53H-18454-08685

2 vaccinations 9 coded responses 25 check-ins 9 free-text entries 0 call cases

Sex: Female
Age at first dose: 46-50
ZIP prefix: 945 / CA
Registered: 2021-01-13

Relationship: Self
Race: White
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

2021-01-13
Registered in v-safe
2021-01-13
Dose 1 — Moderna
2021-01-13
Health check-in — day 0, dose 1
Feeling: Good · Site: Pain · Muscle or body aches, Fatigue or tiredness

Adult check-in
2021-01-14
Survey response — days 1–6 daily, dose 1
MedDRA: Dizziness — Feeling: Fair · Site: Pain · Headache, Muscle or body aches, Fatigue or tiredness

Free text: Dizzy

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-16
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Site: Pain · Headache, Muscle or body aches

Adult check-in
2021-01-17
Survey response — days 1–6 daily, dose 1
MedDRA: Dizziness — Feeling: Good · Site: Pain · Muscle or body aches, Fatigue or tiredness

Free text: Some dizziness

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-18
Survey response — days 1–6 daily, dose 1
MedDRA: Anxiety, Dizziness, Feeling cold, Feeling hot, Immediate post-injection reaction, Irritability — Feeling: Good · Muscle or body aches

Free text: Last night, I felt hot and cold throughout the night. Also, have felt anxiety almost every day since the vaccine and irritable. Some dizziness still.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-19
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Site: Pain · Muscle or body aches

Adult check-in
2021-01-22
Health check-in — day 7, dose 1
Feeling: Good · Muscle or body aches

Adult check-in
2021-01-27
Health check-in — day 14, dose 1
Feeling: Good

Adult check-in
2021-02-03
Survey response — day 21, dose 1
MedDRA: Dizziness, Headache, Hot flush, Nasal congestion — Feeling: Poor · Be unable to work

Free text: For the past few days, been having hot flashes but it could also be perimenopause; and today I woke up with a headache, stuffed up and feel dizzy.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-10
Health check-in — day 28, dose 1
Feeling: Good

Adult check-in
2021-02-13
Dose 2 — Moderna
2021-02-14
Survey response — days 1–6 daily, dose 2
MedDRA: Injection site pain, Wrong technique in product usage process — Feeling: Poor · Site: Pain · Chills, Joint pains, Muscle or body aches · Be unable to do your normal daily activities

Free text: The person who gave me the shot had to stab it in farther because I jerked away from her when she first jabbed me..when she pushed it in farther it really hurt.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-15
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Site: Pain · Muscle or body aches

Adult check-in
2021-02-16
Survey response — days 1–6 daily, dose 2
MedDRA: Dizziness, Headache — Feeling: Good · Headache

Free text: A little dizzy and a persistent headache since the night before

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-17
Survey response — days 1–6 daily, dose 2
MedDRA: Neck pain — Feeling: Good · Muscle or body aches

Free text: Neck pain but probably unrelated

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-18
Health check-in — days 1–6 daily, dose 2
Feeling: Good · None

Adult check-in
2021-02-19
Health check-in — days 1–6 daily, dose 2
Feeling: Good · None

Adult check-in
2021-02-20
Health check-in — day 7, dose 2
Feeling: Good · None

Adult check-in
2021-02-27
Health check-in — day 14, dose 2
Feeling: Good

Adult check-in
2021-03-06
Health check-in — day 21, dose 2
Feeling: Good

Adult check-in
2021-03-13
Health check-in — day 28, dose 2
Feeling: Good

Adult check-in
2021-03-20
Health check-in — day 35, dose 2
Feeling: Good

Adult check-in
2021-03-27
Health check-in — day 42, dose 2
Feeling: Good

Adult check-in
2021-05-16
Survey response — 3 months, dose 2
MedDRA: Somnolence — Feeling: Good

Free text: Really sleepy but is getting better

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-08-14
Health check-in — 6 months, dose 2
Feeling: Good

Adult check-in
2022-02-13
Survey response — 12 months, dose 2
MedDRA: Dizziness, Fatigue — Feeling: Good

Free text: Consistent fatigue and dizziness

MedDRA releases: 2024-11 · check-in free text available

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-01-13	Moderna
2	2021-02-13	Moderna

Free text

Release 2 — days 1–6 daily, dose 1

2021-01-14

Systemic reaction (other): Dizzy

2021-01-17

Systemic reaction (other): Some dizziness

2021-01-18

Systemic reaction (other): Last night, I felt hot and cold throughout the night. Also, have felt anxiety almost every day since the vaccine and irritable. Some dizziness still.

Release 3 — day 21, dose 1

2021-02-03

Symptoms: For the past few days, been having hot flashes but it could also be perimenopause; and today I woke up with a headache, stuffed up and feel dizzy.

Release 4 — days 1–6 daily, dose 2

2021-02-14

Systemic reaction (other): The person who gave me the shot had to stab it in farther because I jerked away from her when she first jabbed me..when she pushed it in farther it really hurt.

2021-02-16

Systemic reaction (other): A little dizzy and a persistent headache since the night before

2021-02-17

Systemic reaction (other): Neck pain but probably unrelated

Release 8 — 3 months, dose 2

2021-05-16

Symptoms: Really sleepy but is getting better

Release 11 — 12 months, dose 2

2022-02-13

Symptoms: Consistent fatigue and dizziness

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	Fatigue	·	·	✓
SD	Headache	✓	✓	✓
SD	Hot flush	✓	✓	✓
SD	Nasal congestion	✓	✓	✓
SD	Somnolence	✓	✓	✓
SRO	Anxiety	✓	✓	✓
SRO	Dizziness	✓	✓	✓
SRO	Feeling cold	✓	✓	✓
SRO	Feeling hot	✓	✓	✓
SRO	Headache	✓	✓	✓
SRO	Immediate post-injection reaction	✓	✓	✓
SRO	Injection site pain	✓	✓	✓
SRO	Irritability	✓	✓	✓
SRO	Neck pain	✓	✓	✓
SRO	Wrong technique in product usage process	✓	✓	✓

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