ZZR-23488-39621

5 vaccinations 18 coded responses 43 check-ins 18 free-text entries 6 call cases

Sex: Female
Age at first dose: 31-35
ZIP prefix: 537 / WI
Registered: 2021-03-12

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

2021-03-06
Dose 1 — Moderna
2021-03-12
Registered in v-safe
2021-03-12
Survey response — days 1–6 daily, dose 1
MedDRA: Dystonia, Medical counselling, Muscle spasticity, Pre-existing disease — Feeling: Fair · Site: Pain · Joint pains, Muscle or body aches · Get care from a doctor or other healthcare professional

Free text: Systemic reaction (other): Increased spasticity and distonia likely connected to cerebral palsy · Healthcare visit (other): Chiropractor visit

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-12
Report sent to call center — days 1–6 daily, dose 1
Get care from a doctor or other healthcare professional

1 call case(s)
2021-03-13
Survey response — day 7, dose 1
MedDRA: Condition aggravated, Pre-existing disease — Feeling: Fair · Site: Pain · Chills, Muscle or body aches

Free text: Increased tone and distonia on right arm affected by Cerebral palsy and site of injection

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-20
Survey response — day 14, dose 1
MedDRA: Muscle tightness, Office visit, Pre-existing disease — Feeling: Good · Be unable to work, Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional

Free text: Symptoms: Increased muscle tone and tension in arm and shoulder of arm of injection. Likely related to cerebral palsy · Healthcare visit (other): Chiropractor and called neurologist

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-20
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)
2021-03-27
Health check-in — day 21, dose 1
Feeling: Good

Adult check-in
2021-04-03
Dose 2 — Moderna
2021-04-03
Health check-in — day 0, dose 2
Feeling: Good · Site: Pain · Headache

Adult check-in
2021-04-04
Survey response — days 1–6 daily, dose 2
MedDRA: Heart rate increased, Sleep disorder — Feeling: Fair · Site: Pain · Fever · Headache, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to do your normal daily activities

Free text: Higher heart rate than normal, significant sleep disruption last night

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-05
Survey response — days 1–6 daily, dose 2
MedDRA: Heart rate increased — Feeling: Fair · Site: Pain · Headache

Free text: Increase heart rate

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-06
Health check-in — days 1–6 daily, dose 2
Feeling: Good · None

Adult check-in
2021-04-07
Survey response — days 1–6 daily, dose 2
MedDRA: Heart rate increased — Feeling: Good · Headache, Diarrhea

Free text: High heart rate

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-08
Survey response — days 1–6 daily, dose 2
MedDRA: Rhinorrhoea — Feeling: Good · Headache

Free text: Running nose

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-09
Survey response — days 1–6 daily, dose 2
MedDRA: Heart rate increased — Feeling: Good

Free text: High heart rate

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-10
Survey response — day 7, dose 2
MedDRA: Heart rate increased — Feeling: Good

Free text: High heart rate

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-17
Health check-in — day 14, dose 2
Feeling: Good

Adult check-in
2021-04-24
Health check-in — day 21, dose 2
Feeling: Good

Adult check-in
2021-05-01
Health check-in — day 28, dose 2
Feeling: Good

Adult check-in
2021-05-08
Health check-in — day 35, dose 2
Feeling: Good

Adult check-in
2021-05-15
Survey response — day 42, dose 2
MedDRA: Erythema, Hypersensitivity, Pruritus, Swelling — Feeling: Fair · Be unable to work, 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: Allergic reaction under eye- swelling, redness and itching

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-15
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)
2021-07-03
Health check-in — 3 months, dose 2
Feeling: Good

Adult check-in
2021-10-02
Health check-in — 6 months, dose 2
Feeling: Good

Adult check-in
2021-10-18
Call 1 — Left Voicemail
2021-11-02
Dose 3 — Moderna
2021-11-03
Health check-in — days 1–6 daily, dose 3
Feeling: Poor · Site: Pain · 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 activities

Adult check-in
2021-11-04
Survey response — days 1–6 daily, dose 3
MedDRA: Heart rate increased — Feeling: Fair · Site: Pain · Fever · Headache, Muscle or body aches, Fatigue or tiredness

Free text: Yesterday I did not report my elevated heart rate but my heart rate rose 5 beats per minute and remains elevated today.

