8BL-23311-58877

3 vaccinations 19 coded responses 37 check-ins 19 free-text entries 10 call cases

Sex: Female
Age at first dose: 36-40
ZIP prefix: 891 / NV
Registered: 2021-01-14

Relationship: Self
Race: Multiracial
Ethnicity: Not Hispanic or Latino

Timeline

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

2021-01-14
Registered in v-safe
2021-01-14
Dose 1 — Moderna
2021-01-14
Health check-in — day 0, dose 1
Feeling: Fair · Site: Pain, Swelling · Joint pains, Muscle or body aches, Fatigue or tiredness

Adult check-in
2021-01-15
Survey response — days 1–6 daily, dose 1
MedDRA: Dizziness, Energy increased — Feeling: Fair · Site: Pain, Swelling · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Free text: Dizziness, Energy bursts in the morning

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-15
Report sent to call center — days 1–6 daily, dose 1
Be unable to do your normal daily activities

1 call case(s)
2021-01-16
Survey response — days 1–6 daily, dose 1
MedDRA: Dizziness — Feeling: Fair · Site: Pain · Headache, Muscle or body aches, Fatigue or tiredness, Diarrhea · Be unable to do your normal daily activities

Free text: Dizziness

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-16
Report sent to call center — days 1–6 daily, dose 1
Be unable to do your normal daily activities

1 call case(s)
2021-01-17
Survey response — days 1–6 daily, dose 1
MedDRA: Dizziness — Feeling: Fair · Site: Swelling · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Free text: Mild dizziness with sudden movement

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-17
Report sent to call center — days 1–6 daily, dose 1
Be unable to do your normal daily activities

1 call case(s)
2021-01-18
Survey response — days 1–6 daily, dose 1
MedDRA: Dizziness — Feeling: Fair · Site: Pain · Headache, Fatigue or tiredness · Be unable to do your normal daily activities

Free text: Dizziness

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-18
Report sent to call center — days 1–6 daily, dose 1
Be unable to do your normal daily activities

1 call case(s)
2021-01-19
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Headache

Adult check-in
2021-01-21
Health check-in — day 7, dose 1
Feeling: Good · Fatigue or tiredness, Abdominal pain

Adult check-in
2021-01-28
Survey response — day 14, dose 1
MedDRA: Fatigue, Somnolence — Feeling: Good · Be unable to do your normal daily activities

Free text: Fatigue and sleepiness

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-07
Survey response — day 21, dose 1
MedDRA: Dizziness, Fatigue — Feeling: Fair

Free text: Fatigue and dizziness returned

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-14
Health check-in — day 28, dose 1
Feeling: Fair

Adult check-in
2021-02-18
Survey response — day 35, dose 1
MedDRA: Headache — Feeling: Fair · Be unable to work, Be unable to do your normal daily activities

Free text: Headaches daily

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-25
Dose 2 — Moderna
2021-02-25
Health check-in — day 0, dose 2
Feeling: Good · None

Adult check-in
2021-02-27
Survey response — days 1–6 daily, dose 2
MedDRA: Dizziness, Vertigo — Feeling: Good · Site: Pain, Swelling · Headache, Joint pains, Fatigue or tiredness

Free text: Dizziness/mild vertigo

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-28
Survey response — days 1–6 daily, dose 2
MedDRA: Dizziness — Feeling: Good · Site: Pain, Swelling · Headache, Joint pains, Fatigue or tiredness, Diarrhea, Abdominal pain

Free text: Dizziness

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-01
Survey response — days 1–6 daily, dose 2
MedDRA: Dizziness — Feeling: Poor · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Abdominal pain · Be unable to do your normal daily activities

Free text: Dizziness

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-03
Survey response — days 1–6 daily, dose 2
MedDRA: Dizziness — Feeling: Good · Headache · Be unable to work, Be unable to do your normal daily activities

Free text: Dizziness

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-06
Survey response — day 7, dose 2
MedDRA: Dizziness — Feeling: Fair · Headache, Fatigue or tiredness · Be unable to do your normal daily activities

