58F-11900-19530

2 vaccinations 11 coded responses 21 check-ins 11 free-text entries 3 call cases

Sex: Female
Age at first dose: 46-50
ZIP prefix: 483 / MI
Registered: 2021-02-05

Relationship: Self
Race: American Indian or Alaska Native
Ethnicity: Hispanic or Latino

Timeline

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

2021-02-05
Registered in v-safe
2021-02-05
Dose 1 — Moderna
2021-02-05
Survey response — day 0, dose 1
MedDRA: Dizziness, Feeling abnormal, Headache — Feeling: Fair · Site: Pain · Fever · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Free text: Dizziness / cloudy headed / foggy

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-06
Survey response — days 1–6 daily, dose 1
MedDRA: Dizziness — Feeling: Fair · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness

Free text: Dizziness

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-07
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Headache, Joint pains

Adult check-in
2021-02-08
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Headache

Adult check-in
2021-02-09
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Headache

Adult check-in
2021-02-10
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Headache

Adult check-in
2021-02-11
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Headache

Adult check-in
2021-02-12
Health check-in — day 7, dose 1
Feeling: Good · Headache

Adult check-in
2021-02-20
Health check-in — day 14, dose 1
Feeling: Good

Adult check-in
2021-02-26
Health check-in — day 21, dose 1
Feeling: Good

Adult check-in
2021-03-05
Dose 2 — Moderna
2021-03-05
Survey response — day 0, dose 2
MedDRA: Dizziness — Feeling: Poor · Site: Pain · Fever · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to do your normal daily activities

Free text: Dizziness > eyes focus seems odd

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-06
Survey response — days 1–6 daily, dose 2
MedDRA: Dizziness — Feeling: Poor · Site: Pain, Swelling · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea, Vomiting, Diarrhea, Abdominal pain · Be unable to do your normal daily activities

Free text: Dizzy

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-07
Survey response — days 1–6 daily, dose 2
MedDRA: Blood glucose increased — Feeling: Poor · Site: Pain, Swelling · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea, Vomiting, Diarrhea, Abdominal pain · Get care from a doctor or other healthcare professional · Emergency room or emergency department visit

Free text: Been admitted to hospital. My sugar level kept rising.. went to 500

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-07
Report sent to call center — days 1–6 daily, dose 2
Get care from a doctor or other healthcare professional

1 call case(s)
2021-03-08
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Pain · Fever · Headache, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to do your normal daily activities

Adult check-in
2021-03-09
Survey response — days 1–6 daily, dose 2
MedDRA: Blood glucose fluctuation, Hospitalisation, Pre-existing disease — Feeling: Poor · Headache, Muscle or body aches, Fatigue or tiredness, Nausea, Vomiting, Diarrhea · Be unable to work

Free text: Glucose levels are fluctuations was in hospital 500 reading I am a type 2 diabetic

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-10
Survey response — days 1–6 daily, dose 2
MedDRA: Blood glucose increased, Diabetes mellitus, Hospitalisation, Pre-existing disease — Feeling: Poor · Headache, Nausea · Be unable to work

Free text: Diabetic..sugars are high hospital twice

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-14
Health check-in — day 7, dose 2
Feeling: Fair · Headache, Nausea

Adult check-in
2021-03-21
Survey response — day 14, dose 2
MedDRA: Blood glucose increased, Pre-existing disease — Feeling: Fair · Be unable to work

Free text: Sugar levels spiking. Type 2 diabetic since 2011 was hospitalized twice

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-26
Survey response — day 21, dose 2
MedDRA: Blood glucose fluctuation, Epistaxis, Headache, Insulin therapy, Pre-existing disease — Feeling: Poor · Be unable to do your normal daily activities

Free text: Glucose now on insulin type 2 diabetic since 2011 was controlled now spiking and dropping. Nose bleeds. Headaches.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-11
Survey response — day 35, dose 2
MedDRA: Blood glucose fluctuation, Hospitalisation, Pre-existing disease — Feeling: Poor · Be unable to work, Get care from a doctor or other healthcare professional · Emergency room or emergency department visit

