YT6-54286-52158

2 vaccinations 10 coded responses 25 check-ins 10 free-text entries 3 call cases

Sex: Female
Age at first dose: 36-40
ZIP prefix: 928 / CA
Registered: 2021-03-11

Relationship: Self
Race: White
Ethnicity: Hispanic or Latino

Timeline

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

2021-03-11
Registered in v-safe
2021-03-11
Dose 1 — Moderna
2021-03-11
Health check-in — day 0, dose 1
Feeling: Poor · Site: Pain · Fever · Chills, Headache

Adult check-in
2021-03-12
Survey response — days 1–6 daily, dose 1
MedDRA: Depressed level of consciousness — Feeling: Poor · Site: Pain · Fever · Chills, Headache · Be unable to do your normal daily activities

Free text: Don't feel 100% alert

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-13
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Site: Pain · Headache · Be unable to do your normal daily activities

Adult check-in
2021-03-14
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Site: Pain · Joint pains, Diarrhea

Adult check-in
2021-03-16
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Chills

Adult check-in
2021-03-17
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-03-18
Survey response — day 7, dose 1
MedDRA: Rhinorrhoea, Sneezing — Feeling: Poor · Fever · Chills, Joint pains · Be unable to do your normal daily activities

Free text: Runny nose and sneezing

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-25
Survey response — day 14, dose 1
MedDRA: Body temperature increased, COVID-19, Pyrexia — Feeling: Fair · Be unable to do your normal daily activities

Free text: I experienced 99.9 low grade fevers every night since my covid19 vaccine.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-01
Survey response — day 21, dose 1
MedDRA: Dizziness — Feeling: Good · Be unable to do your normal daily activities

Free text: I get dizzy spells daily. This has been going on for a week. Something new.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-09
Dose 2 — Moderna
2021-04-09
Health check-in — day 0, dose 2
Feeling: Fair · Site: Pain · Fatigue or tiredness

Adult check-in
2021-04-10
Survey response — days 1–6 daily, dose 2
MedDRA: Dizziness — Feeling: Fair · Site: Pain · Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Free text: Dizzy spells

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

Adult check-in
2021-04-12
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Pain · Fatigue or tiredness

Adult check-in
2021-04-13
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Site: Pain · None

Adult check-in
2021-04-14
Health check-in — days 1–6 daily, dose 2
Feeling: Poor · Fatigue or tiredness, Nausea · Be unable to do your normal daily activities

Adult check-in
2021-04-15
Health check-in — days 1–6 daily, dose 2
Feeling: Poor · Fever · Chills, Headache, Rash, not including the immediate area around the injection site · Be unable to do your normal daily activities

Adult check-in
2021-04-16
Survey response — day 7, dose 2
MedDRA: Dizziness — Feeling: Fair · Fatigue or tiredness

Free text: Dizzy spells

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-25
Health check-in — day 14, dose 2
Feeling: Fair

Adult check-in
2021-04-30
Health check-in — day 21, dose 2
Feeling: Fair

Adult check-in
2021-05-08
Survey response — day 28, dose 2
MedDRA: Chest pain, Deafness, Dizziness, Hypertension, Vision blurred — Feeling: Poor · Be unable to do your normal daily activities

Free text: Dizziness, blurred vision, chest pain, high blood pressure, hearing loss.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-14
Survey response — day 35, dose 2
MedDRA: Dizziness, Office visit, Vision blurred — Feeling: Poor · 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: Symptoms: Dizzy spells, blurred vision, feeling light-headed · Healthcare visit (other): Primary dr visit

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-14
Report sent to call center — day 35, dose 2
Get care from a doctor or other healthcare professional

1 call case(s)
2021-05-21
Health check-in — day 42, dose 2
Feeling: Poor

Adult check-in
2021-07-09
Health check-in — 3 months, dose 2
Feeling: Fair

Adult check-in
2021-10-10
Survey response — 6 months, dose 2
MedDRA: Dizziness, Hypertension, Oropharyngeal pain — Feeling: Fair · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit

Free text: A couple of days with high blood pressure. Never had history of it. Dizzy spells. Sore throat.

MedDRA releases: 2024-11 · check-in free text available
2021-10-10
Report sent to call center — 6 months, dose 2
Get care from a doctor or other healthcare professional

Outpatient clinic or urgent care clinic visit · 1 call case(s)
2021-10-11
Call 1 — Left Voicemail
2022-04-09
Survey response — 12 months, dose 2
MedDRA: Appendicectomy, Laryngitis — Feeling: Fair · 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 visit, Emergency room or emergency department visit, Hospitalization

Free text: Appendectomy, laryngitis

MedDRA releases: 2024-11 · check-in free text available
2022-04-09
Report sent to call center — 12 months, dose 2
Be unable to work or attend school · Be unable to do your normal daily activities · Get care from a doctor or other healthcare pr

Outpatient clinic or urgent care clinic visit · Emergency room or emergency department visit · Hospitalization · 1 call case(s)
2022-04-11
Call 1 — Left Voicemail

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-03-11	Moderna
2	2021-04-09	Moderna

Call center

Reported	Outcome	VAERS-related outcome
2021-05-14	Unsuccessful
2021-10-10	Unsuccessful
2022-04-09	Unsuccessful

Free text

Release 5 — days 1–6 daily, dose 1

2021-03-12

Systemic reaction (other): Don't feel 100% alert

Release 5 — day 7, dose 1

2021-03-18

Systemic reaction (other): Runny nose and sneezing

Release 6 — day 14, dose 1

2021-03-25

Symptoms: I experienced 99.9 low grade fevers every night since my covid19 vaccine.

Release 6 — day 21, dose 1

2021-04-01

Symptoms: I get dizzy spells daily. This has been going on for a week. Something new.

Release 7 — days 1–6 daily, dose 2

2021-04-10

Systemic reaction (other): Dizzy spells

Release 7 — day 7, dose 2

2021-04-16

Systemic reaction (other): Dizzy spells

Release 8 — day 28, dose 2

2021-05-08

Symptoms: Dizziness, blurred vision, chest pain, high blood pressure, hearing loss.

Release 8 — day 35, dose 2

2021-05-14

Symptoms: Dizzy spells, blurred vision, feeling light-headed

Healthcare visit (other): Primary dr visit

Release 10 — 6 months, dose 2

2021-10-10

Symptoms: A couple of days with high blood pressure. Never had history of it. Dizzy spells. Sore throat.

Release 11 — 12 months, dose 2

2022-04-09

Symptoms: Appendectomy, laryngitis

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	Appendicectomy	·	·	✓
SD	Body temperature increased	✓	✓	✓
SD	Chest pain	✓	✓	✓
SD	COVID-19	○	✓	○
SD	Deafness	✓	✓	✓
SD	Dizziness	✓	✓	✓
SD	Hypertension	✓	✓	✓
SD	Laryngitis	·	·	✓
SD	Oropharyngeal pain	·	·	✓
SD	Pyrexia	○	✓	○
SD	Vision blurred	✓	✓	✓
SRO	Depressed level of consciousness	✓	✓	✓
SRO	Dizziness	✓	✓	✓
SRO	Rhinorrhoea	✓	✓	✓
SRO	Sneezing	✓	✓	✓

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