Y2M-10878-49350

2 vaccinations 17 coded responses 24 check-ins 17 free-text entries 2 call cases

Sex: Female
Age at first dose: 61-65
ZIP prefix: 949 / CA
Registered: 2021-03-12

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

2021-03-10
Dose 1 — Moderna
2021-03-12
Registered in v-safe
2021-03-12
Survey response — days 1–6 daily, dose 1
MedDRA: Dizziness — Feeling: Fair · Site: Pain, Swelling · Muscle or body aches, Fatigue or tiredness, Rash, not including the immediate area around the injection site · Be unable to do your normal daily activities

Free text: Woozy

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-14
Survey response — days 1–6 daily, dose 1
MedDRA: Dizziness — Feeling: Fair · Site: Pain · Fatigue or tiredness, Rash, not including the immediate area around the injection site

Free text: Slight wooziness

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-15
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Muscle or body aches, Fatigue or tiredness, Rash, not including the immediate area around the injection site

Adult check-in
2021-03-16
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Fatigue or tiredness, Rash, not including the immediate area around the injection site

Adult check-in
2021-03-17
Health check-in — day 7, dose 1
Feeling: Good · Fatigue or tiredness, Rash, not including the immediate area around the injection site

Adult check-in
2021-03-24
Survey response — day 14, dose 1
MedDRA: Dizziness, Frequent bowel movements, Lethargy, Malaise — Feeling: Fair · Be unable to do your normal daily activities

Free text: Mild dizziness and lethargy/malaise Poop out quickly

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-31
Survey response — day 21, dose 1
MedDRA: Dizziness, Feeling abnormal, Insomnia, Rash — Feeling: Fair · Be unable to do your normal daily activities

Free text: Dizziness #1.Wooziness, foggy headMy rash flared back up.Not sleeping

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-07
Dose 2 — Moderna
2021-04-07
Health check-in — day 28, dose 1
Feeling: Fair

Adult check-in
2021-04-07
Health check-in — day 0, dose 2
Feeling: Fair · Site: Pain · Headache, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Adult check-in
2021-04-08
Survey response — days 1–6 daily, dose 2
MedDRA: Dizziness, Malaise — Feeling: Poor · Site: Pain, Redness, Itching · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Rash, not including the immediate area around the injection site · Be unable to do your normal daily activities

Free text: Malaise, woozy

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-09
Survey response — days 1–6 daily, dose 2
MedDRA: Dizziness, Feeling abnormal, Malaise, Pruritus, Sensitive skin — Feeling: Poor · Site: Pain, Redness · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea, Rash, not including the immediate area around the injection site · Be unable to do your normal daily activities

Free text: Dizziness, malaise, foggy head, skin is hyper-sensitive and itchy

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-10
Survey response — days 1–6 daily, dose 2
MedDRA: Dizziness, Feeling abnormal, Malaise — Feeling: Poor · Site: Pain · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea, Rash, not including the immediate area around the injection site · Be unable to do your normal daily activities

Free text: Malaise, dizziness, foggy brain

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-11
Survey response — days 1–6 daily, dose 2
MedDRA: Feeling abnormal, Headache, Malaise, Neck pain — Feeling: Fair · Site: Pain · Fever · Chills, Headache, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Free text: Malaise, wicked head/neck aches, dull brain

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-12
Survey response — days 1–6 daily, dose 2
MedDRA: Feeling abnormal — Feeling: Fair · Site: Pain · Headache, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Free text: Brain fog

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-13
Survey response — days 1–6 daily, dose 2
MedDRA: Dizziness, Feeling abnormal, Malaise — Feeling: Fair · Headache, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Free text: Brain fog, dizziness, melaise

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-14
Survey response — day 7, dose 2
MedDRA: Dizziness, Feeling abnormal — Feeling: Fair · Headache, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Free text: Dizziness, brain foggy

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-21
Survey response — day 14, dose 2
MedDRA: Dizziness, Fatigue, Malaise — Feeling: Fair · Be unable to do your normal daily activities

Free text: Crazy dizziness and exhaustion, melaise

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-28
Health check-in — day 21, dose 2
Feeling: Fair

Adult check-in
2021-05-05
Survey response — day 28, dose 2
MedDRA: Dizziness, Fatigue, Lymphadenopathy, Pruritus, Rash erythematous, Skin swelling — Feeling: Fair · Be unable to do your normal daily activities

Free text: Lymph glands in neck have been swollen.Odd pinprick red dot rash is still present. The other rash has subsided - raised areas of skin, crazy itchy, around neckline, neck and chest.Still dizzy at times, comes on strong then dissipates.Tire out.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-12
Survey response — day 35, dose 2
MedDRA: Brain fog, Dizziness, Fatigue, Memory impairment, Rash, Somnolence — Feeling: Fair · Be unable to do your normal daily activities

Free text: Still dizzy. Still have tiny blood spot rash on chest, back and torso. Still exhausted - taking naps during day. Still foggy headed, forgetful.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-19
Survey response — day 42, dose 2
MedDRA: Dizziness, Fatigue — Feeling: Fair · Be unable to do your normal daily activities

Free text: Exhaustion - especially after doing anything active. Need to rest a lot. Dizziness.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-07-07
Health check-in — 3 months, dose 2
Feeling: Fair

Adult check-in
2021-10-06
Survey response — 6 months, dose 2
MedDRA: Dizziness, Fatigue, Haematemesis, Hospitalisation, Peptic ulcer haemorrhage — 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 · Telehealth, virtual health, or email health consultation, Emergency room or emergency department visit, Hospitalization

Free text: I am still experiencing dizziness and tire quickly. I was hospitalized for a few days, was vomiting blood. Turns out I have 2 peptic hemorrhagic ulcers.

