W5L-35742-01300
3 vaccinations
3 coded responses
21 check-ins
3 free-text entries
2 call cases
- Sex
- Female
- Age at first dose
- 31-35
- ZIP prefix
- 462 / IN
- Registered
- 2021-01-03
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-01-03
Registered in v-safe
-
2021-01-03
Dose 1 — Moderna
- 2021-01-03
- 2021-01-04
-
2021-01-06
Survey response — days 1–6 daily, dose 1MedDRA: Dizziness — Feeling: FairFree text: Dizziness, lightheadednessMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-01-08
- 2021-01-10
- 2021-01-19
- 2021-01-24
-
2021-01-31
Dose 2 — Moderna
-
2021-02-01
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Joint pains, Muscle or body achesAdult check-in
- 2021-02-02
- 2021-02-03
- 2021-02-04
- 2021-02-05
- 2021-02-06
- 2021-02-09
- 2021-02-14
- 2021-02-21
- 2021-03-09
- 2021-03-16
- 2021-08-03
-
2022-01-08
Dose 3 — Moderna
-
2022-02-02
Survey response — 12 months, dose 2MedDRA: Dizziness, Vertigo — Feeling: Good · 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 visitFree text: Vertigo, lightheadednessMedDRA releases: 2024-11 · check-in free text available
-
2022-02-02
Report sent to call center — 12 months, dose 2Be unable to work or attend school · Be unable to do your normal daily activities · Get care from a doctor or other healthcare prOutpatient clinic or urgent care clinic visit · 1 call case(s)
-
2022-02-07
Survey response — day 28, dose 3MedDRA: Dizziness, Vertigo — 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 visitFree text: Vertigo, dizzinessMedDRA releases: 2024-11 · check-in free text available
-
2022-02-07
Report sent to call center — day 28, dose 3Be unable to work or attend school · Be unable to do your normal daily activities · Get care from a doctor or other healthcare prOutpatient clinic or urgent care clinic visit · 1 call case(s)
-
2022-02-08
Call successfulDoes not wish to fill out VAERS report
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-01-03 | Moderna | |
| 2 | 2021-01-31 | Moderna | |
| 3 | 2022-01-08 | Moderna | No |
Call center
| Reported | Outcome | VAERS-related outcome |
|---|---|---|
| 2022-02-02 | Successful | Does not wish to fill out VAERS report |
| 2022-02-07 | Successful 2022-02-08 |
Does not wish to fill out VAERS report |
Free text
Release 1 — days 1–6 daily, dose 1
Systemic reaction (other): Dizziness, lightheadedness
Release 11 — 12 months, dose 2
Symptoms: Vertigo, lightheadedness
Release 11 — day 28, dose 3
Symptoms: Vertigo, dizziness
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 | Dizziness | · | · | ✓ |
| SD | Vertigo | · | · | ✓ |
| SRO | Dizziness | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release