Z7H-17082-43868

1 vaccination 7 coded responses 8 check-ins 7 free-text entries 5 call cases

Sex: Female
Age at first dose: 51-55
ZIP prefix: 770 / TX
Registered: 2021-01-17

Relationship: Self

Timeline

Registration Vaccinations Survey responses Call reports Cases without a report Call attempts Call successful Pregnancy survey

2021-01-15
Dose 1 — Moderna
2021-01-17
Registered in v-safe
2021-01-17
Survey response — days 1–6 daily, dose 1
MedDRA: Cough, Discomfort, Dyspnoea, Emergency care, Feeling cold, Hypoaesthesia, Hypoaesthesia oral, Immediate post-injection reaction, Limb discomfort, Medical counselling, Oropharyngeal pain, Paraesthesia oral, Positive airway pressure therapy, Self-medication, Swollen tongue, Throat clearing, Throat irritation, Throat tightness — Feeling: Fair · Fatigue or tiredness, Nausea · Get care from a doctor or other healthcare professional · Emergency room or emergency department visit

Free text: Systemic reaction (other): Vaccine given at work left arm on Friday 1:45 pm and felt like tight Blood Pressure cuff on my arm within 30 mins. This was constant pressure that lasted until I slept that night. went home after work, ate dinner, then sleep with my CPAP. Slept late, woke up 1:40pm with entire left arm numb, but still able to move it. (sleeping on right side) and numb tongue that felt swollen. Stroke? I got up and as time progressed over next 30 mins or so, I started coughing more, felt like sore throat, itchy, having trouble clearing my throat, some trouble breathing, tongue didn't look swollen, but it felt like scotch tape underneath my tongue with someone slowly pulling tape off. with top of tongue swollen and heavy. 2:25pm I took 25 mg Benadryl oral tablet and called 24/7 RN hotline and was told to go to ER and take another 25 mg Benadryl tablet which I did. I arrived at ER and was really coughing hacking repeatedly. Short of breath, kept trying to clear my throat. Seen in triage. No meds given, this was? <20 from time I took Benadryl. About an hour later I did have about 15 mins of feeling like I was wearing a very snug neck turtleneck with 2 brief cool sensations going down the middle of my throat and down both sides of my upper chest. I felt better when I kept my neck very straight versus looking down. I was later seen again and felt 75% better, given Dexamethasone and Pepcid. Discharged home. around 6:30pm. Took Benadryl 50 mg again 10 pm same night. · Healthcare visit (other): Vaccine given at work left arm on Friday 1:45 pm and felt like tight Blood Pressure cuff on my arm within 30 mins. This was constant pressure that lasted until I slept that night. went home after work, ate dinner, then sleep with my CPAP. Slept late, woke up 1:40pm with entire left arm numb, but still able to move it. (sleeping on right side) and numb tongue that felt swollen. Stroke? I got up and as time progressed over next 30 mins or so, I started coughing more, felt like sore throat, itchy, having trouble clearing my throat, some trouble breathing, tongue didn't look swollen, but it felt like scotch tape underneath my tongue with someone slowly pulling tape off. with top of tongue swollen and heavy. 2:25pm I took 25 mg Benadryl oral tablet and called 24/7 RN hotline and was told to go to ER and take another 25 mg Benadryl tablet which I did. I arrived at ER and was really coughing hacking repeatedly. Short of breath, kept trying to clear my throat. Seen in triage. No meds given, this was? <20 from time I took Benadryl. About an hour later I did have about 15 mins of feeling like I was wearing a very snug neck turtleneck with 2 brief cool sensations going down the middle of my throat and down both sides of my upper chest. I felt better when I kept my neck very straight versus looking down. I was later seen again and felt 75% better, given Dexamethasone and Pepcid. Discharged home. around 6:30pm. Took Benadryl 50 mg again 10 pm same night.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-17
Report sent to call center — days 1–6 daily, dose 1
Get care from a doctor or other healthcare professional

1 call case(s)
2021-01-18
Survey response — days 1–6 daily, dose 1
MedDRA: Disturbance in attention, Dizziness, Oropharyngeal pain, Rhinorrhoea — Feeling: Poor · Fever · Chills, Headache, Muscle or body aches, Fatigue or tiredness · Be unable to work, Be unable to do your normal daily activities

Free text: Dizziness trouble concentrating,, sore throat , runny nose

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-18
Report sent to call center — days 1–6 daily, dose 1
Be unable to work · Be unable to do your normal daily activities

