4WV-30469-65255

2 vaccinations 14 coded responses 21 check-ins 14 free-text entries 2 call cases

Sex: Female
Age at first dose: 51-55
ZIP prefix: 218 / MD
Registered: 2021-04-09

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

2021-04-07
Dose 1 — Moderna
2021-04-09
Registered in v-safe
2021-04-09
Survey response — days 1–6 daily, dose 1
MedDRA: Emotional distress — Feeling: Good · Site: Pain, Swelling · Chills, Headache, Fatigue or tiredness

Free text: Very emotional

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-10
Survey response — days 1–6 daily, dose 1
MedDRA: Condition aggravated, Emotional disorder, Insomnia, Pre-existing disease — Feeling: Fair · Site: Pain · Headache, Joint pains, Fatigue or tiredness

Free text: Still having volatile emotion and insomnia is worse since this shot

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-11
Survey response — days 1–6 daily, dose 1
MedDRA: Autoimmune disorder, Pre-existing disease — Feeling: Fair · Fever · Chills, Headache, Muscle or body aches, Fatigue or tiredness

Free text: I had a flare up of a vascular autoimmune disease. It was worse than it had been in 15 years.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-12
Survey response — days 1–6 daily, dose 1
MedDRA: Asthenia, Fatigue, Somnolence — Feeling: Poor · Chills, Headache, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Free text: The fatigue has been worse than I realized. My strength is low. I want to nap my eyes keep closing.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-13
Survey response — days 1–6 daily, dose 1
MedDRA: Unevaluable event — Feeling: Poor · Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Free text: Volatility

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-14
Survey response — day 7, dose 1
MedDRA: Peripheral swelling, Pruritus — Feeling: Fair · Site: Pain, Redness, Swelling, Itching · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness

Free text: My arm got better but this morning I woke up with renewed swelling and now itching.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-21
Health check-in — day 14, dose 1
Feeling: Fair

Adult check-in
2021-04-28
Survey response — day 21, dose 1
MedDRA: Lymph node pain, Lymphadenopathy, Pharyngeal swelling — Feeling: Good

Free text: Suddenly a lymph node in my throat swelled up and was painful and large on the same side of my body as the shot 2 weeks prior. Then the lymph node went back to normal in three days.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-05
Health check-in — day 28, dose 1
Feeling: Good

Adult check-in
2021-05-12
Health check-in — day 35, dose 1
Feeling: Good

Adult check-in
2021-05-14
Dose 2 — Moderna
2021-05-19
Survey response — days 1–6 daily, dose 2
MedDRA: Adverse reaction, Emergency care, Immediate post-injection reaction — Feeling: Good · Muscle or body aches, Fatigue or tiredness

Free text: The Health Dept. had me in an ambulance heading to the hospital within 30 minutes of the shot. Now I am seeing a cardiologist and am undergoing a lot of a tests. This vaccine hurt me. Would I get a booster? Hell yes.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-20
Survey response — days 1–6 daily, dose 2
MedDRA: Nasal congestion, Nasal pruritus — Feeling: Good · Headache

Free text: Stuffy nose and itching ever since shit

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-21
Health check-in — day 7, dose 2
Feeling: Good · None

Adult check-in
2021-05-29
Survey response — day 14, dose 2
MedDRA: Condition aggravated, Emergency care, Impaired work ability, Myocarditis, Pre-existing disease — Feeling: Poor · Be unable to work

Free text: The heart dr. Diagnosed myocarditis post vaccination. I have been to the ER twice now. My chest pain breathlessness chest squeezing and tightness are chronic. I used to be an athlete. And no I havent been able to work.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-06-04
Survey response — day 21, dose 2
MedDRA: Inflammation, Myocarditis, Panic disorder, Peripheral swelling — Feeling: Poor · Be unable to work, Be unable to do your normal daily activities

Free text: Still getting worked up for Myocarditis and now Ive developed panic disorder. The vaccine so inflamed me that my thumb has swollen and I am being screened for RA. Many dr and hospital visits sine the second shot.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-06-11
Health check-in — day 28, dose 2
Feeling: Poor

Adult check-in
2021-06-18
Survey response — day 35, dose 2
MedDRA: Condition aggravated, Myocarditis, Pre-existing disease — Feeling: Poor · Be unable to work or attend school, Be unable to do your normal daily activities

Free text: Yeah feels like the myocarditis is worse again.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-06-25
Health check-in — day 42, dose 2
Feeling: Fair

Adult check-in
2021-08-13
Survey response — 3 months, dose 2
MedDRA: Postural orthostatic tachycardia syndrome — 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

Free text: P.O.T.S.

