YEK-18223-89829

4 vaccinations 7 coded responses 22 check-ins 7 free-text entries 5 call cases

Sex: —
Age at first dose: 51-55
ZIP prefix: 970 / OR
Registered: 2021-02-13

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

2021-01-26
Dose 1 — Moderna
2021-02-13
Registered in v-safe
2021-02-13
Health check-in — day 14, dose 1
Feeling: Good

Adult check-in
2021-02-16
Health check-in — day 21, dose 1
Feeling: Good

Adult check-in
2021-02-23
Dose 2 — Moderna
2021-02-23
Health check-in — day 0, dose 2
Feeling: Good · Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Adult check-in
2021-02-24
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Pain · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to do your normal daily activities

Adult check-in
2021-02-25
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Pain · Headache, Muscle or body aches

Adult check-in
2021-02-26
Survey response — days 1–6 daily, dose 2
MedDRA: Myasthenia gravis, Pre-existing disease — Feeling: Fair · Site: Pain · Headache, Muscle or body aches

Free text: Myasthenia gravis symptoms a little flared but I am due for ivig

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-27
Survey response — days 1–6 daily, dose 2
MedDRA: Atrial fibrillation, Immunoglobulin therapy — Feeling: Fair · Site: Pain · Get care from a doctor or other healthcare professional · Emergency room or emergency department visit

Free text: Afib episode possibly related to yesterdays IVIG

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-27
Report sent to call center — days 1–6 daily, dose 2
Get care from a doctor or other healthcare professional

1 call case(s)
2021-02-28
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Fatigue or tiredness

Adult check-in
2021-03-01
Health check-in — days 1–6 daily, dose 2
Feeling: Good · None

Adult check-in
2021-03-02
Health check-in — day 7, dose 2
Feeling: Good · None

Adult check-in
2021-03-09
Health check-in — day 14, dose 2
Feeling: Good

Adult check-in
2021-03-16
Survey response — day 21, dose 2
MedDRA: Diplopia, Eyelid ptosis, Muscular weakness, Myasthenia gravis, Pre-existing disease — Feeling: Fair · Be unable to work

Free text: Mildly Increased myasthenia gravis symptoms of proximal and bulbar muscle weakness, and ptosis and double vision

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-23
Health check-in — day 28, dose 2
Feeling: Good

Adult check-in
2021-03-30
Survey response — day 35, dose 2
MedDRA: Asthenia, Myasthenia gravis, 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 · Telehealth, virtual health, or email health consultation

Free text: Myasthenia gravis flare requiring major prednisone increase. Generalized weakness. Improving on prednisone.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-30
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)
2021-04-06
Health check-in — day 42, dose 2
Feeling: Fair

Adult check-in
2021-05-25
Health check-in — 3 months, dose 2
Feeling: Fair

Adult check-in
2021-08-24
Survey response — 6 months, dose 2
MedDRA: Abdominal wound dehiscence, Hernia repair, Hospitalisation, Ileostomy, Laparotomy, Myasthenia gravis crisis, Pre-existing disease, Stoma closure, Wound closure — 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: Open laparotomy to reverse colostomy, repair peristomal hernia, and create ileostomy 7/29, followed by myasthenia gravis crisis. Hospitalized 9 days. Complete surgical wound dehiscence of midline wound 8/13, readmitted for 4 days. Now have wound VAC

MedDRA releases: 2021-09,2024-11 · check-in free text available
2021-08-24
Report sent to call center — 6 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)
2021-08-25
Call successful
Does not wish to fill out VAERS report
2021-08-30
Dose 3 — Moderna
2021-11-29
Survey response — 3 months, dose 3
MedDRA: Pain in extremity, Peripheral swelling, Sinusitis — 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: Sinus Infection. Painfully swollen hand.

MedDRA releases: 2024-11 · check-in free text available
2021-11-29
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)
2021-11-30
Call 1 — Left Voicemail
2021-12-03
Call successful
Not applicable (accidental reporting or does not believe symptoms are related to vaccine)
2022-02-01
Dose 4 — Moderna
2022-02-28
Survey response — 6 months, dose 3
MedDRA: Myasthenia gravis, 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

Free text: Myasthenia Gravis flare

MedDRA releases: 2024-11 · check-in free text available
2022-02-28
Report sent to call center — 6 months, dose 3
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 · 1 call case(s)
2022-03-04
Call 1 — Left Voicemail
2022-05-03
Health check-in — 3 months, dose 4
Feeling: Good

Adult check-in
2022-08-04
Health check-in — 6 months, dose 4
Feeling: Fair

Adult check-in
2023-02-01
Health check-in — 12 months, dose 4
Feeling: Good

Adult check-in

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-01-26	Moderna
2	2021-02-23	Moderna
3	2021-08-30	Moderna	No
4	2022-02-01	Moderna	No

Call center

Reported	Outcome	VAERS-related outcome
2021-02-27	Successful	Does not wish to fill out VAERS report
2021-03-30	Successful	Does not wish to fill out VAERS report
2021-08-24	Successful 2021-08-25	Does not wish to fill out VAERS report
2021-11-29	Successful 2021-12-03	Not applicable (accidental reporting or does not believe symptoms are related to vaccine)
2022-02-28	Unsuccessful

Free text

Release 4 — days 1–6 daily, dose 2

2021-02-26

Systemic reaction (other): Myasthenia gravis symptoms a little flared but I am due for ivig

2021-02-27

Systemic reaction (other): Afib episode possibly related to yesterdays IVIG

Release 5 — day 21, dose 2

2021-03-16

Symptoms: Mildly Increased myasthenia gravis symptoms of proximal and bulbar muscle weakness, and ptosis and double vision

Release 6 — day 35, dose 2

2021-03-30

Symptoms: Myasthenia gravis flare requiring major prednisone increase. Generalized weakness. Improving on prednisone.

Release 9 — 6 months, dose 2

2021-08-24

Symptoms: Open laparotomy to reverse colostomy, repair peristomal hernia, and create ileostomy 7/29, followed by myasthenia gravis crisis. Hospitalized 9 days. Complete surgical wound dehiscence of midline wound 8/13, readmitted for 4 days. Now have wound VAC cut off by CDC

Release 10 — 3 months, dose 3

2021-11-29

Symptoms: Sinus Infection. Painfully swollen hand.

Release 11 — 6 months, dose 3

2022-02-28

Symptoms: Myasthenia Gravis flare

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	Abdominal wound dehiscence	✓	·	✓
SD	Asthenia	✓	✓	✓
SD	Diplopia	✓	✓	✓
SD	Eyelid ptosis	✓	✓	✓
SD	Hernia repair	✓	·	✓
SD	Hospitalisation	✓	·	✓
SD	Ileostomy	✓	·	✓
SD	Laparotomy	✓	·	✓
SD	Muscular weakness	✓	✓	✓
SD	Myasthenia gravis	✓	✓	✓
SD	Myasthenia gravis crisis	✓	·	✓
SD	Pain in extremity	·	·	✓
SD	Peripheral swelling	·	·	✓
SD	Pre-existing disease	✓	✓	✓
SD	Sinusitis	·	·	✓
SD	Stoma closure	✓	·	✓
SD	Wound closure	✓	·	✓
SRO	Atrial fibrillation	✓	✓	✓
SRO	Immunoglobulin therapy	✓	✓	✓
SRO	Myasthenia gravis	✓	✓	✓
SRO	Pre-existing disease	✓	✓	✓

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