3AL-17532-53791
2 vaccinations
6 coded responses
8 check-ins
6 free-text entries
6 call cases
- Sex
- Female
- Age at first dose
- 41-45
- ZIP prefix
- 802 / CO
- Registered
- 2021-04-19
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
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2021-03-05
Dose 1 — Moderna
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2021-04-02
Dose 2 — Moderna
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2021-04-19
Registered in v-safe
- 2021-04-19
- 2021-04-23
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2021-04-30
Survey response — day 28, dose 2MedDRA: Brain fog, Chills, Fatigue, Loss of personal independence in daily activities, Medical counselling — 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 consultationFree text: Symptoms: Extreme fatigue and brain fog, chills for weeks, hasn't stopped since the day of the 2nd moderna vaccine, can't get anything done, can't return to massage like I'd hoped. When is this going to end? · Healthcare visit (other): Working with a Chinese medicine doc, since regular doc said there's nothing he can doMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-04-30
Report sent to call center — day 28, dose 2Be 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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2021-05-07
Survey response — day 35, dose 2MedDRA: Brain fog, Fatigue, Malaise — 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 consultationFree text: Not new or worse. Slightly more energy at times, but mostly extreme fatigue and brain fog, general malaise. Yesterday was the first day I felt ok to drive.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-05-07
Report sent to call center — day 35, dose 2Be 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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2021-05-14
Survey response — day 42, dose 2MedDRA: Brain fog, Fatigue, Impaired work ability, Loss of personal independence in daily activities, Pyrexia — 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, Outpatient clinic or urgent care clinic visitFree text: Symptoms have gotten worse this week. Not as bad as the 1st week after the vaccine, almost. Extreme fatigue, brain fog, fevers. It's been 6 wks now since shot 2 which caused these symptoms. I was healthy. Can't reopen my business. Can barely shower.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-05-14
Report sent to call center — day 42, dose 2Be 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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2021-07-02
Survey response — 3 months, dose 2MedDRA: Acupuncture, Brain fog, Chills, Decreased appetite, Dizziness, Dysmenorrhoea, Fatigue, Headache, Heavy menstrual bleeding, Mobility decreased, Nausea, Office visit, Pyrexia — 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, Outpatient clinic or urgent care clinic visitFree text: Symptoms: I had 2 wks of more energy around the 1st of June. Was able to work somewhat. Back in bed since the 14th, when I also got my period. Extreme fatigue, brain fog, some fevers, loss of appetite, nausea, dizziness, more bleeding/cramping during period. · Healthcare visit (other): Acupuncturist, Biologist/herbalistMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-07-02
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 pr1 call case(s)
- 2021-07-07
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2021-07-07
Call successfulCompleted over the phone
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2021-10-01
Survey response — 6 months, dose 2MedDRA: Acupuncture, Energy increased, Fatigue, Malaise, Nervous system disorder, Office visit — 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: 2nd shot of Moderna on 4/2, too ill to do anything since. Too many symptoms to list, mainly nervous system. Either too exhausted to move or revved up so high, feels like I'm going to seize. Nightmare rollercoaster. Was healthy before. I need help! · Healthcare visit (other): Acupuncture, herbalist, anything to be doing something since western docs just keep knocking me around and canceling my appts. This has been a complete nightmare! The vaccine was supposed to help me get my life back after covid. Ruined.MedDRA releases: 2024-11 · check-in free text available
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2021-10-01
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)
- 2021-10-04
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2021-10-04
Call successfulParticipant prefers to complete VAERS report online
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2022-04-02
Survey response — 12 months, dose 2MedDRA: Asthenia, Neurological symptom, Neuropathy peripheral, Office visit — 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, Outpatient clinic or urgent care clinic visit, Emergency room or emergency department visitFree text: Symptoms: I am finally receiving a diagnosis for neuropathy, and it is reflected on my medical chart as vaccine-induced by the neurologist it took me almost a year to find. I still have many of the same debilitating neurological symptoms from Moderna shot. · Healthcare visit (other): Since regular doctors are not being informed about vaccine injuries, I have been seeing various naturopathic practitioners, as well.MedDRA releases: 2024-11 · check-in free text available
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2022-04-02
Report sent to call center — 12 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)
- 2022-04-05
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2022-04-05
Call successfulReported to VAERS during previous contact from GDIT
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-03-05 | Moderna | |
| 2 | 2021-04-02 | Moderna |
Call center
6 call center cases
6 successful
VAERS report filed, before or during a call: 5
Free text
Release 8 — day 28, dose 2
Symptoms: Extreme fatigue and brain fog, chills for weeks, hasn't stopped since the day of the 2nd moderna vaccine, can't get anything done, can't return to massage like I'd hoped. When is this going to end?
