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ZZM-28906-86728

1 vaccination 5 coded responses 12 check-ins 5 free-text entries 1 call case
Sex
Female
Age at first dose
56-60
ZIP prefix
439 / OH
Registered
2020-12-24
Relationship
Self
Race
White
Ethnicity
Not Hispanic or Latino

Timeline

  1. 2020-12-23
    Dose 1 — Moderna
  2. 2020-12-24
    Registered in v-safe
  3. 2020-12-24
    Survey response — days 1–6 daily, dose 1
    MedDRA: Fatigue, Psychomotor hyperactivity — Feeling: Good · Site: Pain · Fatigue or tiredness
    Free text: after injection several of the people i work with experienced hyperactivity. that lasted for me till morning then followed by moderate fatigue
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  4. 2020-12-25
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · Site: Pain · None
    Adult check-in
  5. 2020-12-26
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · None
    Adult check-in
  6. 2020-12-27
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · None
    Adult check-in
  7. 2020-12-28
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · None
    Adult check-in
  8. 2020-12-29
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · None
    Adult check-in
  9. 2020-12-30
    Health check-in — day 7, dose 1
    Feeling: Good · None
    Adult check-in
  10. 2021-01-07
    Survey response — day 14, dose 1
    MedDRA: Fatigue, Feeling jittery, Hyperthyroidism, Pre-existing disease, Weight decreased — Feeling: Fair
    Free text: I ORIGINALLY WAS HYPERTHYROID HAD RADIATIONBUT A SMALL PIECE WAS NOT KILLED. SINCE INJECTION IT ACTIVATED THAT PIECE OF THYROID CAUSING ME TO BE VERY JITTERY, 4 POUND WEIGHT LOSS IN 2 WEEKS, EXTREMELY TIRED PHYSICALLY.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  11. 2021-01-21
    Survey response — day 28, dose 1
    MedDRA: Cardiac flutter, Chest pain, Feeling jittery, Heart rate increased, Office visit, Thyroid disorder — Feeling: Poor · Get care from a doctor or other healthcare professional
    Free text: Symptoms: rapid heart rate, heart flutters, chest pain, jitters for 1 month which is why i declined 2nd vaccine. the first one interferred with my thyroid and i am unable to make my normal dose without above complications so im now taking a much lower dose · Healthcare visit (other): endocrinologist
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  12. 2021-01-21
    Report sent to call center — day 28, dose 1
    Get care from a doctor or other healthcare professional
    1 call case(s)
  13. 2021-01-28
    Survey response — day 35, dose 1
    MedDRA: Unevaluable event — Feeling: Fair
    Free text: ISTILL CANNOT TAKE MY NORMAL DOSE OF SYNTHROID BECAUSE IT MAKES ME JITTERY AND CHEST PAIN. I WANT TO KNOW HOW LONG THIS VACCINE STAYS IN YOUR SYSTEM ESP TROMETHAMINE. CAN SOMEONE PLEASE CALL ME AS IM NOW NOT THE ONLY ONE HAVING SYMPTOMS
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  14. 2021-02-06
    Health check-in — day 42, dose 1
    Feeling: Fair
    Adult check-in
  15. 2021-03-29
  16. 2021-12-25
    Survey response — 12 months, dose 1
    MedDRA: Arthralgia, Pre-existing disease, Retinal tear, Vision blurred — Feeling: Fair · Be unable to do your normal daily activities
    Free text: i at 3 months out got blurred vision, tears in retina and joint pain. i have graves disease and high pressure in eyes and am on glaucoma drops. i did not get the 2nd shot but now will be forced to and im scared. i cont to have joint pain
    MedDRA releases: 2024-11 · check-in free text available

Vaccinations

DoseDateManufacturerCo-administered
12020-12-23Moderna

Call center

1 call center case

1 unsuccessful

See the call center timeline

Free text

Release 1 — days 1–6 daily, dose 1

2020-12-24

Systemic reaction (other): after injection several of the people i work with experienced hyperactivity. that lasted for me till morning then followed by moderate fatigue

Release 1 — day 14, dose 1

2021-01-07

Symptoms: I ORIGINALLY WAS HYPERTHYROID HAD RADIATIONBUT A SMALL PIECE WAS NOT KILLED. SINCE INJECTION IT ACTIVATED THAT PIECE OF THYROID CAUSING ME TO BE VERY JITTERY, 4 POUND WEIGHT LOSS IN 2 WEEKS, EXTREMELY TIRED PHYSICALLY.

Release 2 — day 28, dose 1

2021-01-21

Symptoms: rapid heart rate, heart flutters, chest pain, jitters for 1 month which is why i declined 2nd vaccine. the first one interferred with my thyroid and i am unable to make my normal dose without above complications so im now taking a much lower dose
Healthcare visit (other): endocrinologist

Release 3 — day 35, dose 1

2021-01-28

Symptoms: ISTILL CANNOT TAKE MY NORMAL DOSE OF SYNTHROID BECAUSE IT MAKES ME JITTERY AND CHEST PAIN. I WANT TO KNOW HOW LONG THIS VACCINE STAYS IN YOUR SYSTEM ESP TROMETHAMINE. CAN SOMEONE PLEASE CALL ME AS IM NOW NOT THE ONLY ONE HAVING SYMPTOMS

Release 10 — 12 months, dose 1

2021-12-25

Symptoms: i at 3 months out got blurred vision, tears in retina and joint pain. i have graves disease and high pressure in eyes and am on glaucoma drops. i did not get the 2nd shot but now will be forced to and im scared. i cont to have joint pain

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

FieldPreferred term2021-092023-042024-11
HCVOOffice visit ✓ ✓ ✓
SDArthralgia · · ✓
SDCardiac flutter ✓ ✓ ✓
SDChest pain ✓ ✓ ✓
SDFatigue ✓ ✓ ✓
SDFeeling jittery ✓ ✓ ✓
SDHeart rate increased ✓ ✓ ✓
SDHyperthyroidism ✓ ✓ ✓
SDPre-existing disease ✓ ✓ ✓
SDRetinal tear · · ✓
SDThyroid disorder ✓ ✓ ✓
SDUnevaluable event ✓ ✓ ✓
SDVision blurred · · ✓
SDWeight decreased ✓ ✓ ✓
SROFatigue ✓ ✓ ✓
SROPsychomotor hyperactivity ✓ ✓ ✓

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