YHM-22279-16572

2 vaccinations 13 coded responses 23 check-ins 13 free-text entries 2 call cases

Sex: Female
Age at first dose: 41-45
ZIP prefix: 551 / MN
Registered: 2021-05-04

Relationship: Self
Race: Black or African American
Ethnicity: Not Hispanic or Latino

Timeline

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

2021-05-03
Dose 1 — Moderna
2021-05-04
Registered in v-safe
2021-05-04
Survey response — days 1–6 daily, dose 1
MedDRA: Dizziness — Feeling: Poor · Site: Pain · Be unable to work or attend school, Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit

Free text: Dizziness

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-04
Report sent to call center — days 1–6 daily, dose 1
Be unable to work · Get care from a doctor or other healthcare professional

1 call case(s)
2021-05-05
Survey response — days 1–6 daily, dose 1
MedDRA: Dizziness — Feeling: Fair · Headache, Fatigue or tiredness · Be unable to work, Be unable to do your normal daily activities

Free text: Still dizzy slightly less than yesterday

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-06
Survey response — days 1–6 daily, dose 1
MedDRA: Dizziness, Visual impairment — Feeling: Fair · Be unable to work

Free text: I saw yellow spots when I first woke up, but it went away after a few minutes. The dizziness is lessening. No headaches today.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-08
Survey response — days 1–6 daily, dose 1
MedDRA: Brain fog, Dizziness, Dyschromatopsia, Fatigue, Palpitations — Feeling: Fair

Free text: The dizziness is less today. I was very fatigued after working yesterday, felt woozy throughout the day. Wednesday morning when I first woke up and looked up at my black ceiling fan, it looked dark blue, or dark green. The normal black color returned after a few minutes. I had a few heart palpitations throughout the day Wednesday, and a few left on Thursday. Thursday and Friday I saw yellow spots when I woke up, and that went away after a few minutes to normal vision. This morning upon waking up only briefly saw yellow spots. Today feels like I have a bit of brain fog.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-09
Survey response — days 1–6 daily, dose 1
MedDRA: Brain fog, Dizziness, Fatigue — Feeling: Fair

Free text: Tired and a little dizzy or brain fog, similar to yesterday

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-10
Survey response — day 7, dose 1
MedDRA: Balance disorder, Brain fog — Feeling: Fair · Fatigue or tiredness

Free text: Still have a little brain fog, off balance feel at times. This is the best I felt all week.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-17
Survey response — day 14, dose 1
MedDRA: Balance disorder, Chest pain, Dizziness, Loss of personal independence in daily activities — Feeling: Fair

Free text: My chest has had pain yesterday and today. Still having slight dizziness or off balance feel, and I havent had to take the meds for it for two days. It effects my daily activities and work to a degree.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-24
Survey response — day 21, dose 1
MedDRA: Brain fog, Chest discomfort, Dizziness, Dyspnoea, Hypertension — Feeling: Fair · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit

Free text: Chest pressure, High blood pressure, feeling slightly faint, brain fog, short of breath

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-24
Report sent to call center — day 21, dose 1
Get care from a doctor or other healthcare professional

1 call case(s)
2021-05-31
Survey response — day 28, dose 1
MedDRA: Brain fog, Dizziness — Feeling: Fair

Free text: Still have slight dizzy feeling or brain fog

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-06-08
Health check-in — day 35, dose 1
Feeling: Good

Adult check-in
2021-06-14
Health check-in — day 42, dose 1
Feeling: Good

Adult check-in
2021-06-15
Dose 2 — Moderna
2021-06-19
Survey response — days 1–6 daily, dose 2
MedDRA: Respiratory symptom — Feeling: Fair · Site: Pain, Redness · Fatigue or tiredness

Free text: Asthmatic like symptoms

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-06-20
Survey response — days 1–6 daily, dose 2
MedDRA: Asthma, Chest discomfort — Feeling: Fair · Site: Pain · Fever · Chills, Fatigue or tiredness

Free text: Asthma like symptoms, had to take a few puffs of my inhaler to ease the heaviness in my chest

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-06-21
Survey response — days 1–6 daily, dose 2
MedDRA: Visual impairment — Feeling: Fair · Site: Pain · Fatigue or tiredness

Free text: Friday thru today in the morning I saw yellow spots, but it will go away after a few minutes.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-06-24
Survey response — day 7, dose 2
MedDRA: Fatigue, Insomnia — Feeling: Fair · Fatigue or tiredness

