2NR-18336-71700

4 vaccinations 11 coded responses 27 check-ins 11 free-text entries 0 call cases

Sex: Female
Age at first dose: 61-65
ZIP prefix: 535 / WI
Registered: 2021-04-30

Relationship: Self
Race: White
Ethnicity: Not Hispanic or Latino

Timeline Vaccinations Free text MedDRA terms

Timeline

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

2021-04-03
Dose 1 — Moderna
2021-04-30
Registered in v-safe
2021-04-30
Health check-in — day 21, dose 1
Feeling: Good

Adult check-in
2021-05-01
Dose 2 — Moderna
2021-05-01
Health check-in — day 0, dose 2
Feeling: Good · None

Adult check-in
2021-05-02
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Site: Pain · Headache, Fatigue or tiredness

Adult check-in
2021-05-03
Survey response — days 1–6 daily, dose 2
MedDRA: No adverse event — Feeling: Good · Site: Pain, Redness, Swelling · Fatigue or tiredness

Free text: No

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-06
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Site: Pain · Joint pains, Muscle or body aches, Fatigue or tiredness

Adult check-in
2021-05-07
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Site: Pain · Fatigue or tiredness

Adult check-in
2021-05-08
Survey response — day 7, dose 2
MedDRA: Fatigue — Feeling: Good · Fatigue or tiredness

Free text: Fatigue nit likely related to vaccine though...

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-15
Health check-in — day 14, dose 2
Feeling: Good

Adult check-in
2021-05-22
Health check-in — day 21, dose 2
Feeling: Good

Adult check-in
2021-05-29
Health check-in — day 28, dose 2
Feeling: Good

Adult check-in
2021-06-05
Health check-in — day 35, dose 2
Feeling: Good

Adult check-in
2021-06-12
Health check-in — day 42, dose 2
Feeling: Good

Adult check-in
2021-07-31
Survey response — 3 months, dose 2
MedDRA: Adverse reaction — Feeling: Fair · Be unable to do your normal daily activities

Free text: Not involving Covid-type symptoms

MedDRA releases: 2021-09,2024-11 · check-in free text available
2021-10-30
Health check-in — 6 months, dose 2
Feeling: Good

Adult check-in
2021-11-08
Dose 3 — Moderna
2022-05-03
Survey response — 12 months, dose 2
MedDRA: Dizziness — Feeling: Fair

Free text: Problems with being lightheaded

MedDRA releases: 2024-11 · check-in free text available
2022-07-17
Dose 4 — Moderna
2022-07-19
Survey response — days 1–6 daily, dose 4
MedDRA: Dizziness — Feeling: Fair · Site: Pain, Redness · Headache, Joint pains, Fatigue or tiredness, Nausea · Be unable to do your normal daily activities

Free text: Quite a lot of difficulty with dizziness!

MedDRA releases: 2024-11 · check-in free text available
2022-07-20
Survey response — days 1–6 daily, dose 4
MedDRA: Dizziness, Impaired driving ability, Loss of personal independence in daily activities — Feeling: Fair · Site: Pain · Headache, Muscle or body aches, Fatigue or tiredness · Be unable to work or attend school, Be unable to do your normal daily activities

Free text: Dizziness that prevents normal activities and driving!

MedDRA releases: 2024-11 · check-in free text available
2022-07-21
Survey response — days 1–6 daily, dose 4
MedDRA: Dizziness, Reaction to previous exposure to any vaccine — Feeling: Poor · Site: Pain · Fatigue or tiredness · Be unable to work or attend school, Be unable to do your normal daily activities

Free text: Dizziness is really severe today! This occurred after the booster and also occurred after the first booster

MedDRA releases: 2024-11 · check-in free text available
2022-07-22
Survey response — days 1–6 daily, dose 4
MedDRA: Dizziness, SARS-CoV-2 test negative — Feeling: Fair · Site: Pain · Headache, Fatigue or tiredness · Be unable to work or attend school, Be unable to do your normal daily activities

Free text: Dizziness is still an issue. Testing negative for Covid. No other health issues that would cause this.

MedDRA releases: 2024-11 · check-in free text available
2022-07-23
Survey response — days 1–6 daily, dose 4
MedDRA: Dizziness — Feeling: Fair · Fatigue or tiredness · Be unable to work or attend school, Be unable to do your normal daily activities

Free text: Dizziness continues to be an issue

MedDRA releases: 2024-11 · check-in free text available
2022-07-26
Survey response — day 7, dose 4
MedDRA: Dizziness — Feeling: Fair · Fatigue or tiredness · Be unable to work or attend school, Be unable to do your normal daily activities

Free text: Dizziness

MedDRA releases: 2024-11 · check-in free text available
2022-08-02
Health check-in — day 14, dose 4
Feeling: Fair

Adult check-in
2022-08-07
Health check-in — day 21, dose 4
Feeling: Good

Adult check-in
2022-08-14
Health check-in — day 28, dose 4
Feeling: Good

Adult check-in
2022-08-23
Survey response — day 35, dose 4
MedDRA: Dizziness — Feeling: Fair · Be unable to do your normal daily activities

Free text: Dizziness that was prominent early after the booster has occ been occurring again!

MedDRA releases: 2024-11 · check-in free text available
2022-08-28
Health check-in — day 42, dose 4
Feeling: Good

Adult check-in
2022-10-16
Health check-in — 3 months, dose 4
Feeling: Fair

Adult check-in

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-04-03	Moderna
2	2021-05-01	Moderna
3	2021-11-08	Moderna	No
4	2022-07-17	Moderna	No

Free text

Release 8 — days 1–6 daily, dose 2

2021-05-03

Systemic reaction (other): No

Release 8 — day 7, dose 2

2021-05-08

Systemic reaction (other): Fatigue nit likely related to vaccine though...

Release 9 — 3 months, dose 2

2021-07-31

Symptoms: Not involving Covid-type symptoms

Release 11 — 12 months, dose 2

2022-05-03

Symptoms: Problems with being lightheaded

Release 12 — days 1–6 daily, dose 4

2022-07-19

Systemic reaction (other): Quite a lot of difficulty with dizziness!

2022-07-20

Systemic reaction (other): Dizziness that prevents normal activities and driving!

2022-07-21

Systemic reaction (other): Dizziness is really severe today! This occurred after the booster and also occurred after the first booster

2022-07-22

Systemic reaction (other): Dizziness is still an issue. Testing negative for Covid. No other health issues that would cause this.

2022-07-23

Systemic reaction (other): Dizziness continues to be an issue

Release 12 — day 7, dose 4

2022-07-26

Systemic reaction (other): Dizziness

Release 12 — day 35, dose 4

2022-08-23

Symptoms: Dizziness that was prominent early after the booster has occ been occurring again!

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	Adverse reaction	✓	·	✓
SD	Dizziness	·	·	✓
SRO	Dizziness	·	·	✓
SRO	Fatigue	✓	✓	✓
SRO	Impaired driving ability	·	·	✓
SRO	Loss of personal independence in daily activities	·	·	✓
SRO	No adverse event	✓	✓	✓
SRO	Reaction to previous exposure to any vaccine	·	·	✓
SRO	SARS-CoV-2 test negative	·	·	✓

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