4KS-21058-47623

2 vaccinations 9 coded responses 23 check-ins 9 free-text entries 2 call cases

Sex: Female
Age at first dose: 66+
ZIP prefix: 395 / MS
Registered: 2021-02-13

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

2021-02-12
Dose 1 — Moderna
2021-02-13
Registered in v-safe
2021-02-13
Survey response — days 1–6 daily, dose 1
MedDRA: Crying, Dizziness — Feeling: Good · Site: Pain

Free text: Sudden feeling of faintness, then uncontrollable crying for a couple of minutes

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-14
Survey response — days 1–6 daily, dose 1
MedDRA: Blood pressure increased — Feeling: Fair · Headache, Nausea · Be unable to do your normal daily activities

Free text: Blood pressure is 177/101

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-15
Survey response — days 1–6 daily, dose 1
MedDRA: Blood pressure measurement, Headache — Feeling: Good · Headache

Free text: Blood pressure155/91 Headache all night, but better during day.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-16
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-02-17
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-02-18
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-02-19
Health check-in — day 7, dose 1
Feeling: Good · None

Adult check-in
2021-02-26
Health check-in — day 14, dose 1
Feeling: Good

Adult check-in
2021-03-05
Health check-in — day 21, dose 1
Feeling: Good

Adult check-in
2021-03-12
Health check-in — day 28, dose 1
Feeling: Good

Adult check-in
2021-03-16
Dose 2 — Moderna
2021-03-19
Survey response — days 1–6 daily, dose 2
MedDRA: Dizziness — Feeling: Fair · Site: Pain · Headache, Muscle or body aches, 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
2021-03-20
Survey response — days 1–6 daily, dose 2
MedDRA: Headache, Nausea — Feeling: Fair · Site: Pain · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Free text: Cant tell if nausea is related to headache.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-21
Survey response — days 1–6 daily, dose 2
MedDRA: Dizziness, Tinnitus — Feeling: Fair · Joint pains, Muscle or body aches, Fatigue or tiredness

Free text: Forgot to say that Ive had rushing sound in ears for past couple of days, still a bit dizzy.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-22
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Muscle or body aches, Fatigue or tiredness

Adult check-in
2021-03-23
Health check-in — day 7, dose 2
Feeling: Good · Muscle or body aches

Adult check-in
2021-03-30
Survey response — day 14, dose 2
MedDRA: Dizziness, Headache — Feeling: Good

Free text: Headache, dizziness

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-06
Health check-in — day 21, dose 2
Feeling: Good

Adult check-in
2021-04-13
Survey response — day 28, dose 2
MedDRA: Emergency care — Feeling: Good · Get care from a doctor or other healthcare professional · Emergency room or emergency department visit

Free text: Symptoms: Dizziness, rushing sound in ears, chest pains. Went to ER, all okay. · Healthcare visit (other): Kept overnight for observation & variety of tests for possible cardiac problem.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-13
Report sent to call center — day 28, dose 2
Get care from a doctor or other healthcare professional

1 call case(s)
2021-04-20
Health check-in — day 35, dose 2
Feeling: Good

Adult check-in
2021-04-27
Survey response — day 42, dose 2
MedDRA: Blood pressure fluctuation, Blood sodium decreased, Chest pain, Dizziness, Emergency care, Hepatic enzyme abnormal, Medical observation, Office visit, Specialist consultation, Tinnitus, Unevaluable event — Feeling: Good · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Emergency room or emergency department visit

Free text: Symptoms: Rushing sound in ears, dizziness, and chest pains. Went to Dr and was sent to ER, kept overnight for observation. All tests came back okay, except blood pressure which goes up & down, low sodium and some liver enzyme. · Healthcare visit (other): See above

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-27
Report sent to call center — day 42, dose 2
Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional

1 call case(s)
2021-06-15
Health check-in — 3 months, dose 2
Feeling: Good

Adult check-in
2021-09-15
Health check-in — 6 months, dose 2
Feeling: Good

Adult check-in
2021-10-28
Call 1 — Left Voicemail
2022-03-16
Health check-in — 12 months, dose 2
Feeling: Good

Adult check-in

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-02-12	Moderna
2	2021-03-16	Moderna

Call center

2 call center cases

2 unsuccessful

1 wait over 3 months for a first call

See the call center timeline

Free text

Release 4 — days 1–6 daily, dose 1

2021-02-13

Systemic reaction (other): Sudden feeling of faintness, then uncontrollable crying for a couple of minutes

2021-02-14

Systemic reaction (other): Blood pressure is 177/101

2021-02-15

Systemic reaction (other): Blood pressure155/91 Headache all night, but better during day.

Release 5 — days 1–6 daily, dose 2

2021-03-19

Systemic reaction (other): Dizziness

Release 6 — days 1–6 daily, dose 2

2021-03-20

Systemic reaction (other): Cant tell if nausea is related to headache.

2021-03-21

Systemic reaction (other): Forgot to say that Ive had rushing sound in ears for past couple of days, still a bit dizzy.

Release 6 — day 14, dose 2

2021-03-30

Symptoms: Headache, dizziness

Release 7 — day 28, dose 2

2021-04-13

Symptoms: Dizziness, rushing sound in ears, chest pains. Went to ER, all okay.

Healthcare visit (other): Kept overnight for observation & variety of tests for possible cardiac problem.

Release 8 — day 42, dose 2

2021-04-27

Symptoms: Rushing sound in ears, dizziness, and chest pains. Went to Dr and was sent to ER, kept overnight for observation. All tests came back okay, except blood pressure which goes up & down, low sodium and some liver enzyme.

Healthcare visit (other): See above

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
HCVO	Emergency care	✓	✓	✓
HCVO	Unevaluable event	✓	✓	✓
SD	Blood pressure fluctuation	✓	✓	✓
SD	Blood sodium decreased	✓	·	✓
SD	Chest pain	✓	✓	✓
SD	Dizziness	✓	✓	✓
SD	Emergency care	✓	✓	✓
SD	Headache	✓	✓	✓
SD	Hepatic enzyme abnormal	✓	·	✓
SD	Medical observation	✓	·	✓
SD	Office visit	✓	·	✓
SD	Specialist consultation	○	✓	○
SD	Tinnitus	✓	✓	✓
SRO	Blood pressure increased	✓	✓	✓
SRO	Blood pressure measurement	○	✓	○
SRO	Crying	✓	✓	✓
SRO	Dizziness	✓	✓	✓
SRO	Headache	✓	✓	✓
SRO	Nausea	✓	✓	✓
SRO	Tinnitus	✓	✓	✓

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