452-69005-34831

2 vaccinations 9 coded responses 17 check-ins 9 free-text entries 1 call case

Sex: Female
Age at first dose: 51-55
ZIP prefix: 201 / VA
Registered: 2021-04-03

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

2021-03-30
Dose 1 — Moderna
2021-04-03
Registered in v-safe
2021-04-03
Survey response — days 1–6 daily, dose 1
MedDRA: Condition aggravated, Dizziness, Pre-existing disease — Feeling: Poor · Site: Pain · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea, Diarrhea · Be unable to work, Be unable to do your normal daily activities

Free text: Dizziness, autoimmune disorder flare-up

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-04
Survey response — days 1–6 daily, dose 1
MedDRA: Dizziness — Feeling: Fair · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to do your normal daily activities

Free text: Dizziness

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-05
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Site: Pain · Fever · Chills, Headache, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Adult check-in
2021-04-06
Survey response — day 7, dose 1
MedDRA: Dizziness — Feeling: Fair · Site: Pain · Chills, Headache, Joint pains, Fatigue or tiredness · Be unable to do your normal daily activities

Free text: Dizziness

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-13
Health check-in — day 14, dose 1
Feeling: Fair

Adult check-in
2021-04-20
Survey response — day 21, dose 1
MedDRA: Autoimmune disorder, Pre-existing disease — Feeling: Fair · Be unable to do your normal daily activities

Free text: Flare-up of my auto immune disorder happened within 2 days after vaccine and got much worse over the past week and a half. Slowly stating to heal to where I can sit for awhile on the genital lichen sclerosus

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-27
Health check-in — day 28, dose 1
Feeling: Fair

Adult check-in
2021-04-28
Dose 2 — Moderna
2021-05-04
Survey response — days 1–6 daily, dose 2
MedDRA: Condition aggravated, Pre-existing disease — Feeling: Fair · Site: Pain, Swelling · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to work or attend school, Be unable to do your normal daily activities

Free text: Flare-up of Autoimmunine Disorder

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-05
Survey response — day 7, dose 2
MedDRA: Autoimmune disorder, Condition aggravated, Pre-existing disease — Feeling: Fair · Site: Pain, Swelling · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to work, Be unable to do your normal daily activities

Free text: Autoimmune disorder flare up

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-13
Survey response — day 14, dose 2
MedDRA: Dizziness, Headache, Motion sickness, Nausea — Feeling: Fair · Be unable to do your normal daily activities

Free text: Extreme nausea, dizziness and motion sickness that comes in waves and while riding in vehicle. Headaches off and on, also. Both started 1-2 days after vacc.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-19
Health check-in — day 21, dose 2
Feeling: Fair

Adult check-in
2021-05-26
Health check-in — day 28, dose 2
Feeling: Fair

Adult check-in
2021-06-02
Health check-in — day 35, dose 2
Feeling: Fair

Adult check-in
2021-06-09
Health check-in — day 42, dose 2
Feeling: Good

Adult check-in
2021-07-28
Survey response — 3 months, dose 2
MedDRA: Anosmia, Cough, Dyspnoea, Fatigue, Rhinorrhoea — 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, Hospitalization

Free text: Difficulty breathing, loss of smell, runny nose, hacking cough, ectreme fatigue

MedDRA releases: 2021-09,2024-11 · check-in free text available
2021-07-28
Report sent to call center — 3 months, dose 2
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
2021-10-27
Health check-in — 6 months, dose 2
Feeling: Fair

Adult check-in
2022-04-28
Survey response — 12 months, dose 2
MedDRA: Dizziness, Headache, Pain — Feeling: Fair · Be unable to do your normal daily activities

Free text: Body aches, headaches, dizziness

MedDRA releases: 2024-11 · check-in free text available

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-03-30	Moderna
2	2021-04-28	Moderna

Call center

1 call center case

1 unsuccessful

See the call center timeline

Free text

Release 6 — days 1–6 daily, dose 1

2021-04-03

Systemic reaction (other): Dizziness, autoimmune disorder flare-up

2021-04-04

Systemic reaction (other): Dizziness

Release 7 — day 7, dose 1

2021-04-06

Systemic reaction (other): Dizziness

Release 7 — day 21, dose 1

2021-04-20

Symptoms: Flare-up of my auto immune disorder happened within 2 days after vaccine and got much worse over the past week and a half. Slowly stating to heal to where I can sit for awhile on the genital lichen sclerosus

Release 8 — days 1–6 daily, dose 2

2021-05-04

Systemic reaction (other): Flare-up of Autoimmunine Disorder

Release 8 — day 7, dose 2

2021-05-05

Systemic reaction (other): Autoimmune disorder flare up

Release 8 — day 14, dose 2

2021-05-13

Symptoms: Extreme nausea, dizziness and motion sickness that comes in waves and while riding in vehicle. Headaches off and on, also. Both started 1-2 days after vacc.

Release 9 — 3 months, dose 2

2021-07-28

Symptoms: Difficulty breathing, loss of smell, runny nose, hacking cough, ectreme fatigue

Release 11 — 12 months, dose 2

2022-04-28

Symptoms: Body aches, headaches, dizziness

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	Anosmia	✓	·	✓
SD	Autoimmune disorder	✓	✓	✓
SD	Cough	✓	·	✓
SD	Dizziness	✓	✓	✓
SD	Dyspnoea	✓	·	✓
SD	Fatigue	✓	·	✓
SD	Headache	✓	✓	✓
SD	Motion sickness	✓	✓	✓
SD	Nausea	✓	✓	✓
SD	Pain	·	·	✓
SD	Pre-existing disease	✓	✓	✓
SD	Rhinorrhoea	✓	·	✓
SRO	Autoimmune disorder	✓	✓	✓
SRO	Condition aggravated	✓	✓	✓
SRO	Dizziness	✓	✓	✓
SRO	Pre-existing disease	✓	✓	✓

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