YU7-13138-32953

3 vaccinations 6 coded responses 23 check-ins 6 free-text entries 6 call cases

Sex: Female
Age at first dose: 41-45
ZIP prefix: 446 / OH
Registered: 2021-01-03

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

2020-12-31
Dose 1 — Moderna
2021-01-03
Registered in v-safe
2021-01-03
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Site: Pain, Swelling · Headache, Fatigue or tiredness

Adult check-in
2021-01-04
Survey response — days 1–6 daily, dose 1
MedDRA: Dizziness — Feeling: Fair · Site: Pain, Swelling · Headache, Fatigue or tiredness, Nausea · Be unable to work, Be unable to do your normal daily activities

Free text: Dizzy

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-04
Report sent to call center — days 1–6 daily, dose 1
Be unable to work · Be unable to do your normal daily activities

1 call case(s)
2021-01-06
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-01-07
Health check-in — day 7, dose 1
Feeling: Good · None

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

Adult check-in
2021-01-23
Health check-in — day 21, dose 1
Feeling: Good

Adult check-in
2021-01-28
Dose 2 — Moderna
2021-01-29
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Pain, Redness, Swelling · None

Adult check-in
2021-01-30
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Pain, Redness, Swelling, Itching · Headache, Muscle or body aches, Fatigue or tiredness

Adult check-in
2021-01-31
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Pain, Redness, Swelling, Itching · Headache, Muscle or body aches, Fatigue or tiredness

Adult check-in
2021-02-01
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Pain, Redness · Headache

Adult check-in
2021-02-02
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Pain, Redness, Swelling, Itching · Headache, Muscle or body aches, Diarrhea

Adult check-in
2021-02-03
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Pain, Redness, Swelling, Itching · Headache

Adult check-in
2021-02-04
Survey response — day 7, dose 2
MedDRA: Blood pressure increased, Headache — Feeling: Poor · Site: Pain, Redness, Swelling, Itching · Headache · Be unable to work, Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit

Free text: Systemic reaction (other): Blood pressure went to 170/104 · Healthcare visit (other): CT scan for headache

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-04
Report sent to call center — day 7, dose 2
Be unable to work · Get care from a doctor or other healthcare professional

1 call case(s)
2021-02-11
Survey response — day 14, dose 2
MedDRA: Blood pressure abnormal — Feeling: Fair · Be unable to work, Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit

Free text: Blood pressured. Hat to get medicine to controlIt for a few days. Went off medicine and it seems back to normal. Think 2nd shot did it.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-11
Report sent to call center — day 14, dose 2
Be unable to work · Get care from a doctor or other healthcare professional

1 call case(s)
2021-02-18
Health check-in — day 21, dose 2
Feeling: Fair

Adult check-in
2021-02-25
Health check-in — day 28, dose 2
Feeling: Fair

Adult check-in
2021-03-06
Health check-in — day 35, dose 2
Feeling: Good

Adult check-in
2021-03-11
Health check-in — day 42, dose 2
Feeling: Good

Adult check-in
2021-04-29
Health check-in — 3 months, dose 2
Feeling: Good

Adult check-in
2021-06-29
Call 2 — Left Voicemail
2021-07-31
Health check-in — 6 months, dose 2
Feeling: Good

Adult check-in
2021-12-24
Dose 3 — Moderna
2022-01-28
Survey response — 12 months, dose 2
MedDRA: Heart rate irregular — 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

Free text: Heart rate out of control from booster

MedDRA releases: 2024-11 · check-in free text available
2022-01-28
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 · 1 call case(s)
2022-02-01
Call 1 — Left Voicemail
2022-02-01
Call successful
Participant prefers to complete VAERS report online
2022-02-01
Call successful
Participant prefers to complete VAERS report online
2022-06-25
Survey response — 6 months, dose 3
MedDRA: Seizure — Feeling: Poor · Be unable to work or attend school, Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultation, Outpatient clinic or urgent care clinic visit, Emergency room or emergency department visit

Free text: I was diagnosed with seizures.

MedDRA releases: 2024-11 · check-in free text available
2022-06-25
Report sent to call center — 6 months, dose 3
Be unable to work or attend school · Be unable to do your normal daily activities · Get care from a doctor or other healthcare pr

Telehealth, virtual health, or email health consultation · Outpatient clinic or urgent care clinic visit · Emergency room or emergency department visit · 1 call case(s)
2022-06-27
Call 1 — Left Voicemail
2022-06-27
Call 1 — Left Voicemail
2022-06-27
Call 2 — Left Voicemail
2022-06-27
Call 1 — Left Voicemail
2022-12-26
Survey response — 12 months, dose 3
MedDRA: Dizziness, Fall, Headache, Seizure — Feeling: Poor · Be unable to work or attend school, Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultation, Outpatient clinic or urgent care clinic visit, Emergency room or emergency department visit, Hospitalization

Free text: Seizures, headaches, falls, dizziness

MedDRA releases: 2024-11 · check-in free text available
2022-12-26
Report sent to call center — 12 months, dose 3
Be unable to work or attend school · Be unable to do your normal daily activities · Get care from a doctor or other healthcare pr

Telehealth, virtual health, or email health consultation · Outpatient clinic or urgent care clinic visit · Emergency room or emergency department visit · Hospitalization · 1 call case(s)
2022-12-28
Call 2 — Left Voicemail
2022-12-28
Call 1 — Left Voicemail
2023-01-03
Call successful
Reported to VAERS voluntarily prior to GDIT contact
2023-01-03
Call successful
Reported to VAERS voluntarily prior to GDIT contact

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2020-12-31	Moderna
2	2021-01-28	Moderna
3	2021-12-24	Moderna	No

Call center

Reported	Outcome	VAERS-related outcome
2021-01-04	priority 2/3
2021-02-04	Successful 2022-02-01	Participant prefers to complete VAERS report online
2021-02-11	Successful	Participant prefers to complete VAERS report online
2022-01-28	Successful 2022-02-01	Participant prefers to complete VAERS report online
2022-06-25	Successful 2023-01-03	Reported to VAERS voluntarily prior to GDIT contact
2022-12-26	Successful 2023-01-03	Reported to VAERS voluntarily prior to GDIT contact

Free text

Release 1 — days 1–6 daily, dose 1

2021-01-04

Systemic reaction (other): Dizzy

Release 3 — day 7, dose 2

2021-02-04

Systemic reaction (other): Blood pressure went to 170/104

Healthcare visit (other): CT scan for headache

Release 4 — day 14, dose 2

2021-02-11

Symptoms: Blood pressured. Hat to get medicine to controlIt for a few days. Went off medicine and it seems back to normal. Think 2nd shot did it.

Release 11 — 12 months, dose 2

2022-01-28

Symptoms: Heart rate out of control from booster

Release 12 — 6 months, dose 3

2022-06-25

Symptoms: I was diagnosed with seizures.

Release 12 — 12 months, dose 3

2022-12-26

Symptoms: Seizures, headaches, falls, dizziness

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	Headache	✓	✓	✓
SD	Blood pressure abnormal	✓	✓	✓
SD	Dizziness	·	·	✓
SD	Fall	·	·	✓
SD	Headache	·	·	✓
SD	Heart rate irregular	·	·	✓
SD	Seizure	·	·	✓
SRO	Blood pressure increased	✓	✓	✓
SRO	Dizziness	✓	✓	✓

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