Free text: Blood glucose is high spikes then drops. Was not on insulin before vaccine. Would not suggest anyone who is diabetic to get it. Been hospitalized 3 times.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-11
Report sent to call center — day 35, dose 2
Be unable to work · Get care from a doctor or other healthcare professional

1 call case(s)
2021-09-03
Survey response — 6 months, dose 2
MedDRA: Blood glucose abnormal, Burning sensation, Epistaxis, Fatigue, Headache, Migraine, Transient ischaemic attack — Feeling: Poor · Be unable to work or attend school, 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, Emergency room or emergency department visit, Hospitalization

Free text: Symptoms: Pain and burn in forehead then nosebleeds. Headaches migraines..Glucose issues. Fatigue Wish I would Have never taken the Moderna Vaccine. I wanted Pfizer however at that point we werent given a choice just what was on hand. Per our employee healt · Healthcare visit (other): Headache with bloody nose.18 total TIA

MedDRA releases: 2021-09,2024-11 · check-in free text available
2021-09-03
Report sent to call center — 6 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)
2021-09-08
Call 1 — Left Voicemail

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-02-05	Moderna
2	2021-03-05	Moderna

Call center

3 call center cases

3 unsuccessful

See the call center timeline

Free text

Release 3 — day 0, dose 1

2021-02-05

Systemic reaction (other): Dizziness / cloudy headed / foggy

Release 3 — days 1–6 daily, dose 1

2021-02-06

Systemic reaction (other): Dizziness

Release 5 — day 0, dose 2

2021-03-05

Systemic reaction (other): Dizziness > eyes focus seems odd

Release 5 — days 1–6 daily, dose 2

2021-03-06

Systemic reaction (other): Dizzy

2021-03-07

Systemic reaction (other): Been admitted to hospital. My sugar level kept rising.. went to 500

2021-03-09

Systemic reaction (other): Glucose levels are fluctuations was in hospital 500 reading I am a type 2 diabetic

2021-03-10

Systemic reaction (other): Diabetic..sugars are high hospital twice

Release 6 — day 14, dose 2

2021-03-21

Symptoms: Sugar levels spiking. Type 2 diabetic since 2011 was hospitalized twice

Release 6 — day 21, dose 2

2021-03-26

Symptoms: Glucose now on insulin type 2 diabetic since 2011 was controlled now spiking and dropping. Nose bleeds. Headaches.

Release 7 — day 35, dose 2

2021-04-11

Symptoms: Blood glucose is high spikes then drops. Was not on insulin before vaccine. Would not suggest anyone who is diabetic to get it. Been hospitalized 3 times.

Release 9 — 6 months, dose 2

2021-09-03

Symptoms: Pain and burn in forehead then nosebleeds. Headaches migraines..Glucose issues. Fatigue Wish I would Have never taken the Moderna Vaccine. I wanted Pfizer however at that point we werent given a choice just what was on hand. Per our employee healt

Healthcare visit (other): Headache with bloody nose.18 total TIA

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	Epistaxis	✓	·	✓
HCVO	Headache	✓	·	✓
HCVO	Transient ischaemic attack	✓	·	✓
SD	Blood glucose abnormal	✓	·	✓
SD	Blood glucose fluctuation	✓	✓	✓
SD	Blood glucose increased	✓	✓	✓
SD	Burning sensation	✓	·	✓
SD	Epistaxis	✓	✓	✓
SD	Fatigue	✓	·	✓
SD	Headache	✓	✓	✓
SD	Hospitalisation	✓	✓	✓
SD	Insulin therapy	○	✓	○
SD	Migraine	✓	·	✓
SD	Pre-existing disease	✓	✓	✓
SRO	Blood glucose fluctuation	✓	✓	✓
SRO	Blood glucose increased	✓	✓	✓
SRO	Diabetes mellitus	✓	✓	✓
SRO	Dizziness	✓	✓	✓
SRO	Feeling abnormal	✓	✓	✓
SRO	Headache	✓	✓	✓
SRO	Hospitalisation	✓	✓	✓
SRO	Pre-existing disease	✓	✓	✓

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