YGG-30493-77908

2 vaccinations 8 coded responses 11 check-ins 8 free-text entries 3 call cases

Sex: Male
Age at first dose: 36-40
ZIP prefix: 544 / WI
Registered: 2021-04-18

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

2021-03-20
Dose 1 — Moderna
2021-04-17
Dose 2 — Moderna
2021-04-18
Registered in v-safe
2021-04-18
Survey response — days 1–6 daily, dose 2
MedDRA: Dysphagia, Lip swelling — Feeling: Poor · Site: Pain, Swelling · Fever · Chills, Headache, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to work, Be unable to do your normal daily activities

Free text: Lips were lightly swollen and difficulty swallowing

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-19
Survey response — days 1–6 daily, dose 2
MedDRA: Dizziness, Dry throat, Dysphagia, Lip swelling, Oropharyngeal pain — Feeling: Fair · Site: Pain, Swelling · Fever · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to do your normal daily activities

Free text: My throat is a bit dry/sore and still having some difficulty swallowing. Ive also had strange dizziness which only lasts a few seconds. Light swelling in my lips seems to be the same or slightly better.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-20
Survey response — days 1–6 daily, dose 2
MedDRA: Asthenia, Dizziness, Fatigue, Lip swelling, Nervous system disorder — Feeling: Fair · Site: Pain · Fever · Chills, Headache, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to work, Be unable to do your normal daily activities

Free text: Very dizzy and weak. Lips are still swollen and having some strange nerve sensations in back of head. Worse part is fatigue and dizziness.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-21
Survey response — days 1–6 daily, dose 2
MedDRA: Dizziness, Fatigue, Lip swelling — Feeling: Fair · Headache, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to work, Be unable to do your normal daily activities

Free text: Still very dizzy. Swelling in my lips seems to be getting better. Very fatigued and dizzy. Hopefully the side affects start to subside soon.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-22
Survey response — days 1–6 daily, dose 2
MedDRA: Disturbance in attention, Dizziness, Fatigue, Headache, Muscle spasms, Nervous system disorder, SARS-CoV-2 test negative, Sensory disturbance, Swelling, Tinnitus — Feeling: Fair · Headache, Fatigue or tiredness · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional

Free text: Systemic reaction (other): Swelling seems to be mostly gone. I am still feeling dizzy. Trouble focusing and fatigue. Its almost like my nerves are acting crazy. Weird sensations back of head followed by headaches. Some muscle spasms and ringing in the ears after the sensations pass. Very strange. · Healthcare visit (other): Because the symptoms have not gone away I was advised to get a Covid test today. It came back negative. Guess the symptoms are just a nasty immune response.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-22
Report sent to call center — days 1–6 daily, dose 2
Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional

1 call case(s)
2021-04-23
Survey response — days 1–6 daily, dose 2
MedDRA: Dizziness, Fatigue, Hypoaesthesia, Office visit, Paraesthesia, Tinnitus — Feeling: Fair · Headache, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to work, Be unable to do your normal daily activities

Free text: Started out great then suddenly felt fatigued. Came on really strong. Became very dizzy and had to sit down. Have had definitely problem with my nerves. Face felt numb and tingling after dizzy spell. Back of head went tingling and numb for a bit. All in all very dizzy to the point where I might have to contact my doctor. Also have had pulsatile tinnitus all day.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-24
Survey response — day 7, dose 2
MedDRA: Adverse reaction, Disturbance in attention, Dizziness, Fatigue, Hypoaesthesia, Medical counselling, Nervousness — Feeling: Poor · Headache, Muscle or body aches, Fatigue or tiredness, Nausea · 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: Systemic reaction (other): Well another day fatigue and dizziness. About the same as yesterday. Trouble concentrating. Honestly it feels like the vaccine is messing with my nervous system. Im no doctor but Ive been having weird numbness in my face and neck. · Healthcare visit (other): I advised my PCP that Im still feeling strong side affects. Im so ready for these affects to go away. Unfortunately my nerves are all messed up. Hopefully it gets better soon as today is the seventh day since vaccination

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-24
Report sent to call center — day 7, 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)
2021-05-01
Survey response — day 14, dose 2
MedDRA: Decreased appetite, Dizziness, Headache, Hypoaesthesia, Occipital neuralgia, Paraesthesia — 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, Outpatient clinic or urgent care clinic visit

