YZY-14741-81252

1 vaccination 10 coded responses 14 check-ins 10 free-text entries 2 call cases

Sex: Female
Age at first dose: 56-60
ZIP prefix: 065 / CT
Registered: 2021-02-12

Relationship: Self
Race: Other
Ethnicity: Hispanic or Latino

Timeline

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

2021-02-12
Registered in v-safe
2021-02-12
Dose 1 — Moderna
2021-02-12
Health check-in — day 0, dose 1
Feeling: Good · None

Adult check-in
2021-02-13
Health check-in — days 1–6 daily, dose 1
Feeling: Poor · Site: Pain, Redness, Swelling, Itching · Nausea, Abdominal pain

Adult check-in
2021-02-14
Survey response — days 1–6 daily, dose 1
MedDRA: Asthenia, Dysgeusia — Feeling: Poor · Site: Pain, Redness, Swelling, Itching · Chills, Headache, Fatigue or tiredness, Nausea, Diarrhea, Abdominal pain · Be unable to work, Be unable to do your normal daily activities

Free text: Bad taste in my mouth. Feeling very weak no energy

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-15
Survey response — days 1–6 daily, dose 1
MedDRA: Dysgeusia, Oral mucosal eruption, Rash pruritic — Feeling: Poor · Site: Pain, Redness, Itching · Headache, Muscle or body aches, Fatigue or tiredness, Nausea, Abdominal pain, Rash, not including the immediate area around the injection site · Be unable to work, Be unable to do your normal daily activities

Free text: Weird taste in mouth and rash on mouth and chin area that itches. Call 800 number and call my Dr

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-16
Survey response — days 1–6 daily, dose 1
MedDRA: Asthenia, Hyperhidrosis, Pruritus — Feeling: Poor · Site: Redness, Itching · Headache, Fatigue or tiredness, Nausea, Abdominal pain · Be unable to work, Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultation

Free text: Sweating a lot feeling very weak face itches

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-16
Report sent to call center — days 1–6 daily, dose 1
Be unable to work · Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional

1 call case(s)
2021-02-17
Survey response — days 1–6 daily, dose 1
MedDRA: Pruritus — Feeling: Poor · Site: Redness, Itching · Headache, Fatigue or tiredness, Nausea, Diarrhea, Rash, not including the immediate area around the injection site · Be unable to work, Be unable to do your normal daily activities

Free text: Once I eat my body and face starts itching.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-18
Survey response — days 1–6 daily, dose 1
MedDRA: Dizziness, Dysgeusia, Headache, Nausea, Pruritus — Feeling: Poor · Site: Redness · Headache, Fatigue or tiredness, Nausea · Be unable to do your normal daily activities

Free text: Dizziness, very nauseous, headache and the itching on my body that comes all of a sudden. Also this strange medicine taste in my mouth since 2/13 doesnt go away. Dont want to get 2nd shot.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-19
Survey response — day 7, dose 1
MedDRA: Dizziness, Nausea — Feeling: Poor · Fatigue or tiredness, Nausea · Be unable to do your normal daily activities

Free text: Dizziness and nauseas dont seem to go

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-06
Health check-in — day 21, dose 1
Feeling: Good

Adult check-in
2021-03-14
Survey response — day 28, dose 1
MedDRA: Dizziness — Feeling: Good

Free text: Getting dizzy a lot

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-21
Survey response — day 35, dose 1
MedDRA: Dizziness, Headache — Feeling: Fair · Be unable to do your normal daily activities

Free text: Lately getting headaches and feeling very dizzy.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-26
Survey response — day 42, dose 1
MedDRA: Abdominal pain upper, Asthenia, Dizziness — Feeling: Good · Be unable to do your normal daily activities

Free text: I am still experiencing lots of dizziness and cramping on my left side of my stomach. Lack of energy. Im a very hyper person with lots of energy. Dont feel like that for a couple of weeks now.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-14
Survey response — 3 months, dose 1
MedDRA: Dizziness, Headache, Nausea — Feeling: Poor · Be unable to work, Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultation

Free text: For over a month and a half I have been experiencing very strong headaches, nausea and dizziness. This is every day. Some days so bad I have to call out.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-14
Report sent to call center — 3 months, dose 1
Be unable to work · Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional

1 call case(s)
2021-08-06
Call 1 — Left Voicemail
2021-08-14
Health check-in — 6 months, dose 1
Feeling: Good

Adult check-in

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-02-12	Moderna

Call center

Reported	Outcome	VAERS-related outcome
2021-02-16	Unsuccessful
2021-05-14	Unsuccessful

Free text

Release 4 — days 1–6 daily, dose 1

2021-02-14

Systemic reaction (other): Bad taste in my mouth. Feeling very weak no energy

2021-02-15

Systemic reaction (other): Weird taste in mouth and rash on mouth and chin area that itches. Call 800 number and call my Dr

2021-02-16

Systemic reaction (other): Sweating a lot feeling very weak face itches

2021-02-17

Systemic reaction (other): Once I eat my body and face starts itching.

2021-02-18

Systemic reaction (other): Dizziness, very nauseous, headache and the itching on my body that comes all of a sudden. Also this strange medicine taste in my mouth since 2/13 doesnt go away. Dont want to get 2nd shot.

Release 4 — day 7, dose 1

2021-02-19

Systemic reaction (other): Dizziness and nauseas dont seem to go

Release 5 — day 28, dose 1

2021-03-14

Symptoms: Getting dizzy a lot

Release 6 — day 35, dose 1

2021-03-21

Symptoms: Lately getting headaches and feeling very dizzy.

Release 6 — day 42, dose 1

2021-03-26

Symptoms: I am still experiencing lots of dizziness and cramping on my left side of my stomach. Lack of energy. Im a very hyper person with lots of energy. Dont feel like that for a couple of weeks now.

Release 8 — 3 months, dose 1

2021-05-14

Symptoms: For over a month and a half I have been experiencing very strong headaches, nausea and dizziness. This is every day. Some days so bad I have to call out.

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	Abdominal pain upper	✓	✓	✓
SD	Asthenia	✓	✓	✓
SD	Dizziness	✓	✓	✓
SD	Headache	✓	✓	✓
SD	Nausea	✓	✓	✓
SRO	Asthenia	✓	✓	✓
SRO	Dizziness	✓	✓	✓
SRO	Dysgeusia	✓	✓	✓
SRO	Headache	✓	✓	✓
SRO	Hyperhidrosis	✓	✓	✓
SRO	Nausea	✓	✓	✓
SRO	Oral mucosal eruption	✓	✓	✓
SRO	Pruritus	✓	✓	✓
SRO	Rash pruritic	✓	✓	✓

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