1 call case(s)
2021-01-19
Survey response — days 1–6 daily, dose 1
MedDRA: Confusional state, Cough, Feeling abnormal, Paranasal sinus discomfort, Productive cough, Somnolence — Feeling: Poor · Fever · Chills, Headache, Fatigue or tiredness, Nausea · Be unable to work, Be unable to do your normal daily activities

Free text: Very confused , dazed, sleepy, slept half day, sinus pressure, cough, thick clear drainage coughed up

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-21
Survey response — days 1–6 daily, dose 1
MedDRA: Migraine, Office visit, Paraesthesia — Feeling: Poor · Fever · Chills, Headache, Fatigue or tiredness, Nausea · 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: Systemic reaction (other): Migraine worse; left hand still tingling not back to normal since vaccine · Healthcare visit (other): Internal MD & Neurologist today

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-21
Report sent to call center — days 1–6 daily, 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)
2021-01-23
Survey response — day 7, dose 1
MedDRA: Hypoaesthesia, Paraesthesia — Feeling: Good · Chills, Headache, Nausea

Free text: Left hand still tingling and numb since vaccine

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-01
Survey response — day 14, dose 1
MedDRA: Medical counselling, Migraine, Nausea — Feeling: Poor · Be unable to work, Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional

Free text: Symptoms: Migraines nausea · Healthcare visit (other): Phone call to doc and prescription called in. Also going to MD tomorrow

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-01
Report sent to call center — day 14, 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)
2021-02-05
Survey response — day 21, dose 1
MedDRA: Amnesia, Dizziness, Migraine — 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: Migraines persist. Memory loss dizziness

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-05
Report sent to call center — day 21, 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)
2021-02-14
Health check-in — day 28, dose 1
Feeling: Good

Adult check-in
2021-03-16
Call successful
Reported to VAERS voluntarily prior to GDIT contact
2021-05-31
Call 1 — Left Voicemail

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-01-15	Moderna

Call center

Reported	Outcome	VAERS-related outcome
2021-01-17	Successful	Reported to VAERS voluntarily prior to GDIT contact
2021-01-18	Successful 2021-03-16	Reported to VAERS voluntarily prior to GDIT contact
2021-01-21	Unsuccessful	Reported to VAERS voluntarily prior to GDIT contact
2021-02-01	Unsuccessful	Reported to VAERS voluntarily prior to GDIT contact
2021-02-05	Unsuccessful	Reported to VAERS voluntarily prior to GDIT contact

Free text

Release 2 — days 1–6 daily, dose 1

2021-01-17

Systemic reaction (other): Vaccine given at work left arm on Friday 1:45 pm and felt like tight Blood Pressure cuff on my arm within 30 mins. This was constant pressure that lasted until I slept that night. went home after work, ate dinner, then sleep with my CPAP. Slept late, woke up 1:40pm with entire left arm numb, but still able to move it. (sleeping on right side) and numb tongue that felt swollen. Stroke? I got up and as time progressed over next 30 mins or so, I started coughing more, felt like sore throat, itchy, having trouble clearing my throat, some trouble breathing, tongue didn't look swollen, but it felt like scotch tape underneath my tongue with someone slowly pulling tape off. with top of tongue swollen and heavy. 2:25pm I took 25 mg Benadryl oral tablet and called 24/7 RN hotline and was told to go to ER and take another 25 mg Benadryl tablet which I did. I arrived at ER and was really coughing hacking repeatedly. Short of breath, kept trying to clear my throat. Seen in triage. No meds given, this was? <20 from time I took Benadryl. About an hour later I did have about 15 mins of feeling like I was wearing a very snug neck turtleneck with 2 brief cool sensations going down the middle of my throat and down both sides of my upper chest. I felt better when I kept my neck very straight versus looking down. I was later seen again and felt 75% better, given Dexamethasone and Pepcid. Discharged home. around 6:30pm. Took Benadryl 50 mg again 10 pm same night.