Free text: Dizziness

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-12
Health check-in — day 14, dose 2
Feeling: Fair

Adult check-in
2021-03-19
Survey response — day 21, dose 2
MedDRA: Headache — 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: Headache that will not go away. A feeling of pressure in my skull. I will be pursuing medical advice. This has persisted since first dose in January 2021.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-19
Report sent to call center — day 21, dose 2
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)
2021-03-26
Survey response — day 28, dose 2
MedDRA: Dizziness, Headache, Office visit — Feeling: Fair · Be unable to work, Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional

Free text: Symptoms: Continued persistent headaches and dizziness · Healthcare visit (other): In person primary doctor health appointment

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-26
Report sent to call center — day 28, dose 2
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)
2021-04-01
Health check-in — day 35, dose 2
Feeling: Good

Adult check-in
2021-04-08
Survey response — day 42, dose 2
MedDRA: Dizziness, Head discomfort, Headache, Office visit — Feeling: Fair · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional

Free text: Symptoms: Dizziness and constant headache/pressure. · Healthcare visit (other): In-person primary visits and referrals to specialists

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-08
Report sent to call center — day 42, dose 2
Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional

1 call case(s)
2021-05-28
Survey response — 3 months, dose 2
MedDRA: Dizziness, Head discomfort, Office visit, Vision blurred — Feeling: Fair · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional

Free text: Symptoms: Continued dizziness, head pressure. New blurry vision. · Healthcare visit (other): In person primary, ENT, Cardiac visits

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-28
Report sent to call center — 3 months, dose 2
Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional

1 call case(s)
2021-06-14
Call successful
Does not wish to fill out VAERS report
2021-06-14
Call successful
Does not wish to fill out VAERS report
2021-06-14
Call successful
Reported to VAERS during previous contact from GDIT
2021-08-27
Survey response — 6 months, dose 2
MedDRA: Dizziness, Ear discomfort, Ear pain, Eye pain, Facial pain, Pain in jaw, Rhinalgia, Sinus pain — 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: Additional nasal and sinus pain. More frequent dizziness. Ear pain and pressure. Facial pain in forehead, cheeks, jaw, behind the eyes.

MedDRA releases: 2021-09,2024-11 · check-in free text available
2021-08-27
Report sent to call center — 6 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

1 call case(s)
2021-09-02
Call 1 — Left Voicemail
2021-09-02
Call successful
Reported to VAERS voluntarily prior to GDIT contact
2021-11-30
Dose 3 — Moderna
2021-12-03
Health check-in — days 1–6 daily, dose 3
Feeling: Good · Site: Swelling, Itching · Headache, Fatigue or tiredness

Adult check-in
2021-12-04
Health check-in — days 1–6 daily, dose 3
Feeling: Good · Site: Itching · Headache, Fatigue or tiredness

Adult check-in
2021-12-05
Health check-in — days 1–6 daily, dose 3
Feeling: Good · Site: Itching · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness

Adult check-in
2021-12-06
Health check-in — days 1–6 daily, dose 3
Feeling: Good · Site: Itching · Headache, Fatigue or tiredness

Adult check-in
2021-12-07
Survey response — day 7, dose 3
MedDRA: Epistaxis — Feeling: Poor · Site: Itching · Headache, Fatigue or tiredness · Be unable to do your normal daily activities

Free text: Nosebleeds and bloody mucus

MedDRA releases: 2024-11 · check-in free text available
2021-12-14
Health check-in — day 14, dose 3
Feeling: Fair

Adult check-in
2021-12-21
Health check-in — day 21, dose 3
Feeling: Good

Adult check-in
2021-12-28
Health check-in — day 28, dose 3
Feeling: Fair

Adult check-in
2022-01-04
Health check-in — day 35, dose 3
Feeling: Good

Adult check-in
2022-01-12
Health check-in — day 42, dose 3
Feeling: Fair

Adult check-in
2022-03-01
Health check-in — 3 months, dose 3
Feeling: Good

Adult check-in
2022-06-02
Health check-in — 6 months, dose 3
Feeling: Good

Adult check-in
2022-06-14
Call successful
Does not wish to fill out VAERS report
2022-12-03
Survey response — 12 months, dose 3
MedDRA: Cough, Dyspnoea, Wheezing — Feeling: Poor · 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: Shortness of breath, coughing, wheezing