Free text: neuralgia. Jawline goes tingling or numb throughout the day. Occipital area is highly irritated. Head aches, dizziness and no appetite.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-01
Report sent to call center — day 14, 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)
2021-05-10
Health check-in — day 21, dose 2
Feeling: Fair

Adult check-in
2021-05-17
Health check-in — day 28, dose 2
Feeling: Fair

Adult check-in
2021-07-18
Health check-in — 3 months, dose 2
Feeling: Fair

Adult check-in
2022-02-04
Call 1 — Left Voicemail

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-03-20	Moderna
2	2021-04-17	Moderna

Call center

Reported	Outcome	VAERS-related outcome
2021-04-22	Unsuccessful
2021-04-24	Unsuccessful
2021-05-01	Unsuccessful

Free text

Release 7 — days 1–6 daily, dose 2

2021-04-18

Systemic reaction (other): Lips were lightly swollen and difficulty swallowing

2021-04-19

Systemic reaction (other): My throat is a bit dry/sore and still having some difficulty swallowing. Ive also had strange dizziness which only lasts a few seconds. Light swelling in my lips seems to be the same or slightly better.

2021-04-20

Systemic reaction (other): Very dizzy and weak. Lips are still swollen and having some strange nerve sensations in back of head. Worse part is fatigue and dizziness.

2021-04-21

Systemic reaction (other): Still very dizzy. Swelling in my lips seems to be getting better. Very fatigued and dizzy. Hopefully the side affects start to subside soon.

2021-04-22

Systemic reaction (other): Swelling seems to be mostly gone. I am still feeling dizzy. Trouble focusing and fatigue. Its almost like my nerves are acting crazy. Weird sensations back of head followed by headaches. Some muscle spasms and ringing in the ears after the sensations pass. Very strange.

Healthcare visit (other): Because the symptoms have not gone away I was advised to get a Covid test today. It came back negative. Guess the symptoms are just a nasty immune response.

2021-04-23

Systemic reaction (other): Started out great then suddenly felt fatigued. Came on really strong. Became very dizzy and had to sit down. Have had definitely problem with my nerves. Face felt numb and tingling after dizzy spell. Back of head went tingling and numb for a bit. All in all very dizzy to the point where I might have to contact my doctor. Also have had pulsatile tinnitus all day.

Release 7 — day 7, dose 2

2021-04-24

Systemic reaction (other): Well another day fatigue and dizziness. About the same as yesterday. Trouble concentrating. Honestly it feels like the vaccine is messing with my nervous system. Im no doctor but Ive been having weird numbness in my face and neck.

Healthcare visit (other): I advised my PCP that Im still feeling strong side affects. Im so ready for these affects to go away. Unfortunately my nerves are all messed up. Hopefully it gets better soon as today is the seventh day since vaccination

Release 8 — day 14, dose 2

2021-05-01

Symptoms: neuralgia. Jawline goes tingling or numb throughout the day. Occipital area is highly irritated. Head aches, dizziness and no appetite.

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	Adverse reaction	✓	✓	✓
HCVO	Medical counselling	✓	✓	✓
HCVO	Nervousness	✓	✓	✓
HCVO	SARS-CoV-2 test negative	✓	✓	✓
SD	Decreased appetite	✓	✓	✓
SD	Dizziness	✓	✓	✓
SD	Headache	✓	✓	✓
SD	Hypoaesthesia	✓	✓	✓
SD	Occipital neuralgia	✓	✓	✓
SD	Paraesthesia	✓	✓	✓
SRO	Asthenia	·	·	✓
SRO	Disturbance in attention	✓	✓	✓
SRO	Dizziness	✓	✓	✓
SRO	Dry throat	✓	✓	✓
SRO	Dysphagia	✓	✓	✓
SRO	Fatigue	✓	✓	✓
SRO	Headache	✓	✓	✓
SRO	Hypoaesthesia	✓	✓	✓
SRO	Lip swelling	✓	✓	✓
SRO	Muscle spasms	✓	✓	✓
SRO	Nervous system disorder	✓	✓	✓
SRO	Office visit	✓	✓	✓
SRO	Oropharyngeal pain	✓	✓	✓
SRO	Paraesthesia	✓	✓	✓
SRO	Sensory disturbance	✓	✓	✓
SRO	Swelling	✓	✓	✓
SRO	Tinnitus	✓	✓	✓

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