Healthcare visit (other): Vaccine given at work left arm on Friday 1:45 pm and felt like tight Blood Pressure cuff on my arm within 30 mins. This was constant pressure that lasted until I slept that night. went home after work, ate dinner, then sleep with my CPAP. Slept late, woke up 1:40pm with entire left arm numb, but still able to move it. (sleeping on right side) and numb tongue that felt swollen. Stroke? I got up and as time progressed over next 30 mins or so, I started coughing more, felt like sore throat, itchy, having trouble clearing my throat, some trouble breathing, tongue didn't look swollen, but it felt like scotch tape underneath my tongue with someone slowly pulling tape off. with top of tongue swollen and heavy. 2:25pm I took 25 mg Benadryl oral tablet and called 24/7 RN hotline and was told to go to ER and take another 25 mg Benadryl tablet which I did. I arrived at ER and was really coughing hacking repeatedly. Short of breath, kept trying to clear my throat. Seen in triage. No meds given, this was? <20 from time I took Benadryl. About an hour later I did have about 15 mins of feeling like I was wearing a very snug neck turtleneck with 2 brief cool sensations going down the middle of my throat and down both sides of my upper chest. I felt better when I kept my neck very straight versus looking down. I was later seen again and felt 75% better, given Dexamethasone and Pepcid. Discharged home. around 6:30pm. Took Benadryl 50 mg again 10 pm same night.

2021-01-18

Systemic reaction (other): Dizziness trouble concentrating,, sore throat , runny nose

2021-01-19

Systemic reaction (other): Very confused , dazed, sleepy, slept half day, sinus pressure, cough, thick clear drainage coughed up

2021-01-21

Systemic reaction (other): Migraine worse; left hand still tingling not back to normal since vaccine

Healthcare visit (other): Internal MD & Neurologist today

Release 2 — day 7, dose 1

2021-01-23

Systemic reaction (other): Left hand still tingling and numb since vaccine

Release 3 — day 14, dose 1

2021-02-01

Symptoms: Migraines nausea

Healthcare visit (other): Phone call to doc and prescription called in. Also going to MD tomorrow

Release 3 — day 21, dose 1

2021-02-05

Symptoms: Migraines persist. Memory loss dizziness

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	Cough	✓	✓	✓
HCVO	Discomfort	✓	✓	✓
HCVO	Dyspnoea	✓	✓	✓
HCVO	Emergency care	✓	✓	✓
HCVO	Feeling cold	✓	✓	✓
HCVO	Hypoaesthesia	✓	✓	✓
HCVO	Hypoaesthesia oral	✓	✓	✓
HCVO	Immediate post-injection reaction	✓	✓	✓
HCVO	Limb discomfort	✓	✓	✓
HCVO	Medical counselling	✓	✓	✓
HCVO	Office visit	✓	✓	✓
HCVO	Oropharyngeal pain	✓	✓	✓
HCVO	Paraesthesia oral	✓	✓	✓
HCVO	Positive airway pressure therapy	✓	✓	✓
HCVO	Self-medication	✓	✓	✓
HCVO	Swollen tongue	✓	✓	✓
HCVO	Throat clearing	✓	✓	✓
HCVO	Throat irritation	✓	✓	✓
HCVO	Throat tightness	✓	✓	✓
SD	Amnesia	✓	✓	✓
SD	Dizziness	✓	✓	✓
SD	Migraine	✓	✓	✓
SD	Nausea	✓	✓	✓
SRO	Confusional state	✓	✓	✓
SRO	Cough	✓	✓	✓
SRO	Discomfort	✓	✓	✓
SRO	Disturbance in attention	✓	✓	✓
SRO	Dizziness	✓	✓	✓
SRO	Dyspnoea	✓	✓	✓
SRO	Emergency care	✓	✓	✓
SRO	Feeling abnormal	✓	✓	✓
SRO	Feeling cold	✓	✓	✓
SRO	Hypoaesthesia	✓	✓	✓
SRO	Hypoaesthesia oral	✓	✓	✓
SRO	Immediate post-injection reaction	✓	✓	✓
SRO	Limb discomfort	✓	✓	✓
SRO	Medical counselling	✓	✓	✓
SRO	Migraine	✓	✓	✓
SRO	Oropharyngeal pain	✓	✓	✓
SRO	Paraesthesia	✓	✓	✓
SRO	Paraesthesia oral	✓	✓	✓
SRO	Paranasal sinus discomfort	✓	✓	✓
SRO	Positive airway pressure therapy	✓	✓	✓
SRO	Productive cough	✓	✓	✓
SRO	Rhinorrhoea	✓	✓	✓
SRO	Self-medication	✓	✓	✓
SRO	Somnolence	✓	✓	✓
SRO	Swollen tongue	✓	✓	✓
SRO	Throat clearing	✓	✓	✓
SRO	Throat irritation	✓	✓	✓
SRO	Throat tightness	✓	✓	✓

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