24R-18567-21407
2 vaccinations
7 coded responses
11 check-ins
7 free-text entries
2 call cases
- Sex
- Female
- Age at first dose
- 66+
- ZIP prefix
- 950 / CA
- Registered
- 2021-04-11
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
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2021-03-09
Dose 1 — Moderna
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2021-04-06
Dose 2 — Moderna
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2021-04-11
Registered in v-safe
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2021-04-11
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Site: Pain, Redness, Swelling, Itching · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to do your normal daily activitiesAdult check-in
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2021-04-12
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Site: Redness, Swelling · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to do your normal daily activitiesAdult check-in
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2021-04-13
Survey response — day 7, dose 2MedDRA: Dizziness exertional, Vertigo — Feeling: Fair · Site: Swelling · HeadacheFree text: Vertigo & dizziness upon getting out of bed for the past 3 daysMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-04-20
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2021-04-27
Survey response — day 21, dose 2MedDRA: Dyspnoea, Vertigo — Feeling: Fair · Be unable to do your normal daily activitiesFree text: The vertigo is back somewhat & the occasional shortness of breath.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-05-04
Survey response — day 28, dose 2MedDRA: Vertigo — Feeling: Fair · Be unable to do your normal daily activitiesFree text: Veritgo stillMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-05-11
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2021-05-19
Survey response — day 42, dose 2MedDRA: Dizziness — Feeling: Fair · Be unable to workFree text: Dizziness when getting out of bed & sometimes turning my head. Eyes seem to be changing with a need to blink more often.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-07-07
Survey response — 3 months, dose 2MedDRA: Dizziness, Dyspnoea, Headache, Nasopharyngitis — Feeling: Fair · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visitFree text: Headaches & occasional shortness of breath (still having dizziness at times) & bad coldMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-07-07
Report sent to call center — 3 months, dose 2Get care from a doctor or other healthcare professional1 call case(s)
- 2021-07-09
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2021-10-05
Survey response — 6 months, dose 2MedDRA: Dizziness, Dyspnoea, Headache, Office visit, Paraesthesia — Feeling: Fair · Get care from a doctor or other healthcare professionalFree text: Symptoms: 1. Tingling in my head on the back right side. 2. Still have off & on shortness of breath 3. Off & on dizziness 4. Off & on headaches · Healthcare visit (other): Saw a cartelogist for the shortness of breathMedDRA releases: 2024-11 · check-in free text available
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2021-10-05
Report sent to call center — 6 months, dose 2Get care from a doctor or other healthcare professional1 call case(s)
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2021-10-07
Call successfulParticipant prefers to complete VAERS report online
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2022-04-06
Survey response — 12 months, dose 2MedDRA: Vertigo — Feeling: Fair · Be unable to do your normal daily activitiesFree text: VertigoMedDRA releases: 2024-11 · check-in free text available
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-03-09 | Moderna | |
| 2 | 2021-04-06 | Moderna |
Call center
2 call center cases
2 successful
Free text
Release 7 — day 7, dose 2
Systemic reaction (other): Vertigo & dizziness upon getting out of bed for the past 3 days
Release 8 — day 21, dose 2
Symptoms: The vertigo is back somewhat & the occasional shortness of breath.
Release 8 — day 28, dose 2
Symptoms: Veritgo still
Release 8 — day 42, dose 2
Symptoms: Dizziness when getting out of bed & sometimes turning my head. Eyes seem to be changing with a need to blink more often.
Release 9 — 3 months, dose 2
Symptoms: Headaches & occasional shortness of breath (still having dizziness at times) & bad cold
Release 10 — 6 months, dose 2
Symptoms: 1. Tingling in my head on the back right side. 2. Still have off & on shortness of breath 3. Off & on dizziness 4. Off & on headaches
Healthcare visit (other): Saw a cartelogist for the shortness of breath
Release 11 — 12 months, dose 2
Symptoms: Vertigo
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 | Dyspnoea | · | · | ✓ |
| HCVO | Office visit | · | · | ✓ |
| SD | Dizziness | ✓ | ✓ | ✓ |
| SD | Dyspnoea | ✓ | ✓ | ✓ |
| SD | Headache | ✓ | ✓ | ✓ |
| SD | Nasopharyngitis | ✓ | ✓ | ✓ |
| SD | Paraesthesia | · | · | ✓ |
| SD | Vertigo | ✓ | ✓ | ✓ |
| SRO | Dizziness exertional | ✓ | ✓ | ✓ |
| SRO | Vertigo | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release