2SE-28110-33902
2 vaccinations
8 coded responses
18 check-ins
8 free-text entries
3 call cases
- Sex
- Female
- Age at first dose
- 46-50
- ZIP prefix
- 802 / CO
- Registered
- 2021-04-03
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
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2021-03-24
Dose 1 — Moderna
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2021-04-03
Registered in v-safe
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2021-04-03
Survey response — day 7, dose 1MedDRA: Neuropathy peripheral, Tachycardia, Unevaluable event, Ventricular extrasystoles — Feeling: Poor · Headache, Joint pains, Fatigue or tiredness, Nausea · Be unable to work, Be unable to do your normal daily activities, Get care from a doctor or other healthcare professionalFree text: Systemic reaction (other): Tachycardia, constant PVCs, neuropathy in arm that received vaccine · Healthcare visit (other): Telehealth scheduled for next weekMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-04-03
Report sent to call center — day 7, dose 1Be unable to work · Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional1 call case(s)
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2021-04-07
Survey response — day 14, dose 1MedDRA: Arrhythmia, Headache, Nausea, Neuralgia, Wheezing — Feeling: Poor · Be unable to work, Be unable to do your normal daily activitiesFree text: Heart arrhythmia continuing to worsen; wheezing and nausea ongoing (some improvement with steroid treatment); worsening headaches and nerve pain, esp. in left arm (vaccine arm)MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-04-14
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2021-04-22
Dose 2 — Moderna
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2021-04-23
Survey response — days 1–6 daily, dose 2MedDRA: Post-acute COVID-19 syndrome, Pre-existing condition improved — Feeling: Good · Site: Pain · Fatigue or tirednessFree text: I have long COVID and feel better today than I have in a yearMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-04-24
Survey response — days 1–6 daily, dose 2MedDRA: Menstruation irregular — Feeling: Good · Muscle or body achesFree text: Period came early today; unusual for meMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-04-25
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2021-04-26
Health check-in — days 1–6 daily, dose 2Feeling: Good · Muscle or body aches, Fatigue or tirednessAdult check-in
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2021-04-27
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tirednessAdult check-in
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2021-04-28
Health check-in — days 1–6 daily, dose 2Feeling: Good · Joint pains, Muscle or body achesAdult check-in
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2021-04-29
Health check-in — day 7, dose 2Feeling: Good · Headache, Joint pains, Muscle or body achesAdult check-in
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2021-05-06
Survey response — day 14, dose 2MedDRA: Arthralgia, Condition aggravated, Headache, Inflammation, Pre-existing disease — Feeling: Fair · Be unable to do your normal daily activitiesFree text: Immune system flare/widespread inflammation: joint pain, fatigue, headache, cognitive impactsMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-05-13
- 2021-05-20
- 2021-05-27
- 2021-06-03
- 2021-06-15
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2021-07-22
Survey response — 3 months, dose 2MedDRA: Arrhythmia, Blood oestrogen increased, COVID-19, Fatigue, Inflammation, Myalgia, Neuropathy peripheral, Pre-existing disease, Smoke sensitivity, Wheezing — 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 consultationFree text: Acute flare of long-covid symptoms/inflammation triggered by poor air quality (smoke, ozone). Wheezing, muscle pain, fatigue, more arrhythmia, neuropathy. Also, have been diagnosed with estrogen dominance post covid and am undergoing uterine biopsyMedDRA releases: 2024-11 · check-in free text available
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2021-07-22
Report sent to call center — 3 months, dose 2Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional1 call case(s)
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2021-07-28
Call successfulCompleted over the phone
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2021-10-21
