ZSX-14601-15088

1 vaccination 12 coded responses 14 check-ins 12 free-text entries 5 call cases

Sex: Female
Age at first dose: 61-65
ZIP prefix: 233 / VA
Registered: 2021-03-18

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

2021-03-18
Registered in v-safe
2021-03-18
Dose 1 — Moderna
2021-03-18
Survey response — day 0, dose 1
MedDRA: Dizziness, Immediate post-injection reaction — Feeling: Fair · Site: Pain · Headache

Free text: Lightheadedness about 30 min. and 1 hour after injection

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-19
Survey response — days 1–6 daily, dose 1
MedDRA: Dizziness, Headache — Feeling: Good · Site: Pain, Swelling · Headache

Free text: Still a little lightheaded this morning and then headache but I get migraines so I dont know if its my typical migraine where I do get lightheaded or caused by vaccine.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-20
Survey response — days 1–6 daily, dose 1
MedDRA: Dizziness — Feeling: Fair · Headache

Free text: Dizziness/lightheadedness

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-21
Survey response — days 1–6 daily, dose 1
MedDRA: Dizziness — Feeling: Fair · Headache

Free text: Still some lightheadedness/dizziness

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-22
Survey response — days 1–6 daily, dose 1
MedDRA: Vertigo — Feeling: Good

Free text: Vertigo was bad this morning. Still feeling some of the effects but it seems much better this afternoon.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-23
Survey response — days 1–6 daily, dose 1
MedDRA: Medical counselling, Vertigo — Feeling: Fair · Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultation

Free text: Vertigo is really bad at times. Called Dr and she prescribed Meclizine.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-23
Report sent to call center — days 1–6 daily, dose 1
Get care from a doctor or other healthcare professional

1 call case(s)
2021-03-24
Survey response — days 1–6 daily, dose 1
MedDRA: Dizziness — Feeling: Good

Free text: Lightheadedness this morning but much better by noon.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-26
Survey response — day 7, dose 1
MedDRA: Dizziness — Feeling: Fair · Site: Redness, Swelling, Itching

Free text: Lightheadedness

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-01
Survey response — day 14, dose 1
MedDRA: Dizziness, Headache, Pre-existing disease, Unevaluable event — Feeling: Poor · 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: Symptoms: Headaches and dizziness have continued and are worse at times. On day 8, I developed COVID arm but that resolved itself in a few days. · Healthcare visit (other): Lab work and possibly going to get a CT scan

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-01
Report sent to call center — day 14, dose 1
Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional

1 call case(s)
2021-04-08
Survey response — day 21, dose 1
MedDRA: Balance disorder, Dizziness, Headache, Office visit — Feeling: Fair · Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultation

Free text: Symptoms: Still struggling with headaches, lightheadedness, off balance · Healthcare visit (other): Bloodwork & Dr ordered CT SCAN

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-08
Report sent to call center — day 21, dose 1
Get care from a doctor or other healthcare professional

1 call case(s)
2021-04-15
Health check-in — day 28, dose 1
Feeling: Fair

Adult check-in
2021-04-24
Survey response — day 35, dose 1
MedDRA: Balance disorder, Dizziness — Feeling: Fair · Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultation

Free text: Continued lightheadedness/dizziness/off balance since getting 1st dose on 3/18/21

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-24
Report sent to call center — day 35, dose 1
Get care from a doctor or other healthcare professional

1 call case(s)
2021-06-07
Call 1 — Left Voicemail
2021-06-09
Call successful
Reported to VAERS during previous contact from GDIT
2021-06-19
Health check-in — 3 months, dose 1
Feeling: Fair

Adult check-in
2022-03-20
Survey response — 12 months, dose 1
MedDRA: Gastrointestinal disorder, Ventricular extrasystoles — Feeling: Fair · 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: PVCs and gastrointestinal issues

MedDRA releases: 2024-11 · check-in free text available
2022-03-20
Report sent to call center — 12 months, dose 1
Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional

Telehealth, virtual health, or email health consultation · 1 call case(s)
2022-03-23
Call successful
Participant prefers to complete VAERS report online

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-03-18	Moderna

Call center

Reported	Outcome	VAERS-related outcome
2021-03-23	Successful
2021-04-01	Successful
2021-04-08	Successful
2021-04-24	Successful 2021-06-09	Reported to VAERS during previous contact from GDIT
2022-03-20	Successful 2022-03-23	Participant prefers to complete VAERS report online

Free text

Release 5 — day 0, dose 1

2021-03-18

Systemic reaction (other): Lightheadedness about 30 min. and 1 hour after injection

Release 5 — days 1–6 daily, dose 1

2021-03-19

Systemic reaction (other): Still a little lightheaded this morning and then headache but I get migraines so I dont know if its my typical migraine where I do get lightheaded or caused by vaccine.

Release 6 — days 1–6 daily, dose 1

2021-03-20

Systemic reaction (other): Dizziness/lightheadedness

2021-03-21

Systemic reaction (other): Still some lightheadedness/dizziness

2021-03-22

Systemic reaction (other): Vertigo was bad this morning. Still feeling some of the effects but it seems much better this afternoon.

2021-03-23

Systemic reaction (other): Vertigo is really bad at times. Called Dr and she prescribed Meclizine.

2021-03-24

Systemic reaction (other): Lightheadedness this morning but much better by noon.

Release 6 — day 7, dose 1

2021-03-26

Systemic reaction (other): Lightheadedness

Release 6 — day 14, dose 1

2021-04-01

Symptoms: Headaches and dizziness have continued and are worse at times. On day 8, I developed COVID arm but that resolved itself in a few days.

Healthcare visit (other): Lab work and possibly going to get a CT scan

Release 7 — day 21, dose 1

2021-04-08

Symptoms: Still struggling with headaches, lightheadedness, off balance

Healthcare visit (other): Bloodwork & Dr ordered CT SCAN

Release 7 — day 35, dose 1

2021-04-24

Symptoms: Continued lightheadedness/dizziness/off balance since getting 1st dose on 3/18/21

Release 11 — 12 months, dose 1

2022-03-20

Symptoms: PVCs and gastrointestinal issues

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	✓	✓	✓
HCVO	Unevaluable event	✓	✓	✓
SD	Balance disorder	✓	✓	✓
SD	Dizziness	✓	✓	✓
SD	Gastrointestinal disorder	·	·	✓
SD	Headache	✓	✓	✓
SD	Pre-existing disease	✓	·	✓
SD	Ventricular extrasystoles	·	·	✓
SRO	Dizziness	✓	✓	✓
SRO	Headache	✓	✓	✓
SRO	Immediate post-injection reaction	✓	✓	✓
SRO	Medical counselling	·	·	✓
SRO	Vertigo	✓	✓	✓

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