lymph gland nueropothy pain in neck pain in lower back numbness in hands jerking tremors
Systemic reaction (other): Had blood work done came back unusually high in a few areas
Systemic reaction (other): Twitching on face, shaky hands cramping of hands, visual disturbances, shortness of breath, blood test came back irregular
Systemic reaction (other): Cramping and spasms in hands that make coordination difficult and painful, feet tingle, pain in upper abdomen
Systemic reaction (other): Spasms, cramping, neurological twitching, pain all over including lower back, insomnia
Systemic reaction (other): Cramping and spasms
Release 9 — day 7, dose 2
Systemic reaction (other): Cramping and spasms in hands
Release 10 — day 21, dose 2
Symptoms: Worsening tremors and spasms , cough, soars and fatigue
Release 10 — day 35, dose 2
Symptoms: Hair loss balding spots
Release 10 — 3 months, dose 2
Symptoms: Rashes, hair loss, swollen lymph glands, worsen asthma, inflammation, body aches
Healthcare visit (other): They found what was first to believe d to be a dvt under my arm now is unknown
Release 11 — 6 months, dose 2
Symptoms: Swelling under arm and severe pain in shoulder
Release 12 — 12 months, dose 2
Symptoms: covid 2 time, long Covid symptoms returned, tremors, cognitive issues, insomnia, lack of appetite, fatigue, skin lessons, intestinal and stomach ulcers, cramping, spasms, inflammation, torn tendons, clots, bruising, numbness, neuropathy, hair loss cut off by CDC
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 | Office visit | ✓ | · | ✓ |
| HCVO | Unevaluable event | · | · | ✓ |
| SD | Alopecia | · | · | ✓ |
| SD | Arthralgia | · | · | ✓ |
| SD | Asthma | · | · | ✓ |
| SD | Brain fog | · | · | ✓ |
| SD | Cognitive disorder | · | · | ✓ |
| SD | Condition aggravated | · | · | ✓ |
| SD | Contusion | · | · | ✓ |
| SD | Cough | · | · | ✓ |
| SD | COVID-19 | · | · | ✓ |
| SD | Decreased appetite | · | · | ✓ |
| SD | Diarrhoea | · | · | ✓ |
| SD | Dizziness | · | · | ✓ |
| SD | Fatigue | · | · | ✓ |
| SD | Gastric ulcer | · | · | ✓ |
| SD | Gingival pain | · | · | ✓ |
| SD | Headache | · | · | ✓ |
| SD | Hypoaesthesia | · | · | ✓ |
| SD | Inflammation | · | · | ✓ |
| SD | Insomnia | · | · | ✓ |
| SD | Intestinal ulcer | · | · | ✓ |
| SD | Lymphadenopathy | ✓ | · | ✓ |
| SD | Muscle spasms | · | · | ✓ |
| SD | Myalgia | · | · | ✓ |
| SD | Neuropathy peripheral | · | · | ✓ |
| SD | Oedema peripheral | · | · | ✓ |
| SD | Oropharyngeal pain | ✓ | · | ✓ |
| SD | Pain | · | · | ✓ |
| SD | Pre-existing disease | · | · | ✓ |
| SD | Rash | · | · | ✓ |
| SD | Rhinorrhoea | ✓ | · | ✓ |
| SD | SARS-CoV-2 test negative | ✓ | · | ✓ |
| SD | Skin lesion | · | · | ✓ |
| SD | Tendon rupture | · | · | ✓ |
| SD | Thrombosis | · | · | ✓ |
| SD | Tremor | · | · | ✓ |
| SD | Unevaluable event | · | · | ✓ |
| SRO | Abdominal pain upper | · | · | ✓ |
| SRO | Asthenia | ✓ | · | ✓ |
| SRO | Back pain | ✓ | · | ✓ |
| SRO | Blood test abnormal | · | · | ✓ |
| SRO | Confusional state | · | · | ✓ |
| SRO | Coordination abnormal | · | · | ✓ |
| SRO | Cough | ✓ | · | ✓ |
| SRO | Dyskinesia | · | · | ✓ |
| SRO | Dyspnoea | ✓ | · | ✓ |
| SRO | Ear congestion | ✓ | · | ✓ |
| SRO | Hypoaesthesia | ✓ | · | ✓ |
| SRO | Insomnia | · | · | ✓ |
| SRO | Lymphadenopathy | · | · | ✓ |
| SRO | Muscle spasms | · | · | ✓ |
| SRO | Muscle twitching | · | · | ✓ |
| SRO | Neck pain | · | · | ✓ |
| SRO | Neuralgia | ✓ | · | ✓ |
| SRO | Neuropathy peripheral | ✓ | · | ✓ |
| SRO | Oropharyngeal pain | ✓ | · | ✓ |
| SRO | Pain | · | · | ✓ |
| SRO | Pain in extremity | · | · | ✓ |
| SRO | Palpitations | ✓ | · | ✓ |
| SRO | Paraesthesia | · | · | ✓ |
| SRO | Tremor | ✓ | · | ✓ |
| SRO | Vision blurred | ✓ | · | ✓ |
| SRO | Visual impairment | · | · | ✓ |
| SRO | Weight increased | · | · | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release