6P4-63899-83653

1 vaccination 9 coded responses 12 check-ins 9 free-text entries 4 call cases

Sex: Female
Age at first dose: 41-45
ZIP prefix: 915 / CA
Registered: 2021-02-21

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

2021-02-19
Dose 1 — Moderna
2021-02-21
Registered in v-safe
2021-02-21
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Site: Pain · Headache, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Adult check-in
2021-02-22
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Site: Pain · Headache, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Adult check-in
2021-02-23
Survey response — days 1–6 daily, dose 1
MedDRA: Dizziness — Feeling: Fair · Site: Pain · Headache, Joint pains, Muscle or body aches, Nausea · Be unable to do your normal daily activities

Free text: Dizzy

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-24
Survey response — days 1–6 daily, dose 1
MedDRA: Dizziness — Feeling: Fair · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Free text: lightheaded/dizziness

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-25
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Joint pains, Muscle or body aches · Be unable to do your normal daily activities

Adult check-in
2021-02-26
Survey response — day 7, dose 1
MedDRA: Cough, Glossodynia, Malaise, Throat irritation — Feeling: Poor · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Free text: Sore on tongue/itching throat/dry cough/unwell

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-05
Survey response — day 14, dose 1
MedDRA: Chest discomfort, Chest pain, Emergency care, Heart rate increased, Muscle spasms, Palpitations, Pyrexia, Rash, Rash erythematous — Feeling: Poor · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Emergency room or emergency department visit

Free text: Symptoms: Severe Reaction with Fast Heartbeat/Palpitations up to 140, chest tightness, muscle spasms, red rash all over, low grade fever. Treated in ER 3/1/21 for the chest pain/palpitations. Rash appeared after that and now I may have to go back to the ER. · Healthcare visit (other): Chest pain/Palpitations HR 140s

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-05
Report sent to call center — day 14, dose 1
Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional

1 call case(s)
2021-03-12
Survey response — day 21, dose 1
MedDRA: Acute kidney injury, Arthralgia, Bundle branch block right, Dizziness, Dyskinesia, Hypertension, Liver disorder, Middle ear disorder, Tachycardia, Tinnitus — Feeling: Fair · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Emergency room or emergency department visit

Free text: AKI, Tachycardia with R BBB & T wave abnormality, Liver Injury, HTN, middle ear issues/sounds, continued joint pain, dizzy spells, involuntary muscles contractions.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-12
Report sent to call center — day 21, dose 1
Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional

1 call case(s)
2021-03-19
Survey response — day 28, dose 1
MedDRA: Arthralgia, Lymphadenopathy — Feeling: Fair · Be unable to do your normal daily activities

Free text: Moderate to Severe Joint PainLymphadenopathy: Bilateral Supraclavicular & Bilateral Armpit Lymph Nodes swollen.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-26
Survey response — day 35, dose 1
MedDRA: Abdominal pain upper, Dizziness, Fatigue, Gastrooesophageal reflux disease, Headache, Muscle contracture, Muscle twitching, Tinnitus — Feeling: Poor · Be unable to do your normal daily activities

Free text: Tinnitus, Roaring Sound inner ears, Intermittent Headache, Dizzy/lightheaded. Fatigue, GERD symptoms worse, sharp intermittent pain RUQ, random muscle contractions/twitching.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-04
Survey response — day 42, dose 1
MedDRA: Arthralgia, Dizziness, Ear discomfort, Hepatic enzyme increased, Palpitations, Rash, Tinnitus — Feeling: Fair · Be unable to work, 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: Episodic palpitations, rash, joint pain, inner ear fullness, tinnitus & dizziness continue as well as elevated Liver enzymes.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-04
Report sent to call center — day 42, dose 1
Be unable to work · Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional

1 call case(s)
2021-06-16
Call 1 — Left Voicemail
2021-08-27
Survey response — 6 months, dose 1
MedDRA: Dizziness, Headache, Inner ear inflammation, Vertigo, Vestibular neuronitis — 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: Inner ear inflammation/ Vestibular Neuritis / Dizzy spells / Vertigo / headache continues . But less severe.

