5EU-25316-66845

2 vaccinations 5 coded responses 24 check-ins 5 free-text entries 1 call case

Sex: Female
Age at first dose: 66+
ZIP prefix: 730 / OK
Registered: 2021-01-30

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

2021-01-30
Registered in v-safe
2021-01-30
Dose 1 — Moderna
2021-01-30
Health check-in — day 0, dose 1
Feeling: Good · None

Adult check-in
2021-01-31
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · None

Adult check-in
2021-02-02
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Fatigue or tiredness

Adult check-in
2021-02-03
Health check-in — days 1–6 daily, dose 1
Feeling: Poor · Fatigue or tiredness

Adult check-in
2021-02-04
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Fatigue or tiredness

Adult check-in
2021-02-05
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Headache, Fatigue or tiredness

Adult check-in
2021-02-06
Health check-in — day 7, dose 1
Feeling: Fair · Fatigue or tiredness

Adult check-in
2021-02-15
Health check-in — day 14, dose 1
Feeling: Fair

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

Adult check-in
2021-02-27
Dose 2 — Moderna
2021-02-27
Health check-in — day 0, dose 2
Feeling: Good · Chills, Headache, Fatigue or tiredness

Adult check-in
2021-02-28
Health check-in — days 1–6 daily, dose 2
Feeling: Poor · Site: Pain, Itching · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Adult check-in
2021-03-01
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Pain, Itching · Chills, Headache, Joint pains, Muscle or body aches

Adult check-in
2021-03-02
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Pain, Itching · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness

Adult check-in
2021-03-04
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Site: Pain, Itching · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness

Adult check-in
2021-03-05
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Site: Pain, Itching · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness

Adult check-in
2021-03-06
Health check-in — day 7, dose 2
Feeling: Fair · Site: Pain, Itching · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness

Adult check-in
2021-03-13
Health check-in — day 14, dose 2
Feeling: Good

Adult check-in
2021-03-20
Health check-in — day 21, dose 2
Feeling: Good

Adult check-in
2021-03-27
Health check-in — day 28, dose 2
Feeling: Good

Adult check-in
2021-04-03
Survey response — day 35, dose 2
MedDRA: Dizziness, Fatigue, Loss of consciousness, Office visit — Feeling: Fair · Get care from a doctor or other healthcare professional

Free text: Symptoms: I am really tired and dizzy and light headed like I couldpass out . I don't know what is. causing this . I am seeingmy Primary Care Dr . on Monday. April 5th 2021 at 2:30pm . · Healthcare visit (other): My Dr's office

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-03
Report sent to call center — day 35, dose 2
Get care from a doctor or other healthcare professional

1 call case(s)
2021-04-10
Survey response — day 42, dose 2
MedDRA: Abdominal distension, Dizziness — Feeling: Poor · Be unable to do your normal daily activities

Free text: I have been experiancing dizziness and light headedness like I could pass out at any time . My Abdomen is distended I don't know if I am full of fluid or what i s going on . I am scheduled to have a Cat Scan on Wednesday April 14th 2021 to see what

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-29
Survey response — 3 months, dose 2
MedDRA: Dizziness, Gastric dilatation — Feeling: Good · Be unable to work

Free text: Dizziness, ligjtheadness &Belly Distetion .

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-06-14
Call successful
Does not wish to fill out VAERS report
2021-08-28
Survey response — 6 months, dose 2
MedDRA: Dizziness, Fatigue, Headache, Oropharyngeal pain, Paranasal sinus hypersecretion — Feeling: Fair

Free text: I am tired dizzy an light headed , headache sinus drainage ,sore throat.

MedDRA releases: 2021-09,2024-11 · check-in free text available
2022-02-27
Survey response — 12 months, dose 2
MedDRA: Apathy, Asthenia, Fatigue, Fluid retention — Feeling: Poor · Be unable to work or attend school, Be unable to do your normal daily activities

Free text: I am tired all the time no energy or motivation Retain fluid even after peeing .

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

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-01-30	Moderna
2	2021-02-27	Moderna

Call center

1 call center case

1 successful

See the call center timeline

Free text

Release 6 — day 35, dose 2

2021-04-03

Symptoms: I am really tired and dizzy and light headed like I couldpass out . I don't know what is. causing this . I am seeingmy Primary Care Dr . on Monday. April 5th 2021 at 2:30pm .

Healthcare visit (other): My Dr's office

Release 7 — day 42, dose 2

2021-04-10

Symptoms: I have been experiancing dizziness and light headedness like I could pass out at any time . My Abdomen is distended I don't know if I am full of fluid or what i s going on . I am scheduled to have a Cat Scan on Wednesday April 14th 2021 to see what cut off by CDC

Release 8 — 3 months, dose 2

2021-05-29

Symptoms: Dizziness, ligjtheadness &Belly Distetion .

Release 9 — 6 months, dose 2

2021-08-28

Symptoms: I am tired dizzy an light headed , headache sinus drainage ,sore throat.

Release 11 — 12 months, dose 2

2022-02-27

Symptoms: I am tired all the time no energy or motivation Retain fluid even after peeing .

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	Abdominal distension	✓	✓	✓
SD	Apathy	·	·	✓
SD	Asthenia	·	·	✓
SD	Dizziness	✓	✓	✓
SD	Fatigue	✓	✓	✓
SD	Fluid retention	·	·	✓
SD	Gastric dilatation	✓	✓	✓
SD	Headache	✓	·	✓
SD	Loss of consciousness	✓	✓	✓
SD	Oropharyngeal pain	✓	·	✓
SD	Paranasal sinus hypersecretion	✓	·	✓

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