6HC-12549-02020

3 vaccinations 12 coded responses 32 check-ins 12 free-text entries 4 call cases

Sex: Female
Age at first dose: 61-65
ZIP prefix: 436 / OH
Registered: 2021-03-10

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

2021-03-03
Dose 1 — Moderna
2021-03-10
Registered in v-safe
2021-03-10
Health check-in — day 7, dose 1
Feeling: Fair · Site: Itching · Fatigue or tiredness

Adult check-in
2021-03-17
Health check-in — day 14, dose 1
Feeling: Poor

Adult check-in
2021-03-24
Survey response — day 21, dose 1
MedDRA: Asthenia, Fatigue, Orthostatic intolerance — Feeling: Fair · Be unable to do your normal daily activities

Free text: Orthostatic intolerance, fatigue, weakness

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-31
Dose 2 — Moderna
2021-03-31
Survey response — day 0, dose 2
MedDRA: Blood pressure increased, Condition aggravated, Disability, Pre-existing disease, Vertigo — Feeling: Poor · Site: Pain · Headache, Fatigue or tiredness · Be unable to do your normal daily activities

Free text: I have hyperadrenergic pots. I experienced a setback in that over the past two weeks but I got the second shot today anyway in spite of vertigo and blood pressure spikes. Im concerned that the first shot may have caused a relapse in my pots, and am hoping the second shot does not make it any worse. I have had several days of disability since I got the first vaccine. I just got the second vaccine today and am concerned about its impact on my hoots which has been somewhat stable prior to the first shot,

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

Free text: Dizziness, blood pressure and heart rate increases when I get up

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-02
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Pain, Itching · Headache, Fatigue or tiredness

Adult check-in
2021-04-03
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Pain, Itching · Headache, Muscle or body aches, Fatigue or tiredness

Adult check-in
2021-04-04
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Pain · Fatigue or tiredness

Adult check-in
2021-04-05
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Headache, Fatigue or tiredness

Adult check-in
2021-04-06
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Headache, Fatigue or tiredness

Adult check-in
2021-04-07
Survey response — day 7, dose 2
MedDRA: Postural orthostatic tachycardia syndrome — Feeling: Fair · Fatigue or tiredness

Free text: I had reported earlier my concerns that this vaccination may have negatively impacted a chronic illness I have (hyperadrenergic pots). Im still not 100% certain if there are impacts. I had pots issues a couple weeks after shot 1 that were typical of pots that I had not experienced in months. They seem to be improving since then but I am still cautious about feeling that all is ok.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-15
Health check-in — day 14, dose 2
Feeling: Fair

Adult check-in
2021-04-22
Health check-in — day 21, dose 2
Feeling: Fair

Adult check-in
2021-04-28
Health check-in — day 28, dose 2
Feeling: Fair

Adult check-in
2021-05-05
Health check-in — day 35, dose 2
Feeling: Fair

Adult check-in
2021-05-14
Health check-in — day 42, dose 2
Feeling: Fair

Adult check-in
2021-06-30
Survey response — 3 months, dose 2
MedDRA: Condition aggravated, Pre-existing disease, Unevaluable event — Feeling: Poor · 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: I believe that the vaccination triggered a flair of my of my hyperadrenergic pots. I have been somewhat stable for years but a couple weeks after the first shot, I started having issues that resulted into a full blown flair. · Healthcare visit (other): I will be seeing my doctor who treats me for this condition in July.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-06-30
Report sent to call center — 3 months, dose 2
Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional

1 call case(s)
2021-07-06
Call 1 — Left Voicemail
2021-09-30
Survey response — 6 months, dose 2
MedDRA: Blood pressure increased, Condition aggravated, Heart rate increased, Pre-existing disease — 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

Free text: I cant temember when you last contacted me but I wanted to mention that I believe the vaccine triggered my hyperadrenergic pots. After getting the vaccine, I experienced flairs including sudden high blood pressure and heart rate, and others

MedDRA releases: 2024-11 · check-in free text available
2021-09-30
Report sent to call center — 6 months, dose 2
Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional

