Y2Q-33660-99907

1 vaccination 10 coded responses 16 check-ins 10 free-text entries 1 call case

Sex: Female
Age at first dose: 36-40
ZIP prefix: 760 / TX
Registered: 2021-03-11

Relationship: Self
Race: N/A
Ethnicity: N/A

Timeline

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

2021-03-11
Registered in v-safe
2021-03-11
Dose 1 — Moderna
2021-03-11
Survey response — day 0, dose 1
MedDRA: Chest pain, Dizziness — Feeling: Poor · Site: Pain · Headache, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to do your normal daily activities

Free text: Dizziness, lightheaded, chest pain

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-12
Survey response — days 1–6 daily, dose 1
MedDRA: Hyperhidrosis — Feeling: Poor · Site: Pain · Headache, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to do your normal daily activities

Free text: Kind of sweaty

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-13
Survey response — days 1–6 daily, dose 1
MedDRA: Brain fog, Chest pain, Feeling abnormal — Feeling: Fair · Site: Pain · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea, Abdominal pain · Be unable to do your normal daily activities

Free text: Chest pain, foggy brain

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: Chest pain, Feeling abnormal — Feeling: Fair · Site: Pain · Headache, Muscle or body aches, Fatigue or tiredness, Nausea, Abdominal pain · Be unable to do your normal daily activities

Free text: Chest pain, brain fog

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-15
Survey response — days 1–6 daily, dose 1
MedDRA: Chest pain, Dizziness — Feeling: Poor · Site: Pain · Headache, Fatigue or tiredness, Nausea · Be unable to do your normal daily activities

Free text: Woozy, chest pain

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-16
Survey response — days 1–6 daily, dose 1
MedDRA: Chest pain, Malaise — Feeling: Poor · Site: Pain · Headache, Muscle or body aches, Fatigue or tiredness, Nausea, Abdominal pain · Be unable to do your normal daily activities

Free text: Chest pain, malaise- I feel really bad!

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-17
Survey response — days 1–6 daily, dose 1
MedDRA: Chest pain, Feeling abnormal, Influenza like illness — Feeling: Fair · Site: Pain · Headache, Muscle or body aches, Fatigue or tiredness, Nausea, Abdominal pain · Be unable to do your normal daily activities

Free text: Some chest pain and brain fog still, flu-like symptoms

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-18
Survey response — day 7, dose 1
MedDRA: Chest pain, Dizziness — Feeling: Poor · Site: Pain · Headache, Muscle or body aches, Fatigue or tiredness, Nausea, Abdominal pain · Be unable to do your normal daily activities

Free text: Chest pain, lightheaded, hard to stand for more than a few minutes

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-25
Health check-in — day 14, dose 1
Feeling: Fair

Adult check-in
2021-04-01
Health check-in — day 21, dose 1
Feeling: Fair

Adult check-in
2021-04-08
Health check-in — day 28, dose 1
Feeling: Fair

Adult check-in
2021-04-15
Survey response — day 35, dose 1
MedDRA: Angina pectoris, Chest pain, Dizziness, Dyspnoea, Palpitations — Feeling: Poor · Be unable to do your normal daily activities

Free text: Extreme dizziness. Dyspnea, racing heart, heart/chest pain. I need to see a dr but am not an established patient, so its hard.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-22
Health check-in — day 42, dose 1
Feeling: Fair

Adult check-in
2021-06-10
Health check-in — 3 months, dose 1
Feeling: Good

Adult check-in
2021-09-09
Health check-in — 6 months, dose 1
Feeling: Fair

Adult check-in
2022-03-11
Survey response — 12 months, dose 1
MedDRA: Unevaluable event — Feeling: Fair · 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: Not sure

MedDRA releases: 2024-11 · check-in free text available
2022-03-11
Report sent to call center — 12 months, dose 1
Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional

Outpatient clinic or urgent care clinic visit · 1 call case(s)
2022-03-14
Call successful
Other

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-03-11	Moderna

Call center

Reported	Outcome	VAERS-related outcome
2022-03-11	Successful 2022-03-14	Other

Free text

Release 5 — day 0, dose 1

2021-03-11

Systemic reaction (other): Dizziness, lightheaded, chest pain

Release 5 — days 1–6 daily, dose 1

2021-03-12

Systemic reaction (other): Kind of sweaty

2021-03-13

Systemic reaction (other): Chest pain, foggy brain

2021-03-14

Systemic reaction (other): Chest pain, brain fog

2021-03-15

Systemic reaction (other): Woozy, chest pain

2021-03-16

Systemic reaction (other): Chest pain, malaise- I feel really bad!

2021-03-17

Systemic reaction (other): Some chest pain and brain fog still, flu-like symptoms

Release 5 — day 7, dose 1

2021-03-18

Systemic reaction (other): Chest pain, lightheaded, hard to stand for more than a few minutes

Release 7 — day 35, dose 1

2021-04-15

Symptoms: Extreme dizziness. Dyspnea, racing heart, heart/chest pain. I need to see a dr but am not an established patient, so its hard.

Release 11 — 12 months, dose 1

2022-03-11

Symptoms: Not sure

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	Angina pectoris	✓	✓	✓
SD	Chest pain	✓	✓	✓
SD	Dizziness	✓	✓	✓
SD	Dyspnoea	✓	✓	✓
SD	Palpitations	✓	✓	✓
SD	Unevaluable event	·	·	✓
SRO	Brain fog	·	·	✓
SRO	Chest pain	✓	✓	✓
SRO	Dizziness	✓	✓	✓
SRO	Feeling abnormal	✓	✓	✓
SRO	Hyperhidrosis	✓	✓	✓
SRO	Influenza like illness	✓	✓	✓
SRO	Malaise	✓	✓	✓

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