4TS-11852-24208
3 vaccinations
8 coded responses
31 check-ins
8 free-text entries
4 call cases
- Sex
- Male
- Age at first dose
- 66+
- ZIP prefix
- 706 / LA
- Registered
- 2021-02-04
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-02-03
Dose 1 — Moderna
-
2021-02-04
Registered in v-safe
- 2021-02-04
- 2021-02-05
- 2021-02-07
- 2021-02-08
- 2021-02-09
- 2021-02-10
- 2021-02-17
- 2021-02-24
-
2021-03-03
Dose 2 — Moderna
- 2021-03-03
- 2021-03-04
- 2021-03-05
- 2021-03-06
-
2021-03-07
Survey response — days 1–6 daily, dose 2MedDRA: Adverse reaction — Feeling: Fair · Site: Pain · Headache, DiarrheaFree text: This started Saturday afternoon. Feel more back to normal today Sunday afternoon.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-03-08
- 2021-03-09
- 2021-03-10
- 2021-03-17
- 2021-03-24
- 2021-03-31
- 2021-04-07
- 2021-04-14
-
2021-06-02
Survey response — 3 months, dose 2MedDRA: Eyelid disorder, Magnetic resonance imaging head, Vision blurred — Feeling: Fair · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professionalFree text: Symptoms: Blurred eye vision. Then all of a sudden a droopy eye lid. · Healthcare visit (other): Brain MRA and Brain MRI, both were negative.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-06-02
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)
-
2021-08-23
Dose 3 — Moderna
-
2021-09-03
Survey response — day 7, dose 3MedDRA: Myasthenia gravis, Office visit — Feeling: Fair · Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professionalFree text: Went to neurologist who diagnosed me with myasthenia gravisMedDRA releases: 2021-09,2024-11 · check-in free text available
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2021-09-03
Survey response — 6 months, dose 2MedDRA: Myasthenia gravis, Office visit — Feeling: Fair · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professionalFree text: Symptoms: Been diagnosed with Myasthenia Gravis three weeks after 2nd maderna shot. Not sure shot is responsible. · Healthcare visit (other): Went to primary care and he sent me NeurologistMedDRA releases: 2021-09,2024-11 · check-in free text available
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2021-09-03
Report sent to call center — 6 months, dose 2Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional1 call case(s)
-
2021-09-03
Report sent to call center — day 7, dose 3Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional1 call case(s)
- 2021-09-06
- 2021-09-07
-
2021-09-08
Callback requested for1:30PM ET
-
2021-09-08
Call successfulParticipant prefers to complete VAERS report online
- 2021-09-13
-
2021-09-20
Survey response — day 28, dose 3MedDRA: Atrial fibrillation, Condition aggravated, Pre-existing disease — Feeling: Fair · Be unable to do your normal daily activitiesFree text: MG flare up and went into AFIBMedDRA releases: 2024-11 · check-in free text available
- 2021-09-29
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2021-10-04
Survey response — day 42, dose 3MedDRA: Myasthenia gravis, Pre-existing disease — Feeling: Fair · Be unable to do your normal daily activitiesFree text: Myasthenia Gravis has been acting up.MedDRA releases: 2024-11 · check-in free text available
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2021-11-24
Survey response — 3 months, dose 3MedDRA: Myasthenia gravis — Feeling: Fair · Be unable to do your normal daily activitiesFree text: Diagnosed with Myasthenia Gravis.MedDRA releases: 2024-11 · check-in free text available
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2022-02-21
Survey response — 6 months, dose 3MedDRA: Myasthenia gravis — Feeling: Fair · 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: Diagnosed with Myasthenia Gravis after 2nd Moderna vaccine.MedDRA releases: 2024-11 · check-in free text available
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2022-02-21
Report sent to call center — 6 months, dose 3Be unable to do your normal daily activities · Get care from a doctor or other healthcare professionalTelehealth, virtual health, or email health consultation · Outpatient clinic or urgent care clinic visit · Emergency room or emergency department visit · 1 call case(s)
- 2022-02-22
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-02-03 | Moderna | |
| 2 | 2021-03-03 | Moderna | |
| 3 | 2021-08-23 | Moderna | No |
Call center
4 call center cases
3 successful · 1 unsuccessful
Free text
Release 5 — days 1–6 daily, dose 2
Systemic reaction (other): This started Saturday afternoon. Feel more back to normal today Sunday afternoon.
Release 8 — 3 months, dose 2
Symptoms: Blurred eye vision. Then all of a sudden a droopy eye lid.
Healthcare visit (other): Brain MRA and Brain MRI, both were negative.
Release 9 — day 7, dose 3
Healthcare visit (other): Went to neurologist who diagnosed me with myasthenia gravis
Release 9 — 6 months, dose 2
Symptoms: Been diagnosed with Myasthenia Gravis three weeks after 2nd maderna shot. Not sure shot is responsible.
Healthcare visit (other): Went to primary care and he sent me Neurologist
Release 9 — day 28, dose 3
Symptoms: MG flare up and went into AFIB
Release 10 — day 42, dose 3
Symptoms: Myasthenia Gravis has been acting up.
Release 10 — 3 months, dose 3
Symptoms: Diagnosed with Myasthenia Gravis.
Release 11 — 6 months, dose 3
Symptoms: Diagnosed with Myasthenia Gravis after 2nd Moderna vaccine.
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 | Magnetic resonance imaging head | ✓ | ✓ | ✓ |
| HCVO | Myasthenia gravis | ✓ | · | ✓ |
| HCVO | Office visit | ✓ | · | ✓ |
| SD | Atrial fibrillation | · | · | ✓ |
| SD | Condition aggravated | · | · | ✓ |
| SD | Eyelid disorder | ✓ | ✓ | ✓ |
| SD | Myasthenia gravis | ✓ | · | ✓ |
| SD | Pre-existing disease | · | · | ✓ |
| SD | Vision blurred | ✓ | ✓ | ✓ |
| SRO | Adverse reaction | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release