Telehealth, virtual health, or email health consultation · 1 call case(s)
2021-10-02
Call 1 — Left Voicemail
2021-10-08
Call 2 — Requested Callback
2021-10-11
Callback requested for
8:30 EST
2021-10-11
Call successful
Participant prefers to complete VAERS report online
2021-12-17
Dose 3 — Moderna
2021-12-18
Health check-in — days 1–6 daily, dose 3
Feeling: Fair · Site: Pain, Itching · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness

Adult check-in
2021-12-19
Health check-in — days 1–6 daily, dose 3
Feeling: Fair · Site: Pain, Itching · Joint pains, Muscle or body aches, Fatigue or tiredness

Adult check-in
2021-12-20
Health check-in — days 1–6 daily, dose 3
Feeling: Fair · Site: Pain · Headache, Fatigue or tiredness, Nausea

Adult check-in
2021-12-21
Health check-in — days 1–6 daily, dose 3
Feeling: Fair · Site: Pain · Headache, Joint pains, Muscle or body aches

Adult check-in
2021-12-22
Health check-in — days 1–6 daily, dose 3
Feeling: Fair · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness

Adult check-in
2021-12-23
Survey response — days 1–6 daily, dose 3
MedDRA: Dizziness, Dysstasia, Heart rate decreased, Heart rate increased, Hypertension, Hypotension — Feeling: Poor · Headache, Fatigue or tiredness, Nausea · Be unable to do your normal daily activities

Free text: Alternating rapid heart rate + high blood pressure with low heart rate and low blood pressure. Inability to stand up, dizziness.

MedDRA releases: 2024-11 · check-in free text available
2021-12-24
Survey response — day 7, dose 3
MedDRA: Dizziness — Feeling: Fair · Headache, Fatigue or tiredness

Free text: Light headed, dizzy

MedDRA releases: 2024-11 · check-in free text available
2021-12-31
Survey response — day 14, dose 3
MedDRA: Blood pressure decreased, Chest pain, Condition aggravated, Dizziness, Fatigue, Headache, Hyperhidrosis, Hypertension, Pre-existing disease — Feeling: Poor · Be unable to do your normal daily activities

Free text: My blood pressure dropped very low (85/42)w chest pains, headache, + fatigue. This lasted most of the day. Then it flipped and suddenly went high (140/90) w dizziness and sweating. I believe this vaccine cause flairs of my hyperadrenergic pots.

MedDRA releases: 2024-11 · check-in free text available
2022-01-07
Health check-in — day 21, dose 3
Feeling: Fair

Adult check-in
2022-01-14
Health check-in — day 28, dose 3
Feeling: Fair

Adult check-in
2022-01-21
Health check-in — day 35, dose 3
Feeling: Good

Adult check-in
2022-01-28
Survey response — day 42, dose 3
MedDRA: Blood pressure fluctuation, Dizziness, Dysstasia, Headache, Hyperhidrosis — Feeling: Poor · Be unable to do your normal daily activities

Free text: Extreme low and high blood pressure Severe headache Sweating Inability to stand Dizziness

MedDRA releases: 2024-11 · check-in free text available
2022-03-19
Survey response — 3 months, dose 3
MedDRA: Dizziness, Heart rate increased, Hypertension, Photophobia, Tremor — 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

Free text: Sudden flairs of high blood pressure and heart rate, shaking and tremors, dizziness, light sensitivity

MedDRA releases: 2024-11 · check-in free text available
2022-03-19
Report sent to call center — 3 months, dose 3
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 · 1 call case(s)
2022-03-23
Call 1 — Left Voicemail
2022-05-20
Call successful
Participant prefers to complete VAERS report online
2022-12-19
Survey response — 12 months, dose 3
MedDRA: Eye disorder, Migraine, Office visit — Feeling: Fair · 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: Symptoms: Migraine headaches Eye issues · Healthcare visit (other): Doctor office visits

MedDRA releases: 2024-11 · check-in free text available
2022-12-19
Report sent to call center — 12 months, dose 3
Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional

Emergency room or emergency department visit · 1 call case(s)
2022-12-20
Call 1 — Left Voicemail

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-03-03	Moderna
2	2021-03-31	Moderna
3	2021-12-17	Moderna	No

