3MR-27178-25986

4 vaccinations 5 coded responses 28 check-ins 5 free-text entries 1 call case

Sex: Female
Age at first dose: 66+
ZIP prefix: 950 / CA
Registered: 2021-03-05

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

2021-01-19
Dose 1 — Moderna
2021-02-17
Dose 2 — Moderna
2021-03-05
Registered in v-safe
2021-03-05
Survey response — day 14, dose 2
MedDRA: Fatigue, Vertigo — Feeling: Fair · Be unable to do your normal daily activities

Free text: Extreme fatigue for 2 days. Vertigo starting day 4, improving vut still present.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-10
Health check-in — day 21, dose 2
Feeling: Fair

Adult check-in
2021-03-18
Survey response — day 28, dose 2
MedDRA: Vertigo — Feeling: Good

Free text: Since there is no way to comment if I press No, I want to state that my vertigo is almost gone after 3 weeks except for an occasional moment.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-25
Survey response — day 35, dose 2
MedDRA: Vertigo, Weight decreased — Feeling: Good

Free text: My vertigo is gone. I noticed a weight drop of 3.5 pounds the last 2 weeks with the vertigo, which was probably water.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-08-18
Health check-in — 6 months, dose 2
Feeling: Good

Adult check-in
2021-11-12
Dose 3 — Moderna
2021-11-13
Health check-in — days 1–6 daily, dose 3
Feeling: Poor · Site: Pain, Swelling · Headache, Fatigue or tiredness · Be unable to do your normal daily activities

Adult check-in
2021-11-14
Health check-in — days 1–6 daily, dose 3
Feeling: Poor · Site: Pain · Chills, Headache, Fatigue or tiredness · Be unable to do your normal daily activities

Adult check-in
2021-11-15
Health check-in — days 1–6 daily, dose 3
Feeling: Fair · Site: Pain, Swelling · Fatigue or tiredness · Be unable to do your normal daily activities

Adult check-in
2021-11-16
Health check-in — days 1–6 daily, dose 3
Feeling: Poor · Site: Pain, Redness, Swelling, Itching · Headache, Fatigue or tiredness · Be unable to do your normal daily activities

Adult check-in
2021-11-17
Health check-in — days 1–6 daily, dose 3
Feeling: Poor · Site: Redness, Itching · Headache, Fatigue or tiredness · Be unable to do your normal daily activities

Adult check-in
2021-11-18
Health check-in — days 1–6 daily, dose 3
Feeling: Poor · Site: Redness, Itching · Fatigue or tiredness · Be unable to do your normal daily activities

Adult check-in
2021-11-19
Survey response — day 7, dose 3
MedDRA: Ear discomfort, Tinnitus — Feeling: Poor · Chills, Fatigue or tiredness · Be unable to do your normal daily activities

Free text: Left ear is plugged, echoing and incrrasrd tinnitus

MedDRA releases: 2024-11 · check-in free text available
2021-11-26
Survey response — day 14, dose 3
MedDRA: Inner ear inflammation, Vertigo — Feeling: Poor · 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: Inflamed left inner ear becoming vertigo. Started Wednesday.

MedDRA releases: 2024-11 · check-in free text available
2021-11-26
Report sent to call center — day 14, dose 3
Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional

Outpatient clinic or urgent care clinic visit · 1 call case(s)
2021-11-30
Call 1 — Left Voicemail
2021-11-30
Call successful
Participant prefers to complete VAERS report online
2021-12-05
Health check-in — day 21, dose 3
Feeling: Fair

Adult check-in
2021-12-10
Health check-in — day 28, dose 3
Feeling: Fair

Adult check-in
2021-12-17
Health check-in — day 35, dose 3
Feeling: Good

Adult check-in
2021-12-26
Health check-in — day 42, dose 3
Feeling: Good

Adult check-in
2022-02-12
Health check-in — 3 months, dose 3
Feeling: Good

Adult check-in
2022-05-13
Health check-in — 6 months, dose 3
Feeling: Good

Adult check-in
2022-12-29
Dose 4 — Pfizer-BioNTech
2022-12-30
Health check-in — days 1–6 daily, dose 4
Feeling: Fair · Muscle or body aches, Fatigue or tiredness

Adult check-in
2022-12-31
Health check-in — days 1–6 daily, dose 4
Feeling: Poor · Site: Pain, Redness · Chills, Headache, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to do your normal daily activities

Adult check-in
2023-01-01
Health check-in — days 1–6 daily, dose 4
Feeling: Fair · Site: Redness, Itching · Muscle or body aches, Fatigue or tiredness, Nausea

Adult check-in
2023-01-02
Health check-in — days 1–6 daily, dose 4
Feeling: Fair · Site: Redness · Fatigue or tiredness

Adult check-in
2023-01-03
Health check-in — days 1–6 daily, dose 4
Feeling: Poor · Site: Redness · Headache, Muscle or body aches, Fatigue or tiredness, Nausea

Adult check-in
2023-01-04
Health check-in — days 1–6 daily, dose 4
Feeling: Fair · Site: Redness · Headache, Fatigue or tiredness, Nausea

Adult check-in
2023-01-05
Health check-in — day 7, dose 4
Feeling: Good · Headache

Adult check-in
2023-01-12
Health check-in — day 14, dose 4
Feeling: Fair

Adult check-in
2023-01-20
Health check-in — day 21, dose 4
Feeling: Fair

Adult check-in

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-01-19	Moderna
2	2021-02-17	Moderna
3	2021-11-12	Moderna	No
4	2022-12-29	Pfizer-BioNTech	No

Call center

1 call center case

1 successful

See the call center timeline

Free text

Release 5 — day 14, dose 2

2021-03-05

Symptoms: Extreme fatigue for 2 days. Vertigo starting day 4, improving vut still present.

Release 5 — day 28, dose 2

2021-03-18

Symptoms: Since there is no way to comment if I press No, I want to state that my vertigo is almost gone after 3 weeks except for an occasional moment.

Release 6 — day 35, dose 2

2021-03-25

Symptoms: My vertigo is gone. I noticed a weight drop of 3.5 pounds the last 2 weeks with the vertigo, which was probably water.

Release 10 — day 7, dose 3

2021-11-19

Systemic reaction (other): Left ear is plugged, echoing and incrrasrd tinnitus

Release 10 — day 14, dose 3

2021-11-26

Symptoms: Inflamed left inner ear becoming vertigo. Started Wednesday.

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	Fatigue	✓	✓	✓
SD	Inner ear inflammation	·	·	✓
SD	Vertigo	✓	✓	✓
SD	Weight decreased	✓	✓	✓
SRO	Ear discomfort	·	·	✓
SRO	Tinnitus	·	·	✓

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