Survey response — 6 months, dose 2MedDRA: Benign renal neoplasm, Benign uterine neoplasm, Bronchial hyperreactivity, Cardiac disorder, Diabetes mellitus, Gastrointestinal disorder, Inflammation, Neuropathy peripheral, Pre-existing disease, Sinusitis, Small fibre neuropathy, Surgery — Feeling: Poor · 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, Emergency room or emergency department visitFree text: Symptoms: Diagnosed w/post-covid diabetes, benign kidney tumor, benign uterine tumor, resistant sinus infection, reactive airway disease, autoimmune small fiber neuropathy. Increased inflammation, neuropathy, cardiac and GI issues following Moderna #3. · Healthcare visit (other): Surgery x 2MedDRA releases: 2024-11 · check-in free text available
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2021-10-21
Report sent to call center — 6 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 · Emergency room or emergency department visit · 1 call case(s)
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2021-10-26
Call successfulReported to VAERS during previous contact from GDIT
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2022-04-22
Survey response — 12 months, dose 2MedDRA: COVID-19, Condition aggravated, Pre-existing disease — Feeling: Poor · Be unable to work or attend school, Be unable to do your normal daily activitiesFree text: Diagnosed with chronic inflammatory demyelinating polyneuropathy (autoimmune) and ME/CFS, triggered and/or exacerbated by initial covid infection & subsequent vaccines. I've been in a significant multi-system autoimmune flare since Jan booster dose.MedDRA releases: 2024-11 · check-in free text available
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-03-24 | Moderna | |
| 2 | 2021-04-22 | Moderna |
Call center
3 call center cases
3 successful
VAERS report filed, before or during a call: 3
Free text
Release 6 — day 7, dose 1
Systemic reaction (other): Tachycardia, constant PVCs, neuropathy in arm that received vaccine
Healthcare visit (other): Telehealth scheduled for next week
Release 7 — day 14, dose 1
Symptoms: Heart arrhythmia continuing to worsen; wheezing and nausea ongoing (some improvement with steroid treatment); worsening headaches and nerve pain, esp. in left arm (vaccine arm)
Release 7 — days 1–6 daily, dose 2
Systemic reaction (other): I have long COVID and feel better today than I have in a year
Systemic reaction (other): Period came early today; unusual for me
Release 8 — day 14, dose 2
Symptoms: Immune system flare/widespread inflammation: joint pain, fatigue, headache, cognitive impacts
Release 9 — 3 months, dose 2
Symptoms: Acute flare of long-covid symptoms/inflammation triggered by poor air quality (smoke, ozone). Wheezing, muscle pain, fatigue, more arrhythmia, neuropathy. Also, have been diagnosed with estrogen dominance post covid and am undergoing uterine biopsy cut off by CDC
Release 10 — 6 months, dose 2
Symptoms: Diagnosed w/post-covid diabetes, benign kidney tumor, benign uterine tumor, resistant sinus infection, reactive airway disease, autoimmune small fiber neuropathy. Increased inflammation, neuropathy, cardiac and GI issues following Moderna #3.
Healthcare visit (other): Surgery x 2
Release 11 — 12 months, dose 2
Symptoms: Diagnosed with chronic inflammatory demyelinating polyneuropathy (autoimmune) and ME/CFS, triggered and/or exacerbated by initial covid infection & subsequent vaccines. I've been in a significant multi-system autoimmune flare since Jan booster dose. 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 | Surgery | · | · | ✓ |
| HCVO | Unevaluable event | ✓ | ✓ | ✓ |
| SD | Arrhythmia | ✓ | ✓ | ✓ |
| SD | Arthralgia | ✓ | ✓ | ✓ |
| SD | Benign renal neoplasm | · | · | ✓ |
| SD | Benign uterine neoplasm | · | · | ✓ |
| SD | Blood oestrogen increased | · | · | ✓ |
| SD | Bronchial hyperreactivity | · | · | ✓ |
| SD | Cardiac disorder | · | · | ✓ |
| SD | Condition aggravated | ✓ | ✓ | ✓ |
| SD | COVID-19 | · | · | ✓ |
| SD | Diabetes mellitus | · | · | ✓ |
| SD | Fatigue | · | · | ✓ |
| SD | Gastrointestinal disorder | · | · | ✓ |
| SD | Headache | ✓ | ✓ | ✓ |
| SD | Inflammation | ✓ | ✓ | ✓ |
| SD | Myalgia | · | · | ✓ |
| SD | Nausea | ✓ | ✓ | ✓ |
| SD | Neuralgia | ✓ | ✓ | ✓ |
| SD | Neuropathy peripheral | · | · | ✓ |
| SD | Pre-existing disease | ✓ | ✓ | ✓ |
| SD | Sinusitis | · | · | ✓ |
| SD | Small fibre neuropathy | · | · | ✓ |
| SD | Smoke sensitivity | · | · | ✓ |
| SD | Wheezing | ✓ | ✓ | ✓ |
| SRO | Menstruation irregular | ✓ | ✓ | ✓ |
| SRO | Neuropathy peripheral | ✓ | ✓ | ✓ |
| SRO | Post-acute COVID-19 syndrome | ✓ | ✓ | ✓ |
| SRO | Pre-existing condition improved | ✓ | ✓ | ✓ |
| SRO | Tachycardia | ✓ | ✓ | ✓ |
| SRO | Ventricular extrasystoles | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release