5A9-21022-42177

3 vaccinations 11 coded responses 36 check-ins 11 free-text entries 2 call cases

Sex: Female
Age at first dose: 41-45
ZIP prefix: 373 / TN
Registered: 2021-03-23

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

2021-03-23
Registered in v-safe
2021-03-23
Dose 1 — Moderna
2021-03-23
Survey response — day 0, dose 1
MedDRA: Dizziness — Feeling: Fair · Site: Pain · Fatigue or tiredness, Nausea

Free text: 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: Poor · Site: Pain · Fever · Chills, Headache, Fatigue or tiredness, Diarrhea · Be unable to do your normal daily activities

Adult check-in
2021-03-26
Survey response — days 1–6 daily, dose 1
MedDRA: Injection site nodule, Injection site pain — Feeling: Fair · Site: Pain · Be unable to do your normal daily activities

Free text: I have muscle pain in a knot right below where i was given the shot

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-28
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-03-29
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-03-30
Health check-in — day 7, dose 1
Feeling: Good · None

Adult check-in
2021-04-06
Health check-in — day 14, dose 1
Feeling: Good

Adult check-in
2021-04-13
Health check-in — day 21, dose 1
Feeling: Good

Adult check-in
2021-04-20
Health check-in — day 28, dose 1
Feeling: Good

Adult check-in
2021-04-23
Dose 2 — Moderna
2021-04-23
Health check-in — day 0, dose 2
Feeling: Fair · None

Adult check-in
2021-04-24
Survey response — days 1–6 daily, dose 2
MedDRA: Dyspnoea — Feeling: Poor · Site: Pain · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Free text: Shortness of breath

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

Free text: Short of breath, dizzy, light headed

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

Free text: Dizzy, light headed

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-27
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Pain, Redness · Fever · Chills, Fatigue or tiredness · Be unable to work, Be unable to do your normal daily activities

Adult check-in
2021-04-28
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Pain · Chills, Fatigue or tiredness, Nausea · Be unable to do your normal daily activities

Adult check-in
2021-04-29
Health check-in — days 1–6 daily, dose 2
Feeling: Poor · Fever · Chills, Fatigue or tiredness, Nausea, Diarrhea, Abdominal pain · Be unable to do your normal daily activities

Adult check-in
2021-04-30
Survey response — day 7, dose 2
MedDRA: Dizziness — Feeling: Fair · Fatigue or tiredness · Be unable to do your normal daily activities

Free text: Dizziness and lightheaded

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-07
Health check-in — day 14, dose 2
Feeling: Good

Adult check-in
2021-05-14
Health check-in — day 21, dose 2
Feeling: Good

Adult check-in
2021-05-21
Health check-in — day 28, dose 2
Feeling: Good

Adult check-in
2021-05-28
Health check-in — day 35, dose 2
Feeling: Good

Adult check-in
2021-06-04
Health check-in — day 42, dose 2
Feeling: Good

Adult check-in
2021-07-23
Health check-in — 3 months, dose 2
Feeling: Good

Adult check-in
2021-10-22
Survey response — 6 months, dose 2
MedDRA: Dizziness, Liver function test decreased, Nausea, Office visit, White blood cell count increased — Feeling: Good · Get care from a doctor or other healthcare professional

Free text: Symptoms: My white blood cell count is higher now. My liver levels are off. One is ok, and the other is low. I'm always dizzy, and i have nausea that comes and goes. · Healthcare visit (other): Primary care and GI doctor

MedDRA releases: 2024-11 · check-in free text available
2021-10-22
Report sent to call center — 6 months, dose 2
Get care from a doctor or other healthcare professional

1 call case(s)
2021-10-27
Dose 3 — Moderna
2021-10-27
Call 1 — Could Not Reach Participant
2021-10-30
Health check-in — days 1–6 daily, dose 3
Feeling: Poor · Site: Pain, Redness, Swelling · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea, Vomiting · Be unable to do your normal daily activities

Adult check-in
2021-10-31
Health check-in — days 1–6 daily, dose 3
Feeling: Fair · Site: Pain, Redness, Swelling · Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to do your normal daily activities

