5BQ-28986-65167

3 vaccinations 13 coded responses 25 check-ins 12 free-text entries 3 call cases

Sex: Female
Age at first dose: 56-60
ZIP prefix: 293 / SC
Registered: 2021-03-17

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

2021-03-16
Dose 1 — Moderna
2021-03-17
Registered in v-safe
2021-03-17
Survey response — days 1–6 daily, dose 1
MedDRA: Confusional state, Dizziness, Medical counselling, Memory impairment — Feeling: Poor · Site: Pain, Swelling · Fever · Chills, Headache, Joint pains, Muscle or body aches, 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

Free text: Systemic reaction (other): Dizziness, light-headed, memory lapses/confusion · Healthcare visit (other): Spoke with doctors office on phone

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-17
Report sent to call center — days 1–6 daily, dose 1
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)
2021-03-18
Survey response — days 1–6 daily, dose 1
MedDRA: Confusional state, Dizziness — Feeling: Fair · Site: Pain, Swelling · Headache, Joint pains, Muscle or body aches, Nausea, Abdominal pain · Be unable to work, Be unable to do your normal daily activities

Free text: dizziness and confusion

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-19
Survey response — days 1–6 daily, dose 1
MedDRA: Amnesia, Confusional state, Dizziness — Feeling: Poor · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea, Diarrhea, Abdominal pain · Be unable to work, Be unable to do your normal daily activities

Free text: Dizziness and confusion. I dont remember conversations or doing things

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-20
Survey response — days 1–6 daily, dose 1
MedDRA: Amnesia, Confusional state, Dizziness, Headache — Feeling: Fair · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea, Abdominal pain · Be unable to work, Be unable to do your normal daily activities

Free text: Dizziness, headache, confusion, memory loss

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: Confusional state, Dizziness — Feeling: Fair · Headache, Joint pains, Fatigue or tiredness, Nausea

Free text: Dizziness, confusion

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: Confusional state, Dizziness — Feeling: Fair · Headache, Joint pains, Abdominal pain

Free text: Dizziness, confusion

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-23
Survey response — day 7, dose 1
MedDRA: Dizziness, Tremor — Feeling: Fair · Fatigue or tiredness

Free text: Dizziness and shakiness

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-30
Survey response — day 14, dose 1
MedDRA: Dizziness, Ear pain, Gastrointestinal disorder, Headache, Nasal congestion, Oropharyngeal pain, Throat irritation, Tremor — Feeling: Poor · Be unable to work, Be unable to do your normal daily activities

Free text: Shakiness, dizziness, headaches continue.New symptoms are scratchy/sore throat, earaches, intestinal issues, nasal congestion.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-07
Survey response — day 21, dose 1
MedDRA: Respiratory tract congestion, Sinusitis — Feeling: Fair

Free text: Sinus infection, chest and head congestion.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-13
Survey response — day 28, dose 1
MedDRA: Abdominal pain upper, Dizziness, Sinusitis — Feeling: Fair · Be unable to work, Be unable to do your normal daily activities

Free text: I developed a bad sinus infection, stomach cramps, and dizziness last week after my check-in. I am finally recovered from that.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-20
Health check-in — day 35, dose 1
Feeling: Fair

Adult check-in
2021-04-27
Health check-in — day 42, dose 1
Feeling: Good

Adult check-in
2021-06-17
Survey response — 3 months, dose 1
MedDRA: Abdominal pain, Dizziness, Gastrointestinal pain — Feeling: Fair · 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, Emergency room or emergency department visit

Free text: Gastrointestinal pain, pain after eating, dizziness.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-06-17
Report sent to call center — 3 months, dose 1
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)
2021-06-18
Call 2 — Left Voicemail
2021-09-14
Health check-in — 6 months, dose 1
Feeling: Good

Adult check-in
2021-12-01
Dose 2 — Janssen/Johnson & Johnson
2022-03-16
Health check-in — 12 months, dose 1
Feeling: Fair

Adult check-in
2022-11-03
Dose 3 — Pfizer-BioNTech
2022-11-06
Health check-in — days 1–6 daily, dose 3
Feeling: Fair · Site: Pain, Swelling · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Abdominal pain · Be unable to do your normal daily activities

