4UM-33073-70522

2 vaccinations 12 coded responses 18 check-ins 12 free-text entries 8 call cases

Sex: Female
Age at first dose: 46-50
ZIP prefix: 010 / MA
Registered: 2020-12-31

Relationship: Self
Race: White
Ethnicity: N/A

Timeline

Registration Vaccinations Survey responses Call reports Cases without a report Call attempts Call successful Pregnancy survey

2020-12-26
Dose 1 — Moderna
2020-12-31
Registered in v-safe
2020-12-31
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Site: Pain · None

Adult check-in
2021-01-01
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Fatigue or tiredness

Adult check-in
2021-01-05
Health check-in — day 7, dose 1
Feeling: Fair · Headache, Fatigue or tiredness

Adult check-in
2021-01-23
Dose 2 — Moderna
2021-01-23
Health check-in — day 0, dose 2
Feeling: Good · Fatigue or tiredness

Adult check-in
2021-01-24
Survey response — days 1–6 daily, dose 2
MedDRA: Heart rate increased, Vertigo — Feeling: Poor · Site: Pain, Redness · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea, Vomiting · Be unable to work, Be unable to do your normal daily activities

Free text: Vertigo, increased HR

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-25
Survey response — days 1–6 daily, dose 2
MedDRA: Vertigo — Feeling: Poor · Site: Pain · Fever · Headache, Joint pains, Fatigue or tiredness · Be unable to work, Be unable to do your normal daily activities

Free text: Vertigo

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-26
Survey response — days 1–6 daily, dose 2
MedDRA: Vertigo — Feeling: Fair · Site: Pain, Redness · Fever · Chills, Fatigue or tiredness, Nausea · Be unable to work, Be unable to do your normal daily activities

Free text: Vertigo

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-27
Survey response — days 1–6 daily, dose 2
MedDRA: Vertigo — Feeling: Poor · Site: Pain, Swelling, Itching · Fever · Chills, Headache, Fatigue or tiredness, Nausea · Be unable to work, Be unable to do your normal daily activities

Free text: Vertigo

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-28
Survey response — days 1–6 daily, dose 2
MedDRA: Office visit, Vertigo — Feeling: Fair · Site: Swelling, Itching · 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: Systemic reaction (other): Vertigo. Starting on a Medrol pack · Healthcare visit (other): Have been followed daily by hospital employee health. Today I was prescribed a Medrol pack

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-28
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)
2021-01-29
Survey response — days 1–6 daily, dose 2
MedDRA: Dyspnoea exertional, Heart rate increased, Medical counselling, Pyrexia, Specialist consultation — Feeling: Fair · Site: Itching · Fever · Fatigue or tiredness · 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: Systemic reaction (other): Shortness of breath with activity, increased HR at rest and with activity · Healthcare visit (other): Contact with PCP and employee health. Started on Medrol yesterday for prolonged immune response. Surprised that fever remains after 24 hours on steroids

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-29
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)
2021-01-30
Health check-in — day 7, dose 2
Feeling: Fair · Fatigue or tiredness, Nausea · Be unable to work, Be unable to do your normal daily activities

Adult check-in
2021-02-06
Survey response — day 14, dose 2
MedDRA: Disturbance in attention, Feeling abnormal, Memory impairment — Feeling: Fair · 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: Dysautonomia symptoms. Fight or flight response to physical stress (even getting up to walk or walking down stairs) or emotional stress (work stress). Inability to concentrate for longer than an hour, foggy thoughts, memory problems- especially with

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-06
Report sent to call center — day 14, 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)
2021-02-13
Survey response — day 21, dose 2
MedDRA: Aphasia, Cognitive disorder, Disturbance in attention, Emotional distress, Fatigue, Feeling abnormal, Sensory disturbance, Stress, Tachycardia, Vertigo — Feeling: Fair · 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: New/returned:Temp lability- normal 97.6 to 99.9/100.4 with stress (physical, cognitive, emotional) Continuing: HR transient tachycardia, difficulty concentrating, word recall, foggy brain, increased vertigo, fatigue.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-13
Report sent to call center — day 21, 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)
2021-02-20
Survey response — day 28, dose 2
MedDRA: Cognitive disorder, Dizziness, Feeling abnormal, Heart rate increased, Malaise, Memory impairment, Office visit, Pyrexia, Vertigo — Feeling: Fair · 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: Symptoms: Continued considerable post vaccination symptoms: brain fog, vertigo, dizziness cognitive and memory difficulties, increased HR with standing, labile temperature (up to 100.4), fatigue, generalized feeling of being unwell. · Healthcare visit (other): Seen by immunologist, started on second course of prednisilone and started on prescription antihistamine.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-20
Report sent to call center — day 28, 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)
2021-02-27
Survey response — day 35, dose 2
MedDRA: Disturbance in attention, Fatigue, Feeling abnormal, Heart rate increased, Loss of personal independence in daily activities, Memory impairment, Office visit, Physiotherapy, Vertigo — Feeling: Fair · 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: Symptoms: All symptoms continue: Increased heart rate, vertigo, brainfog, difficulty concentrating, memory difficulties, difficulty with word recall, fatigue. Not able to return to my regular work or to do many of the things I do normally in my life. · Healthcare visit (other): PT, PCP, immunologist

