N9X-75544-78775 · OpenVSafe

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: Good · Site: Pain · None

Adult check-in
2021-01-22
Survey response — day 7, dose 1
MedDRA: Dizziness, Pregnancy, Syncope — Feeling: Good · Site: Redness, Swelling

Free text: Faintness/dizziness (also 22 wks pregnant and could be from that)

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-28
Survey response — day 14, dose 1
MedDRA: Dizziness, Injection site erythema, Injection site swelling, Pregnancy — 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: Light headed ness likely due to pregnancy Red swelling of injection site but only lasted 3 days beginning one week post injection

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-28
Report sent to call center — day 14, 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)
2021-02-06
Survey response — day 21, dose 1
MedDRA: Blindness, Deafness, Migraine with aura, Pregnancy, Tinnitus, Vertigo — Feeling: Poor · Be unable to work

Free text: Migraines with aura, hearing and vision loss, vertigo and tinnitus, may or may not be pregnancy related

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-06
Report sent to call center — day 21, dose 1
Be unable to work

1 call case(s)
2021-03-03
Call 1 — Left Voicemail

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-01-14	Moderna

Call center

2 call center cases

2 unsuccessful

See the call center timeline

Free text

Release 2 — day 7, dose 1

2021-01-22

Systemic reaction (other): Faintness/dizziness (also 22 wks pregnant and could be from that)

Release 2 — day 14, dose 1

2021-01-28

Symptoms: Light headed ness likely due to pregnancy Red swelling of injection site but only lasted 3 days beginning one week post injection

Release 3 — day 21, dose 1

2021-02-06

Symptoms: Migraines with aura, hearing and vision loss, vertigo and tinnitus, may or may not be pregnancy related

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	Blindness	✓	✓	✓
SD	Deafness	✓	✓	✓
SD	Dizziness	✓	✓	✓
SD	Injection site erythema	✓	✓	✓
SD	Injection site swelling	✓	✓	✓
SD	Migraine with aura	✓	✓	✓
SD	Pregnancy	✓	✓	✓
SD	Tinnitus	✓	✓	✓
SD	Vertigo	✓	✓	✓
SRO	Dizziness	✓	✓	✓
SRO	Pregnancy	·	·	✓
SRO	Syncope	✓	✓	○

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