25Q-24526-62720

2 vaccinations 7 coded responses 24 check-ins 7 free-text entries 2 call cases

Sex: Female
Age at first dose: 66+
ZIP prefix: 152 / PA
Registered: 2021-02-10

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

2021-02-10
Registered in v-safe
2021-02-10
Dose 1 — Moderna
2021-02-10
Survey response — day 0, dose 1
MedDRA: Dizziness — Feeling: Fair · Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Free text: dizziness

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-11
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Site: Pain · Chills, Muscle or body aches

Adult check-in
2021-02-12
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Site: Pain · Fatigue or tiredness

Adult check-in
2021-02-13
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Chills, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Adult check-in
2021-02-14
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Headache, Fatigue or tiredness, Abdominal pain · Be unable to do your normal daily activities

Adult check-in
2021-02-15
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Headache, Fatigue or tiredness

Adult check-in
2021-02-16
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Muscle or body aches

Adult check-in
2021-02-19
Health check-in — day 7, dose 1
Feeling: Good · None

Adult check-in
2021-02-24
Health check-in — day 14, dose 1
Feeling: Good

Adult check-in
2021-03-03
Survey response — day 21, dose 1
MedDRA: Feeling abnormal — Feeling: Fair · Be unable to do your normal daily activities

Free text: I had a 6 month routine MRI check up with contrast dye. It took me several days to get over the morning brain fog.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-10
Dose 2 — Moderna
2021-03-10
Health check-in — day 0, dose 2
Feeling: Fair · Site: Swelling · Fatigue or tiredness · Be unable to work, Be unable to do your normal daily activities

Adult check-in
2021-03-11
Survey response — days 1–6 daily, dose 2
MedDRA: Unevaluable event — Feeling: Poor · Site: Pain, Swelling · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to work, Be unable to do your normal daily activities

Free text: I have never slept so much in a 24 hour period and not feel refreshed and not feel refreshed after I woke up..

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-13
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Adult check-in
2021-03-15
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Muscle or body aches, Fatigue or tiredness · Be unable to work, Be unable to do your normal daily activities

Adult check-in
2021-03-16
Survey response — days 1–6 daily, dose 2
MedDRA: Anxiety — Feeling: Fair · Fatigue or tiredness · Be unable to do your normal daily activities

Free text: increased anxiety

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-17
Health check-in — day 7, dose 2
Feeling: Good · Site: Pain · Fatigue or tiredness

Adult check-in
2021-03-24
Health check-in — day 14, dose 2
Feeling: Fair

Adult check-in
2021-03-31
Health check-in — day 21, dose 2
Feeling: Good

Adult check-in
2021-04-07
Health check-in — day 28, dose 2
Feeling: Fair

Adult check-in
2021-04-14
Survey response — day 35, dose 2
MedDRA: Dizziness, Hypoaesthesia, Pre-existing disease — Feeling: Good

Free text: I had some numbness in my left leg and a bit of dizziness but I deal with this from time to to time because of the treatment I received for my angioplasty menagioma which is in remission.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-21
Health check-in — day 42, dose 2
Feeling: Good

Adult check-in
2021-06-09
Health check-in — 3 months, dose 2
Feeling: Good

Adult check-in
2021-09-08
Survey response — 6 months, dose 2
MedDRA: Office visit, Skin lesion removal — Feeling: Good · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit

Free text: Symptoms: Had 3 skin lesions removed by freezing. · Healthcare visit (other): office visit

MedDRA releases: 2024-11 · check-in free text available
2021-09-08
Report sent to call center — 6 months, dose 2
Get care from a doctor or other healthcare professional

1 call case(s)
2021-09-11
Call successful
Not applicable (accidental reporting or does not believe symptoms are related to vaccine)
2022-03-10
Survey response — 12 months, dose 2
MedDRA: Dermatitis atopic, Unevaluable event — Feeling: Fair · 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: Symptoms: I have been diagnosed with atopic dermatitis. · Healthcare visit (other): I have had topical allergy testing for my skin as well as a skin biopsy and am applying steroid creams on a daily basis.

MedDRA releases: 2024-11 · check-in free text available
2022-03-10
Report sent to call center — 12 months, dose 2
Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional

Telehealth, virtual health, or email health consultation · 1 call case(s)
2022-03-11
Call 1 — Left Voicemail
2022-03-11
Call successful
Does not wish to fill out VAERS report

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-02-10	Moderna
2	2021-03-10	Moderna

Call center

2 call center cases

2 successful

See the call center timeline

Free text

Release 4 — day 0, dose 1

2021-02-10

Systemic reaction (other): dizziness

Release 4 — day 21, dose 1

2021-03-03

Symptoms: I had a 6 month routine MRI check up with contrast dye. It took me several days to get over the morning brain fog.

Release 5 — days 1–6 daily, dose 2

2021-03-11

Systemic reaction (other): I have never slept so much in a 24 hour period and not feel refreshed and not feel refreshed after I woke up..

2021-03-16

Systemic reaction (other): increased anxiety

Release 7 — day 35, dose 2

2021-04-14

Symptoms: I had some numbness in my left leg and a bit of dizziness but I deal with this from time to to time because of the treatment I received for my angioplasty menagioma which is in remission.

Release 9 — 6 months, dose 2

2021-09-08

Symptoms: Had 3 skin lesions removed by freezing.

Healthcare visit (other): office visit

Release 11 — 12 months, dose 2

2022-03-10

Symptoms: I have been diagnosed with atopic dermatitis.

Healthcare visit (other): I have had topical allergy testing for my skin as well as a skin biopsy and am applying steroid creams on a daily basis.

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	Office visit	·	·	✓
HCVO	Unevaluable event	·	·	✓
SD	Dermatitis atopic	·	·	✓
SD	Dizziness	✓	✓	✓
SD	Feeling abnormal	✓	✓	✓
SD	Hypoaesthesia	✓	✓	✓
SD	Pre-existing disease	✓	✓	✓
SD	Skin lesion removal	·	·	✓
SRO	Anxiety	✓	✓	✓
SRO	Dizziness	✓	✓	✓
SRO	Unevaluable event	✓	✓	✓

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