3KX-14678-87845

2 vaccinations 10 coded responses 21 check-ins 10 free-text entries 0 call cases

Sex: Female
Age at first dose: 51-55
ZIP prefix: 710 / LA
Registered: 2021-03-18

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

2021-03-17
Dose 1 — Moderna
2021-03-18
Registered in v-safe
2021-03-18
Survey response — days 1–6 daily, dose 1
MedDRA: Dizziness, Feeling abnormal — Feeling: Poor · Site: Pain · Chills, Fatigue or tiredness, Nausea · Be unable to work, Be unable to do your normal daily activities

Free text: Dizziness and brain fog

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-19
Survey response — days 1–6 daily, dose 1
MedDRA: Dizziness — Feeling: Fair · Fatigue or tiredness

Free text: dizziness

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-20
Survey response — days 1–6 daily, dose 1
MedDRA: Dizziness, Feeling abnormal, Head discomfort — Feeling: Fair · Fatigue or tiredness, Diarrhea

Free text: Dizziness, Brain fog and pressure in head with no pain

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-21
Survey response — days 1–6 daily, dose 1
MedDRA: Asthenopia, Dizziness, Eye irritation, Head discomfort — Feeling: Fair · Fatigue or tiredness · Be unable to do your normal daily activities

Free text: Dizziness, burning tired eyes and pressure in my head with no pain

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-22
Survey response — days 1–6 daily, dose 1
MedDRA: Dizziness, Feeling abnormal — Feeling: Fair · Fatigue or tiredness

Free text: Slight dizziness and brain fog

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-23
Survey response — days 1–6 daily, dose 1
MedDRA: Dizziness, Feeling abnormal — Feeling: Good · Fatigue or tiredness

Free text: Mild dizziness and still a brain fog. Seems to happen more when I am more active at work.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-24
Survey response — day 7, dose 1
MedDRA: Dizziness, Feeling abnormal — Feeling: Poor · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to do your normal daily activities

Free text: Moderate Dizziness and Moderate brain fog. Really getting concerned.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-31
Health check-in — day 14, dose 1
Feeling: Good

Adult check-in
2021-04-07
Health check-in — day 21, dose 1
Feeling: Good

Adult check-in
2021-04-14
Dose 2 — Moderna
2021-04-14
Health check-in — day 0, dose 2
Feeling: Good · Site: Pain, Swelling · Fever · Headache

Adult check-in
2021-04-15
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Pain, Swelling · Fever · Chills, Headache, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to work

Adult check-in
2021-04-16
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Site: Pain, Swelling · Headache

Adult check-in
2021-04-19
Survey response — days 1–6 daily, dose 2
MedDRA: Swelling, Swelling face, Taste disorder — Feeling: Fair · Site: Swelling · Fever · Chills, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to do your normal daily activities

Free text: Swelling on face and neck. Taste buds are off

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-20
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Site: Pain, Swelling · Headache, Fatigue or tiredness

Adult check-in
2021-04-21
Health check-in — day 7, dose 2
Feeling: Good · None

Adult check-in
2021-04-28
Health check-in — day 14, dose 2
Feeling: Good

Adult check-in
2021-05-07
Health check-in — day 21, dose 2
Feeling: Good

Adult check-in
2021-05-12
Health check-in — day 28, dose 2
Feeling: Good

Adult check-in
2021-05-19
Survey response — day 35, dose 2
MedDRA: Brain fog, Dizziness, Headache, Vomiting — Feeling: Poor · Be unable to work, Be unable to do your normal daily activities

Free text: Brain fog is back. Severe dizziness. Headaches. Throwing up.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-26
Survey response — day 42, dose 2
MedDRA: Headache, Vertigo — Feeling: Poor · Be unable to do your normal daily activities

Free text: Head aches and vertigo issues

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-07-14
Health check-in — 3 months, dose 2
Feeling: Good

Adult check-in

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-03-17	Moderna
2	2021-04-14	Moderna

Free text

Release 5 — days 1–6 daily, dose 1

2021-03-18

Systemic reaction (other): Dizziness and brain fog

2021-03-19

Systemic reaction (other): dizziness

Release 6 — days 1–6 daily, dose 1

2021-03-20

Systemic reaction (other): Dizziness, Brain fog and pressure in head with no pain

2021-03-21

Systemic reaction (other): Dizziness, burning tired eyes and pressure in my head with no pain

2021-03-22

Systemic reaction (other): Slight dizziness and brain fog

2021-03-23

Systemic reaction (other): Mild dizziness and still a brain fog. Seems to happen more when I am more active at work.

Release 6 — day 7, dose 1

2021-03-24

Systemic reaction (other): Moderate Dizziness and Moderate brain fog. Really getting concerned.

Release 7 — days 1–6 daily, dose 2

2021-04-19

Systemic reaction (other): Swelling on face and neck. Taste buds are off

Release 8 — day 35, dose 2

2021-05-19

Symptoms: Brain fog is back. Severe dizziness. Headaches. Throwing up.

Release 8 — day 42, dose 2

2021-05-26

Symptoms: Head aches and vertigo issues

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	Brain fog	✓	✓	✓
SD	Dizziness	✓	✓	✓
SD	Headache	✓	✓	✓
SD	Vertigo	✓	✓	✓
SD	Vomiting	✓	✓	✓
SRO	Asthenopia	✓	✓	✓
SRO	Dizziness	✓	✓	✓
SRO	Eye irritation	✓	✓	✓
SRO	Feeling abnormal	✓	✓	✓
SRO	Head discomfort	✓	✓	✓
SRO	Swelling	✓	✓	✓
SRO	Swelling face	✓	✓	✓
SRO	Taste disorder	✓	✓	✓

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