Adult check-in
2022-11-08
Survey response — days 1–6 daily, dose 3
MedDRA: Night sweats — Feeling: Fair · Headache

Free text: Night sweats

MedDRA releases: 2024-11 · check-in free text available
2022-11-09
Health check-in — days 1–6 daily, dose 3
Feeling: Good · Fatigue or tiredness

Adult check-in
2022-11-10
Health check-in — day 7, dose 3
Feeling: Good · None

Adult check-in
2022-11-17
Health check-in — day 14, dose 3
Feeling: Good

Adult check-in
2022-12-01
Health check-in — day 28, dose 3
Feeling: Good

Adult check-in
2022-12-08
Health check-in — day 35, dose 3
Feeling: Good

Adult check-in
2022-12-15
Health check-in — day 42, dose 3
Feeling: Good

Adult check-in
2023-02-02
Health check-in — 3 months, dose 3
Feeling: Good

Adult check-in
2023-05-06
Survey response — 6 months, dose 3
MedDRA: Appendicectomy — Feeling: Fair · Be unable to work or attend school, Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Emergency room or emergency department visit

MedDRA releases: 2024-11
2023-05-06
Report sent to call center — 6 months, dose 3
Be unable to work or attend school · Be unable to do your normal daily activities · Get care from a doctor or other healthcare pr

Emergency room or emergency department visit · 1 call case(s)
2023-05-08
Call 1 — Left Voicemail
2023-05-08
Call 1 — Left Voicemail
2023-05-08
Call 1 — Left Voicemail

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-03-16	Moderna
2	2021-12-01	Janssen/Johnson & Johnson	No
3	2022-11-03	Pfizer-BioNTech	No

Call center

3 call center cases

3 unsuccessful

1 wait over 3 months for a first call

See the call center timeline

Free text

Release 5 — days 1–6 daily, dose 1

2021-03-17

Systemic reaction (other): Dizziness, light-headed, memory lapses/confusion

Healthcare visit (other): Spoke with doctors office on phone

2021-03-18

Systemic reaction (other): dizziness and confusion

2021-03-19

Systemic reaction (other): Dizziness and confusion. I dont remember conversations or doing things

Release 6 — days 1–6 daily, dose 1

2021-03-20

Systemic reaction (other): Dizziness, headache, confusion, memory loss

2021-03-21

Systemic reaction (other): Dizziness, confusion

2021-03-22

Systemic reaction (other): Dizziness, confusion

Release 6 — day 7, dose 1

2021-03-23

Systemic reaction (other): Dizziness and shakiness

Release 6 — day 14, dose 1

2021-03-30

Symptoms: Shakiness, dizziness, headaches continue.New symptoms are scratchy/sore throat, earaches, intestinal issues, nasal congestion.

Release 7 — day 21, dose 1

2021-04-07

Symptoms: Sinus infection, chest and head congestion.

Release 7 — day 28, dose 1

2021-04-13

Symptoms: I developed a bad sinus infection, stomach cramps, and dizziness last week after my check-in. I am finally recovered from that.

Release 9 — 3 months, dose 1

2021-06-17

Symptoms: Gastrointestinal pain, pain after eating, dizziness.

Release 12 — days 1–6 daily, dose 3

2022-11-08

Systemic reaction (other): Night sweats

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	Medical counselling	✓	✓	✓
SD	Abdominal pain	✓	✓	✓
SD	Abdominal pain upper	✓	✓	✓
SD	Appendicectomy	·	·	✓
SD	Dizziness	✓	✓	✓
SD	Ear pain	✓	✓	✓
SD	Gastrointestinal disorder	✓	✓	✓
SD	Gastrointestinal pain	✓	✓	✓
SD	Headache	✓	✓	✓
SD	Nasal congestion	✓	✓	✓
SD	Oropharyngeal pain	✓	✓	✓
SD	Respiratory tract congestion	✓	✓	✓
SD	Sinusitis	✓	✓	✓
SD	Throat irritation	✓	✓	✓
SD	Tremor	✓	✓	✓
SRO	Amnesia	✓	✓	✓
SRO	Confusional state	✓	✓	✓
SRO	Dizziness	✓	✓	✓
SRO	Headache	✓	✓	✓
SRO	Memory impairment	✓	✓	✓
SRO	Night sweats	·	·	✓
SRO	Tremor	✓	✓	✓

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