MedDRA releases: 2024-11 · check-in free text available
2021-10-06
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

Telehealth, virtual health, or email health consultation · Emergency room or emergency department visit · Hospitalization · 1 call case(s)
2021-10-07
Call 1 — Left Voicemail
2022-04-07
Survey response — 12 months, dose 2
MedDRA: Ageusia, Anosmia, Dizziness — Feeling: Fair · 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: No taste or smell senses. Still dizzy from time to time.

MedDRA releases: 2024-11 · check-in free text available
2022-04-07
Report sent to call center — 12 months, dose 2
Get care from a doctor or other healthcare professional

Telehealth, virtual health, or email health consultation · Outpatient clinic or urgent care clinic visit · 1 call case(s)
2022-04-11
Call 1 — Left Voicemail

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-03-10	Moderna
2	2021-04-07	Moderna

Call center

Reported	Outcome	VAERS-related outcome
2021-10-06	Unsuccessful
2022-04-07	Unsuccessful

Free text

Release 5 — days 1–6 daily, dose 1

2021-03-12

Systemic reaction (other): Woozy

2021-03-14

Systemic reaction (other): Slight wooziness

Release 6 — day 14, dose 1

2021-03-24

Symptoms: Mild dizziness and lethargy/malaise Poop out quickly

Release 6 — day 21, dose 1

2021-03-31

Symptoms: Dizziness #1.Wooziness, foggy headMy rash flared back up.Not sleeping

Release 7 — days 1–6 daily, dose 2

2021-04-08

Systemic reaction (other): Malaise, woozy

2021-04-09

Systemic reaction (other): Dizziness, malaise, foggy head, skin is hyper-sensitive and itchy

2021-04-10

Systemic reaction (other): Malaise, dizziness, foggy brain

2021-04-11

Systemic reaction (other): Malaise, wicked head/neck aches, dull brain

2021-04-12

Systemic reaction (other): Brain fog

2021-04-13

Systemic reaction (other): Brain fog, dizziness, melaise

Release 7 — day 7, dose 2

2021-04-14

Systemic reaction (other): Dizziness, brain foggy

Release 7 — day 14, dose 2

2021-04-21

Symptoms: Crazy dizziness and exhaustion, melaise

Release 8 — day 28, dose 2

2021-05-05

Symptoms: Lymph glands in neck have been swollen.Odd pinprick red dot rash is still present. The other rash has subsided - raised areas of skin, crazy itchy, around neckline, neck and chest.Still dizzy at times, comes on strong then dissipates.Tire out.

Release 8 — day 35, dose 2

2021-05-12

Symptoms: Still dizzy. Still have tiny blood spot rash on chest, back and torso. Still exhausted - taking naps during day. Still foggy headed, forgetful.

Release 8 — day 42, dose 2

2021-05-19

Symptoms: Exhaustion - especially after doing anything active. Need to rest a lot. Dizziness.

Release 10 — 6 months, dose 2

2021-10-06

Symptoms: I am still experiencing dizziness and tire quickly. I was hospitalized for a few days, was vomiting blood. Turns out I have 2 peptic hemorrhagic ulcers.

Release 11 — 12 months, dose 2

2022-04-07

Symptoms: No taste or smell senses. Still dizzy from time to time.

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	Ageusia	·	·	✓
SD	Anosmia	·	·	✓
SD	Brain fog	✓	✓	✓
SD	Dizziness	✓	✓	✓
SD	Fatigue	✓	✓	✓
SD	Feeling abnormal	✓	✓	✓
SD	Frequent bowel movements	✓	✓	✓
SD	Haematemesis	·	·	✓
SD	Hospitalisation	·	·	✓
SD	Insomnia	✓	✓	✓
SD	Lethargy	✓	✓	✓
SD	Lymphadenopathy	✓	✓	✓
SD	Malaise	✓	✓	✓
SD	Memory impairment	✓	✓	✓
SD	Peptic ulcer haemorrhage	·	·	✓
SD	Pruritus	✓	✓	✓
SD	Rash	✓	✓	✓
SD	Rash erythematous	✓	✓	✓
SD	Skin swelling	✓	✓	✓
SD	Somnolence	✓	✓	✓
SRO	Dizziness	✓	✓	✓
SRO	Feeling abnormal	✓	✓	✓
SRO	Headache	✓	✓	✓
SRO	Malaise	✓	✓	✓
SRO	Neck pain	✓	✓	✓
SRO	Pruritus	✓	✓	✓
SRO	Sensitive skin	✓	✓	✓

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