MedDRA releases: 2024-11 · check-in free text available
2021-11-05
Health check-in — days 1–6 daily, dose 3
Feeling: Fair · Site: Pain · Headache

Adult check-in
2021-11-06
Survey response — days 1–6 daily, dose 3
MedDRA: Dizziness, Heart rate increased, Insomnia — Feeling: Fair · Headache, Fatigue or tiredness, Nausea

Free text: Increased heart rate, insomnia, dizziness

MedDRA releases: 2024-11 · check-in free text available
2021-11-07
Survey response — days 1–6 daily, dose 3
MedDRA: Insomnia — Feeling: Fair · Headache

Free text: Insomnia

MedDRA releases: 2024-11 · check-in free text available
2021-11-08
Survey response — days 1–6 daily, dose 3
MedDRA: Heart rate increased — Feeling: Good

Free text: Slightly elevated heart rate

MedDRA releases: 2024-11 · check-in free text available
2021-11-09
Survey response — day 7, dose 3
MedDRA: Heart rate increased — Feeling: Good

Free text: Elevated heart rate

MedDRA releases: 2024-11 · check-in free text available
2021-11-16
Survey response — day 14, dose 3
MedDRA: Anxiety, Heart rate increased, Insomnia, Pre-existing disease, Stress — Feeling: Fair · Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultation

Free text: After being vaccinated my anxiety was triggered, increasing stress, heart rate, and insomnia

MedDRA releases: 2024-11 · check-in free text available
2021-11-16
Report sent to call center — day 14, dose 3
Get care from a doctor or other healthcare professional

Telehealth, virtual health, or email health consultation · 1 call case(s)
2021-11-17
Call 1 — Left Voicemail
2021-11-17
Call successful
Does not wish to fill out VAERS report
2021-11-23
Survey response — day 21, dose 3
MedDRA: Anxiety, Heart rate increased, Insomnia — Feeling: Good · Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultation

Free text: Increased anxiety, insomnia and elevated heart rate

MedDRA releases: 2024-11 · check-in free text available
2021-11-23
Report sent to call center — day 21, dose 3
Get care from a doctor or other healthcare professional

Telehealth, virtual health, or email health consultation · 1 call case(s)
2021-11-29
Call 1 — Left Voicemail
2021-12-02
Survey response — day 28, dose 3
MedDRA: Heart rate increased — Feeling: Good · Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultation

Free text: Elevated heart rate

MedDRA releases: 2024-11 · check-in free text available
2021-12-02
Report sent to call center — day 28, dose 3
Get care from a doctor or other healthcare professional

Telehealth, virtual health, or email health consultation · 1 call case(s)
2021-12-06
Call successful
Does not wish to fill out VAERS report
2021-12-08
Health check-in — day 35, dose 3
Feeling: Good

Adult check-in
2021-12-14
Health check-in — day 42, dose 3
Feeling: Good

Adult check-in
2022-02-01
Health check-in — 3 months, dose 3
Feeling: Good

Adult check-in
2022-05-03
Health check-in — 6 months, dose 3
Feeling: Fair

Adult check-in
2022-05-06
Dose 4 — Pfizer-BioNTech
2022-09-10
Dose 5 — Pfizer-BioNTech
2022-09-14
Health check-in — days 1–6 daily, dose 5
Feeling: Good · None

Adult check-in
2022-09-16
Health check-in — days 1–6 daily, dose 5
Feeling: Good · None

