YQE-51650-54139

4 vaccinations 8 coded responses 28 check-ins 8 free-text entries 1 call case

Sex: Female
Age at first dose: 66+
ZIP prefix: 028 / RI
Registered: 2021-01-16

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

2021-01-16
Registered in v-safe
2021-01-16
Dose 1 — Moderna
2021-01-16
Health check-in — day 0, dose 1
Feeling: Fair · Fever · Headache, Muscle or body aches

Adult check-in
2021-01-18
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Fever · Chills, Muscle or body aches, Fatigue or tiredness, Nausea

Adult check-in
2021-01-19
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-01-20
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-01-22
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-01-23
Health check-in — day 7, dose 1
Feeling: Good · None

Adult check-in
2021-01-30
Health check-in — day 14, dose 1
Feeling: Good

Adult check-in
2021-02-06
Health check-in — day 21, dose 1
Feeling: Good

Adult check-in
2021-02-13
Dose 2 — Moderna
2021-02-13
Survey response — day 0, dose 2
MedDRA: Dizziness — Feeling: Fair · Fever · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness

Free text: Some dizziness

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-14
Survey response — days 1–6 daily, dose 2
MedDRA: Dizziness — Feeling: Fair · Site: Pain, Itching · Fever · Chills, Headache, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to do your normal daily activities

Free text: Still some dizziness

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-15
Survey response — days 1–6 daily, dose 2
MedDRA: Dizziness, Meniere's disease, Tinnitus, Vertigo — Feeling: Fair · Site: Redness, Swelling, Itching · Fever · Chills, Headache, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Free text: Some dizziness but I have vertigo and tinnitus also am being evaluated for meniers disease in both ears

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-16
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Redness, Swelling, Itching · Fatigue or tiredness · Be unable to do your normal daily activities

Adult check-in
2021-02-17
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Site: Redness, Swelling, Itching · Headache, Fatigue or tiredness

Adult check-in
2021-02-18
Health check-in — days 1–6 daily, dose 2
Feeling: Good · None

Adult check-in
2021-02-19
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Headache, Fatigue or tiredness · Be unable to do your normal daily activities

Adult check-in
2021-02-20
Health check-in — day 7, dose 2
Feeling: Fair · Headache, Muscle or body aches, Fatigue or tiredness, Nausea

Adult check-in
2021-02-27
Health check-in — day 14, dose 2
Feeling: Good

Adult check-in
2021-03-06
Health check-in — day 21, dose 2
Feeling: Good

Adult check-in
2021-03-14
Health check-in — day 28, dose 2
Feeling: Good

Adult check-in
2021-03-22
Survey response — day 35, dose 2
MedDRA: Headache, Nausea — Feeling: Fair · Be unable to do your normal daily activities

Free text: On and off headache withnsusea

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-27
Health check-in — day 42, dose 2
Feeling: Good

Adult check-in
2021-05-15
Survey response — 3 months, dose 2
MedDRA: Cardiac disorder, Fatigue — Feeling: Poor · Be unable to do your normal daily activities

Free text: I seem to have developed a heart condition I never had a problem before. It looks like I will need to go to the hosp for further testing I might have a blockage and require a stent. The fatigue is worse

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-08-14
Survey response — 6 months, dose 2
MedDRA: Dyspnoea, Heart rate increased, Unevaluable event — Feeling: Good · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional

Free text: Symptoms: I have had recurring episodes of shortness of breath with a rapid heart beat · Healthcare visit (other): Cardiac test

MedDRA releases: 2021-09,2024-11 · check-in free text available
2021-08-14
Report sent to call center — 6 months, dose 2
Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional

1 call case(s)
2021-08-23
Call 1 — Left Voicemail
2021-11-03
Dose 3 — Pfizer-BioNTech
2022-02-15
Survey response — 12 months, dose 2
MedDRA: Malaise, SARS-CoV-2 test negative — Feeling: Good

Free text: Had symptoms of covid but even though I was sick tests came out negative. We were all sick in my family

MedDRA releases: 2024-11 · check-in free text available
2022-10-20
Dose 4 — Moderna
2022-10-22
Health check-in — days 1–6 daily, dose 4
Feeling: Fair · Site: Itching · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Diarrhea · Be unable to do your normal daily activities

Adult check-in
2022-10-23
Health check-in — days 1–6 daily, dose 4
Feeling: Fair · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Adult check-in
2022-10-24
Health check-in — days 1–6 daily, dose 4
Feeling: Fair · Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Adult check-in
2022-10-25
Survey response — days 1–6 daily, dose 4
MedDRA: Influenza — Feeling: Fair · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to do your normal daily activities

Free text: I feel like I have the flu this is the last time I am getting this vaccine!!!!

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

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-01-16	Moderna
2	2021-02-13	Moderna
3	2021-11-03	Pfizer-BioNTech	No
4	2022-10-20	Moderna	No

Call center

Reported	Outcome	VAERS-related outcome
2021-08-14	Unsuccessful

Free text

Release 4 — day 0, dose 2

2021-02-13

Systemic reaction (other): Some dizziness

Release 4 — days 1–6 daily, dose 2

2021-02-14

Systemic reaction (other): Still some dizziness

2021-02-15

Systemic reaction (other): Some dizziness but I have vertigo and tinnitus also am being evaluated for meniers disease in both ears

Release 6 — day 35, dose 2

2021-03-22

Symptoms: On and off headache withnsusea

Release 8 — 3 months, dose 2

2021-05-15

Symptoms: I seem to have developed a heart condition I never had a problem before. It looks like I will need to go to the hosp for further testing I might have a blockage and require a stent. The fatigue is worse

Release 9 — 6 months, dose 2

2021-08-14

Symptoms: I have had recurring episodes of shortness of breath with a rapid heart beat

Healthcare visit (other): Cardiac test

Release 11 — 12 months, dose 2

2022-02-15

Symptoms: Had symptoms of covid but even though I was sick tests came out negative. We were all sick in my family

Release 12 — days 1–6 daily, dose 4

2022-10-25

Systemic reaction (other): I feel like I have the flu this is the last time I am getting this vaccine!!!!

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	Unevaluable event	✓	·	✓
SD	Cardiac disorder	✓	✓	✓
SD	Dyspnoea	✓	·	✓
SD	Fatigue	✓	✓	✓
SD	Headache	✓	✓	✓
SD	Heart rate increased	✓	·	✓
SD	Malaise	·	·	✓
SD	Nausea	✓	✓	✓
SD	SARS-CoV-2 test negative	·	·	✓
SRO	Dizziness	✓	✓	✓
SRO	Influenza	·	·	✓
SRO	Meniere's disease	✓	✓	✓
SRO	Tinnitus	✓	✓	✓
SRO	Vertigo	✓	✓	✓

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