2FP-93580-85233

2 vaccinations 18 coded responses 23 check-ins 18 free-text entries 1 call case

Sex: —
Age at first dose: 26-30
ZIP prefix: 956 / CA
Registered: 2021-05-19

Relationship: Self
Race: American Indian or Alaska Native
Ethnicity: Hispanic or Latino

Timeline

Registration Vaccinations Survey responses Call reports Cases without a report Call attempts Call successful Pregnancy survey

2021-05-18
Dose 1 — Moderna
2021-05-19
Registered in v-safe
2021-05-19
Survey response — days 1–6 daily, dose 1
MedDRA: Dizziness — Feeling: Fair · Site: Pain, Swelling · Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Free text: light headed/dizziness

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-20
Survey response — days 1–6 daily, dose 1
MedDRA: Dizziness, Feeling hot — Feeling: Poor · Site: Pain, Swelling · Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Free text: warm band around back of head. it crawls over the occipital bone, but stays right at the base of my head. lightheaded/dizzy.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-21
Survey response — days 1–6 daily, dose 1
MedDRA: Disturbance in attention, Dizziness, Dysstasia, Feeling hot, Memory impairment, Paraesthesia, Skin warm — Feeling: Poor · Muscle or body aches, Fatigue or tiredness, Nausea · 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: dizziness, inability to focus, lightheaded, short term memory issues upon standing, band of warmth around back of head that is warm/tingles under the skin

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-21
Report sent to call center — days 1–6 daily, dose 1
Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional

1 call case(s)
2021-05-22
Survey response — days 1–6 daily, dose 1
MedDRA: Dizziness, Syncope, Vision blurred — Feeling: Poor · Muscle or body aches, Fatigue or tiredness, Nausea, Vomiting, Abdominal pain · Be unable to do your normal daily activities

Free text: dizziness has increased. lightheaded when sitting or standing. inability to focus when sitting or standing. fainting.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-23
Survey response — days 1–6 daily, dose 1
MedDRA: Disturbance in attention, Dizziness, Dizziness postural, Paraesthesia, Pruritus, Visual impairment — Feeling: Poor · Muscle or body aches, Fatigue or tiredness, Nausea, Vomiting, Diarrhea · Be unable to do your normal daily activities

Free text: lightheadedness upon standing and sitting. inability to focus while standing or sitting. black spots in vision when on feet too long. dizziness upon sitting or standing. tingly itchy sensation at the back of the head under occipital bone.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-24
Survey response — days 1–6 daily, dose 1
MedDRA: Dizziness, Dizziness postural — Feeling: Fair · Muscle or body aches, Fatigue or tiredness, Nausea, Diarrhea · Be unable to do your normal daily activities

Free text: lightheaded upon standing. dizzy upon sitting and standing.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-25
Survey response — day 7, dose 1
MedDRA: Dizziness, Dizziness postural — Feeling: Fair · Muscle or body aches, Fatigue or tiredness, Nausea, Vomiting, Diarrhea · Be unable to do your normal daily activities

Free text: lightheadedness, dizziness upon standing

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-06-01
Survey response — day 14, dose 1
MedDRA: Dizziness — Feeling: Fair · Be unable to do your normal daily activities

Free text: lightheadedness, inability to stand without losing vision, hands throb when standing, moving too fast causes passing out

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-06-08
Health check-in — day 21, dose 1
Feeling: Fair

Adult check-in
2021-06-15
Dose 2 — Moderna
2021-06-15
Survey response — day 0, dose 2
MedDRA: Disturbance in attention, Dizziness — Feeling: Fair · Site: Pain, Redness · Joint pains, Fatigue or tiredness · Be unable to do your normal daily activities

Free text: lightheadedness, inability to focus

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-06-16
Survey response — days 1–6 daily, dose 2
MedDRA: Dizziness, Dysstasia, Intermenstrual bleeding, Polymenorrhoea — Feeling: Poor · Site: Pain, Redness, Swelling · Fever · Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Free text: lightheadedness upon standing, inability to stand for longer than 5 minutes, intense spotting for period, 2-3 pads for 2 hrs, then nothing for 5-6 hrs, then another bout of spotting for 2-3 pads worth in 1-2 hrs, shortened period

