6S8-89574-34853

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

Sex: Female
Age at first dose: 51-55
ZIP prefix: 088 / NJ
Registered: 2021-09-18

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

2021-09-15
Dose 1 — Moderna
2021-09-18
Registered in v-safe
2021-09-18
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-09-19
Survey response — days 1–6 daily, dose 1
MedDRA: Chest pain, Hypoaesthesia, Paraesthesia — 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 · Emergency room or emergency department visit

Free text: Chest pain and numbness and tingling in hands

MedDRA releases: 2024-11 · check-in free text available
2021-09-19
Report sent to call center — days 1–6 daily, dose 1
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)
2021-09-20
Survey response — days 1–6 daily, dose 1
MedDRA: Chest pain, Hypertension — Feeling: Poor · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Emergency room or emergency department visit, Hospitalization

Free text: Extremely high blood pressure and chest pain 213/110

MedDRA releases: 2024-11 · check-in free text available
2021-09-20
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)
2021-09-21
Survey response — days 1–6 daily, dose 1
MedDRA: Office visit — 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 · Outpatient clinic or urgent care clinic visit

Free text: 205/100 blood pressure back to urgent care

MedDRA releases: 2024-11 · check-in free text available
2021-09-21
Report sent to call center — days 1–6 daily, dose 1
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)
2021-09-22
Survey response — day 7, dose 1
MedDRA: Hypertension, Office visit — 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 · Outpatient clinic or urgent care clinic visit

Free text: Systemic reaction (other): High high blood pressure not controlled by meds · Healthcare visit (other): Dr visit

MedDRA releases: 2024-11 · check-in free text available
2021-09-22
Report sent to call center — day 7, dose 1
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)
2021-09-22
Call 1 — Left Voicemail
2021-09-29
Survey response — day 14, dose 1
MedDRA: Blood pressure inadequately controlled, Hospitalisation — 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, Outpatient clinic or urgent care clinic visit, Emergency room or emergency department visit, Hospitalization

Free text: Had Hospital stay 2 days cant control blood pressure Im on medication and have to take daily and also emergency pills when BP goes over 160 so everyday Im taking emergency medication. My blood pressure 10 days before vaccine was 100/70 at my

MedDRA releases: 2024-11 · check-in free text available
2021-09-29
Report sent to call center — day 14, dose 1
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 · Emergency room or emergency department visit · Hospitalization · 1 call case(s)
2021-10-13
Survey response — day 28, dose 1
MedDRA: Autoimmune disorder, Blood pressure increased, Office visit — 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 · Outpatient clinic or urgent care clinic visit

Free text: I now have autoimmune issue from the vaccine 100% from vaccine. Every time I eat sugar, gluten or dairy my blood pressure spikes. I'm spending 1000's of dollars now going to drs several times a week. Not getting any better and have medical exception

MedDRA releases: 2024-11 · check-in free text available
2021-10-13
Report sent to call center — day 28, dose 1
Be unable to work or attend school · Be unable to do your normal daily activities · Get care from a doctor or other healthcare pr

Outpatient clinic or urgent care clinic visit · 1 call case(s)
2021-10-18
Call 1 — Left Voicemail
2021-10-18
Callback requested for
10:00AM ET
2021-10-22
Health check-in — day 35, dose 1
Feeling: Fair

Adult check-in
2021-10-28
Survey response — day 42, dose 1
MedDRA: Blood pressure abnormal, Epstein-Barr virus test positive, Renal artery occlusion — 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 · Outpatient clinic or urgent care clinic visit

Free text: The arteries to my left kidney are blocked that's why my BP is out of control. I was perfectly healthy before this poison. Plus just got my Epstein Barr panel back it's off the charts thanks moderna for ruining my life. F Joe Biden!!!!

MedDRA releases: 2024-11 · check-in free text available
2021-10-28
Report sent to call center — day 42, dose 1
Be unable to work or attend school · Be unable to do your normal daily activities · Get care from a doctor or other healthcare pr

Outpatient clinic or urgent care clinic visit · 1 call case(s)
2021-12-15
Survey response — 3 months, dose 1
MedDRA: Food allergy, Pre-existing disease — 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, Outpatient clinic or urgent care clinic visit

Free text: I have permanent kidney damage and my tests all came back and now allergic to almost every food imaginable. This vax has ruined my life