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-27
Report sent to call center — day 35, 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)
2021-03-06
Survey response — day 42, dose 2
MedDRA: Dizziness, Fatigue, Feeling abnormal, Postural orthostatic tachycardia syndrome, Vertigo — 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: Increased brain fog, fatigue, and vertigo/dizziness. Continued Postural orthostatic tachycardia.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-06
Report sent to call center — day 42, 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)
2021-04-26
Survey response — 3 months, dose 2
MedDRA: Disability, Impaired work ability, Loss of personal independence in daily activities, Office visit, Post viral fatigue syndrome, Post-acute COVID-19 syndrome, Postural orthostatic tachycardia syndrome — 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: Symptoms: Symptoms consistent with POTS (in addition to all of the other symptoms I have had) This includes all symptoms consistent with ME/CFS and Long COVID. I am now disabled. Unable to do all of my ADLs without support from my wife. I am devastated by this · Healthcare visit (other): PCP, immunologist, integrative medicine MD, PT, neurologist, MRI of the brain, sleep study in May, $4,000 worth of labwork which doesnt include the MRI or sleep study. Seeing cardiologist this week. I have been unable to work since January 22 when I received the 2nd dose of Moderna vaccine.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-26
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)
2021-06-14
Call successful
Participant prefers to complete VAERS report online
2022-01-26
Health check-in — 12 months, dose 2
Feeling: Poor

Adult check-in

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2020-12-26	Moderna
2	2021-01-23	Moderna

Call center

8 call center cases

8 successful

See the call center timeline

Free text

Release 2 — days 1–6 daily, dose 2

2021-01-24

Systemic reaction (other): Vertigo, increased HR

2021-01-25

Systemic reaction (other): Vertigo

2021-01-26

Systemic reaction (other): Vertigo

2021-01-27

Systemic reaction (other): Vertigo

Release 3 — days 1–6 daily, dose 2

2021-01-28

Systemic reaction (other): Vertigo. Starting on a Medrol pack

Healthcare visit (other): Have been followed daily by hospital employee health. Today I was prescribed a Medrol pack

2021-01-29

Systemic reaction (other): Shortness of breath with activity, increased HR at rest and with activity

Healthcare visit (other): Contact with PCP and employee health. Started on Medrol yesterday for prolonged immune response. Surprised that fever remains after 24 hours on steroids

Release 3 — day 14, dose 2

2021-02-06

Symptoms: Dysautonomia symptoms. Fight or flight response to physical stress (even getting up to walk or walking down stairs) or emotional stress (work stress). Inability to concentrate for longer than an hour, foggy thoughts, memory problems- especially with cut off by CDC

Release 4 — day 21, dose 2

2021-02-13

Symptoms: New/returned:Temp lability- normal 97.6 to 99.9/100.4 with stress (physical, cognitive, emotional) Continuing: HR transient tachycardia, difficulty concentrating, word recall, foggy brain, increased vertigo, fatigue.

Release 4 — day 28, dose 2

2021-02-20

Symptoms: Continued considerable post vaccination symptoms: brain fog, vertigo, dizziness cognitive and memory difficulties, increased HR with standing, labile temperature (up to 100.4), fatigue, generalized feeling of being unwell.

Healthcare visit (other): Seen by immunologist, started on second course of prednisilone and started on prescription antihistamine.

Release 4 — day 35, dose 2

2021-02-27

Symptoms: All symptoms continue: Increased heart rate, vertigo, brainfog, difficulty concentrating, memory difficulties, difficulty with word recall, fatigue. Not able to return to my regular work or to do many of the things I do normally in my life.

Healthcare visit (other): PT, PCP, immunologist

Release 5 — day 42, dose 2

2021-03-06

Symptoms: Increased brain fog, fatigue, and vertigo/dizziness. Continued Postural orthostatic tachycardia.

Release 8 — 3 months, dose 2

2021-04-26

Symptoms: Symptoms consistent with POTS (in addition to all of the other symptoms I have had) This includes all symptoms consistent with ME/CFS and Long COVID. I am now disabled. Unable to do all of my ADLs without support from my wife. I am devastated by this cut off by CDC

Healthcare visit (other): PCP, immunologist, integrative medicine MD, PT, neurologist, MRI of the brain, sleep study in May, $4,000 worth of labwork which doesnt include the MRI or sleep study. Seeing cardiologist this week. I have been unable to work since January 22 when I received the 2nd dose of Moderna vaccine.

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	Impaired work ability	✓	✓	✓
HCVO	Medical counselling	✓	✓	✓
HCVO	Office visit	✓	✓	✓
HCVO	Physiotherapy	✓	✓	✓
HCVO	Pyrexia	✓	✓	✓
HCVO	Specialist consultation	✓	✓	✓
SD	Aphasia	✓	✓	✓
SD	Cognitive disorder	✓	✓	✓
SD	Disability	✓	✓	✓
SD	Disturbance in attention	✓	✓	✓
SD	Dizziness	✓	✓	✓
SD	Emotional distress	✓	✓	✓
SD	Fatigue	✓	✓	✓
SD	Feeling abnormal	✓	✓	✓
SD	Heart rate increased	✓	✓	✓
SD	Loss of personal independence in daily activities	✓	✓	✓
SD	Malaise	✓	✓	✓
SD	Memory impairment	✓	✓	✓
SD	Post viral fatigue syndrome	✓	✓	✓
SD	Post-acute COVID-19 syndrome	✓	✓	✓
SD	Postural orthostatic tachycardia syndrome	✓	✓	✓
SD	Pyrexia	✓	✓	✓
SD	Sensory disturbance	✓	✓	✓
SD	Stress	✓	✓	✓
SD	Tachycardia	✓	✓	✓
SD	Vertigo	✓	✓	✓
SRO	Dyspnoea exertional	✓	✓	✓
SRO	Heart rate increased	✓	✓	✓
SRO	Vertigo	✓	✓	✓

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