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-06-17
Survey response — days 1–6 daily, dose 2
MedDRA: Dizziness, Dizziness postural, Euphoric mood, Formication, Polymenorrhoea, Tension headache — Feeling: Poor · Site: Pain, Swelling · Chills, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Free text: period stopped early. lightheaded/high feeling. dizziness upon standing. band around back of head that feels like bugs under my skin.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-06-18
Survey response — days 1–6 daily, dose 2
MedDRA: Disturbance in attention, Dizziness, Dizziness postural, Injection site pain, Pain, Pain in extremity — Feeling: Poor · Site: Pain, Swelling · Fever · Chills, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Free text: lightheaded/dizziness upon standing, inability to focus while sitting or standing, pain radiating from injection site to tips of fingers

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-06-19
Survey response — days 1–6 daily, dose 2
MedDRA: Dizziness, Dizziness postural, Heart rate increased — Feeling: Poor · Site: Pain · Fever · Chills, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to do your normal daily activities

Free text: lightheaded upon waking, dizziness upon standing, increased heart rate

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-06-20
Survey response — days 1–6 daily, dose 2
MedDRA: Dizziness, Dizziness postural — Feeling: Fair · Headache, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to do your normal daily activities

Free text: dizziness on standing

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-06-22
Health check-in — day 7, dose 2
Feeling: Fair · Chills, Headache, Muscle or body aches, Fatigue or tiredness, Nausea, Vomiting · Be unable to do your normal daily activities

Adult check-in
2021-06-29
Survey response — day 14, dose 2
MedDRA: Dizziness, Dizziness postural, Lethargy, Muscle spasms, Pre-existing disease — Feeling: Fair · Be unable to do your normal daily activities

Free text: worsened dizziness and lightheadedness upon waking and standing. 12-14 hrs of sleep every time i lay down for bed. lethargy has not gone away. period cramps without period.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-07-06
Survey response — day 21, dose 2
MedDRA: Haemorrhage, Muscle spasms, Nausea — Feeling: Fair · Be unable to do your normal daily activities

Free text: period has started early. very, very light bleeding. very intense cramps. nausea.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-07-13
Survey response — day 28, dose 2
MedDRA: Alcohol intolerance, Lethargy, Photosensitivity reaction — Feeling: Fair · Be unable to do your normal daily activities

Free text: sun sensitivity :(, alcohol intolerance, the lethargy will literally not go away

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-07-20
Health check-in — day 35, dose 2
Feeling: Fair

Adult check-in
2021-07-27
Health check-in — day 42, dose 2
Feeling: Poor

Adult check-in
2021-09-14
Survey response — 3 months, dose 2
MedDRA: Arthralgia, Impaired healing, Joint stiffness — Feeling: Poor · Be unable to do your normal daily activities

Free text: Immense joint stiffness and pain and slow healing response.

MedDRA releases: 2024-11 · check-in free text available
2021-12-14
Health check-in — 6 months, dose 2
Feeling: Good

Adult check-in
2022-05-06
Call 1 — Left Voicemail
2022-05-09
Call successful
Reported to VAERS voluntarily prior to GDIT contact

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-05-18	Moderna
2	2021-06-15	Moderna

Call center

1 call center case

1 successful

VAERS report filed, before or during a call: 1

1 wait over 3 months for a first call

See the call center timeline

Free text

Release 8 — days 1–6 daily, dose 1

2021-05-19

Systemic reaction (other): light headed/dizziness

2021-05-20

Systemic reaction (other): warm band around back of head. it crawls over the occipital bone, but stays right at the base of my head. lightheaded/dizzy.

2021-05-21

Systemic reaction (other): dizziness, inability to focus, lightheaded, short term memory issues upon standing, band of warmth around back of head that is warm/tingles under the skin

2021-05-22

Systemic reaction (other): dizziness has increased. lightheaded when sitting or standing. inability to focus when sitting or standing. fainting.

