8HR-50171-51084

2 vaccinations 9 coded responses 9 check-ins 9 free-text entries 8 call cases

Sex: Female
Age at first dose: 36-40
ZIP prefix: 376 / TN
Registered: 2021-04-25

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

2021-03-27
Dose 1 — Moderna
2021-04-24
Dose 2 — Moderna
2021-04-25
Registered in v-safe
2021-04-25
Survey response — days 1–6 daily, dose 2
MedDRA: Confusional state, Dizziness, Seizure — Feeling: Poor · Site: Pain, Redness, Swelling, Itching · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea, Vomiting, Diarrhea, Abdominal pain, Rash, not including the immediate area around the injection site · 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: Seizures, dizziness, confusion

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-25
Report sent to call center — days 1–6 daily, dose 2
Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional

1 call case(s)
2021-04-26
Survey response — days 1–6 daily, dose 2
MedDRA: Brain injury, Confusional state, Dizziness, Impaired gastric emptying, Pre-existing disease, Spinal pain — Feeling: Poor · Site: Pain, Redness, Swelling, Itching · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea, Vomiting, Abdominal pain, Rash, not including the immediate area around the injection site · Be unable to work, Be unable to do your normal daily activities

Free text: Dizziness confusion lead feet feeling pain in spine ovary pain brain injury spot is still hurting bad my gastroparesis is worse

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-27
Survey response — days 1–6 daily, dose 2
MedDRA: Condition aggravated, Pre-existing disease — Feeling: Poor · Site: Pain, Redness, Swelling, Itching · Fever · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea, Vomiting, Abdominal pain · 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

Free text: I called my go dr waiting for call back my gastroparesis is worse my liquids stopped digesting today which is not normal. My medicine is not digesting

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-27
Report sent to call center — days 1–6 daily, dose 2
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)
2021-04-28
Survey response — days 1–6 daily, dose 2
MedDRA: Condition aggravated, Confusional state, Dizziness, Pre-existing disease — Feeling: Poor · Site: Pain, Redness, Swelling, Itching · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea, Vomiting, Abdominal pain · 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, Emergency room or emergency department visit

Free text: Dizziness confusion gastroparesis is worse seizure brain injury is worse

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-28
Report sent to call center — days 1–6 daily, dose 2
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)
2021-05-02
Survey response — day 7, dose 2
MedDRA: Condition aggravated, Office visit, Pre-existing disease, Unevaluable event — Feeling: Fair · Site: Redness, Swelling, Itching · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea, Vomiting, Diarrhea, Abdominal pain · 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

Free text: Systemic reaction (other): Gastroparesis problems are worse. My digestion had almost stopped I went to the gi dr she maxed out my meds · Healthcare visit (other): Future tests possible surgerys now

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-02
Report sent to call center — day 7, dose 2
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)
2021-05-08
Survey response — day 14, dose 2
MedDRA: Condition aggravated, Headache, Nausea, Pain, Pre-existing disease, Vomiting — Feeling: Fair · 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

Free text: Nausea vomiting headaches body aches gastroparesis worsening brain injury worsening

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-08
Report sent to call center — day 14, dose 2
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)
2021-05-29
Survey response — day 35, dose 2
MedDRA: Condition aggravated, Pre-existing disease — Feeling: Fair · 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: Maxed out on gastroparesis medicine. Dr had to up atenolol for tachycardia

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-29
Report sent to call center — day 35, dose 2
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)
2021-06-05
Survey response — day 42, dose 2
MedDRA: Condition aggravated, Pre-existing disease, Seizure, Tachycardia — Feeling: Fair · 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: Gastroparesis has not improved its still as bad as the shot made it. My tachycardia is still worse. My brain injury TBI symptoms are still worse. Still having seizures

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-06-05
Report sent to call center — day 42, dose 2
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)
2021-07-24
Survey response — 3 months, dose 2
MedDRA: Abortion spontaneous, Hysterectomy, Nausea, Pre-existing disease, Pregnancy — 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: Pregnancy with a partial hysterectomy , miscarriage nausea gastroparesis worsening

MedDRA releases: 2021-09,2024-11 · check-in free text available
2021-07-24
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)
2021-07-27
Call 1 — Left Voicemail

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-03-27	Moderna
2	2021-04-24	Moderna

Call center

Reported	Outcome	VAERS-related outcome
2021-04-25	Unsuccessful
2021-04-27	Unsuccessful
2021-04-28	Unsuccessful
2021-05-02	Unsuccessful
2021-05-08	Unsuccessful
2021-05-29	Unsuccessful
2021-06-05	Unsuccessful
2021-07-24	Unsuccessful

Free text

Release 7 — days 1–6 daily, dose 2

2021-04-25

Systemic reaction (other): Seizures, dizziness, confusion

Release 8 — days 1–6 daily, dose 2

2021-04-26

Systemic reaction (other): Dizziness confusion lead feet feeling pain in spine ovary pain brain injury spot is still hurting bad my gastroparesis is worse

2021-04-27

Healthcare visit (other): I called my go dr waiting for call back my gastroparesis is worse my liquids stopped digesting today which is not normal. My medicine is not digesting

2021-04-28

Systemic reaction (other): Dizziness confusion gastroparesis is worse seizure brain injury is worse

Release 8 — day 7, dose 2

2021-05-02

Systemic reaction (other): Gastroparesis problems are worse. My digestion had almost stopped I went to the gi dr she maxed out my meds

Healthcare visit (other): Future tests possible surgerys now

Release 8 — day 14, dose 2

2021-05-08

Symptoms: Nausea vomiting headaches body aches gastroparesis worsening brain injury worsening

Release 8 — day 35, dose 2

2021-05-29

Symptoms: Maxed out on gastroparesis medicine. Dr had to up atenolol for tachycardia

Release 8 — day 42, dose 2

2021-06-05

Symptoms: Gastroparesis has not improved its still as bad as the shot made it. My tachycardia is still worse. My brain injury TBI symptoms are still worse. Still having seizures

Release 9 — 3 months, dose 2

2021-07-24

Symptoms: Pregnancy with a partial hysterectomy , miscarriage nausea gastroparesis worsening

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	Condition aggravated	✓	✓	✓
HCVO	Pre-existing disease	✓	✓	✓
HCVO	Unevaluable event	✓	✓	✓
SD	Abortion spontaneous	✓	·	✓
SD	Condition aggravated	✓	✓	✓
SD	Headache	✓	✓	✓
SD	Hysterectomy	✓	·	✓
SD	Nausea	✓	✓	✓
SD	Pain	✓	✓	✓
SD	Pre-existing disease	✓	✓	✓
SD	Pregnancy	✓	·	✓
SD	Seizure	✓	✓	✓
SD	Tachycardia	✓	✓	✓
SD	Vomiting	✓	✓	✓
SRO	Brain injury	✓	✓	✓
SRO	Condition aggravated	✓	✓	✓
SRO	Confusional state	✓	✓	✓
SRO	Dizziness	✓	✓	✓
SRO	Impaired gastric emptying	✓	✓	✓
SRO	Office visit	✓	✓	✓
SRO	Pre-existing disease	✓	✓	✓
SRO	Seizure	✓	✓	✓
SRO	Spinal pain	✓	✓	✓

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