ZHN-18687-68940
2 vaccinations
5 coded responses
6 check-ins
5 free-text entries
2 call cases
- Sex
- Female
- Age at first dose
- 41-45
- ZIP prefix
- 730 / OK
- Registered
- 2021-09-03
- Relationship
- Self
- Race
- N/A
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-07-27
Dose 1 — Moderna
-
2021-08-27
Dose 2 — Moderna
-
2021-09-03
Registered in v-safe
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2021-09-03
Survey response — day 7, dose 2MedDRA: Asthenia, Headache, Pre-existing disease — Feeling: Fair · Site: Pain, Redness, Swelling, Itching · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to work or attend school, Be unable to do your normal daily activitiesFree text: Debilitating headaches, for someone who gets migraines, it was beyond worse.MedDRA releases: 2021-09,2024-11 · check-in free text available
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2021-09-10
Survey response — day 14, dose 2MedDRA: Nervous system disorder, Sensory disturbance — Feeling: Fair · Be unable to do your normal daily activitiesFree text: I have random nerve and sensations that effect my body. Different locations and random times. Physical activities sometimes exacerbates the issues.MedDRA releases: 2024-11 · check-in free text available
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2021-09-19
Survey response — day 21, dose 2MedDRA: Fine motor skill dysfunction, Headache, Medical counselling, Muscular weakness, Neuropathy peripheral, Visual impairment — 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 professionalFree text: Symptoms: I have been having issues off and on with my strength in my hands (grip) and nerves. My fine motor skills are intermittently unable to use (nerves). Headaches and vision issues like i had during my reaction to the vaccine. Not as severe in some ways. · Healthcare visit (other): I called and they said nothing can be done. Just keep documenting.MedDRA releases: 2024-11 · check-in free text available
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2021-09-19
Report sent to call center — day 21, dose 2Be unable to work or attend school · Be unable to do your normal daily activities · Get care from a doctor or other healthcare pr1 call case(s)
- 2021-09-22
- 2021-09-26
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2021-10-03
Survey response — day 35, dose 2MedDRA: Cognitive disorder, Electric shock sensation — Feeling: Fair · Be unable to do your normal daily activitiesFree text: I have been electrical, emitting shocks to certain people with every touch even when I'm not on caret or have socks or shoes on. Noticed my grip was better muscle usage was better during this time. Cognitively slightly delayed but muscles, handsMedDRA releases: 2024-11 · check-in free text available
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2021-11-26
Survey response — 3 months, dose 2MedDRA: Anxiety, Depression, Electric shock sensation, 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 visitFree text: More electrical issues when I am active, I consistently shock people like I am electrically charged when i am active. Depression and anxiety has gotten worse. And intermittent issues still with the same arm the vaccine was put in.MedDRA releases: 2024-11 · check-in free text available
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2021-11-26
Report sent to call center — 3 months, dose 2Be unable to work or attend school · Be unable to do your normal daily activities · Get care from a doctor or other healthcare prTelehealth, virtual health, or email health consultation · Outpatient clinic or urgent care clinic visit · 1 call case(s)
- 2021-12-01
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-07-27 | Moderna | No |
| 2 | 2021-08-27 | Moderna | No |
Call center
| Reported | Outcome | VAERS-related outcome |
|---|---|---|
| 2021-09-19 | Unsuccessful | Reported to VAERS voluntarily prior to GDIT contact |
| 2021-11-26 | Unsuccessful |
Free text
Release 9 — day 7, dose 2
Systemic reaction (other): Debilitating headaches, for someone who gets migraines, it was beyond worse.
Release 9 — day 14, dose 2
Symptoms: I have random nerve and sensations that effect my body. Different locations and random times. Physical activities sometimes exacerbates the issues.
Release 9 — day 21, dose 2
Symptoms: I have been having issues off and on with my strength in my hands (grip) and nerves. My fine motor skills are intermittently unable to use (nerves). Headaches and vision issues like i had during my reaction to the vaccine. Not as severe in some ways. cut off by CDC
Healthcare visit (other): I called and they said nothing can be done. Just keep documenting.
Release 9 — day 35, dose 2
Symptoms: I have been electrical, emitting shocks to certain people with every touch even when I'm not on caret or have socks or shoes on. Noticed my grip was better muscle usage was better during this time. Cognitively slightly delayed but muscles, hands
Release 10 — 3 months, dose 2
Symptoms: More electrical issues when I am active, I consistently shock people like I am electrically charged when i am active. Depression and anxiety has gotten worse. And intermittent issues still with the same arm the vaccine was put in.
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 | Medical counselling | · | · | ✓ |
| SD | Anxiety | · | · | ✓ |
| SD | Cognitive disorder | · | · | ✓ |
| SD | Depression | · | · | ✓ |
| SD | Electric shock sensation | · | · | ✓ |
| SD | Fine motor skill dysfunction | · | · | ✓ |
| SD | Headache | · | · | ✓ |
| SD | Muscular weakness | · | · | ✓ |
| SD | Nervous system disorder | · | · | ✓ |
| SD | Neuropathy peripheral | · | · | ✓ |
| SD | Pre-existing disease | · | · | ✓ |
| SD | Sensory disturbance | · | · | ✓ |
| SD | Visual impairment | · | · | ✓ |
| SRO | Asthenia | ✓ | · | ✓ |
| SRO | Headache | ✓ | · | ✓ |
| SRO | Pre-existing disease | ✓ | · | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release