6NK-23472-23305
2 vaccinations
5 coded responses
8 check-ins
5 free-text entries
1 call case
- Sex
- Female
- Age at first dose
- 56-60
- ZIP prefix
- 781 / TX
- Registered
- 2021-10-06
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-08-29
Dose 1 — Moderna
-
2021-09-26
Dose 2 — Moderna
-
2021-10-06
Registered in v-safe
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2021-10-06
Survey response — day 7, dose 2MedDRA: Adverse reaction, Chills, Dizziness, Hallucination, Mobility decreased, Visual impairment — Feeling: Fair · Headache, Muscle or body aches, Fatigue or tirednessFree text: Not today but I would like to report other symptoms the day after my second dose. In addition to the above, I had severe chills and spent 2 days in bed. I was dizzy seeing sun spots. On the 3rd day I had pretty serious hallucinations.MedDRA releases: 2024-11 · check-in free text available
- 2021-10-10
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2021-10-17
Survey response — day 21, dose 2MedDRA: Asthenia, Confusional state, Dizziness, Headache — Feeling: FairFree text: Pain on top of my head and dizziness. Some confusion and weakness causing me to stumble.MedDRA releases: 2024-11 · check-in free text available
- 2021-10-24
- 2021-11-01
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2021-11-10
Survey response — day 42, dose 2MedDRA: Arthralgia, Balance disorder, Dizziness, Fall, Hallucination, Headache, Joint injury, Neck pain — Feeling: FairFree text: Headaches and dizziness more frequent, lost my balance last Thursday and fell down forwards but somehow twisted my knee and ended up on my back. Had another hallucination but not as bad as the last one. Lots of pain in my neck and shoulders.MedDRA releases: 2024-11 · check-in free text available
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2022-03-27
Survey response — 6 months, dose 2MedDRA: Arthralgia, Bone pain, Fear of falling, Insomnia, Loss of personal independence in daily activities, Mobility decreased, Musculoskeletal disorder, Pain, Pain in extremity — Feeling: Poor · Be unable to do your normal daily activitiesFree text: Total body pain. It feels like someone beat my bones with a hammer. I can barely get out of bed, can't get dressed or use my arms and hands for hours. My shoulders hurt so bad. I can barely sleep. My legs hurt so bad, I can't bend for fear of fallingMedDRA releases: 2024-11 · check-in free text available
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2022-09-26
Survey response — 12 months, dose 2MedDRA: Amnesia, Autoimmune disorder, Dizziness, Loss of personal independence in daily activities, Muscular weakness, Office visit, Pain, Pain in extremity — Feeling: Fair · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professionalFree text: Symptoms: My doctor diagnosed me with auto immune disease. Told me the vaccines could have caused it. My body hurts everywhere and I'm weak in the legs. I get dizzy spells and my short term memory isn't good. My hands hurt so bad, I have a hard time with stuff · Healthcare visit (other): Doctor visitsMedDRA releases: 2024-11 · check-in free text available
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2022-09-26
Report sent to call center — 12 months, dose 2Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional1 call case(s)
- 2022-09-28
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-08-29 | Moderna | No |
| 2 | 2021-09-26 | Moderna | No |
Call center
1 call center case
1 unsuccessful
Free text
Release 10 — day 7, dose 2
Systemic reaction (other): Not today but I would like to report other symptoms the day after my second dose. In addition to the above, I had severe chills and spent 2 days in bed. I was dizzy seeing sun spots. On the 3rd day I had pretty serious hallucinations.
Release 10 — day 21, dose 2
Symptoms: Pain on top of my head and dizziness. Some confusion and weakness causing me to stumble.
Release 10 — day 42, dose 2
Symptoms: Headaches and dizziness more frequent, lost my balance last Thursday and fell down forwards but somehow twisted my knee and ended up on my back. Had another hallucination but not as bad as the last one. Lots of pain in my neck and shoulders.
Release 11 — 6 months, dose 2
Symptoms: Total body pain. It feels like someone beat my bones with a hammer. I can barely get out of bed, can't get dressed or use my arms and hands for hours. My shoulders hurt so bad. I can barely sleep. My legs hurt so bad, I can't bend for fear of falling cut off by CDC
Release 12 — 12 months, dose 2
Symptoms: My doctor diagnosed me with auto immune disease. Told me the vaccines could have caused it. My body hurts everywhere and I'm weak in the legs. I get dizzy spells and my short term memory isn't good. My hands hurt so bad, I have a hard time with stuff cut off by CDC
Healthcare visit (other): Doctor 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 | · | · | ✓ |
| SD | Amnesia | · | · | ✓ |
| SD | Arthralgia | · | · | ✓ |
| SD | Asthenia | · | · | ✓ |
| SD | Autoimmune disorder | · | · | ✓ |
| SD | Balance disorder | · | · | ✓ |
| SD | Bone pain | · | · | ✓ |
| SD | Confusional state | · | · | ✓ |
| SD | Dizziness | · | · | ✓ |
| SD | Fall | · | · | ✓ |
| SD | Fear of falling | · | · | ✓ |
| SD | Hallucination | · | · | ✓ |
| SD | Headache | · | · | ✓ |
| SD | Insomnia | · | · | ✓ |
| SD | Joint injury | · | · | ✓ |
| SD | Loss of personal independence in daily activities | · | · | ✓ |
| SD | Mobility decreased | · | · | ✓ |
| SD | Muscular weakness | · | · | ✓ |
| SD | Musculoskeletal disorder | · | · | ✓ |
| SD | Neck pain | · | · | ✓ |
| SD | Office visit | · | · | ✓ |
| SD | Pain | · | · | ✓ |
| SD | Pain in extremity | · | · | ✓ |
| SRO | Adverse reaction | · | · | ✓ |
| SRO | Chills | · | · | ✓ |
| SRO | Dizziness | · | · | ✓ |
| SRO | Hallucination | · | · | ✓ |
| SRO | Mobility decreased | · | · | ✓ |
| SRO | Visual impairment | · | · | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release