2LX-32576-86908

1 vaccination 12 coded responses 15 check-ins 12 free-text entries 6 call cases

Sex: Female
Age at first dose: 51-55
ZIP prefix: 490 / MI
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

2021-03-12
Registered in v-safe
2021-03-12
Dose 1 — Moderna
2021-03-12
Survey response — day 0, dose 1
MedDRA: Dizziness — Feeling: Fair · Be unable to do your normal daily activities

Free text: Dizzy

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-13
Survey response — days 1–6 daily, dose 1
MedDRA: Confusional state, Feeling abnormal — Feeling: Fair · Site: Pain · Nausea

Free text: Confusion foggy brain

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-14
Survey response — days 1–6 daily, dose 1
MedDRA: Feeling abnormal — Feeling: Fair · Site: Pain · Headache, Fatigue or tiredness

Free text: Still feel a little foggy

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-15
Survey response — days 1–6 daily, dose 1
MedDRA: Aphasia, Dizziness, Feeling abnormal — Feeling: Fair · Headache, Fatigue or tiredness, Nausea · Be unable to do your normal daily activities

Free text: Still dizzy and foggy. Have comprehension issue's amd lose my words or forget what im talking about. Scared to do a 2nd vaccine.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-16
Survey response — days 1–6 daily, dose 1
MedDRA: Dizziness, Feeling abnormal, Medical counselling, Palpitations, Tremor — Feeling: Fair · Headache, Fatigue or tiredness · Get care from a doctor or other healthcare professional

Free text: Systemic reaction (other): Very dizzy, brain fuzzy, and i went to the store and the cashier said do you know you're hamds are shaking bad? My Dr had me put off my 2nd dose am extra 4 weeks. I am seriously afraid of ever getting the 2nd dose. My heart has been racing. · Healthcare visit (other): My Dr called and put off 2nd dose an extra 4 weeks. I called back thos afternoon and have a in office appt Thursday because i got severely dizzy again and shaky this afternoon

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-16
Report sent to call center — days 1–6 daily, dose 1
Get care from a doctor or other healthcare professional

1 call case(s)
2021-03-17
Survey response — days 1–6 daily, dose 1
MedDRA: Crying, Dizziness, Feeling abnormal, Mental impairment, Palpitations — Feeling: Fair · Headache, Fatigue or tiredness, Nausea · Be unable to do your normal daily activities

Free text: Severe dizziness and brain fog. Signed my check where the date goes. Can't think straight. Today I cried. I see my Dr tomorrow. My heart races. Its like i feel this vaccine running through my body.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-18
Survey response — days 1–6 daily, dose 1
MedDRA: Dizziness, Office visit — Feeling: Fair · Fatigue or tiredness · Get care from a doctor or other healthcare professional

Free text: Systemic reaction (other): Dizzy and not so confused today · Healthcare visit (other): In office visit.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-18
Report sent to call center — days 1–6 daily, dose 1
Get care from a doctor or other healthcare professional

1 call case(s)
2021-03-20
Survey response — day 7, dose 1
MedDRA: Dizziness — Feeling: Fair · Site: Pain · Headache, Fatigue or tiredness · Be unable to do your normal daily activities

Free text: Very dizzy

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-26
Survey response — day 14, dose 1
MedDRA: Confusional state, Dizziness, Emergency care, Headache, Malaise, Memory impairment, SARS-CoV-2 test negative — Feeling: Fair · 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: I had a dizzy confusion day couldnt remember my age Tuesday went to the ER 3-24-2021 ct scan, test covid19 neg. Severe headache for 2 days. Today dizzy went to work still feel sick

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-26
Report sent to call center — day 14, dose 1
Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional

1 call case(s)
2021-04-02
Survey response — day 21, dose 1
MedDRA: Confusional state, Dizziness, Headache, Office visit, Pre-existing disease, Psoriatic arthropathy — Feeling: Fair · Get care from a doctor or other healthcare professional

Free text: Symptoms: Headaches severe psoriatic arthritis outbreak still dizzy and confused · Healthcare visit (other): Rheumatologist

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-02
Report sent to call center — day 21, dose 1
Get care from a doctor or other healthcare professional

1 call case(s)
2021-04-09
Health check-in — day 28, dose 1
Feeling: Fair

Adult check-in
2021-04-18
Health check-in — day 35, dose 1
Feeling: Fair

Adult check-in
2021-04-23
Health check-in — day 42, dose 1
Feeling: Fair

Adult check-in
2021-06-09
Call 1 — Left Voicemail
2021-06-09
Call 1 — Left Voicemail
2021-06-09
Call 1 — Left Voicemail
2021-06-09
Call 1 — Left Voicemail
2021-09-10
Survey response — 6 months, dose 1
MedDRA: Nephrolithiasis, Pulmonary mass, Respiratory disorder — Feeling: Fair · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit, Emergency room or emergency department visit

