3FV-81975-85091

2 vaccinations 15 coded responses 24 check-ins 15 free-text entries 9 call cases

Sex: Female
Age at first dose: 36-40
ZIP prefix: 221 / VA
Registered: 2020-12-28

Relationship: Self
Race: Asian
Ethnicity: Not Hispanic or Latino

Timeline

Registration Vaccinations Survey responses Call reports Cases without a report Call attempts Call successful Pregnancy survey

2020-12-28
Registered in v-safe
2020-12-28
Dose 1 — Moderna
2020-12-28
Health check-in — day 0, dose 1
Feeling: Good · None

Adult check-in
2020-12-29
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Site: Pain · None

Adult check-in
2020-12-30
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2020-12-31
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-01-01
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-01-03
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-01-05
Health check-in — day 7, dose 1
Feeling: Good · None

Adult check-in
2021-01-18
Health check-in — day 21, dose 1
Feeling: Good

Adult check-in
2021-01-25
Dose 2 — Moderna
2021-01-25
Survey response — day 0, dose 2
MedDRA: Asthenia, Dizziness — Feeling: Fair · Site: Pain · Joint pains, Muscle or body aches

Free text: Weakness in right arm-unable to grip well, weakness right leg-abnormal gait, limp, intermittent dizziness lasting second

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-26
Survey response — days 1–6 daily, dose 2
MedDRA: Pain in extremity, Rhinorrhoea — Feeling: Poor · Site: Pain · Headache, Joint pains, Muscle or body aches, Nausea · Be unable to work

Free text: Runny nose, still right leg limp

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-27
Survey response — days 1–6 daily, dose 2
MedDRA: Asthenia, Rhinorrhoea — Feeling: Poor · Site: Pain · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to work

Free text: Runny nose, weakness

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-28
Survey response — days 1–6 daily, dose 2
MedDRA: Asthenia — Feeling: Poor · Site: Pain · Joint pains, Muscle or body aches · 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: Unable to stand, unable to walk far, right sided weakness

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-28
Report sent to call center — days 1–6 daily, 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)
2021-01-29
Survey response — days 1–6 daily, dose 2
MedDRA: Hemiparesis — Feeling: Poor · Site: Pain · Joint pains, Muscle or body aches · 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: Right side arm and leg weakness worsening

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-29
Report sent to call center — days 1–6 daily, 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)
2021-01-30
Survey response — days 1–6 daily, dose 2
MedDRA: Muscular weakness — Feeling: Fair · Site: Pain · Muscle or body aches, Fatigue or tiredness · Be unable to work, Be unable to do your normal daily activities

Free text: Weakness right side of body-arm, leg

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-31
Survey response — days 1–6 daily, dose 2
MedDRA: Hemiparesis — Feeling: Poor · Site: Pain · Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to work, Be unable to do your normal daily activities

Free text: Right sided arm and leg weakness

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-01
Survey response — day 7, dose 2
MedDRA: Burning sensation, Gait disturbance, Muscular weakness — Feeling: Poor · Site: Pain · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to work, 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: Right arm weakness and burning sensation, right leg weakness-still limping when I walk

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-01
Report sent to call center — day 7, 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)
2021-02-08
Health check-in — day 14, dose 2
Feeling: Fair

Adult check-in
2021-02-15
Survey response — day 21, dose 2
MedDRA: Limb discomfort, Muscular weakness, Peripheral swelling — Feeling: Poor · Be unable to do your normal daily activities

Free text: Right arm heaviness, weakness and swelling. Feel like right arm is useless.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-22
Survey response — day 28, dose 2
MedDRA: Arthralgia, Dizziness, Dysphagia, Gait disturbance, Mobility decreased, Muscle tightness, Muscular weakness, Nausea — 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: Muscle weakness on right side got worse in that my skeletal structure could not support my muscles causing tightening to where I had difficultly swallowing. Joint aches. Inability to use right upper extremity and limp walking. Nausea, dizziness

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-22
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)
2021-03-01
Survey response — day 35, dose 2
MedDRA: Asthenia, Decreased activity, Dyspnoea, Fatigue, Gait disturbance, Loss of personal independence in daily activities, Tremor — Feeling: Poor · Be unable to work, 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: In addition to my right sided weakness, my left side has become weak. Easily fatigued, shortness of breath with activity, tremors, abnormal gait, limping, having to limit my activity even more, coffee mug feels heavy, unable to complete my ADLs

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-01
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)
2021-03-08
Survey response — day 42, dose 2
MedDRA: Muscle tightness, Neck pain, Pain — 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: Neck tightness, pain easily on movement additionally

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-08
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)
2021-04-26
Survey response — 3 months, dose 2
MedDRA: Asthenia, Muscle spasms, Muscle tightness, Muscular weakness, Myalgia, Paraesthesia — 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 visit

Free text: Muscles below head are all weak. Tingling of legs, muscles burning/tightness, more activity worsens weakness, muscle cramps

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-26
Report sent to call center — 3 months, 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)
2021-06-14
Call successful
Participant prefers to complete VAERS report online
2021-07-26
Survey response — 6 months, dose 2
MedDRA: Chest pain, Exercise tolerance decreased, Fatigue, Liver function test increased, Muscular weakness, Oxygen saturation decreased, Paraesthesia, Postural orthostatic tachycardia syndrome, Tachycardia, Tremor — 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

Free text: Muscle weakness, tremor, paraesthesia, tachycardia, orthostatic tachycardia, low oxygen on pulse ox, elevated LFTs, chest pain, exercise intolerance, exhaustion

MedDRA releases: 2021-09,2024-11 · check-in free text available
2021-07-26
Report sent to call center — 6 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)
2021-07-29
Call 1 — Left Voicemail
2022-01-25
Survey response — 12 months, dose 2
MedDRA: Asthenia, Autonomic nervous system imbalance, Disability, Impaired work ability, Muscle fatigue, Neuralgia, Paraesthesia — 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

Free text: More or less the same. But I have been diagnosed with dysautonomia amongst other symptoms unrelated to dysautonomia caused by vaccine. Continue w dysautonomia, nerve pain, tingling, weakness, muscle fatigue, etc unable to work and have disability.

