66G-49590-16298

2 vaccinations 9 coded responses 18 check-ins 9 free-text entries 2 call cases

Sex: Female
Age at first dose: 66+
ZIP prefix: 785 / TX
Registered: 2021-01-21

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

2021-01-08
Dose 1 — Moderna
2021-01-21
Registered in v-safe
2021-01-21
Survey response — day 7, dose 1
MedDRA: Gait disturbance, Medical counselling — Feeling: Fair · Site: Pain · Get care from a doctor or other healthcare professional

Free text: Systemic reaction (other): Tried to walk forward but walked backward.i didn't know I was walking back · Healthcare visit (other): Called doctor waiting for return call. This happened 1/18

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-21
Report sent to call center — day 7, dose 1
Get care from a doctor or other healthcare professional

1 call case(s)
2021-01-22
Health check-in — day 14, dose 1
Feeling: Fair

Adult check-in
2021-01-29
Health check-in — day 21, dose 1
Feeling: Good

Adult check-in
2021-02-05
Dose 2 — Moderna
2021-02-06
Survey response — days 1–6 daily, dose 2
MedDRA: Dizziness, Dysgeusia — Feeling: Poor · Headache, Muscle or body aches, Diarrhea, Abdominal pain · Be unable to do your normal daily activities

Free text: Everything tasres flat. No flavor. Dizzy

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-07
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Pain · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness

Adult check-in
2021-02-08
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Headache, Muscle or body aches, Fatigue or tiredness, Abdominal pain

Adult check-in
2021-02-09
Survey response — days 1–6 daily, dose 2
MedDRA: Pain in jaw, Toothache — Feeling: Fair · Headache, Fatigue or tiredness, Diarrhea · Be unable to do your normal daily activities

Free text: Side of jaw hurting. Some teeth hurting

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-10
Survey response — days 1–6 daily, dose 2
MedDRA: Cough — Feeling: Fair · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Free text: Deep cough getting worse

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-11
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Adult check-in
2021-02-12
Health check-in — day 7, dose 2
Feeling: Fair · Headache, Fatigue or tiredness, Nausea, Abdominal pain · Be unable to do your normal daily activities

Adult check-in
2021-02-19
Health check-in — day 14, dose 2
Feeling: Good

Adult check-in
2021-02-26
Survey response — day 21, dose 2
MedDRA: COVID-19, Dizziness, Fatigue, Feeling abnormal, Headache — Feeling: Poor · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultation

Free text: Dizzy, severe headache, brain fog, feel so tired yet I have doctor appoint.ents. These appoitments were over 30 miles from home. I Have no driver . I basiclly know rhat I have long Covid or long hauler Covid. I have been sick sense July.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-26
Report sent to call center — day 21, dose 2
Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional

1 call case(s)
2021-03-06
Survey response — day 28, dose 2
MedDRA: Fatigue — Feeling: Fair · Be unable to do your normal daily activities

Free text: Exhausted

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-13
Survey response — day 35, dose 2
MedDRA: Fatigue — Feeling: Fair · Be unable to do your normal daily activities

Free text: Had large bm then very weak. Went to bed and did not wake up for 4 hours. Tire very quickly.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-19
Survey response — day 42, dose 2
MedDRA: Dizziness, Headache, Nausea — Feeling: Poor · Be unable to do your normal daily activities

Free text: Headache and severe dizziness all week. Nothing seems to help. In bed most of time. Nausea.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-29
Call successful
Not applicable (accidental reporting or does not believe symptoms are related to vaccine)
2021-05-07
Health check-in — 3 months, dose 2
Feeling: Fair

Adult check-in
2021-08-07
Health check-in — 6 months, dose 2
Feeling: Fair

Adult check-in
2021-12-03
Call 1 — Left Voicemail
2022-02-05
Survey response — 12 months, dose 2
MedDRA: Fall, Unevaluable event — Feeling: Good

Free text: Back in S shape. 3 falls in 1 week

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

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-01-08	Moderna
2	2021-02-05	Moderna

Call center

2 call center cases

1 successful · 1 unsuccessful

1 wait over 3 months for a first call

See the call center timeline

Free text

Release 2 — day 7, dose 1

2021-01-21

Systemic reaction (other): Tried to walk forward but walked backward.i didn't know I was walking back

Healthcare visit (other): Called doctor waiting for return call. This happened 1/18

Release 3 — days 1–6 daily, dose 2

2021-02-06

Systemic reaction (other): Everything tasres flat. No flavor. Dizzy

2021-02-09

Systemic reaction (other): Side of jaw hurting. Some teeth hurting

Release 4 — days 1–6 daily, dose 2

2021-02-10

Systemic reaction (other): Deep cough getting worse

Release 4 — day 21, dose 2

2021-02-26

Symptoms: Dizzy, severe headache, brain fog, feel so tired yet I have doctor appoint.ents. These appoitments were over 30 miles from home. I Have no driver . I basiclly know rhat I have long Covid or long hauler Covid. I have been sick sense July.

Release 5 — day 28, dose 2

2021-03-06

Symptoms: Exhausted

Release 5 — day 35, dose 2

2021-03-13

Symptoms: Had large bm then very weak. Went to bed and did not wake up for 4 hours. Tire very quickly.

Release 6 — day 42, dose 2

2021-03-19

Symptoms: Headache and severe dizziness all week. Nothing seems to help. In bed most of time. Nausea.

Release 11 — 12 months, dose 2

2022-02-05

Symptoms: Back in S shape. 3 falls in 1 week

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	COVID-19	✓	✓	✓
SD	Dizziness	✓	✓	✓
SD	Fall	·	·	✓
SD	Fatigue	✓	✓	✓
SD	Feeling abnormal	✓	✓	✓
SD	Headache	✓	✓	✓
SD	Nausea	✓	✓	✓
SD	Unevaluable event	·	·	✓
SRO	Cough	✓	✓	✓
SRO	Dizziness	✓	✓	✓
SRO	Dysgeusia	✓	✓	✓
SRO	Gait disturbance	✓	✓	✓
SRO	Pain in jaw	✓	✓	✓
SRO	Toothache	✓	✓	✓

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