YMC-27222-17936
2 vaccinations
5 coded responses
24 check-ins
5 free-text entries
1 call case
- Sex
- Male
- Age at first dose
- 66+
- ZIP prefix
- 786 / TX
- Registered
- 2021-02-28
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-02-26
Dose 1 — Moderna
-
2021-02-28
Registered in v-safe
-
2021-02-28
Survey response — days 1–6 daily, dose 1MedDRA: Balance disorder, Dizziness — Feeling: Fair · HeadacheFree text: Dizziness loss of balance shot date was 2/24 not 2/26MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-03-01
Survey response — days 1–6 daily, dose 1MedDRA: Middle ear effusion, Vertigo — Feeling: Good · HeadacheFree text: Vertigo has minimized. Liquid in ears. Shot date not 2/24 or 2/26 - was absolutely Tuesday, 2/23.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-03-02
- 2021-03-03
- 2021-03-04
- 2021-03-06
- 2021-03-13
- 2021-03-19
-
2021-03-27
Dose 2 — Moderna
-
2021-03-27
Survey response — day 0, dose 2MedDRA: No adverse event — Feeling: Good · HeadacheFree text: NoMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-03-28
- 2021-03-29
- 2021-03-30
- 2021-03-31
- 2021-04-01
-
2021-04-02
Health check-in — days 1–6 daily, dose 2Feeling: Good · Fatigue or tiredness, DiarrheaAdult check-in
- 2021-04-03
- 2021-04-10
- 2021-04-17
- 2021-04-24
- 2021-05-02
- 2021-05-08
-
2021-06-26
Survey response — 3 months, dose 2MedDRA: Dizziness, Dizziness postural, Office visit, Vertigo — Feeling: Good · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professionalFree text: Symptoms: Diziness of head and vertigo. Worse at getting up. Slides to okay as morning progresses. Had the last 5 days. Each day is better. Still not as bad afew days after 2nd Moderna. Could not function for hours. Several days later was much better · Healthcare visit (other): Personal general practictionner.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-06-26
Report sent to call center — 3 months, dose 2Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional1 call case(s)
-
2021-07-06
Call successfulDoes not wish to fill out VAERS report
- 2021-09-27
-
2022-03-27
Survey response — 12 months, dose 2MedDRA: Brain fog, COVID-19, Illness, Medical counselling, SARS-CoV-2 test negative, Vertigo — Feeling: Good · Be unable to do your normal daily activitiesFree text: I had extreme sickness for about 2 months. My doctor said I had Covid even though a test I took was negative. He knew - his wife died from Covid. I have had and have Vertigo since my 2nd Moderna shot. Brain fog gives me a bit of a problem. OK otherwiMedDRA releases: 2024-11 · check-in free text available
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-02-26 | Moderna | |
| 2 | 2021-03-27 | Moderna |
Call center
| Reported | Outcome | VAERS-related outcome |
|---|---|---|
| 2021-06-26 | Successful 2021-07-06 |
Does not wish to fill out VAERS report |
Free text
Release 4 — days 1–6 daily, dose 1
Systemic reaction (other): Dizziness loss of balance shot date was 2/24 not 2/26
Systemic reaction (other): Vertigo has minimized. Liquid in ears. Shot date not 2/24 or 2/26 - was absolutely Tuesday, 2/23.
Release 6 — day 0, dose 2
Systemic reaction (other): No
Release 9 — 3 months, dose 2
Symptoms: Diziness of head and vertigo. Worse at getting up. Slides to okay as morning progresses. Had the last 5 days. Each day is better. Still not as bad afew days after 2nd Moderna. Could not function for hours. Several days later was much better
Healthcare visit (other): Personal general practictionner.
Release 11 — 12 months, dose 2
Symptoms: I had extreme sickness for about 2 months. My doctor said I had Covid even though a test I took was negative. He knew - his wife died from Covid. I have had and have Vertigo since my 2nd Moderna shot. Brain fog gives me a bit of a problem. OK otherwi cut off by CDC
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 | Office visit | ✓ | ✓ | ✓ |
| SD | Brain fog | · | · | ✓ |
| SD | COVID-19 | · | · | ✓ |
| SD | Dizziness | ✓ | ✓ | ✓ |
| SD | Dizziness postural | ✓ | ✓ | ✓ |
| SD | Illness | · | · | ✓ |
| SD | Medical counselling | · | · | ✓ |
| SD | SARS-CoV-2 test negative | · | · | ✓ |
| SD | Vertigo | ✓ | ✓ | ✓ |
| SRO | Balance disorder | ✓ | ✓ | ✓ |
| SRO | Dizziness | ✓ | ✓ | ✓ |
| SRO | Middle ear effusion | ✓ | ✓ | ✓ |
| SRO | No adverse event | ✓ | ✓ | ✓ |
| SRO | Vertigo | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release