Healthcare visit (other): Working with a Chinese medicine doc, since regular doc said there's nothing he can do
Release 8 — day 35, dose 2
Symptoms: Not new or worse. Slightly more energy at times, but mostly extreme fatigue and brain fog, general malaise. Yesterday was the first day I felt ok to drive.
Release 8 — day 42, dose 2
Symptoms: Symptoms have gotten worse this week. Not as bad as the 1st week after the vaccine, almost. Extreme fatigue, brain fog, fevers. It's been 6 wks now since shot 2 which caused these symptoms. I was healthy. Can't reopen my business. Can barely shower. cut off by CDC
Release 9 — 3 months, dose 2
Symptoms: I had 2 wks of more energy around the 1st of June. Was able to work somewhat. Back in bed since the 14th, when I also got my period. Extreme fatigue, brain fog, some fevers, loss of appetite, nausea, dizziness, more bleeding/cramping during period. cut off by CDC
Healthcare visit (other): Acupuncturist, Biologist/herbalist
Release 9 — 6 months, dose 2
Symptoms: 2nd shot of Moderna on 4/2, too ill to do anything since. Too many symptoms to list, mainly nervous system. Either too exhausted to move or revved up so high, feels like I'm going to seize. Nightmare rollercoaster. Was healthy before. I need help!
Healthcare visit (other): Acupuncture, herbalist, anything to be doing something since western docs just keep knocking me around and canceling my appts. This has been a complete nightmare! The vaccine was supposed to help me get my life back after covid. Ruined.
Release 11 — 12 months, dose 2
Symptoms: I am finally receiving a diagnosis for neuropathy, and it is reflected on my medical chart as vaccine-induced by the neurologist it took me almost a year to find. I still have many of the same debilitating neurological symptoms from Moderna shot.
Healthcare visit (other): Since regular doctors are not being informed about vaccine injuries, I have been seeing various naturopathic practitioners, as well.
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 | Medical counselling | ✓ | ✓ | ✓ |
| HCVO | Office visit | ✓ | ✓ | ✓ |
| SD | Asthenia | · | · | ✓ |
| SD | Brain fog | ✓ | ✓ | ✓ |
| SD | Chills | ✓ | ✓ | ✓ |
| SD | Decreased appetite | ✓ | ✓ | ✓ |
| SD | Dizziness | ✓ | ✓ | ✓ |
| SD | Dysmenorrhoea | ✓ | ✓ | ✓ |
| SD | Energy increased | · | · | ✓ |
| SD | Fatigue | ✓ | ✓ | ✓ |
| SD | Headache | ✓ | ✓ | ○ |
| SD | Heavy menstrual bleeding | ✓ | ✓ | ✓ |
| SD | Impaired work ability | · | · | ✓ |
| SD | Loss of personal independence in daily activities | ✓ | ✓ | ✓ |
| SD | Malaise | ✓ | ✓ | ✓ |
| SD | Mobility decreased | · | · | ✓ |
| SD | Nausea | ✓ | ✓ | ✓ |
| SD | Nervous system disorder | · | · | ✓ |
| SD | Neurological symptom | · | · | ✓ |
| SD | Neuropathy peripheral | · | · | ✓ |
| SD | Office visit | · | · | ✓ |
| SD | Pyrexia | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release