6LR-29416-43829

1 vaccination 10 coded responses 12 check-ins 10 free-text entries 4 call cases

Sex: Female
Age at first dose: 36-40
ZIP prefix: 481 / MI
Registered: 2021-03-13

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

2021-03-10
Dose 1 — Moderna
2021-03-13
Registered in v-safe
2021-03-13
Survey response — days 1–6 daily, dose 1
MedDRA: Heart rate increased, Pharyngeal swelling, Syncope — Feeling: Poor · Site: Pain, Swelling · Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea · 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: Rapid heart beat, throat swelling, fainting

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-13
Report sent to call center — days 1–6 daily, dose 1
Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional

1 call case(s)
2021-03-14
Survey response — days 1–6 daily, dose 1
MedDRA: Chest discomfort, Dyspnoea — Feeling: Poor · Site: Pain · Fever · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to do your normal daily activities

Free text: Shortness of breath, chest tightness

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-15
Survey response — days 1–6 daily, dose 1
MedDRA: Dizziness, Dyspnoea — Feeling: Poor · Site: Pain · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to do your normal daily activities

Free text: Dizziness short of breath

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-16
Survey response — days 1–6 daily, dose 1
MedDRA: Dizziness, Ear pain, Tinnitus — Feeling: Poor · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to do your normal daily activities

Free text: Dizziness, ear pain, ringing in ears

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-17
Survey response — day 7, dose 1
MedDRA: Dizziness — Feeling: Fair · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to do your normal daily activities

Free text: Dizzy

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-24
Survey response — day 14, dose 1
MedDRA: Back pain, Dizziness, Feeling abnormal, Head discomfort — Feeling: Poor · Be unable to do your normal daily activities

Free text: Back pain, pressure in head, dizziness, brain fog

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-01
Survey response — day 21, dose 1
MedDRA: Palpitations, Paraesthesia, Pharyngeal paraesthesia — Feeling: Poor · Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultation

Free text: Heart palpitations, tingling in face and throat

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-01
Report sent to call center — day 21, dose 1
Get care from a doctor or other healthcare professional

1 call case(s)
2021-04-07
Survey response — day 28, dose 1
MedDRA: Autonomic nervous system imbalance, Heart rate increased — Feeling: Fair · Be unable to do your normal daily activities

Free text: Rapid heartbeat, autonomic dysfunction

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-15
Health check-in — day 35, dose 1
Feeling: Poor

Adult check-in
2021-04-21
Survey response — day 42, dose 1
MedDRA: Autonomic nervous system imbalance, Tachycardia — 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: Tachycardia, autonomic dysfunction,

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-21
Report sent to call center — day 42, dose 1
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)
2021-06-10
Survey response — 3 months, dose 1
MedDRA: Muscular weakness, Neuralgia, Skin exfoliation, Tremor, Vision blurred — 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, Emergency room or emergency department visit, Hospitalization

Free text: Bilateral leg weakness and nerve pain. Bilateral arm weakness and nerve pain. Blurry vision in left eye. Skin peeling repeatedly on hands. Muscle tremors in arms and legs.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-06-10
Report sent to call center — 3 months, dose 1
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)
2021-06-11
Call 1 — Left Voicemail
2021-06-11
Call 1 — Left Voicemail
2021-06-11
Call 1 — Left Voicemail
2021-06-11
Call 1 — Left Voicemail
2021-09-11
Health check-in — 6 months, dose 1
Feeling: Poor

Adult check-in

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-03-10	Moderna

Call center

4 call center cases

4 unsuccessful

1 wait over 3 months for a first call

See the call center timeline

Free text

Release 5 — days 1–6 daily, dose 1

2021-03-13

Systemic reaction (other): Rapid heart beat, throat swelling, fainting

2021-03-14

Systemic reaction (other): Shortness of breath, chest tightness

2021-03-15

Systemic reaction (other): Dizziness short of breath

2021-03-16

Systemic reaction (other): Dizziness, ear pain, ringing in ears

Release 5 — day 7, dose 1

2021-03-17

Systemic reaction (other): Dizzy

Release 6 — day 14, dose 1

2021-03-24

Symptoms: Back pain, pressure in head, dizziness, brain fog

Release 6 — day 21, dose 1

2021-04-01

Symptoms: Heart palpitations, tingling in face and throat

Release 7 — day 28, dose 1

2021-04-07

Symptoms: Rapid heartbeat, autonomic dysfunction

Release 7 — day 42, dose 1

2021-04-21

Symptoms: Tachycardia, autonomic dysfunction,

Release 9 — 3 months, dose 1

2021-06-10

Symptoms: Bilateral leg weakness and nerve pain. Bilateral arm weakness and nerve pain. Blurry vision in left eye. Skin peeling repeatedly on hands. Muscle tremors in arms and legs.

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	Autonomic nervous system imbalance	✓	✓	✓
SD	Back pain	✓	✓	✓
SD	Dizziness	✓	✓	✓
SD	Feeling abnormal	✓	✓	✓
SD	Head discomfort	✓	✓	✓
SD	Heart rate increased	✓	✓	✓
SD	Muscular weakness	✓	✓	✓
SD	Neuralgia	✓	✓	✓
SD	Palpitations	✓	✓	✓
SD	Paraesthesia	✓	✓	✓
SD	Pharyngeal paraesthesia	✓	✓	✓
SD	Skin exfoliation	✓	✓	✓
SD	Tachycardia	✓	✓	✓
SD	Tremor	✓	✓	✓
SD	Vision blurred	✓	✓	✓
SRO	Chest discomfort	✓	✓	✓
SRO	Dizziness	✓	✓	✓
SRO	Dyspnoea	✓	✓	✓
SRO	Ear pain	✓	✓	✓
SRO	Heart rate increased	✓	✓	✓
SRO	Pharyngeal swelling	✓	✓	✓
SRO	Syncope	✓	✓	✓
SRO	Tinnitus	✓	✓	✓

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