Adult check-in
2022-09-17
Health check-in — day 7, dose 5
Feeling: Good · None

Adult check-in
2022-09-25
Health check-in — day 14, dose 5
Feeling: Good

Adult check-in
2022-10-01
Health check-in — day 21, dose 5
Feeling: Good

Adult check-in
2022-10-08
Health check-in — day 28, dose 5
Feeling: Good

Adult check-in
2022-10-15
Health check-in — day 35, dose 5
Feeling: Good

Adult check-in
2022-10-22
Health check-in — day 42, dose 5
Feeling: Good

Adult check-in
2022-12-10
Health check-in — 3 months, dose 5
Feeling: Good

Adult check-in
2023-03-11
Health check-in — 6 months, dose 5
Feeling: Good

Adult check-in

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-03-06	Moderna
2	2021-04-03	Moderna
3	2021-11-02	Moderna	No
4	2022-05-06	Pfizer-BioNTech	No
5	2022-09-10	Pfizer-BioNTech	No

Call center

6 call center cases

5 successful · 1 unsuccessful

1 wait over 3 months for a first call

See the call center timeline

Free text

Release 5 — days 1–6 daily, dose 1

2021-03-12

Systemic reaction (other): Increased spasticity and distonia likely connected to cerebral palsy

Healthcare visit (other): Chiropractor visit

Release 5 — day 7, dose 1

2021-03-13

Systemic reaction (other): Increased tone and distonia on right arm affected by Cerebral palsy and site of injection

Release 6 — day 14, dose 1

2021-03-20

Symptoms: Increased muscle tone and tension in arm and shoulder of arm of injection. Likely related to cerebral palsy

Healthcare visit (other): Chiropractor and called neurologist

Release 6 — days 1–6 daily, dose 2

2021-04-04

Systemic reaction (other): Higher heart rate than normal, significant sleep disruption last night

2021-04-05

Systemic reaction (other): Increase heart rate

Release 7 — days 1–6 daily, dose 2

2021-04-07

Systemic reaction (other): High heart rate

2021-04-08

Systemic reaction (other): Running nose

2021-04-09

Systemic reaction (other): High heart rate

Release 7 — day 7, dose 2

2021-04-10

Systemic reaction (other): High heart rate

Release 8 — day 42, dose 2

2021-05-15

Symptoms: Allergic reaction under eye- swelling, redness and itching

Release 10 — days 1–6 daily, dose 3

2021-11-04

Systemic reaction (other): Yesterday I did not report my elevated heart rate but my heart rate rose 5 beats per minute and remains elevated today.

2021-11-06

Systemic reaction (other): Increased heart rate, insomnia, dizziness

2021-11-07

Systemic reaction (other): Insomnia

2021-11-08

Systemic reaction (other): Slightly elevated heart rate

Release 10 — day 7, dose 3

2021-11-09

Systemic reaction (other): Elevated heart rate

Release 10 — day 14, dose 3

2021-11-16

Symptoms: After being vaccinated my anxiety was triggered, increasing stress, heart rate, and insomnia

Release 10 — day 21, dose 3

2021-11-23

Symptoms: Increased anxiety, insomnia and elevated heart rate

Release 10 — day 28, dose 3

2021-12-02

Symptoms: Elevated heart rate

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	✓	✓	✓
HCVO	Office visit	✓	✓	✓
SD	Anxiety	·	·	✓
SD	Erythema	✓	✓	✓
SD	Heart rate increased	·	·	✓
SD	Hypersensitivity	✓	✓	✓
SD	Insomnia	·	·	✓
SD	Muscle tightness	✓	✓	✓
SD	Pre-existing disease	✓	✓	✓
SD	Pruritus	✓	✓	✓
SD	Stress	·	·	✓
SD	Swelling	✓	✓	✓
SRO	Condition aggravated	✓	✓	✓
SRO	Dizziness	·	·	✓
SRO	Dystonia	✓	✓	✓
SRO	Heart rate increased	✓	✓	✓
SRO	Insomnia	·	·	✓
SRO	Muscle spasticity	✓	✓	✓
SRO	Pre-existing disease	✓	✓	✓
SRO	Rhinorrhoea	✓	✓	✓
SRO	Sleep disorder	✓	✓	✓

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