MedDRA releases: 2024-11 · check-in free text available
2022-12-03
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 · Outpatient clinic or urgent care clinic visit · 1 call case(s)
2022-12-06
Call successful
Participant prefers to complete VAERS report online

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-01-14	Moderna
2	2021-02-25	Moderna
3	2021-11-30	Moderna	No

Call center

10 call center cases

6 successful · 4 priority 2/3 (triaged and no follow up)

VAERS report filed, before or during a call: 2

See the call center timeline

Free text

Release 2 — days 1–6 daily, dose 1

2021-01-15

Systemic reaction (other): Dizziness, Energy bursts in the morning

2021-01-16

Systemic reaction (other): Dizziness

2021-01-17

Systemic reaction (other): Mild dizziness with sudden movement

2021-01-18

Systemic reaction (other): Dizziness

Release 2 — day 14, dose 1

2021-01-28

Symptoms: Fatigue and sleepiness

Release 3 — day 21, dose 1

2021-02-07

Symptoms: Fatigue and dizziness returned

Release 4 — day 35, dose 1

2021-02-18

Symptoms: Headaches daily

Release 4 — days 1–6 daily, dose 2

2021-02-27

Systemic reaction (other): Dizziness/mild vertigo

2021-02-28

Systemic reaction (other): Dizziness

2021-03-01

Systemic reaction (other): Dizziness

2021-03-03

Systemic reaction (other): Dizziness

Release 5 — day 7, dose 2

2021-03-06

Systemic reaction (other): Dizziness

Release 5 — day 21, dose 2

2021-03-19

Symptoms: Headache that will not go away. A feeling of pressure in my skull. I will be pursuing medical advice. This has persisted since first dose in January 2021.

Release 6 — day 28, dose 2

2021-03-26

Symptoms: Continued persistent headaches and dizziness

Healthcare visit (other): In person primary doctor health appointment

Release 7 — day 42, dose 2

2021-04-08

Symptoms: Dizziness and constant headache/pressure.

Healthcare visit (other): In-person primary visits and referrals to specialists

Release 8 — 3 months, dose 2

2021-05-28

Symptoms: Continued dizziness, head pressure. New blurry vision.

Healthcare visit (other): In person primary, ENT, Cardiac visits

Release 9 — 6 months, dose 2

2021-08-27

Symptoms: Additional nasal and sinus pain. More frequent dizziness. Ear pain and pressure. Facial pain in forehead, cheeks, jaw, behind the eyes.

Release 10 — day 7, dose 3

2021-12-07

Systemic reaction (other): Nosebleeds and bloody mucus

Release 12 — 12 months, dose 3

2022-12-03

Symptoms: Shortness of breath, coughing, wheezing

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	Cough	·	·	✓
SD	Dizziness	✓	✓	✓
SD	Dyspnoea	·	·	✓
SD	Ear discomfort	✓	·	✓
SD	Ear pain	✓	·	✓
SD	Eye pain	✓	·	✓
SD	Facial pain	✓	·	✓
SD	Fatigue	✓	✓	✓
SD	Head discomfort	✓	✓	✓
SD	Headache	✓	✓	✓
SD	Pain in jaw	✓	·	✓
SD	Rhinalgia	✓	·	✓
SD	Sinus pain	✓	·	✓
SD	Somnolence	✓	✓	✓
SD	Vision blurred	✓	✓	✓
SD	Wheezing	·	·	✓
SRO	Dizziness	✓	✓	✓
SRO	Energy increased	✓	✓	✓
SRO	Epistaxis	·	·	✓
SRO	Vertigo	✓	✓	✓

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