5CA-29907-84795
2 vaccinations
12 coded responses
16 check-ins
12 free-text entries
2 call cases
- Sex
- Female
- Age at first dose
- 51-55
- ZIP prefix
- 973 / OR
- Registered
- 2021-09-14
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-09-14
Registered in v-safe
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2021-09-14
Dose 1 — Moderna
- 2021-09-14
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2021-09-15
Health check-in — days 1–6 daily, dose 1Feeling: Good · Site: Pain, Swelling · HeadacheAdult check-in
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2021-09-16
Health check-in — days 1–6 daily, dose 1Feeling: Fair · Site: Pain · Muscle or body achesAdult check-in
- 2021-09-17
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2021-09-18
Survey response — days 1–6 daily, dose 1MedDRA: Dizziness — Feeling: Poor · Nausea · Be unable to work or attend schoolFree text: Very dizzyMedDRA releases: 2024-11 · check-in free text available
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2021-09-19
Survey response — days 1–6 daily, dose 1MedDRA: Dizziness — Feeling: Poor · Headache, Nausea · Be unable to work or attend schoolFree text: Extreme dizzinessMedDRA releases: 2024-11 · check-in free text available
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2021-09-20
Survey response — days 1–6 daily, dose 1MedDRA: Dizziness — Feeling: Fair · Headache, NauseaFree text: DizzyMedDRA releases: 2024-11 · check-in free text available
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2021-09-21
Survey response — day 7, dose 1MedDRA: Dizziness — Feeling: Poor · Headache · Be unable to work or attend schoolFree text: Bad dizzinessMedDRA releases: 2024-11 · check-in free text available
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2021-09-28
Survey response — day 14, dose 1MedDRA: Dizziness — Feeling: Poor · Be unable to work or attend schoolFree text: Still have the dizzinessMedDRA releases: 2024-11 · check-in free text available
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2021-10-05
Survey response — day 21, dose 1MedDRA: Dizziness — Feeling: Poor · Be unable to work or attend schoolFree text: Dizziness daily since vaccine on the 14th of septemberMedDRA releases: 2024-11 · check-in free text available
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2021-10-15
Dose 2 — Moderna
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2021-10-19
Survey response — day 35, dose 1MedDRA: Vertigo — Feeling: Poor · Be unable to work or attend schoolFree text: Vertigo since my 1st vaccine on August 14th still have it today worse since 2nd vaccineMedDRA releases: 2024-11 · check-in free text available
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2021-10-26
Survey response — day 7, dose 2MedDRA: Dizziness, Vertigo — Feeling: Poor · Headache · Be unable to work or attend schoolFree text: Dizziness and vertigo terrible since 1st vaccine over a month agoMedDRA releases: 2024-11 · check-in free text available
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2021-10-31
Survey response — day 14, dose 2MedDRA: Vertigo — Feeling: Poor · Be unable to work or attend schoolFree text: Vertigo bad since 1st vaccine on August 14th still have it todayMedDRA releases: 2024-11 · check-in free text available
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2021-11-05
Survey response — day 21, dose 2MedDRA: Vertigo — Feeling: Poor · Be unable to work or attend schoolFree text: Vertigo since 1st vaccine August 14th 2021 and still have it badMedDRA releases: 2024-11 · check-in free text available
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2021-11-19
Survey response — day 35, dose 2MedDRA: Office visit, Vertigo — 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 · Outpatient clinic or urgent care clinic visitFree text: Symptoms: Vertigo terrible · Healthcare visit (other): ENT/ Ears, nose and throat specialistMedDRA releases: 2024-11 · check-in free text available
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2021-11-19
Report sent to call center — day 35, dose 2Be unable to work or attend school · Be unable to do your normal daily activities · Get care from a doctor or other healthcare prOutpatient clinic or urgent care clinic visit · 1 call case(s)
- 2021-11-23
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2022-04-15
Survey response — 6 months, dose 2MedDRA: Dizziness, Headache, Musculoskeletal stiffness, Office visit — 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 professionalFree text: Symptoms: Dizziness and headaches stiff neck · Healthcare visit (other): My doctorMedDRA releases: 2024-11 · check-in free text available
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2022-04-15
Report sent to call center — 6 months, dose 2Be unable to work or attend school · Be unable to do your normal daily activities · Get care from a doctor or other healthcare pr1 call case(s)
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2022-04-19
Call successfulParticipant prefers to complete VAERS report online
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-09-14 | Moderna | No |
| 2 | 2021-10-15 | Moderna | No |
Call center
2 call center cases
2 successful
Free text
Release 9 — days 1–6 daily, dose 1
Systemic reaction (other): Very dizzy
Systemic reaction (other): Extreme dizziness
Systemic reaction (other): Dizzy
Release 9 — day 7, dose 1
Systemic reaction (other): Bad dizziness
Release 9 — day 14, dose 1
Symptoms: Still have the dizziness
Release 10 — day 21, dose 1
Symptoms: Dizziness daily since vaccine on the 14th of september
Release 10 — day 35, dose 1
Symptoms: Vertigo since my 1st vaccine on August 14th still have it today worse since 2nd vaccine
Release 10 — day 7, dose 2
Systemic reaction (other): Dizziness and vertigo terrible since 1st vaccine over a month ago
Release 10 — day 14, dose 2
Symptoms: Vertigo bad since 1st vaccine on August 14th still have it today
Release 10 — day 21, dose 2
Symptoms: Vertigo since 1st vaccine August 14th 2021 and still have it bad
Release 10 — day 35, dose 2
Symptoms: Vertigo terrible
Healthcare visit (other): ENT/ Ears, nose and throat specialist
Release 11 — 6 months, dose 2
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 | Headache | · | · | ✓ |
| SD | Musculoskeletal stiffness | · | · | ✓ |
| SD | Vertigo | · | · | ✓ |
| SRO | Dizziness | · | · | ✓ |
| SRO | Vertigo | · | · | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release