Call center

4 call center cases

3 successful · 1 unsuccessful

See the call center timeline

Free text

Release 6 — day 21, dose 1

2021-03-24

Symptoms: Orthostatic intolerance, fatigue, weakness

Release 6 — day 0, dose 2

2021-03-31

Systemic reaction (other): I have hyperadrenergic pots. I experienced a setback in that over the past two weeks but I got the second shot today anyway in spite of vertigo and blood pressure spikes. Im concerned that the first shot may have caused a relapse in my pots, and am hoping the second shot does not make it any worse. I have had several days of disability since I got the first vaccine. I just got the second vaccine today and am concerned about its impact on my hoots which has been somewhat stable prior to the first shot,

Release 6 — days 1–6 daily, dose 2

2021-04-01

Systemic reaction (other): Dizziness, blood pressure and heart rate increases when I get up

Release 7 — day 7, dose 2

2021-04-07

Systemic reaction (other): I had reported earlier my concerns that this vaccination may have negatively impacted a chronic illness I have (hyperadrenergic pots). Im still not 100% certain if there are impacts. I had pots issues a couple weeks after shot 1 that were typical of pots that I had not experienced in months. They seem to be improving since then but I am still cautious about feeling that all is ok.

Release 9 — 3 months, dose 2

2021-06-30

Symptoms: I believe that the vaccination triggered a flair of my of my hyperadrenergic pots. I have been somewhat stable for years but a couple weeks after the first shot, I started having issues that resulted into a full blown flair.

Healthcare visit (other): I will be seeing my doctor who treats me for this condition in July.

Release 9 — 6 months, dose 2

2021-09-30

Symptoms: I cant temember when you last contacted me but I wanted to mention that I believe the vaccine triggered my hyperadrenergic pots. After getting the vaccine, I experienced flairs including sudden high blood pressure and heart rate, and others

Release 10 — days 1–6 daily, dose 3

2021-12-23

Systemic reaction (other): Alternating rapid heart rate + high blood pressure with low heart rate and low blood pressure. Inability to stand up, dizziness.

Release 10 — day 7, dose 3

2021-12-24

Systemic reaction (other): Light headed, dizzy

Release 10 — day 14, dose 3

2021-12-31

Symptoms: My blood pressure dropped very low (85/42)w chest pains, headache, + fatigue. This lasted most of the day. Then it flipped and suddenly went high (140/90) w dizziness and sweating. I believe this vaccine cause flairs of my hyperadrenergic pots.

Release 11 — day 42, dose 3

2022-01-28

Symptoms: Extreme low and high blood pressure Severe headache Sweating Inability to stand Dizziness

Release 11 — 3 months, dose 3

2022-03-19

Symptoms: Sudden flairs of high blood pressure and heart rate, shaking and tremors, dizziness, light sensitivity

Release 12 — 12 months, dose 3

2022-12-19

Symptoms: Migraine headaches Eye issues

Healthcare visit (other): Doctor office visits

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	Unevaluable event	✓	✓	✓
SD	Asthenia	✓	✓	✓
SD	Blood pressure decreased	·	·	✓
SD	Blood pressure fluctuation	·	·	✓
SD	Blood pressure increased	·	·	✓
SD	Chest pain	·	·	✓
SD	Condition aggravated	✓	✓	✓
SD	Dizziness	·	·	✓
SD	Dysstasia	·	·	✓
SD	Eye disorder	·	·	✓
SD	Fatigue	✓	✓	✓
SD	Headache	·	·	✓
SD	Heart rate increased	·	·	✓
SD	Hyperhidrosis	·	·	✓
SD	Hypertension	·	·	✓
SD	Migraine	·	·	✓
SD	Orthostatic intolerance	✓	✓	✓
SD	Photophobia	·	·	✓
SD	Pre-existing disease	✓	✓	✓
SD	Tremor	·	·	✓
SRO	Blood pressure increased	✓	✓	✓
SRO	Condition aggravated	✓	✓	✓
SRO	Disability	✓	✓	✓
SRO	Dizziness	✓	✓	✓
SRO	Dysstasia	·	·	✓
SRO	Heart rate decreased	·	·	✓
SRO	Heart rate increased	✓	✓	✓
SRO	Hypertension	·	·	✓
SRO	Hypotension	·	·	✓
SRO	Postural orthostatic tachycardia syndrome	✓	✓	✓
SRO	Pre-existing disease	✓	✓	✓
SRO	Vertigo	✓	✓	✓

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