MedDRA releases: 2021-09,2024-11 · check-in free text available
2021-08-13
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)
2021-08-19
Call 2 — Left Voicemail
2021-11-12
Health check-in — 6 months, dose 2
Feeling: Good

Adult check-in
2022-05-16
Survey response — 12 months, dose 2
MedDRA: Ageusia, Chest pain, Cough, Exercise tolerance decreased, Fatigue, Headache, Mental impairment, Myalgia, Myocarditis, Oropharyngeal pain — Feeling: Fair · 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: I lost my taste, not smell. Sore throat for first time. Cough bad for first time, headache, muscle aches. Now I am left with chest pains and muddled thinking, tiredness, exercise intolerance. The usual. Probably the myocarditis is back.

MedDRA releases: 2024-11 · check-in free text available
2022-05-16
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)
2022-05-17
Call 1 — Left Voicemail
2022-05-17
Call 1 — Left Voicemail

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-04-07	Moderna
2	2021-05-14	Moderna

Call center

2 call center cases

2 unsuccessful

See the call center timeline

Free text

Release 7 — days 1–6 daily, dose 1

2021-04-09

Systemic reaction (other): Very emotional

2021-04-10

Systemic reaction (other): Still having volatile emotion and insomnia is worse since this shot

2021-04-11

Systemic reaction (other): I had a flare up of a vascular autoimmune disease. It was worse than it had been in 15 years.

2021-04-12

Systemic reaction (other): The fatigue has been worse than I realized. My strength is low. I want to nap my eyes keep closing.

2021-04-13

Systemic reaction (other): Volatility

Release 7 — day 7, dose 1

2021-04-14

Systemic reaction (other): My arm got better but this morning I woke up with renewed swelling and now itching.

Release 8 — day 21, dose 1

2021-04-28

Symptoms: Suddenly a lymph node in my throat swelled up and was painful and large on the same side of my body as the shot 2 weeks prior. Then the lymph node went back to normal in three days.

Release 8 — days 1–6 daily, dose 2

2021-05-19

Systemic reaction (other): The Health Dept. had me in an ambulance heading to the hospital within 30 minutes of the shot. Now I am seeing a cardiologist and am undergoing a lot of a tests. This vaccine hurt me. Would I get a booster? Hell yes.

2021-05-20

Systemic reaction (other): Stuffy nose and itching ever since shit

Release 8 — day 14, dose 2

2021-05-29

Symptoms: The heart dr. Diagnosed myocarditis post vaccination. I have been to the ER twice now. My chest pain breathlessness chest squeezing and tightness are chronic. I used to be an athlete. And no I havent been able to work.

Release 8 — day 21, dose 2

2021-06-04

Symptoms: Still getting worked up for Myocarditis and now Ive developed panic disorder. The vaccine so inflamed me that my thumb has swollen and I am being screened for RA. Many dr and hospital visits sine the second shot.

Release 9 — day 35, dose 2

2021-06-18

Symptoms: Yeah feels like the myocarditis is worse again.

Release 9 — 3 months, dose 2

2021-08-13

Symptoms: P.O.T.S.

Release 11 — 12 months, dose 2

2022-05-16

Symptoms: I lost my taste, not smell. Sore throat for first time. Cough bad for first time, headache, muscle aches. Now I am left with chest pains and muddled thinking, tiredness, exercise intolerance. The usual. Probably the myocarditis is back.

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	Ageusia	·	·	✓
SD	Chest pain	·	·	✓
SD	Condition aggravated	✓	✓	✓
SD	Cough	·	·	✓
SD	Emergency care	✓	✓	✓
SD	Exercise tolerance decreased	·	·	✓
SD	Fatigue	·	·	✓
SD	Headache	·	·	✓
SD	Impaired work ability	✓	✓	✓
SD	Inflammation	✓	✓	✓
SD	Lymph node pain	✓	✓	✓
SD	Lymphadenopathy	✓	✓	✓
SD	Mental impairment	·	·	✓
SD	Myalgia	·	·	✓
SD	Myocarditis	✓	✓	✓
SD	Oropharyngeal pain	·	·	✓
SD	Panic disorder	✓	✓	✓
SD	Peripheral swelling	✓	✓	✓
SD	Pharyngeal swelling	✓	✓	✓
SD	Postural orthostatic tachycardia syndrome	✓	·	✓
SD	Pre-existing disease	✓	✓	✓
SRO	Adverse reaction	✓	✓	✓
SRO	Asthenia	✓	·	✓
SRO	Autoimmune disorder	✓	✓	✓
SRO	Condition aggravated	✓	·	✓
SRO	Emergency care	✓	✓	✓
SRO	Emotional disorder	✓	✓	✓
SRO	Emotional distress	✓	✓	✓
SRO	Fatigue	✓	✓	✓
SRO	Immediate post-injection reaction	✓	✓	✓
SRO	Insomnia	○	✓	○
SRO	Nasal congestion	✓	✓	✓
SRO	Nasal pruritus	✓	✓	✓
SRO	Peripheral swelling	✓	✓	✓
SRO	Pre-existing disease	✓	✓	✓
SRO	Pruritus	✓	✓	✓
SRO	Somnolence	✓	·	✓
SRO	Unevaluable event	✓	✓	✓

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