4CA-33290-23920

3 vaccinations 7 coded responses 28 check-ins 7 free-text entries 0 call cases

Sex: Female
Age at first dose: 66+
ZIP prefix: 601 / IL
Registered: 2021-01-22

Relationship: Self
Race: Multiracial
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

2021-01-22
Registered in v-safe
2021-01-22
Dose 1 — Moderna
2021-01-22
Health check-in — day 0, dose 1
Feeling: Good · None

Adult check-in
2021-01-23
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Site: Pain · None

Adult check-in
2021-01-24
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Site: Pain · None

Adult check-in
2021-01-25
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-01-26
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-01-27
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-01-28
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-01-29
Health check-in — day 7, dose 1
Feeling: Good · None

Adult check-in
2021-02-05
Health check-in — day 14, dose 1
Feeling: Good

Adult check-in
2021-02-12
Health check-in — day 21, dose 1
Feeling: Good

Adult check-in
2021-02-19
Dose 2 — Moderna
2021-02-19
Health check-in — day 0, dose 2
Feeling: Good · None

Adult check-in
2021-02-20
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Site: Pain · Muscle or body aches

Adult check-in
2021-02-21
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Site: Pain, Redness, Swelling · None

Adult check-in
2021-02-22
Survey response — days 1–6 daily, dose 2
MedDRA: Lymphadenopathy — Feeling: Good · Site: Pain, Redness, Swelling, Itching

Free text: A swollen gland and area on the neck side of the collar bone an the side of my shot

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-23
Survey response — days 1–6 daily, dose 2
MedDRA: Lymphadenopathy — Feeling: Good · Site: Swelling, Itching

Free text: Lump or swollen gland neck side of collarbone same side as arm with vaccine

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-24
Survey response — days 1–6 daily, dose 2
MedDRA: Dysgeusia, Lymphadenopathy, Sensation of foreign body — Feeling: Good · Site: Itching

Free text: Still have lump or swollen gland near collarbone on left side also an after taste the last couple days after eating or drinking

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-25
Survey response — days 1–6 daily, dose 2
MedDRA: Dizziness, Dysgeusia, Lymphadenopathy, Parosmia — Feeling: Fair · Be unable to work

Free text: Still have the lump or swollen gland but it seems to be smaller. The funny taste seems to have faded. I developed a sense of a moth ball smell this afternoon. Im a school crossing guard in my seventies and had a dizzy spell and fell at my corner. I dont believe that that was in connection to the vaccine but Im reporting it as requested

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-26
Survey response — day 7, dose 2
MedDRA: Dizziness, Lymphadenopathy, Mass, Migraine — Feeling: Good

Free text: Still lump/swallow glad but decreasing Dizzy spell yesterday was a type of migraine

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-05
Health check-in — day 14, dose 2
Feeling: Good

Adult check-in
2021-03-12
Health check-in — day 21, dose 2
Feeling: Good

Adult check-in
2021-03-19
Health check-in — day 28, dose 2
Feeling: Good

Adult check-in
2021-03-26
Health check-in — day 35, dose 2
Feeling: Good

Adult check-in
2021-04-02
Health check-in — day 42, dose 2
Feeling: Good

Adult check-in
2021-05-21
Health check-in — 3 months, dose 2
Feeling: Good

Adult check-in
2021-08-20
Health check-in — 6 months, dose 2
Feeling: Fair

Adult check-in
2021-11-17
Dose 3 — Moderna
2022-02-22
Survey response — 12 months, dose 2
MedDRA: Dizziness, Fall, Immediate post-injection reaction, Impaired driving ability, Tinnitus — Feeling: Fair

Free text: Within a week of each Moderna vaccine I had a dizzy spell and 3 after the booster. I'm afraid and haven't driven since December 2021 I fell into the street with my second shot. Most episodes lasted about 5 minutes. Starts with a humming in left ear

MedDRA releases: 2024-11 · check-in free text available
2022-02-22
Survey response — 3 months, dose 3
MedDRA: Dizziness, Fear, Impaired driving ability, Tinnitus — Feeling: Fair

Free text: After each dose I had dizzy spells With the booster I had 3-5. Two lasted 5 minutes and the others were brief. Haven't driven since December 2021. As I'm afraid the spell would happen when driving. Starts with a hum or buzz in left ear, Then dizzy

MedDRA releases: 2024-11 · check-in free text available
2022-05-18
Health check-in — 6 months, dose 3
Feeling: Good

Adult check-in

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-01-22	Moderna
2	2021-02-19	Moderna
3	2021-11-17	Moderna	No

Free text

Release 4 — days 1–6 daily, dose 2

2021-02-22

Systemic reaction (other): A swollen gland and area on the neck side of the collar bone an the side of my shot

2021-02-23

Systemic reaction (other): Lump or swollen gland neck side of collarbone same side as arm with vaccine

2021-02-24

Systemic reaction (other): Still have lump or swollen gland near collarbone on left side also an after taste the last couple days after eating or drinking

2021-02-25

Systemic reaction (other): Still have the lump or swollen gland but it seems to be smaller. The funny taste seems to have faded. I developed a sense of a moth ball smell this afternoon. Im a school crossing guard in my seventies and had a dizzy spell and fell at my corner. I dont believe that that was in connection to the vaccine but Im reporting it as requested

Release 4 — day 7, dose 2

2021-02-26

Systemic reaction (other): Still lump/swallow glad but decreasing Dizzy spell yesterday was a type of migraine

Release 11 — 12 months, dose 2

2022-02-22

Symptoms: Within a week of each Moderna vaccine I had a dizzy spell and 3 after the booster. I'm afraid and haven't driven since December 2021 I fell into the street with my second shot. Most episodes lasted about 5 minutes. Starts with a humming in left ear cut off by CDC

Release 11 — 3 months, dose 3

2022-02-22

Symptoms: After each dose I had dizzy spells With the booster I had 3-5. Two lasted 5 minutes and the others were brief. Haven't driven since December 2021. As I'm afraid the spell would happen when driving. Starts with a hum or buzz in left ear, Then dizzy cut off by CDC

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	Dizziness	·	·	✓
SD	Fall	·	·	✓
SD	Fear	·	·	✓
SD	Immediate post-injection reaction	·	·	✓
SD	Impaired driving ability	·	·	✓
SD	Tinnitus	·	·	✓
SRO	Dizziness	✓	✓	✓
SRO	Dysgeusia	✓	✓	✓
SRO	Lymphadenopathy	✓	✓	✓
SRO	Mass	✓	✓	✓
SRO	Migraine	✓	✓	✓
SRO	Parosmia	✓	✓	✓
SRO	Sensation of foreign body	✓	✓	✓

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