Free text: Couldnt sleep last night, very tired today.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-06-29
Health check-in — day 14, dose 2
Feeling: Good

Adult check-in
2021-07-06
Health check-in — day 21, dose 2
Feeling: Good

Adult check-in
2021-07-13
Health check-in — day 28, dose 2
Feeling: Good

Adult check-in
2021-07-20
Health check-in — day 35, dose 2
Feeling: Good

Adult check-in
2021-07-27
Health check-in — day 42, dose 2
Feeling: Good

Adult check-in
2021-09-16
Health check-in — 3 months, dose 2
Feeling: Good

Adult check-in
2021-12-16
Health check-in — 6 months, dose 2
Feeling: Good

Adult check-in
2022-03-25
Call successful
Does not wish to fill out VAERS report
2022-06-17
Health check-in — 12 months, dose 2
Feeling: Good

Adult check-in

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-05-03	Moderna
2	2021-06-15	Moderna	No

Call center

Reported	Outcome	VAERS-related outcome
2021-05-04	Successful	Does not wish to fill out VAERS report
2021-05-24	Successful 2022-03-25	Does not wish to fill out VAERS report

Free text

Release 8 — days 1–6 daily, dose 1

2021-05-04

Systemic reaction (other): Dizziness

2021-05-05

Systemic reaction (other): Still dizzy slightly less than yesterday

2021-05-06

Systemic reaction (other): I saw yellow spots when I first woke up, but it went away after a few minutes. The dizziness is lessening. No headaches today.

2021-05-08

Systemic reaction (other): The dizziness is less today. I was very fatigued after working yesterday, felt woozy throughout the day. Wednesday morning when I first woke up and looked up at my black ceiling fan, it looked dark blue, or dark green. The normal black color returned after a few minutes. I had a few heart palpitations throughout the day Wednesday, and a few left on Thursday. Thursday and Friday I saw yellow spots when I woke up, and that went away after a few minutes to normal vision. This morning upon waking up only briefly saw yellow spots. Today feels like I have a bit of brain fog.

2021-05-09

Systemic reaction (other): Tired and a little dizzy or brain fog, similar to yesterday

Release 8 — day 7, dose 1

2021-05-10

Systemic reaction (other): Still have a little brain fog, off balance feel at times. This is the best I felt all week.

Release 8 — day 14, dose 1

2021-05-17

Symptoms: My chest has had pain yesterday and today. Still having slight dizziness or off balance feel, and I havent had to take the meds for it for two days. It effects my daily activities and work to a degree.

Release 8 — day 21, dose 1

2021-05-24

Symptoms: Chest pressure, High blood pressure, feeling slightly faint, brain fog, short of breath

Release 8 — day 28, dose 1

2021-05-31

Symptoms: Still have slight dizzy feeling or brain fog

Release 9 — days 1–6 daily, dose 2

2021-06-19

Systemic reaction (other): Asthmatic like symptoms

2021-06-20

Systemic reaction (other): Asthma like symptoms, had to take a few puffs of my inhaler to ease the heaviness in my chest

2021-06-21

Systemic reaction (other): Friday thru today in the morning I saw yellow spots, but it will go away after a few minutes.

Release 9 — day 7, dose 2

2021-06-24

Systemic reaction (other): Couldnt sleep last night, very tired today.

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	Balance disorder	✓	✓	✓
SD	Brain fog	✓	✓	✓
SD	Chest discomfort	✓	✓	✓
SD	Chest pain	✓	✓	✓
SD	Dizziness	✓	✓	✓
SD	Dyspnoea	✓	✓	✓
SD	Hypertension	✓	✓	✓
SD	Loss of personal independence in daily activities	✓	✓	✓
SRO	Asthma	✓	✓	✓
SRO	Balance disorder	✓	✓	✓
SRO	Brain fog	✓	✓	✓
SRO	Chest discomfort	✓	✓	✓
SRO	Dizziness	✓	✓	✓
SRO	Dyschromatopsia	✓	✓	✓
SRO	Fatigue	✓	✓	✓
SRO	Insomnia	✓	✓	✓
SRO	Palpitations	✓	✓	✓
SRO	Respiratory symptom	✓	✓	✓
SRO	Visual impairment	✓	✓	✓

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