2021-05-23

Systemic reaction (other): lightheadedness upon standing and sitting. inability to focus while standing or sitting. black spots in vision when on feet too long. dizziness upon sitting or standing. tingly itchy sensation at the back of the head under occipital bone.

2021-05-24

Systemic reaction (other): lightheaded upon standing. dizzy upon sitting and standing.

Release 8 — day 7, dose 1

2021-05-25

Systemic reaction (other): lightheadedness, dizziness upon standing

Release 8 — day 14, dose 1

2021-06-01

Symptoms: lightheadedness, inability to stand without losing vision, hands throb when standing, moving too fast causes passing out

Release 9 — day 0, dose 2

2021-06-15

Systemic reaction (other): lightheadedness, inability to focus

Release 9 — days 1–6 daily, dose 2

2021-06-16

Systemic reaction (other): lightheadedness upon standing, inability to stand for longer than 5 minutes, intense spotting for period, 2-3 pads for 2 hrs, then nothing for 5-6 hrs, then another bout of spotting for 2-3 pads worth in 1-2 hrs, shortened period

2021-06-17

Systemic reaction (other): period stopped early. lightheaded/high feeling. dizziness upon standing. band around back of head that feels like bugs under my skin.

2021-06-18

Systemic reaction (other): lightheaded/dizziness upon standing, inability to focus while sitting or standing, pain radiating from injection site to tips of fingers

2021-06-19

Systemic reaction (other): lightheaded upon waking, dizziness upon standing, increased heart rate

2021-06-20

Systemic reaction (other): dizziness on standing

Release 9 — day 14, dose 2

2021-06-29

Symptoms: worsened dizziness and lightheadedness upon waking and standing. 12-14 hrs of sleep every time i lay down for bed. lethargy has not gone away. period cramps without period.

Release 9 — day 21, dose 2

2021-07-06

Symptoms: period has started early. very, very light bleeding. very intense cramps. nausea.

Release 9 — day 28, dose 2

2021-07-13

Symptoms: sun sensitivity :(, alcohol intolerance, the lethargy will literally not go away

Release 9 — 3 months, dose 2

2021-09-14

Symptoms: Immense joint stiffness and pain and slow healing response.

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
SD	Alcohol intolerance	✓	✓	✓
SD	Arthralgia	·	·	✓
SD	Dizziness	✓	✓	✓
SD	Dizziness postural	✓	✓	✓
SD	Haemorrhage	✓	✓	✓
SD	Impaired healing	·	·	✓
SD	Joint stiffness	·	·	✓
SD	Lethargy	✓	✓	✓
SD	Muscle spasms	✓	✓	✓
SD	Nausea	✓	✓	✓
SD	Photosensitivity reaction	✓	✓	✓
SD	Pre-existing disease	✓	✓	✓
SRO	Disturbance in attention	✓	✓	✓
SRO	Dizziness	✓	✓	✓
SRO	Dizziness postural	✓	✓	✓
SRO	Dysstasia	✓	✓	✓
SRO	Euphoric mood	✓	✓	✓
SRO	Feeling hot	✓	✓	✓
SRO	Formication	✓	✓	✓
SRO	Heart rate increased	✓	✓	✓
SRO	Injection site pain	·	·	✓
SRO	Intermenstrual bleeding	✓	✓	✓
SRO	Memory impairment	✓	✓	✓
SRO	Pain	✓	✓	✓
SRO	Pain in extremity	·	·	✓
SRO	Paraesthesia	✓	✓	✓
SRO	Polymenorrhoea	✓	✓	✓
SRO	Pruritus	✓	✓	✓
SRO	Skin warm	·	·	✓
SRO	Syncope	✓	✓	✓
SRO	Tension headache	✓	✓	✓
SRO	Vision blurred	✓	✓	✓
SRO	Visual impairment	✓	✓	✓

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