4GW-16014-31385

2 vaccinations 10 coded responses 23 check-ins 10 free-text entries 4 call cases

Sex: Female
Age at first dose: 46-50
ZIP prefix: 194 / PA
Registered: 2021-01-02

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

2021-01-02
Registered in v-safe
2021-01-02
Dose 1 — Moderna
2021-01-02
Health check-in — day 0, dose 1
Feeling: Fair · Site: Pain · None

Adult check-in
2021-01-03
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Site: Pain · Headache, Fatigue or tiredness, Nausea, Diarrhea

Adult check-in
2021-01-06
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Site: Swelling · Headache, Fatigue or tiredness, Nausea

Adult check-in
2021-01-07
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Site: Swelling · Chills, Headache, Fatigue or tiredness, Nausea, Diarrhea

Adult check-in
2021-01-08
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Site: Swelling · Headache, Fatigue or tiredness

Adult check-in
2021-01-09
Health check-in — day 7, dose 1
Feeling: Good · Headache, Fatigue or tiredness

Adult check-in
2021-01-16
Survey response — day 14, dose 1
MedDRA: Pain in extremity — Feeling: Fair

Free text: L arm pain

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-23
Survey response — day 21, dose 1
MedDRA: Pain in extremity — Feeling: Good

Free text: L arm pain

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-30
Dose 2 — Moderna
2021-01-30
Health check-in — day 0, dose 2
Feeling: Fair · Site: Pain, Swelling · Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Adult check-in
2021-01-31
Health check-in — days 1–6 daily, dose 2
Feeling: Poor · Site: Pain, Redness, Swelling, Itching · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea, Diarrhea · Be unable to do your normal daily activities

Adult check-in
2021-02-01
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Pain, Redness, Swelling · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea, Diarrhea · Be unable to work

Adult check-in
2021-02-02
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Pain, Redness, Swelling, Itching · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Diarrhea · Be unable to work

Adult check-in
2021-02-03
Survey response — days 1–6 daily, dose 2
MedDRA: Feeling abnormal, Memory impairment — Feeling: Poor · Site: Pain, Redness, Swelling, Itching · Fever · Chills, Headache, Muscle or body aches, Fatigue or tiredness, Nausea, Diarrhea · Be unable to work, Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultation

Free text: Cognitive deficits... specifically short term memory issues and a "brain fog

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-03
Report sent to call center — days 1–6 daily, dose 2
Be unable to work · Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional

1 call case(s)
2021-02-04
Survey response — days 1–6 daily, dose 2
MedDRA: Asthenia, Dizziness, Memory impairment, Muscle twitching — Feeling: Poor · Site: Pain, Redness, Swelling, Itching · 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, Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultation

Free text: Lightheadedness, dizzy, forgetful, muscle twitching mainly in legs, weakness

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-04
Report sent to call center — days 1–6 daily, dose 2
Be unable to work · Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional

1 call case(s)
2021-02-05
Survey response — days 1–6 daily, dose 2
MedDRA: Dizziness, Feeling abnormal, Memory impairment — Feeling: Poor · Site: Redness, Swelling · Fever · Headache, Fatigue or tiredness, Nausea · Be unable to work, Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultation

Free text: Brain fog, light-headedness, forgetting things

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-05
Report sent to call center — days 1–6 daily, dose 2
Be unable to work · Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional

1 call case(s)
2021-02-06
Survey response — day 7, dose 2
MedDRA: Dizziness, Feeling abnormal — Feeling: Fair · Site: Itching · Headache, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to work

Free text: Brain fog, light-headedness

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-13
Health check-in — day 14, dose 2
Feeling: Fair

Adult check-in
2021-02-20
Survey response — day 21, dose 2
MedDRA: Dizziness, Headache — Feeling: Poor

Free text: Headache, light-headedness, dizziness

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-27
Survey response — day 28, dose 2
MedDRA: Chest discomfort, Pre-existing disease — Feeling: Fair

Free text: Chest tightness prob from allergies

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-06
Health check-in — day 35, dose 2
Feeling: Fair

Adult check-in
2021-03-13
Survey response — day 42, dose 2
MedDRA: Disturbance in attention, Dizziness, Headache — Feeling: Poor

Free text: Headache, lightheadedness, difficulty concentrating, decreased STM, decreased ability to mutitask

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-01
Survey response — 3 months, dose 2
MedDRA: Balance disorder, Dizziness, Feeling abnormal, Headache — Feeling: Poor · Be unable to work, Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultation, Outpatient clinic or urgent care clinic visit

Free text: I have severe headaches, lightheadedness, dizziness, off balance, brain fog

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-01
Report sent to call center — 3 months, dose 2
Be unable to work · Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional

1 call case(s)
2021-06-21
Call 1 — Left Voicemail
2021-07-31
Health check-in — 6 months, dose 2
Feeling: Fair

Adult check-in

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-01-02	Moderna
2	2021-01-30	Moderna

Call center

4 call center cases

4 unsuccessful

VAERS report filed, before or during a call: 4

See the call center timeline

Free text

Release 2 — day 14, dose 1

2021-01-16

Symptoms: L arm pain

Release 2 — day 21, dose 1

2021-01-23

Symptoms: L arm pain

Release 3 — days 1–6 daily, dose 2

2021-02-03

Systemic reaction (other): Cognitive deficits... specifically short term memory issues and a "brain fog

2021-02-04

Systemic reaction (other): Lightheadedness, dizzy, forgetful, muscle twitching mainly in legs, weakness

2021-02-05

Systemic reaction (other): Brain fog, light-headedness, forgetting things

Release 3 — day 7, dose 2

2021-02-06

Systemic reaction (other): Brain fog, light-headedness

Release 4 — day 21, dose 2

2021-02-20

Symptoms: Headache, light-headedness, dizziness

Release 4 — day 28, dose 2

2021-02-27

Symptoms: Chest tightness prob from allergies

Release 5 — day 42, dose 2

2021-03-13

Symptoms: Headache, lightheadedness, difficulty concentrating, decreased STM, decreased ability to mutitask

Release 8 — 3 months, dose 2

2021-05-01

Symptoms: I have severe headaches, lightheadedness, dizziness, off balance, brain fog

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	Balance disorder	✓	✓	✓
SD	Chest discomfort	✓	✓	✓
SD	Disturbance in attention	✓	✓	✓
SD	Dizziness	✓	✓	✓
SD	Feeling abnormal	✓	✓	✓
SD	Headache	✓	✓	✓
SD	Pain in extremity	✓	✓	✓
SD	Pre-existing disease	✓	·	✓
SRO	Asthenia	✓	✓	✓
SRO	Dizziness	✓	✓	✓
SRO	Feeling abnormal	✓	✓	✓
SRO	Memory impairment	✓	✓	✓
SRO	Muscle twitching	✓	✓	✓

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