MedDRA releases: 2021-09,2024-11 · check-in free text available
2021-08-27
Report sent to call center — 6 months, dose 1
Be unable to work or attend school · Be unable to do your normal daily activities · Get care from a doctor or other healthcare pr

1 call case(s)
2021-08-31
Call 1 — Left Voicemail

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-02-19	Moderna

Call center

4 call center cases

4 unsuccessful

See the call center timeline

Free text

Release 4 — days 1–6 daily, dose 1

2021-02-23

Systemic reaction (other): Dizzy

2021-02-24

Systemic reaction (other): lightheaded/dizziness

Release 4 — day 7, dose 1

2021-02-26

Systemic reaction (other): Sore on tongue/itching throat/dry cough/unwell

Release 5 — day 14, dose 1

2021-03-05

Symptoms: Severe Reaction with Fast Heartbeat/Palpitations up to 140, chest tightness, muscle spasms, red rash all over, low grade fever. Treated in ER 3/1/21 for the chest pain/palpitations. Rash appeared after that and now I may have to go back to the ER. cut off by CDC

Healthcare visit (other): Chest pain/Palpitations HR 140s

Release 5 — day 21, dose 1

2021-03-12

Symptoms: AKI, Tachycardia with R BBB & T wave abnormality, Liver Injury, HTN, middle ear issues/sounds, continued joint pain, dizzy spells, involuntary muscles contractions.

Release 5 — day 28, dose 1

2021-03-19

Symptoms: Moderate to Severe Joint PainLymphadenopathy: Bilateral Supraclavicular & Bilateral Armpit Lymph Nodes swollen.

Release 6 — day 35, dose 1

2021-03-26

Symptoms: Tinnitus, Roaring Sound inner ears, Intermittent Headache, Dizzy/lightheaded. Fatigue, GERD symptoms worse, sharp intermittent pain RUQ, random muscle contractions/twitching.

Release 6 — day 42, dose 1

2021-04-04

Symptoms: Episodic palpitations, rash, joint pain, inner ear fullness, tinnitus & dizziness continue as well as elevated Liver enzymes.

Release 9 — 6 months, dose 1

2021-08-27

Symptoms: Inner ear inflammation/ Vestibular Neuritis / Dizzy spells / Vertigo / headache continues . But less severe.

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	Chest pain	✓	✓	✓
HCVO	Palpitations	✓	✓	✓
SD	Abdominal pain upper	✓	✓	✓
SD	Acute kidney injury	✓	✓	✓
SD	Arthralgia	✓	✓	✓
SD	Bundle branch block right	✓	✓	✓
SD	Chest discomfort	✓	✓	✓
SD	Chest pain	✓	✓	✓
SD	Dizziness	✓	✓	✓
SD	Dyskinesia	✓	✓	✓
SD	Ear discomfort	✓	✓	✓
SD	Emergency care	✓	✓	✓
SD	Fatigue	✓	✓	✓
SD	Gastrooesophageal reflux disease	✓	✓	✓
SD	Headache	✓	✓	✓
SD	Heart rate increased	✓	✓	✓
SD	Hepatic enzyme increased	✓	✓	✓
SD	Hypertension	✓	✓	✓
SD	Inner ear inflammation	✓	·	✓
SD	Liver disorder	✓	✓	✓
SD	Lymphadenopathy	✓	✓	✓
SD	Middle ear disorder	✓	✓	✓
SD	Muscle contracture	✓	✓	✓
SD	Muscle spasms	✓	✓	✓
SD	Muscle twitching	✓	✓	✓
SD	Palpitations	✓	✓	✓
SD	Pyrexia	✓	✓	✓
SD	Rash	✓	✓	✓
SD	Rash erythematous	✓	✓	✓
SD	Tachycardia	✓	✓	✓
SD	Tinnitus	✓	✓	✓
SD	Vertigo	✓	·	✓
SD	Vestibular neuronitis	✓	·	✓
SRO	Cough	✓	✓	✓
SRO	Dizziness	✓	✓	✓
SRO	Glossodynia	✓	✓	✓
SRO	Malaise	✓	✓	✓
SRO	Throat irritation	✓	✓	✓

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