56N-30262-68849

2 vaccinations 9 coded responses 22 check-ins 9 free-text entries 1 call case

Sex: Female
Age at first dose: 51-55
ZIP prefix: 068 / CT
Registered: 2021-03-20

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

2021-03-20
Registered in v-safe
2021-03-20
Dose 1 — Moderna
2021-03-20
Survey response — day 0, dose 1
MedDRA: Dizziness — Feeling: Good · Site: Pain

Free text: Mildly dizzy

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-21
Survey response — days 1–6 daily, dose 1
MedDRA: Dizziness, Tinnitus — Feeling: Fair · Site: Pain · Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Free text: Dizziness and ringing ears

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-22
Survey response — days 1–6 daily, dose 1
MedDRA: Dizziness — Feeling: Good · Site: Pain

Free text: Mild dizziness

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-23
Survey response — days 1–6 daily, dose 1
MedDRA: Dizziness — Feeling: Fair · Fatigue or tiredness · Be unable to do your normal daily activities

Free text: Mild intermttent dizziness

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-24
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-03-27
Health check-in — day 7, dose 1
Feeling: Good · None

Adult check-in
2021-04-05
Health check-in — day 14, dose 1
Feeling: Good

Adult check-in
2021-04-10
Health check-in — day 21, dose 1
Feeling: Good

Adult check-in
2021-04-17
Dose 2 — Moderna
2021-04-17
Health check-in — day 0, dose 2
Feeling: Good · Site: Pain, Swelling · Fatigue or tiredness

Adult check-in
2021-04-18
Survey response — days 1–6 daily, dose 2
MedDRA: Dizziness, Heart rate increased, Limb discomfort, Self-medication — Feeling: Poor · Site: Pain, Redness, Swelling · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea, Diarrhea · Be unable to do your normal daily activities

Free text: Dizziness, body feeling overall heavy, slight increased heart rate (it felt the way it usually does after taking my Albuterol - except I havent used it for weeks)

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-19
Survey response — days 1–6 daily, dose 2
MedDRA: Dizziness — Feeling: Fair · Site: Pain, Redness, Swelling · Fatigue or tiredness, Nausea · Be unable to do your normal daily activities

Free text: Dizziness

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-21
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Site: Redness, Swelling · Fatigue or tiredness

Adult check-in
2021-04-22
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Site: Pain, Redness, Swelling · None

Adult check-in
2021-04-24
Health check-in — day 7, dose 2
Feeling: Good · Site: Redness · None

Adult check-in
2021-05-03
Health check-in — day 14, dose 2
Feeling: Good

Adult check-in
2021-05-08
Health check-in — day 21, dose 2
Feeling: Good

Adult check-in
2021-05-15
Health check-in — day 28, dose 2
Feeling: Good

Adult check-in
2021-05-22
Survey response — day 35, dose 2
MedDRA: Condition aggravated, Pre-existing disease — Feeling: Good

Free text: Since my 2nd shot Ive had a HUGE flare up of psoriasis Ive forgotten to mention.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-29
Survey response — day 42, dose 2
MedDRA: Pre-existing disease, Psoriasis — Feeling: Good

Free text: Worsening psoriasis

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-07-19
Health check-in — 3 months, dose 2
Feeling: Good

Adult check-in
2021-10-18
Health check-in — 6 months, dose 2
Feeling: Good

Adult check-in
2022-04-19
Survey response — 12 months, dose 2
MedDRA: Mast cell activation syndrome, Office visit, Telemedicine — Feeling: Good · Be unable to work or attend school, Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional

Free text: Symptoms: SEVERE mast cell reaction 2 weeks after booster · Healthcare visit (other): Virtual and in person doctorvisits

MedDRA releases: 2024-11 · check-in free text available
2022-04-19
Report sent to call center — 12 months, dose 2
Be unable to work or attend school · Be unable to do your normal daily activities · Get care from a doctor or other healthcare pr

1 call case(s)
2022-04-21
Call 1 — Left Voicemail

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-03-20	Moderna
2	2021-04-17	Moderna

Call center

1 call center case

1 unsuccessful

See the call center timeline

Free text

Release 6 — day 0, dose 1

2021-03-20

Systemic reaction (other): Mildly dizzy

Release 6 — days 1–6 daily, dose 1

2021-03-21

Systemic reaction (other): Dizziness and ringing ears

2021-03-22

Systemic reaction (other): Mild dizziness

2021-03-23

Systemic reaction (other): Mild intermttent dizziness

Release 7 — days 1–6 daily, dose 2

2021-04-18

Systemic reaction (other): Dizziness, body feeling overall heavy, slight increased heart rate (it felt the way it usually does after taking my Albuterol - except I havent used it for weeks)

2021-04-19

Systemic reaction (other): Dizziness

Release 8 — day 35, dose 2

2021-05-22

Symptoms: Since my 2nd shot Ive had a HUGE flare up of psoriasis Ive forgotten to mention.

Release 8 — day 42, dose 2

2021-05-29

Symptoms: Worsening psoriasis

Release 11 — 12 months, dose 2

2022-04-19

Symptoms: SEVERE mast cell reaction 2 weeks after booster

Healthcare visit (other): Virtual and in person doctorvisits

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	Office visit	·	·	✓
HCVO	Telemedicine	·	·	✓
SD	Condition aggravated	✓	✓	✓
SD	Mast cell activation syndrome	·	·	✓
SD	Pre-existing disease	✓	✓	✓
SD	Psoriasis	✓	✓	✓
SRO	Dizziness	✓	✓	✓
SRO	Heart rate increased	✓	✓	✓
SRO	Limb discomfort	✓	✓	✓
SRO	Self-medication	✓	✓	✓
SRO	Tinnitus	✓	✓	✓

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