2JB-14273-04451

2 vaccinations 5 coded responses 19 check-ins 5 free-text entries 4 call cases

Sex: Female
Age at first dose: 51-55
ZIP prefix: 452 / OH
Registered: 2021-01-14

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

2021-01-14
Registered in v-safe
2021-01-14
Dose 1 — Moderna
2021-01-14
Health check-in — day 0, dose 1
Feeling: Good · None

Adult check-in
2021-01-15
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Site: Pain, Swelling · Headache

Adult check-in
2021-01-17
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Site: Pain, Swelling · None

Adult check-in
2021-01-18
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Site: Pain · Joint pains

Adult check-in
2021-01-19
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Site: Pain · None

Adult check-in
2021-01-21
Health check-in — day 7, dose 1
Feeling: Good · Site: Pain · None

Adult check-in
2021-01-28
Health check-in — day 14, dose 1
Feeling: Good

Adult check-in
2021-02-04
Health check-in — day 21, dose 1
Feeling: Good

Adult check-in
2021-02-11
Health check-in — day 28, dose 1
Feeling: Good

Adult check-in
2021-02-12
Dose 2 — Moderna
2021-02-18
Survey response — days 1–6 daily, dose 2
MedDRA: Respiratory tract congestion, Wheezing — Feeling: Poor · Site: Pain · Headache, Fatigue or tiredness · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit

Free text: Congeston and wheezing

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-18
Report sent to call center — days 1–6 daily, dose 2
Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional

1 call case(s)
2021-02-19
Survey response — day 7, dose 2
MedDRA: Nasal congestion, Wheezing — Feeling: Fair · Site: Pain · Headache

Free text: Nasal congestion and wheezing

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-26
Health check-in — day 14, dose 2
Feeling: Good

Adult check-in
2021-03-05
Health check-in — day 21, dose 2
Feeling: Good

Adult check-in
2021-03-12
Health check-in — day 28, dose 2
Feeling: Fair

Adult check-in
2021-03-19
Health check-in — day 35, dose 2
Feeling: Fair

Adult check-in
2021-03-26
Health check-in — day 42, dose 2
Feeling: Good

Adult check-in
2021-05-14
Survey response — 3 months, dose 2
MedDRA: Balance disorder, Ear pain, Headache, Infection, SARS-CoV-2 test negative — Feeling: Poor · Be unable to work, Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultation, Outpatient clinic or urgent care clinic visit

Free text: Ear pain, balance issues, some type of infection, headaches, negative COVID test

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-14
Report sent to call center — 3 months, 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)
2021-08-09
Call 1 — Left Voicemail
2021-08-13
Survey response — 6 months, dose 2
MedDRA: Balance disorder, Disturbance in attention, Ear pain, Headache, Impaired work ability, Nausea, Vestibular migraine — Feeling: Fair · Be unable to work or attend school, Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit

Free text: In June I was diagnosed with migraine associated vestibulopathy. I have constant headaches and nausea, ear pain, trouble focusing, and balance issues. I am weaning off of Valium. I have been unable to work since the 5th of May.

MedDRA releases: 2021-09,2024-11 · check-in free text available
2021-08-13
Report sent to call center — 6 months, dose 2
Be unable to work or attend school · Be unable to do your normal daily activities · Get care from a doctor or other healthcare pr

1 call case(s)
2021-08-19
Call 1 — Left Voicemail
2022-02-12
Survey response — 12 months, dose 2
MedDRA: Balance disorder, Brain fog, Disturbance in attention, Fatigue, Fine motor skill dysfunction, Movement disorder, Nausea, Photophobia, Pre-existing disease, Vestibular neuronitis, Weight decreased — Feeling: Poor · Be unable to work or attend school, Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultation, Outpatient clinic or urgent care clinic visit, Emergency room or emergency department visit

Free text: Chronic migraines with aura, light and motion sensitivity, increased nausea, 30 # wt. oss, vestibular neuroniritis, balance issues continue, excessive fatique and brain fog, decreased concentration and focus, decreased fine motor skills

MedDRA releases: 2024-11 · check-in free text available
2022-02-12
Report sent to call center — 12 months, dose 2
Be unable to work or attend school · Be unable to do your normal daily activities · Get care from a doctor or other healthcare pr

Telehealth, virtual health, or email health consultation · Outpatient clinic or urgent care clinic visit · Emergency room or emergency department visit · 1 call case(s)
2022-02-15
Call 1 — Left Voicemail

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-01-14	Moderna
2	2021-02-12	Moderna

Call center

4 call center cases

4 unsuccessful

See the call center timeline

Free text

Release 4 — days 1–6 daily, dose 2

2021-02-18

Systemic reaction (other): Congeston and wheezing

Release 4 — day 7, dose 2

2021-02-19

Systemic reaction (other): Nasal congestion and wheezing

Release 8 — 3 months, dose 2

2021-05-14

Symptoms: Ear pain, balance issues, some type of infection, headaches, negative COVID test

Release 9 — 6 months, dose 2

2021-08-13

Symptoms: In June I was diagnosed with migraine associated vestibulopathy. I have constant headaches and nausea, ear pain, trouble focusing, and balance issues. I am weaning off of Valium. I have been unable to work since the 5th of May.

Release 11 — 12 months, dose 2

2022-02-12

Symptoms: Chronic migraines with aura, light and motion sensitivity, increased nausea, 30 # wt. oss, vestibular neuroniritis, balance issues continue, excessive fatique and brain fog, decreased concentration and focus, decreased fine motor skills

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	Balance disorder	✓	✓	✓
SD	Brain fog	·	·	✓
SD	Disturbance in attention	✓	·	✓
SD	Ear pain	✓	✓	✓
SD	Fatigue	·	·	✓
SD	Fine motor skill dysfunction	·	·	✓
SD	Headache	✓	✓	✓
SD	Impaired work ability	✓	·	✓
SD	Infection	✓	✓	✓
SD	Movement disorder	·	·	✓
SD	Nausea	✓	·	✓
SD	Photophobia	·	·	✓
SD	Pre-existing disease	·	·	✓
SD	SARS-CoV-2 test negative	✓	✓	✓
SD	Vestibular migraine	✓	·	✓
SD	Vestibular neuronitis	·	·	✓
SD	Weight decreased	·	·	✓
SRO	Nasal congestion	✓	✓	✓
SRO	Respiratory tract congestion	✓	✓	✓
SRO	Wheezing	✓	✓	✓

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