6RB-31551-63474

1 vaccination 7 coded responses 13 check-ins 7 free-text entries 3 call cases

Sex: Female
Age at first dose: 61-65
ZIP prefix: 028 / RI
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
Survey response — day 0, dose 1
MedDRA: Dizziness, Flushing — Feeling: Good · Site: Pain

Free text: Face flushed, light headed

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-31
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Site: Pain · Headache, Fatigue or tiredness, Nausea

Adult check-in
2021-02-01
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Site: Pain · None

Adult check-in
2021-02-02
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Site: Pain · Headache

Adult check-in
2021-02-03
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-02-05
Survey response — days 1–6 daily, dose 1
MedDRA: Dizziness — Feeling: Good

Free text: Light headed

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-06
Survey response — day 7, dose 1
MedDRA: Dizziness — Feeling: Good

Free text: Light headed/dizzy

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-15
Survey response — day 14, dose 1
MedDRA: Arthralgia, Chiropractic, Dizziness, Fatigue, Feeling abnormal, Headache, Paraesthesia — Feeling: Fair · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional

Free text: Symptoms: Brain fog, lightheaded/dizziness, sharp pains in my head and joints, tingling in my extremities, fatigue... Waiting for a call back from my physician. · Healthcare visit (other): Chiro, holistic treatments

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-15
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)
2021-02-20
Survey response — day 21, dose 1
MedDRA: Disturbance in attention, Dizziness, Feeling abnormal, Headache, Pre-existing disease, Thinking abnormal — Feeling: Poor · 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

Free text: The vaccine appeared to bring back my neurological Lyme disease symptoms...difficulty with thought processing, brain fog, difficulty focusing, dizziness, lightheadedness, headaches,.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-20
Report sent to call center — day 21, 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)
2021-02-27
Survey response — day 28, dose 1
MedDRA: Lyme disease, Pre-existing disease, Unevaluable event — 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

Free text: Symptoms: My neurological Lyme symptoms all resurfaced after the first Moderna vaccine. I was put on steroids by my MD and was advised not to get the second vaccine because of the severity of my symptoms. · Healthcare visit (other): Also acupuncture and CST.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-27
Report sent to call center — day 28, 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)
2021-03-06
Health check-in — day 35, dose 1
Feeling: Fair

Adult check-in
2021-03-13
Health check-in — day 42, dose 1
Feeling: Fair

Adult check-in
2021-05-02
Survey response — 3 months, dose 1
MedDRA: Hypoaesthesia, Paraesthesia — Feeling: Fair · Be unable to do your normal daily activities

Free text: Increased tingling/numbness in my legs.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-08-02
Call 1 — Left Voicemail
2021-08-03
Call 1 — Left Voicemail
2021-08-03
Call 1 — Left Voicemail
2021-08-05
Call 2 — Left Voicemail

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-01-30	Moderna

Call center

3 call center cases

3 unsuccessful

3 waits over 3 months for a first call

See the call center timeline

Free text

Release 3 — day 0, dose 1

2021-01-30

Systemic reaction (other): Face flushed, light headed

Release 3 — days 1–6 daily, dose 1

2021-02-05

Systemic reaction (other): Light headed

Release 3 — day 7, dose 1

2021-02-06

Systemic reaction (other): Light headed/dizzy

Release 4 — day 14, dose 1

2021-02-15

Symptoms: Brain fog, lightheaded/dizziness, sharp pains in my head and joints, tingling in my extremities, fatigue... Waiting for a call back from my physician.

Healthcare visit (other): Chiro, holistic treatments

Release 4 — day 21, dose 1

2021-02-20

Symptoms: The vaccine appeared to bring back my neurological Lyme disease symptoms...difficulty with thought processing, brain fog, difficulty focusing, dizziness, lightheadedness, headaches,.

Release 4 — day 28, dose 1

2021-02-27

Symptoms: My neurological Lyme symptoms all resurfaced after the first Moderna vaccine. I was put on steroids by my MD and was advised not to get the second vaccine because of the severity of my symptoms.

Healthcare visit (other): Also acupuncture and CST.

Release 8 — 3 months, dose 1

2021-05-02

Symptoms: Increased tingling/numbness in my legs.

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	Chiropractic	✓	✓	✓
HCVO	Unevaluable event	✓	✓	✓
SD	Arthralgia	✓	✓	✓
SD	Disturbance in attention	✓	✓	✓
SD	Dizziness	✓	✓	✓
SD	Fatigue	✓	✓	✓
SD	Feeling abnormal	✓	✓	✓
SD	Headache	✓	✓	✓
SD	Hypoaesthesia	✓	✓	✓
SD	Lyme disease	✓	✓	✓
SD	Paraesthesia	✓	✓	✓
SD	Pre-existing disease	✓	✓	✓
SD	Thinking abnormal	✓	✓	✓
SRO	Dizziness	✓	✓	✓
SRO	Flushing	✓	✓	✓

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