MedDRA releases: 2024-11 · check-in free text available
2022-01-25
Report sent to call center — 12 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

Telehealth, virtual health, or email health consultation · Outpatient clinic or urgent care clinic visit · 1 call case(s)
2022-01-26
Call 1 — Left Voicemail
2022-02-01
Call successful
Reported to VAERS voluntarily prior to GDIT contact

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2020-12-28	Moderna
2	2021-01-25	Moderna

Call center

9 call center cases

9 successful

VAERS report filed, before or during a call: 2

See the call center timeline

Free text

Release 2 — day 0, dose 2

2021-01-25

Systemic reaction (other): Weakness in right arm-unable to grip well, weakness right leg-abnormal gait, limp, intermittent dizziness lasting second

Release 2 — days 1–6 daily, dose 2

2021-01-26

Systemic reaction (other): Runny nose, still right leg limp

2021-01-27

Systemic reaction (other): Runny nose, weakness

2021-01-28

Systemic reaction (other): Unable to stand, unable to walk far, right sided weakness

Release 3 — days 1–6 daily, dose 2

2021-01-29

Systemic reaction (other): Right side arm and leg weakness worsening

2021-01-30

Systemic reaction (other): Weakness right side of body-arm, leg

2021-01-31

Systemic reaction (other): Right sided arm and leg weakness

Release 3 — day 7, dose 2

2021-02-01

Systemic reaction (other): Right arm weakness and burning sensation, right leg weakness-still limping when I walk

Release 4 — day 21, dose 2

2021-02-15

Symptoms: Right arm heaviness, weakness and swelling. Feel like right arm is useless.

Release 4 — day 28, dose 2

2021-02-22

Symptoms: Muscle weakness on right side got worse in that my skeletal structure could not support my muscles causing tightening to where I had difficultly swallowing. Joint aches. Inability to use right upper extremity and limp walking. Nausea, dizziness

Release 4 — day 35, dose 2

2021-03-01

Symptoms: In addition to my right sided weakness, my left side has become weak. Easily fatigued, shortness of breath with activity, tremors, abnormal gait, limping, having to limit my activity even more, coffee mug feels heavy, unable to complete my ADLs

Release 5 — day 42, dose 2

2021-03-08

Symptoms: Neck tightness, pain easily on movement additionally

Release 8 — 3 months, dose 2

2021-04-26

Symptoms: Muscles below head are all weak. Tingling of legs, muscles burning/tightness, more activity worsens weakness, muscle cramps

Release 9 — 6 months, dose 2

2021-07-26

Symptoms: Muscle weakness, tremor, paraesthesia, tachycardia, orthostatic tachycardia, low oxygen on pulse ox, elevated LFTs, chest pain, exercise intolerance, exhaustion

Release 11 — 12 months, dose 2

2022-01-25

Symptoms: More or less the same. But I have been diagnosed with dysautonomia amongst other symptoms unrelated to dysautonomia caused by vaccine. Continue w dysautonomia, nerve pain, tingling, weakness, muscle fatigue, etc unable to work and have disability.

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
SD	Arthralgia	✓	✓	✓
SD	Asthenia	✓	✓	✓
SD	Autonomic nervous system imbalance	·	·	✓
SD	Chest pain	✓	·	✓
SD	Decreased activity	✓	✓	✓
SD	Disability	·	·	✓
SD	Dizziness	✓	✓	✓
SD	Dysphagia	✓	✓	✓
SD	Dyspnoea	✓	✓	✓
SD	Exercise tolerance decreased	✓	·	✓
SD	Fatigue	✓	✓	✓
SD	Gait disturbance	✓	✓	✓
SD	Impaired work ability	·	·	✓
SD	Limb discomfort	✓	✓	✓
SD	Liver function test increased	✓	·	✓
SD	Loss of personal independence in daily activities	✓	✓	✓
SD	Mobility decreased	✓	✓	✓
SD	Muscle fatigue	·	·	✓
SD	Muscle spasms	✓	✓	✓
SD	Muscle tightness	✓	✓	✓
SD	Muscular weakness	✓	✓	✓
SD	Myalgia	✓	✓	✓
SD	Nausea	✓	✓	✓
SD	Neck pain	✓	✓	✓
SD	Neuralgia	·	·	✓
SD	Oxygen saturation decreased	✓	·	✓
SD	Pain	✓	✓	✓
SD	Paraesthesia	✓	✓	✓
SD	Peripheral swelling	✓	✓	✓
SD	Postural orthostatic tachycardia syndrome	✓	·	✓
SD	Tachycardia	✓	·	✓
SD	Tremor	✓	✓	✓
SRO	Asthenia	✓	✓	✓
SRO	Burning sensation	✓	✓	✓
SRO	Dizziness	✓	✓	✓
SRO	Gait disturbance	✓	✓	✓
SRO	Hemiparesis	✓	✓	✓
SRO	Muscular weakness	✓	✓	✓
SRO	Pain in extremity	✓	✓	✓
SRO	Rhinorrhoea	✓	✓	✓

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