4R2-20165-39037
2 vaccinations
6 coded responses
24 check-ins
6 free-text entries
3 call cases
- Sex
- Male
- Age at first dose
- 66+
- ZIP prefix
- 200 / DC
- Registered
- 2021-01-19
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-01-19
Registered in v-safe
-
2021-01-19
Dose 1 — Moderna
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2021-01-19
Survey response — day 0, dose 1MedDRA: Dizziness — Feeling: GoodFree text: Just a tiny bit light-headedMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-01-20
Survey response — days 1–6 daily, dose 1MedDRA: Balance disorder, Dizziness — Feeling: GoodFree text: Yesterday, I first felt a little light-headed, and then even a little dizzy and close to losing my balance on a couple of occasions. I had to walk very cautiously. That feeling was almost completely gone by this morning.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-01-21
- 2021-01-22
- 2021-01-23
- 2021-01-24
- 2021-01-25
- 2021-01-28
- 2021-02-02
- 2021-02-09
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2021-02-16
Dose 2 — Moderna
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2021-02-16
Survey response — day 0, dose 2MedDRA: Dizziness — Feeling: GoodFree text: Just a tiny bit of light-headedness.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-02-17
- 2021-02-18
- 2021-02-19
- 2021-02-20
- 2021-02-21
- 2021-02-23
- 2021-03-04
- 2021-03-10
- 2021-03-16
- 2021-03-24
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2021-05-20
Survey response — 3 months, dose 2MedDRA: Dizziness, Fatigue, Pre-existing disease — Feeling: Good · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visitFree text: 2 weeks after my 2nd vaccine, I felt lightheaded and a little fatigued - symptoms like those of a previous inner ear virus and a previous sinus infection. So I thought they were unrelated to the vaccine. Now I am convinced they are. Symptoms now goneMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-05-20
Report sent to call center — 3 months, dose 2Get care from a doctor or other healthcare professional1 call case(s)
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2021-08-19
Survey response — 6 months, dose 2MedDRA: Deafness unilateral, Dizziness, Fatigue, Nasopharyngitis — Feeling: Fair · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visitFree text: Slight dizziness, considerable loss of hearing in one ear, slight common cold (no fever) with some fatigueMedDRA releases: 2021-09,2024-11 · check-in free text available
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2021-08-19
Report sent to call center — 6 months, dose 2Get care from a doctor or other healthcare professional1 call case(s)
- 2021-08-20
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2022-02-17
Survey response — 12 months, dose 2MedDRA: Deafness unilateral, Hypoacusis, Vertigo — Feeling: Good · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visitFree text: I have suffered from mild vertigo and partial hearing loss in one ear that seem to have come from no other source than my vaccinations.MedDRA releases: 2024-11 · check-in free text available
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2022-02-17
Report sent to call center — 12 months, dose 2Get care from a doctor or other healthcare professionalOutpatient clinic or urgent care clinic visit · 1 call case(s)
- 2022-02-18
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2022-03-23
Call successfulParticipant prefers to complete VAERS report online
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-01-19 | Moderna | |
| 2 | 2021-02-16 | Moderna |
Call center
3 call center cases
3 successful
Free text
Release 2 — day 0, dose 1
Systemic reaction (other): Just a tiny bit light-headed
Release 2 — days 1–6 daily, dose 1
Systemic reaction (other): Yesterday, I first felt a little light-headed, and then even a little dizzy and close to losing my balance on a couple of occasions. I had to walk very cautiously. That feeling was almost completely gone by this morning.
Release 4 — day 0, dose 2
Systemic reaction (other): Just a tiny bit of light-headedness.
Release 8 — 3 months, dose 2
Symptoms: 2 weeks after my 2nd vaccine, I felt lightheaded and a little fatigued - symptoms like those of a previous inner ear virus and a previous sinus infection. So I thought they were unrelated to the vaccine. Now I am convinced they are. Symptoms now gone cut off by CDC
Release 9 — 6 months, dose 2
Symptoms: Slight dizziness, considerable loss of hearing in one ear, slight common cold (no fever) with some fatigue
Release 11 — 12 months, dose 2
Symptoms: I have suffered from mild vertigo and partial hearing loss in one ear that seem to have come from no other source than my vaccinations.
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 | Deafness unilateral | ✓ | · | ✓ |
| SD | Dizziness | ✓ | ✓ | ✓ |
| SD | Fatigue | ✓ | ✓ | ✓ |
| SD | Hypoacusis | · | · | ✓ |
| SD | Nasopharyngitis | ✓ | · | ✓ |
| SD | Pre-existing disease | ✓ | ✓ | ✓ |
| SD | Vertigo | · | · | ✓ |
| SRO | Balance disorder | ✓ | ✓ | ✓ |
| SRO | Dizziness | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release