YS6-30291-83182
4 vaccinations
4 coded responses
40 check-ins
3 free-text entries
3 call cases
- Sex
- Male
- Age at first dose
- 61-65
- ZIP prefix
- 211 / MD
- Registered
- 2021-03-29
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-03-29
Registered in v-safe
-
2021-03-29
Dose 1 — Moderna
- 2021-03-29
- 2021-03-30
- 2021-03-31
- 2021-04-01
- 2021-04-02
- 2021-04-03
- 2021-04-04
- 2021-04-05
- 2021-04-12
- 2021-04-19
-
2021-04-26
Dose 2 — Moderna
- 2021-04-26
- 2021-04-27
- 2021-04-28
- 2021-04-29
- 2021-04-30
- 2021-05-01
- 2021-05-02
- 2021-05-03
- 2021-05-10
- 2021-05-17
- 2021-05-24
- 2021-05-31
- 2021-06-07
-
2021-07-28
Survey response — 3 months, dose 2MedDRA: Balance disorder, Dizziness, Office visit, Sinusitis, Vertigo — Feeling: Good · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visitFree text: Vertigo. Sensation of room spinning, light-headedness, slight loss of balance. Visited Urgent Care facility, was diagnosed with viral sinus infection and given Rx for Meclizine. Symptoms have subsided.MedDRA releases: 2021-09,2024-11 · check-in free text available
-
2021-07-28
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)
- 2021-08-10
-
2021-10-25
Survey response — 6 months, dose 2MedDRA: Vertigo positional — Feeling: Good · Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultation, Outpatient clinic or urgent care clinic visitFree text: Several days with Benign Paroxysmal Positional Vertigo. Two self-performed Epley Manouvers, and symptoms cleared up. I have no reason to suspect this had anything to do with COVID or vaccine.MedDRA releases: 2024-11 · check-in free text available
-
2021-10-25
Report sent to call center — 6 months, dose 2Get care from a doctor or other healthcare professionalTelehealth, virtual health, or email health consultation · Outpatient clinic or urgent care clinic visit · 1 call case(s)
- 2021-10-26
-
2021-10-27
Call successfulNot applicable (accidental reporting or does not believe symptoms are related to vaccine)
-
2021-10-28
Dose 3 — Pfizer-BioNTech
-
2022-05-01
Dose 4 — Pfizer-BioNTech
- 2022-05-02
- 2022-05-03
- 2022-05-04
- 2022-05-05
- 2022-05-06
- 2022-05-07
-
2022-05-09
Survey response — day 7, dose 4MedDRA: Somnolence — Feeling: Good · Fatigue or tirednessFree text: Sleepy, took a nap which is rare. Probably due to staying up too late the night before.MedDRA releases: 2024-11 · check-in free text available
- 2022-05-15
- 2022-05-22
- 2022-05-30
- 2022-06-05
- 2022-06-12
- 2022-07-31
- 2022-10-30
-
2023-05-03
Survey response — 12 months, dose 4MedDRA: COVID-19, Cough, Eczema, Psoriasis — Feeling: Good · Be unable to work or attend school, Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visitMedDRA releases: 2024-11
-
2023-05-03
Report sent to call center — 12 months, dose 4Be unable to work or attend school · Be unable to do your normal daily activities · Get care from a doctor or other healthcare prOutpatient clinic or urgent care clinic visit · 1 call case(s)
- 2023-05-04
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-03-29 | Moderna | |
| 2 | 2021-04-26 | Moderna | |
| 3 | 2021-10-28 | Pfizer-BioNTech | No |
| 4 | 2022-05-01 | Pfizer-BioNTech | No |
Call center
| Reported | Outcome | VAERS-related outcome |
|---|---|---|
| 2021-07-28 | Successful | Not applicable (accidental reporting or does not believe symptoms are related to vaccine) |
| 2021-10-25 | Successful 2021-10-27 |
Not applicable (accidental reporting or does not believe symptoms are related to vaccine) |
| 2023-05-03 | Unsuccessful |
Free text
Release 9 — 3 months, dose 2
Symptoms: Vertigo. Sensation of room spinning, light-headedness, slight loss of balance. Visited Urgent Care facility, was diagnosed with viral sinus infection and given Rx for Meclizine. Symptoms have subsided.
Release 10 — 6 months, dose 2
Symptoms: Several days with Benign Paroxysmal Positional Vertigo. Two self-performed Epley Manouvers, and symptoms cleared up. I have no reason to suspect this had anything to do with COVID or vaccine.
Release 11 — day 7, dose 4
Systemic reaction (other): Sleepy, took a nap which is rare. Probably due to staying up too late the night before.
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 | Cough | · | · | ✓ |
| SD | COVID-19 | · | · | ✓ |
| SD | Dizziness | ✓ | · | ✓ |
| SD | Eczema | · | · | ✓ |
| SD | Office visit | ✓ | · | ✓ |
| SD | Psoriasis | · | · | ✓ |
| SD | Sinusitis | ✓ | · | ✓ |
| SD | Vertigo | ✓ | · | ✓ |
| SD | Vertigo positional | · | · | ✓ |
| SRO | Somnolence | · | · | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release