2DC-21449-13475
2 vaccinations
2 coded responses
4 check-ins
2 free-text entries
2 call cases
- Sex
- Female
- Age at first dose
- 36-40
- ZIP prefix
- 920 / CA
- Registered
- 2020-12-28
- Relationship
- Self
Timeline
-
2020-12-28
Registered in v-safe
-
2020-12-28
Dose 1 — Moderna
-
2020-12-28
Survey response — day 0, dose 1MedDRA: Blood pressure increased, Cognitive disorder, Dizziness, Emergency care, Feeling abnormal, Heart rate increased, Immediate post-injection reaction — Feeling: Good · Headache · 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, Emergency room or emergency department visitFree text: Systemic reaction (other): 15 min after injection, I started to pass out. It suddenly came on mid conversation. Then I felt like a heavy blanket was covering me. Elevated BP 150/110, with elevated heart rate. Transported to the ER. Terrible brain fog for 2 hours. Cognitively slower. Faded away after 3.5 hours · Healthcare visit (other): Taken to our ED via ambulanceMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2020-12-28
Report sent to call center — day 0, dose 1Be unable to work · Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional1 call case(s)
-
2020-12-29
Survey response — days 1–6 daily, dose 1MedDRA: Headache — Feeling: Fair · Site: Pain · Headache · Be unable to work, Be unable to do your normal daily activitiesFree text: Left brain pain, feels like lightening strikes on the left side. I have never experienced this before.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2020-12-29
Report sent to call center — days 1–6 daily, dose 1Be unable to work · Be unable to do your normal daily activities1 call case(s)
- 2020-12-30
- 2020-12-31
-
2021-01-14
Call successfulCompleted over the phone
-
2021-02-19
Dose 2 — Moderna
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2020-12-28 | Moderna | |
| 2 | 2021-02-19 | Moderna |
Call center
2 call center cases
2 successful
VAERS report filed, before or during a call: 2
Free text
Release 1 — day 0, dose 1
Systemic reaction (other): 15 min after injection, I started to pass out. It suddenly came on mid conversation. Then I felt like a heavy blanket was covering me. Elevated BP 150/110, with elevated heart rate. Transported to the ER. Terrible brain fog for 2 hours. Cognitively slower. Faded away after 3.5 hours
Healthcare visit (other): Taken to our ED via ambulance
Release 1 — days 1–6 daily, dose 1
Systemic reaction (other): Left brain pain, feels like lightening strikes on the left side. I have never experienced this before.
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 | Emergency care | ✓ | ✓ | ✓ |
| SRO | Blood pressure increased | ✓ | ✓ | ✓ |
| SRO | Cognitive disorder | ✓ | ✓ | ✓ |
| SRO | Dizziness | ✓ | ✓ | ✓ |
| SRO | Emergency care | ✓ | ✓ | ✓ |
| SRO | Feeling abnormal | ✓ | ✓ | ✓ |
| SRO | Headache | ✓ | ✓ | ✓ |
| SRO | Heart rate increased | ✓ | ✓ | ✓ |
| SRO | Immediate post-injection reaction | ✓ | ✓ | ✓ |
| SRO | Loss of consciousness | ○ | ○ | ○ |
✓ active code · ○ coded but marked inactive · blank = not in that release