25H-29471-43261
2 vaccinations
7 coded responses
23 check-ins
7 free-text entries
2 call cases
- Sex
- Female
- Age at first dose
- 66+
- ZIP prefix
- 741 / OK
- Registered
- 2021-01-27
- Relationship
- Self
- Race
- Multiracial
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-01-25
Dose 1 — Moderna
-
2021-01-27
Registered in v-safe
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2021-01-27
Survey response — days 1–6 daily, dose 1MedDRA: Body temperature increased — Feeling: Good · Fatigue or tirednessFree text: 10 hours after injection had 100 degree temperature for one night.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-01-28
-
2021-01-29
Survey response — days 1–6 daily, dose 1MedDRA: Dizziness, Unevaluable event — Feeling: Fair · Get care from a doctor or other healthcare professionalFree text: Systemic reaction (other): More dizziness than usual, checking her lab today as she has been anemic. · Healthcare visit (other): lab visit to check anemia statusMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-01-29
Report sent to call center — days 1–6 daily, dose 1Get care from a doctor or other healthcare professional1 call case(s)
- 2021-01-30
-
2021-02-01
Survey response — day 7, dose 1MedDRA: Dehydration, Dizziness, Unevaluable event — Feeling: Good · Get care from a doctor or other healthcare professionalFree text: Systemic reaction (other): More dizziness since Thursday. Had lab Friday, looks ok. Probably from low fluids. · Healthcare visit (other): Lab to check anemia, thyroid, glc.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-02-01
Report sent to call center — day 7, dose 1Get care from a doctor or other healthcare professional1 call case(s)
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2021-02-08
Survey response — day 14, dose 1MedDRA: Dizziness, Tinnitus — Feeling: Fair · Be unable to do your normal daily activitiesFree text: Worse dizziness for 2 days. Doesn't think vaccine related. Some crackling in right ear. Waiting for meclizine prescription, called family dr. Daughter is physician,and caregiver.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-02-15
- 2021-02-22
-
2021-02-23
Dose 2 — Moderna
-
2021-02-24
Survey response — days 1–6 daily, dose 2MedDRA: Pain in extremity, Pre-existing disease — Feeling: Fair · Site: Pain · Chills, Fatigue or tirednessFree text: left calf pain and left arm pain, hx dvt in calf a year agoMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-02-25
Health check-in — days 1–6 daily, dose 2Feeling: Good · Site: Pain · Chills, Fatigue or tirednessAdult check-in
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2021-02-26
Survey response — days 1–6 daily, dose 2MedDRA: Injection site erythema — Feeling: Good · Site: Pain, RednessFree text: there is an area of slight redness 2" below injection site that is 4" in diameterMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-02-27
- 2021-02-28
- 2021-03-01
- 2021-03-02
- 2021-03-09
- 2021-03-16
- 2021-03-23
- 2021-03-31
- 2021-04-06
- 2021-05-25
-
2021-05-27
Call successfulNot applicable (accidental reporting or does not believe symptoms are related to vaccine)
- 2021-08-24
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2022-02-23
Survey response — 12 months, dose 2MedDRA: Cough, Decreased activity, Patient isolation, Rhinorrhoea — Feeling: Fair · Be unable to do your normal daily activitiesFree text: Increased nasal drainage, some coughing. Decreased activity. Confined to home, no known exposure to infectious disease.MedDRA releases: 2024-11 · check-in free text available
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-01-25 | Moderna | |
| 2 | 2021-02-23 | Moderna |
Call center
2 call center cases
2 successful
Free text
Release 2 — days 1–6 daily, dose 1
Systemic reaction (other): 10 hours after injection had 100 degree temperature for one night.
Release 3 — days 1–6 daily, dose 1
Systemic reaction (other): More dizziness than usual, checking her lab today as she has been anemic.
Healthcare visit (other): lab visit to check anemia status
Release 3 — day 7, dose 1
Systemic reaction (other): More dizziness since Thursday. Had lab Friday, looks ok. Probably from low fluids.
Healthcare visit (other): Lab to check anemia, thyroid, glc.
Release 3 — day 14, dose 1
Symptoms: Worse dizziness for 2 days. Doesn't think vaccine related. Some crackling in right ear. Waiting for meclizine prescription, called family dr. Daughter is physician,and caregiver.
Release 4 — days 1–6 daily, dose 2
Systemic reaction (other): left calf pain and left arm pain, hx dvt in calf a year ago
Systemic reaction (other): there is an area of slight redness 2" below injection site that is 4" in diameter
Release 11 — 12 months, dose 2
Symptoms: Increased nasal drainage, some coughing. Decreased activity. Confined to home, no known exposure to infectious disease.
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 | Unevaluable event | ✓ | ✓ | ✓ |
| SD | Cough | · | · | ✓ |
| SD | Decreased activity | · | · | ✓ |
| SD | Dizziness | ✓ | ✓ | ✓ |
| SD | Patient isolation | · | · | ✓ |
| SD | Rhinorrhoea | · | · | ✓ |
| SD | Tinnitus | ✓ | ✓ | ✓ |
| SRO | Body temperature increased | ✓ | ✓ | ✓ |
| SRO | Dehydration | ✓ | ✓ | ✓ |
| SRO | Dizziness | ✓ | ✓ | ✓ |
| SRO | Injection site erythema | ✓ | ✓ | ✓ |
| SRO | Pain in extremity | ✓ | ✓ | ✓ |
| SRO | Pre-existing disease | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release