2VH-82393-80077

2 vaccinations 7 coded responses 23 check-ins 7 free-text entries 4 call cases

Sex: Female
Age at first dose: 61-65
ZIP prefix: 787 / TX
Registered: 2021-03-19

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

2021-03-19
Registered in v-safe
2021-03-19
Dose 1 — Moderna
2021-03-19
Survey response — day 0, dose 1
MedDRA: Contusion, Peripheral swelling — Feeling: Fair · Chills, Headache, Fatigue or tiredness · Be unable to do your normal daily activities

Free text: I bumped the knuckles of my right hand somehow and an egg sized bruise swelled up. This has never happened to me before so I thought Id mention it. It has not receded.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-20
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Fever · Fatigue or tiredness · Be unable to do your normal daily activities

Adult check-in
2021-03-21
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Fatigue or tiredness · Be unable to work

Adult check-in
2021-03-22
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-03-23
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Fatigue or tiredness · Be unable to do your normal daily activities

Adult check-in
2021-03-24
Health check-in — days 1–6 daily, dose 1
Feeling: Poor · Fatigue or tiredness · Be unable to work, Be unable to do your normal daily activities

Adult check-in
2021-03-25
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Fatigue or tiredness · Be unable to work, Be unable to do your normal daily activities

Adult check-in
2021-03-26
Health check-in — day 7, dose 1
Feeling: Fair · Fever · Fatigue or tiredness

Adult check-in
2021-04-02
Health check-in — day 14, dose 1
Feeling: Fair

Adult check-in
2021-04-09
Health check-in — day 21, dose 1
Feeling: Good

Adult check-in
2021-04-16
Dose 2 — Moderna
2021-04-16
Health check-in — day 0, dose 2
Feeling: Fair · Chills, Headache, Nausea · Be unable to do your normal daily activities

Adult check-in
2021-04-17
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Site: Pain, Redness · Nausea

Adult check-in
2021-04-19
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Site: Pain · None

Adult check-in
2021-04-20
Health check-in — days 1–6 daily, dose 2
Feeling: Good · None

Adult check-in
2021-04-21
Health check-in — days 1–6 daily, dose 2
Feeling: Good · None

Adult check-in
2021-04-23
Health check-in — day 7, dose 2
Feeling: Good · None

Adult check-in
2021-04-30
Survey response — day 14, dose 2
MedDRA: Asthenia, Fatigue — Feeling: Good · Be unable to do your normal daily activities

Free text: Weakness and fatigue.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-07
Survey response — day 21, dose 2
MedDRA: Balance disorder, Pre-existing disease, Vertigo — Feeling: Fair · Be unable to work, Be unable to do your normal daily activities

Free text: My Menieres Disease is acting up and causing severe vertigo and unsteadiness.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-14
Survey response — day 28, dose 2
MedDRA: Office visit, Pre-existing disease — Feeling: Poor · 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

Free text: Symptoms: Menieres Disease symptoms have worsened dramatically. I cant walk without a cane and I had been able to do so quite well. My ENT gave me a steroid shot and oral dose pack. · Healthcare visit (other): ENT office visit.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-14
Report sent to call center — day 28, dose 2
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)
2021-05-21
Survey response — day 35, dose 2
MedDRA: Diarrhoea, Fatigue, Gait disturbance, Meniere's disease, Muscular weakness, Vertigo — Feeling: Poor · 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

Free text: MÃ©niÃ¨res disease vertigo and extreme weakness in my legs causing difficulty in walking.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-21
Report sent to call center — day 35, dose 2
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)
2021-05-28
Survey response — day 42, dose 2
MedDRA: Asthenia, Blood pressure fluctuation, Gait disturbance, Meniere's disease, Pre-existing disease, Unevaluable event, Vertigo — Feeling: Poor · 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

Free text: Symptoms: Difficulty walking. Extreme weakness. Wildly fluctuating BP. Worsening Menieres Disease vertigo. · Healthcare visit (other): Blood draw

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-28
Report sent to call center — day 42, dose 2
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)
2021-07-16
Survey response — 3 months, dose 2
MedDRA: Asthenia, Gait disturbance, Guillain-Barre syndrome, Hypoaesthesia, Muscular weakness, Plasmapheresis — 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 · Outpatient clinic or urgent care clinic visit

Free text: Symptoms: I was diagnosed with Guillain-Barre as a result of the vaccine. I have been extremely weak and I have great difficulty walking due to weakness and numbness in my legs. I received seven blood plasma exchange treatments with very little improvement. · Healthcare visit (other): Blood plasma exchange treatments on outpatient basis for three weeks

MedDRA releases: 2021-09,2024-11 · check-in free text available
2021-07-16
Report sent to call center — 3 months, dose 2
Be unable to work or attend school · Be unable to do your normal daily activities · Get care from a doctor or other healthcare pr

1 call case(s)
2021-07-23
Call 1 — Left Voicemail
2021-10-20
Health check-in — 6 months, dose 2
Feeling: Fair

Adult check-in

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-03-19	Moderna
2	2021-04-16	Moderna

Call center

4 call center cases

4 unsuccessful

See the call center timeline

Free text

Release 6 — day 0, dose 1

2021-03-19

Systemic reaction (other): I bumped the knuckles of my right hand somehow and an egg sized bruise swelled up. This has never happened to me before so I thought Id mention it. It has not receded.

Release 8 — day 14, dose 2

2021-04-30

Symptoms: Weakness and fatigue.

Release 8 — day 21, dose 2

2021-05-07

Symptoms: My Menieres Disease is acting up and causing severe vertigo and unsteadiness.

Release 8 — day 28, dose 2

2021-05-14

Symptoms: Menieres Disease symptoms have worsened dramatically. I cant walk without a cane and I had been able to do so quite well. My ENT gave me a steroid shot and oral dose pack.

Healthcare visit (other): ENT office visit.

Release 8 — day 35, dose 2

2021-05-21

Release 8 — day 42, dose 2

2021-05-28

Symptoms: Difficulty walking. Extreme weakness. Wildly fluctuating BP. Worsening Menieres Disease vertigo.

Healthcare visit (other): Blood draw

Release 9 — 3 months, dose 2

2021-07-16

Symptoms: I was diagnosed with Guillain-Barre as a result of the vaccine. I have been extremely weak and I have great difficulty walking due to weakness and numbness in my legs. I received seven blood plasma exchange treatments with very little improvement.

Healthcare visit (other): Blood plasma exchange treatments on outpatient basis for three weeks

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	Plasmapheresis	✓	·	✓
HCVO	Unevaluable event	✓	✓	✓
SD	Asthenia	✓	✓	✓
SD	Balance disorder	✓	✓	✓
SD	Blood pressure fluctuation	✓	✓	✓
SD	Diarrhoea	✓	✓	✓
SD	Fatigue	✓	✓	✓
SD	Gait disturbance	✓	✓	✓
SD	Guillain-Barre syndrome	✓	·	✓
SD	Hypoaesthesia	✓	·	✓
SD	Meniere's disease	✓	✓	✓
SD	Muscular weakness	✓	✓	✓
SD	Plasmapheresis	✓	·	✓
SD	Pre-existing disease	✓	✓	✓
SD	Vertigo	✓	✓	✓
SRO	Contusion	✓	✓	✓
SRO	Peripheral swelling	✓	✓	✓

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