Adult check-in
2021-11-01
Survey response — days 1–6 daily, dose 3
MedDRA: Dizziness — Feeling: Fair · Site: Pain, Redness · Fatigue or tiredness, Nausea · Be unable to do your normal daily activities

Free text: Dizziness

MedDRA releases: 2024-11 · check-in free text available
2021-11-01
Call successful
Not applicable (accidental reporting or does not believe symptoms are related to vaccine)
2021-11-02
Survey response — days 1–6 daily, dose 3
MedDRA: Dizziness — Feeling: Fair · Site: Pain, Redness · Fatigue or tiredness, Nausea · Be unable to do your normal daily activities

Free text: Dizziness

MedDRA releases: 2024-11 · check-in free text available
2021-11-03
Survey response — day 7, dose 3
MedDRA: Dizziness — Feeling: Fair · Site: Pain · Fatigue or tiredness, Nausea · Be unable to do your normal daily activities

Free text: Dizziness is moderate but always there

MedDRA releases: 2024-11 · check-in free text available
2021-11-12
Health check-in — day 14, dose 3
Feeling: Good

Adult check-in
2021-11-17
Health check-in — day 21, dose 3
Feeling: Good

Adult check-in
2021-11-26
Health check-in — day 28, dose 3
Feeling: Fair

Adult check-in
2021-12-01
Health check-in — day 35, dose 3
Feeling: Fair

Adult check-in
2021-12-08
Health check-in — day 42, dose 3
Feeling: Good

Adult check-in
2022-01-26
Health check-in — 3 months, dose 3
Feeling: Good

Adult check-in
2022-04-27
Survey response — 6 months, dose 3
MedDRA: Office visit, Sinus disorder, White blood cell count increased — Feeling: Fair · Get care from a doctor or other healthcare professional

Free text: Symptoms: I feel like I have a constant sinus infection and my white blood count is always higher than it has been in the past · Healthcare visit (other): Just going to my pcp a lot

MedDRA releases: 2024-11 · check-in free text available
2022-04-27
Report sent to call center — 6 months, dose 3
Get care from a doctor or other healthcare professional

1 call case(s)
2022-04-28
Call 1 — Left Voicemail

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-03-23	Moderna
2	2021-04-23	Moderna
3	2021-10-27	Moderna	No

Call center

2 call center cases

1 successful · 1 unsuccessful

See the call center timeline

Free text

Release 6 — day 0, dose 1

2021-03-23

Systemic reaction (other): Dizziness

Release 6 — days 1–6 daily, dose 1

2021-03-26

Systemic reaction (other): I have muscle pain in a knot right below where i was given the shot

Release 7 — days 1–6 daily, dose 2

2021-04-24

Systemic reaction (other): Shortness of breath

2021-04-25

Systemic reaction (other): Short of breath, dizzy, light headed

Release 8 — days 1–6 daily, dose 2

2021-04-26

Systemic reaction (other): Dizzy, light headed

Release 8 — day 7, dose 2

2021-04-30

Systemic reaction (other): Dizziness and lightheaded

Release 10 — 6 months, dose 2

2021-10-22

Symptoms: My white blood cell count is higher now. My liver levels are off. One is ok, and the other is low. I'm always dizzy, and i have nausea that comes and goes.

Healthcare visit (other): Primary care and GI doctor

Release 10 — days 1–6 daily, dose 3

2021-11-01

Systemic reaction (other): Dizziness

2021-11-02

Systemic reaction (other): Dizziness

Release 10 — day 7, dose 3

2021-11-03

Systemic reaction (other): Dizziness is moderate but always there

Release 11 — 6 months, dose 3

2022-04-27

Symptoms: I feel like I have a constant sinus infection and my white blood count is always higher than it has been in the past

Healthcare visit (other): Just going to my pcp a lot

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	·	·	✓
SD	Dizziness	·	·	✓
SD	Liver function test decreased	·	·	✓
SD	Nausea	·	·	✓
SD	Sinus disorder	·	·	✓
SD	White blood cell count increased	·	·	✓
SRO	Dizziness	✓	✓	✓
SRO	Dyspnoea	✓	✓	✓
SRO	Injection site nodule	✓	✓	✓
SRO	Injection site pain	✓	✓	✓

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