MedDRA releases: 2024-11 · check-in free text available
2021-12-15
Report sent to call center — 3 months, dose 1
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)
2021-12-16
Call 1 — Left Voicemail
2021-12-16
Call successful
Completed over the phone
2021-12-16
Call successful
Completed over the phone
2021-12-16
Call successful
Completed over the phone
2021-12-16
Call successful
Completed over the phone
2021-12-16
Call successful
Completed over the phone
2021-12-16
Call successful
Completed over the phone
2022-03-16
Survey response — 6 months, dose 1
MedDRA: Food allergy, Hypoaesthesia, Office visit — 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 · Emergency room or emergency department visit

Free text: Symptoms: Numbness in hands and arms also allergic to foods. Why do you even care? You are hiding the data · Healthcare visit (other): Urgent care

MedDRA releases: 2024-11 · check-in free text available
2022-03-16
Report sent to call center — 6 months, dose 1
Be unable to work or attend school · Be unable to do your normal daily activities · Get care from a doctor or other healthcare pr

Emergency room or emergency department visit · 1 call case(s)
2022-03-17
Call 1 — Left Voicemail
2022-03-17
Call successful
Reported to VAERS during previous contact from GDIT
2022-09-17
Survey response — 12 months, dose 1
MedDRA: Feeling abnormal — 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 · Outpatient clinic or urgent care clinic visit, Emergency room or emergency department visit, Hospitalization

Free text: It's been a year since being forced to take this vaccine my life has never been the same.

MedDRA releases: 2024-11 · check-in free text available
2022-09-17
Report sent to call center — 12 months, dose 1
Be unable to work or attend school · Be unable to do your normal daily activities · Get care from a doctor or other healthcare pr

Outpatient clinic or urgent care clinic visit · Emergency room or emergency department visit · Hospitalization · 1 call case(s)
2022-09-19
Call 1 — Left Voicemail
2022-09-19
Call successful
Does not wish to fill out VAERS report
2022-12-16
Call successful
Completed over the phone

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-09-15	Moderna	No

Call center

10 call center cases

10 successful

VAERS report filed, before or during a call: 9

See the call center timeline

Free text

Release 9 — days 1–6 daily, dose 1

2021-09-19

Systemic reaction (other): Chest pain and numbness and tingling in hands

2021-09-20

Systemic reaction (other): Extremely high blood pressure and chest pain 213/110

2021-09-21

Systemic reaction (other): 205/100 blood pressure back to urgent care

Release 9 — day 7, dose 1

2021-09-22

Systemic reaction (other): High high blood pressure not controlled by meds

Healthcare visit (other): Dr visit

Release 9 — day 14, dose 1

2021-09-29

Symptoms: Had Hospital stay 2 days cant control blood pressure Im on medication and have to take daily and also emergency pills when BP goes over 160 so everyday Im taking emergency medication. My blood pressure 10 days before vaccine was 100/70 at my

Release 10 — day 28, dose 1

2021-10-13

Symptoms: I now have autoimmune issue from the vaccine 100% from vaccine. Every time I eat sugar, gluten or dairy my blood pressure spikes. I'm spending 1000's of dollars now going to drs several times a week. Not getting any better and have medical exception cut off by CDC

Release 10 — day 42, dose 1

2021-10-28

Symptoms: The arteries to my left kidney are blocked that's why my BP is out of control. I was perfectly healthy before this poison. Plus just got my Epstein Barr panel back it's off the charts thanks moderna for ruining my life. F Joe Biden!!!!

Release 10 — 3 months, dose 1

2021-12-15

Symptoms: I have permanent kidney damage and my tests all came back and now allergic to almost every food imaginable. This vax has ruined my life

Release 11 — 6 months, dose 1

2022-03-16

Symptoms: Numbness in hands and arms also allergic to foods. Why do you even care? You are hiding the data

Healthcare visit (other): Urgent care

Release 12 — 12 months, dose 1

2022-09-17

Symptoms: It's been a year since being forced to take this vaccine my life has never been the same.

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	Autoimmune disorder	·	·	✓
SD	Blood pressure abnormal	·	·	✓
SD	Blood pressure inadequately controlled	·	·	✓
SD	Blood pressure increased	·	·	✓
SD	Epstein-Barr virus test positive	·	·	✓
SD	Feeling abnormal	·	·	✓
SD	Food allergy	·	·	✓
SD	Hospitalisation	·	·	✓
SD	Hypoaesthesia	·	·	✓
SD	Office visit	·	·	✓
SD	Pre-existing disease	·	·	✓
SD	Renal artery occlusion	·	·	✓
SRO	Chest pain	·	·	✓
SRO	Hypertension	·	·	✓
SRO	Hypoaesthesia	·	·	✓
SRO	Office visit	·	·	✓
SRO	Paraesthesia	·	·	✓

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