5T2-80970-12233

3 vaccinations 8 coded responses 24 check-ins 7 free-text entries 4 call cases

Sex: —
Age at first dose: 46-50
ZIP prefix: 932 / CA
Registered: 2021-01-12

Relationship: Self
Race: White
Ethnicity: Hispanic or Latino

Timeline

Registration Vaccinations Survey responses Call reports Cases without a report Call attempts Call successful Pregnancy survey

2021-01-12
Registered in v-safe
2021-01-12
Dose 1 — Moderna
2021-01-12
Survey response — day 0, dose 1
MedDRA: Dizziness, Immediate post-injection reaction — Feeling: Fair · Site: Pain · Fatigue or tiredness

Free text: Slight dizziness at time of injection that subsided within a few minutes.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-17
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Nausea

Adult check-in
2021-01-19
Health check-in — day 7, dose 1
Feeling: Good · None

Adult check-in
2021-01-26
Health check-in — day 14, dose 1
Feeling: Good

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

Adult check-in
2021-02-03
Dose 2 — Moderna
2021-02-03
Survey response — day 0, dose 2
MedDRA: Dizziness, Feeling abnormal, Immediate post-injection reaction — Feeling: Poor · Site: Pain · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to work

Free text: Dizziness 15 minutes after injection and again about 2 hrs later. Brain fog.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-04
Survey response — days 1–6 daily, dose 2
MedDRA: Dizziness, Hyperhidrosis, Muscle tightness, Paraesthesia — Feeling: Poor · Site: Pain, Redness, Swelling · Fever · Chills, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to work

Free text: Bouts of dizziness and also since yesterday facial tightness, facial tingling, and sweating.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-05
Survey response — days 1–6 daily, dose 2
MedDRA: Paraesthesia, Skin tightness — Feeling: Fair · Site: Pain, Redness, Swelling · Chills, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea, Diarrhea

Free text: Still a bit of facial tightening and facial tingling.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-06
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Site: Pain · Muscle or body aches, Fatigue or tiredness, Abdominal pain

Adult check-in
2021-02-07
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Site: Pain · Fatigue or tiredness

Adult check-in
2021-02-08
Health check-in — days 1–6 daily, dose 2
Feeling: Good · None

Adult check-in
2021-02-09
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Fatigue or tiredness

Adult check-in
2021-02-10
Health check-in — day 7, dose 2
Feeling: Good · None

Adult check-in
2021-02-17
Health check-in — day 14, dose 2
Feeling: Fair

Adult check-in
2021-02-25
Health check-in — day 21, dose 2
Feeling: Good

Adult check-in
2021-03-04
Health check-in — day 28, dose 2
Feeling: Fair

Adult check-in
2021-03-10
Health check-in — day 35, dose 2
Feeling: Fair

Adult check-in
2021-03-17
Health check-in — day 42, dose 2
Feeling: Good

Adult check-in
2021-05-06
Health check-in — 3 months, dose 2
Feeling: Fair

Adult check-in
2021-08-04
Survey response — 6 months, dose 2
MedDRA: Anaemia — Feeling: Good · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit

Free text: Anemia

MedDRA releases: 2021-09,2024-11 · check-in free text available
2021-08-04
Report sent to call center — 6 months, dose 2
Get care from a doctor or other healthcare professional

1 call case(s)
2021-11-16
Call 1 — Left Voicemail
2022-02-03
Survey response — 12 months, dose 2
MedDRA: Anaemia, Dizziness, Dyspnoea, White blood cell count decreased — 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, Outpatient clinic or urgent care clinic visit

Free text: Unspecified anemia and low white blood cell count, shortness of breath, light headed edness.

MedDRA releases: 2024-11 · check-in free text available
2022-02-03
Report sent to call center — 12 months, dose 2
Be unable to work or attend school · Be unable to do your normal daily activities · Get care from a doctor or other healthcare pr

Telehealth, virtual health, or email health consultation · Outpatient clinic or urgent care clinic visit · 1 call case(s)
2022-02-07
Call 1 — Left Voicemail
2022-02-17
Dose 3 — Moderna
2022-05-19
Health check-in — 3 months, dose 3
Feeling: Fair

Adult check-in
2022-08-18
Survey response — 6 months, dose 3
MedDRA: White blood cell count decreased — 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 · Outpatient clinic or urgent care clinic visit

Free text: Low white blood cell count

MedDRA releases: 2024-11 · check-in free text available
2022-08-18
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

Outpatient clinic or urgent care clinic visit · 1 call case(s)
2022-08-19
Call successful
Not applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill
2023-02-19
Survey response — 12 months, dose 3
MedDRA: COVID-19, White blood cell count decreased — 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

MedDRA releases: 2024-11
2023-02-19
Report sent to call center — 12 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

Telehealth, virtual health, or email health consultation · 1 call case(s)
2023-02-20
Call 1 — Left Voicemail
2023-02-20
Call successful
Not applicable - Accidental Reporting

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-01-12	Moderna
2	2021-02-03	Moderna
3	2022-02-17	Moderna	No

Call center

4 call center cases

4 successful

1 wait over 3 months for a first call

See the call center timeline

Free text

Release 1 — day 0, dose 1

2021-01-12

Systemic reaction (other): Slight dizziness at time of injection that subsided within a few minutes.

Release 3 — day 0, dose 2

2021-02-03

Systemic reaction (other): Dizziness 15 minutes after injection and again about 2 hrs later. Brain fog.

Release 3 — days 1–6 daily, dose 2

2021-02-04

Systemic reaction (other): Bouts of dizziness and also since yesterday facial tightness, facial tingling, and sweating.

2021-02-05

Systemic reaction (other): Still a bit of facial tightening and facial tingling.

Release 9 — 6 months, dose 2

2021-08-04

Symptoms: Anemia

Release 11 — 12 months, dose 2

2022-02-03

Symptoms: Unspecified anemia and low white blood cell count, shortness of breath, light headed edness.

Release 12 — 6 months, dose 3

2022-08-18

Symptoms: Low white blood cell count

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	Anaemia	✓	·	✓
SD	COVID-19	·	·	✓
SD	Dizziness	·	·	✓
SD	Dyspnoea	·	·	✓
SD	White blood cell count decreased	·	·	✓
SRO	Dizziness	✓	✓	✓
SRO	Feeling abnormal	✓	✓	✓
SRO	Hyperhidrosis	✓	✓	✓
SRO	Immediate post-injection reaction	✓	✓	✓
SRO	Muscle tightness	✓	✓	✓
SRO	Paraesthesia	✓	✓	✓
SRO	Skin tightness	✓	✓	✓

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