Free text: Kidney stones, nodes in my lungs, breathing issues

MedDRA releases: 2024-11 · check-in free text available
2021-09-10
Report sent to call center — 6 months, dose 1
Get care from a doctor or other healthcare professional

1 call case(s)
2021-09-13
Call 1 — Left Voicemail
2022-03-14
Survey response — 12 months, dose 1
MedDRA: Cardiomegaly, Office visit, Pre-existing disease — Feeling: Fair · Get care from a doctor or other healthcare professional · Emergency room or emergency department visit

Free text: Symptoms: My heart is enlarged. I still feel where mu brain swelled up. · Healthcare visit (other): Cardiologist reg Dr appts

MedDRA releases: 2024-11 · check-in free text available
2022-03-14
Report sent to call center — 12 months, dose 1
Get care from a doctor or other healthcare professional

Emergency room or emergency department visit · 1 call case(s)
2022-03-15
Call successful
Reported to VAERS voluntarily prior to GDIT contact

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-03-12	Moderna

Call center

6 call center cases

6 successful

VAERS report filed, before or during a call: 6

See the call center timeline

Free text

Release 5 — day 0, dose 1

2021-03-12

Systemic reaction (other): Dizzy

Release 5 — days 1–6 daily, dose 1

2021-03-13

Systemic reaction (other): Confusion foggy brain

2021-03-14

Systemic reaction (other): Still feel a little foggy

2021-03-15

Systemic reaction (other): Still dizzy and foggy. Have comprehension issue's amd lose my words or forget what im talking about. Scared to do a 2nd vaccine.

2021-03-16

Systemic reaction (other): Very dizzy, brain fuzzy, and i went to the store and the cashier said do you know you're hamds are shaking bad? My Dr had me put off my 2nd dose am extra 4 weeks. I am seriously afraid of ever getting the 2nd dose. My heart has been racing.

Healthcare visit (other): My Dr called and put off 2nd dose an extra 4 weeks. I called back thos afternoon and have a in office appt Thursday because i got severely dizzy again and shaky this afternoon

2021-03-17

Systemic reaction (other): Severe dizziness and brain fog. Signed my check where the date goes. Can't think straight. Today I cried. I see my Dr tomorrow. My heart races. Its like i feel this vaccine running through my body.

2021-03-18

Systemic reaction (other): Dizzy and not so confused today

Healthcare visit (other): In office visit.

Release 6 — day 7, dose 1

2021-03-20

Systemic reaction (other): Very dizzy

Release 6 — day 14, dose 1

2021-03-26

Symptoms: I had a dizzy confusion day couldnt remember my age Tuesday went to the ER 3-24-2021 ct scan, test covid19 neg. Severe headache for 2 days. Today dizzy went to work still feel sick

Release 6 — day 21, dose 1

2021-04-02

Symptoms: Headaches severe psoriatic arthritis outbreak still dizzy and confused

Healthcare visit (other): Rheumatologist

Release 9 — 6 months, dose 1

2021-09-10

Symptoms: Kidney stones, nodes in my lungs, breathing issues

Release 11 — 12 months, dose 1

2022-03-14

Symptoms: My heart is enlarged. I still feel where mu brain swelled up.

Healthcare visit (other): Cardiologist reg Dr appts

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	Dizziness	✓	✓	✓
HCVO	Medical counselling	✓	✓	✓
HCVO	Office visit	✓	✓	✓
HCVO	Tremor	✓	✓	✓
SD	Cardiomegaly	·	·	✓
SD	Confusional state	✓	✓	✓
SD	Dizziness	✓	✓	✓
SD	Emergency care	✓	✓	✓
SD	Headache	✓	✓	✓
SD	Malaise	✓	✓	✓
SD	Memory impairment	✓	✓	✓
SD	Nephrolithiasis	·	·	✓
SD	Pre-existing disease	✓	✓	✓
SD	Psoriatic arthropathy	✓	✓	✓
SD	Pulmonary mass	·	·	✓
SD	Respiratory disorder	·	·	✓
SD	SARS-CoV-2 test negative	✓	✓	✓
SRO	Aphasia	✓	✓	✓
SRO	Confusional state	✓	✓	✓
SRO	Crying	✓	✓	✓
SRO	Dizziness	✓	✓	✓
SRO	Feeling abnormal	✓	✓	✓
SRO	Medical counselling	✓	✓	✓
SRO	Mental impairment	✓	✓	✓
SRO	Palpitations	✓	✓	✓
SRO	Tremor	✓	✓	✓

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