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ZLA-79471-81640

2 vaccinations 6 coded responses 7 check-ins 6 free-text entries 4 call cases
Sex
Female
Age at first dose
61-65
ZIP prefix
890 / NV
Registered
2021-03-19
Relationship
Self
Race
White
Ethnicity
Not Hispanic or Latino

Timeline

  1. 2021-01-22
    Dose 1 — Moderna
  2. 2021-02-26
    Dose 2 — Moderna
  3. 2021-03-19
    Registered in v-safe
  4. 2021-03-19
    Survey response — day 21, dose 2
    MedDRA: Diarrhoea, Dizziness, Dyspepsia, Fatigue, Headache, Hypoaesthesia, Muscle spasms, Pain, Tinnitus, Visual impairment — Feeling: Fair · Be unable to work, Be unable to do your normal daily activities
    Free text: After 2nd vaccine I felt like I did when I had Covid...Dizzy. Aches. Headaches. Diarrhea. Cramps. Indigestion. Tinnitus. Facial numbness. Fatigue. I had facial numbness after my 1st vaccine that affected my vision. Still have ongoing fatigue daily.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  5. 2021-03-28
    Survey response — day 28, dose 2
    MedDRA: Bladder disorder, Fatigue — Feeling: Good
    Free text: Fatigue.. Bladder issues
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  6. 2021-04-02
    Survey response — day 35, dose 2
    MedDRA: Concussion, Fall — Feeling: Poor · Be unable to work, 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: Fell.. I have a concussion.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  7. 2021-04-02
    Report sent to call center — day 35, dose 2
    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)
  8. 2021-04-09
    Survey response — day 42, dose 2
    MedDRA: Confusional state, Tremor — Feeling: Fair · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit
    Free text: Increased tremors n confusion...but I am in stage of concussion.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  9. 2021-04-09
    Report sent to call center — day 42, dose 2
    Get care from a doctor or other healthcare professional
    1 call case(s)
  10. 2021-05-31
    Health check-in — 3 months, dose 2
    Feeling: Fair
    Adult check-in
  11. 2021-06-11
  12. 2021-08-27
    Survey response — 6 months, dose 2
    MedDRA: Cholecystectomy — 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: Had to have my gallbladder removed
    MedDRA releases: 2021-09,2024-11 · check-in free text available
  13. 2021-08-27
    Report sent to call center — 6 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
    1 call case(s)
  14. 2021-09-02
  15. 2022-02-27
    Survey response — 12 months, dose 2
    MedDRA: Dizziness, Ear infection, Tinnitus — 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: Ear infection lasting past 10 days of antibiotics...with tinnitus and dizziness
    MedDRA releases: 2024-11 · check-in free text available
  16. 2022-02-27
    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)
  17. 2022-03-04

Vaccinations

DoseDateManufacturerCo-administered
12021-01-22Moderna
22021-02-26Moderna

Call center

ReportedOutcomeVAERS-related outcome
2021-04-02 Unsuccessful Reported to VAERS voluntarily prior to GDIT contact
2021-04-09 Unsuccessful
2021-08-27 Unsuccessful Reported to VAERS voluntarily prior to GDIT contact
2022-02-27 Unsuccessful

Free text

Release 5 — day 21, dose 2

2021-03-19

Symptoms: After 2nd vaccine I felt like I did when I had Covid...Dizzy. Aches. Headaches. Diarrhea. Cramps. Indigestion. Tinnitus. Facial numbness. Fatigue. I had facial numbness after my 1st vaccine that affected my vision. Still have ongoing fatigue daily. cut off by CDC

Release 6 — day 28, dose 2

2021-03-28

Symptoms: Fatigue.. Bladder issues

Release 6 — day 35, dose 2

2021-04-02

Symptoms: Fell.. I have a concussion.

Release 7 — day 42, dose 2

2021-04-09

Symptoms: Increased tremors n confusion...but I am in stage of concussion.

Release 9 — 6 months, dose 2

2021-08-27

Symptoms: Had to have my gallbladder removed

Release 11 — 12 months, dose 2

2022-02-27

Symptoms: Ear infection lasting past 10 days of antibiotics...with tinnitus and 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

FieldPreferred term2021-092023-042024-11
SDBladder disorder ✓ ✓ ✓
SDCholecystectomy ✓ · ✓
SDConcussion ✓ ✓ ✓
SDConfusional state ✓ ✓ ✓
SDDiarrhoea ✓ ✓ ✓
SDDizziness ✓ ✓ ✓
SDDyspepsia ✓ ✓ ✓
SDEar infection · · ✓
SDFall ✓ ✓ ✓
SDFatigue ✓ ✓ ✓
SDHeadache ✓ ✓ ✓
SDHypoaesthesia ✓ ✓ ✓
SDMuscle spasms ✓ ✓ ✓
SDPain ✓ ✓ ✓
SDTinnitus ✓ ✓ ✓
SDTremor ✓ ✓ ✓
SDVisual impairment ✓ ✓ ✓

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