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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

  1. 2020-12-28
    Registered in v-safe
  2. 2020-12-28
    Dose 1 — Moderna
  3. 2020-12-28
    Survey response — day 0, dose 1
    MedDRA: 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 visit
    Free 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 ambulance
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  4. 2020-12-28
    Report sent to call center — day 0, 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)
  5. 2020-12-29
    Survey response — days 1–6 daily, dose 1
    MedDRA: Headache — Feeling: Fair · Site: Pain · Headache · Be unable to work, Be unable to do your normal daily activities
    Free 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
  6. 2020-12-29
    Report sent to call center — days 1–6 daily, dose 1
    Be unable to work · Be unable to do your normal daily activities
    1 call case(s)
  7. 2020-12-30
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · Site: Pain · Headache
    Adult check-in
  8. 2020-12-31
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · None
    Adult check-in
  9. 2021-01-14
    Call successful
    Completed over the phone
  10. 2021-02-19
    Dose 2 — Moderna

Vaccinations

DoseDateManufacturerCo-administered
12020-12-28Moderna
22021-02-19Moderna

Call center

2 call center cases

2 successful

VAERS report filed, before or during a call: 2

See the call center timeline

Free text

Release 1 — day 0, dose 1

2020-12-28

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

2020-12-29

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

FieldPreferred term2021-092023-042024-11
HCVOEmergency care ✓ ✓ ✓
SROBlood pressure increased ✓ ✓ ✓
SROCognitive disorder ✓ ✓ ✓
SRODizziness ✓ ✓ ