5BZ-30817-50829

3 vaccinations 10 coded responses 21 check-ins 10 free-text entries 0 call cases

Sex: Female
Age at first dose: 51-55
ZIP prefix: 482 / MI
Registered: 2021-01-29

Relationship: Self
Race: Black or African American
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

2020-12-29
Dose 1 — Moderna
2021-01-29
Registered in v-safe
2021-01-29
Dose 2 — Moderna
2021-02-02
Survey response — days 1–6 daily, dose 2
MedDRA: Injection site nodule, Injection site pain, Self-medication — Feeling: Good · Site: Pain, Swelling, Itching · Fatigue or tiredness

Free text: 25 mm nodule in arm st site of injection. Sore to touch. No longer taking motrin . Pain was severe. Now only sore to touch.. size only decreased slightly.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-05
Survey response — day 7, dose 2
MedDRA: Dizziness, Nodule, Tenderness — Feeling: Good · Site: Swelling

Free text: Nodule in arm has shrunk to about 10 mm. Sore only when pressure applied. I have been experieng transient lighthead ness and dizziness that I was not having prior to vaccine.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-12
Health check-in — day 14, dose 2
Feeling: Good

Adult check-in
2021-02-21
Survey response — day 21, dose 2
MedDRA: Dizziness — Feeling: Good

Free text: Transient dizziness; feeling lightheaded

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-27
Survey response — day 28, dose 2
MedDRA: Dizziness, Electric shock sensation, Neuralgia — Feeling: Good

Free text: Transient shock luke pains. Not joint pain. More like nerve pain. Still experiencing transient dizziness/ lightheadness.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-05
Health check-in — day 35, dose 2
Feeling: Good

Adult check-in
2021-03-12
Survey response — day 42, dose 2
MedDRA: Dizziness — Feeling: Good

Free text: I am still experiencing transient dizziness several times a week.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-02
Health check-in — 3 months, dose 2
Feeling: Fair

Adult check-in
2021-08-01
Health check-in — 6 months, dose 2
Feeling: Good

Adult check-in
2021-11-13
Dose 3 — Moderna
2021-11-15
Health check-in — days 1–6 daily, dose 3
Feeling: Good · Site: Pain · Fatigue or tiredness

Adult check-in
2021-11-18
Survey response — days 1–6 daily, dose 3
MedDRA: Nasal congestion — Feeling: Fair · Headache

Free text: Daily nasal congestion that I was not having. No runny nose just moderate to severe congestion

MedDRA releases: 2024-11 · check-in free text available
2021-11-19
Survey response — days 1–6 daily, dose 3
MedDRA: Ear congestion, Sinus congestion, Upper respiratory tract congestion — Feeling: Fair · Fatigue or tiredness

Free text: Upper respiratory congestion including ears and sinuss congestion without mucus production

MedDRA releases: 2024-11 · check-in free text available
2021-11-20
Health check-in — day 7, dose 3
Feeling: Good · None

Adult check-in
2021-11-27
Health check-in — day 14, dose 3
Feeling: Good

Adult check-in
2021-12-04
Health check-in — day 21, dose 3
Feeling: Fair

Adult check-in
2021-12-11
Health check-in — day 28, dose 3
Feeling: Good

Adult check-in
2021-12-19
Survey response — day 35, dose 3
MedDRA: Headache, Sinus congestion — Feeling: Fair

Free text: Headache. Stuffy sinuses

MedDRA releases: 2024-11 · check-in free text available
2021-12-25
Health check-in — day 42, dose 3
Feeling: Good

Adult check-in
2022-02-12
Health check-in — 3 months, dose 3
Feeling: Good

Adult check-in
2022-05-14
Survey response — 6 months, dose 3
MedDRA: Dizziness — Feeling: Fair

Free text: Dizziness

MedDRA releases: 2024-11 · check-in free text available
2022-11-13
Survey response — 12 months, dose 3
MedDRA: Dizziness, Vertigo — Feeling: Fair

Free text: Dizziness vertigo

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

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2020-12-29	Moderna
2	2021-01-29	Moderna
3	2021-11-13	Moderna	No

Free text

Release 3 — days 1–6 daily, dose 2

2021-02-02

Systemic reaction (other): 25 mm nodule in arm st site of injection. Sore to touch. No longer taking motrin . Pain was severe. Now only sore to touch.. size only decreased slightly.

Release 3 — day 7, dose 2

2021-02-05

Systemic reaction (other): Nodule in arm has shrunk to about 10 mm. Sore only when pressure applied. I have been experieng transient lighthead ness and dizziness that I was not having prior to vaccine.

Release 4 — day 21, dose 2

2021-02-21

Symptoms: Transient dizziness; feeling lightheaded

Release 4 — day 28, dose 2

2021-02-27

Symptoms: Transient shock luke pains. Not joint pain. More like nerve pain. Still experiencing transient dizziness/ lightheadness.

Release 5 — day 42, dose 2

2021-03-12

Symptoms: I am still experiencing transient dizziness several times a week.

Release 10 — days 1–6 daily, dose 3

2021-11-18

Systemic reaction (other): Daily nasal congestion that I was not having. No runny nose just moderate to severe congestion

2021-11-19

Systemic reaction (other): Upper respiratory congestion including ears and sinuss congestion without mucus production

Release 10 — day 35, dose 3

2021-12-19

Symptoms: Headache. Stuffy sinuses

Release 11 — 6 months, dose 3

2022-05-14

Symptoms: Dizziness

Release 12 — 12 months, dose 3

2022-11-13

Symptoms: Dizziness vertigo

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	Electric shock sensation	✓	✓	✓
SD	Headache	·	·	✓
SD	Neuralgia	✓	✓	✓
SD	Sinus congestion	·	·	✓
SD	Vertigo	·	·	✓
SRO	Dizziness	✓	✓	✓
SRO	Ear congestion	·	·	✓
SRO	Injection site nodule	✓	✓	✓
SRO	Injection site pain	✓	✓	✓
SRO	Nasal congestion	·	·	✓
SRO	Nodule	✓	✓	✓
SRO	Self-medication	✓	✓	✓
SRO	Sinus congestion	·	·	✓
SRO	Tenderness	✓	✓	✓
SRO	Upper respiratory tract congestion	·	·	✓

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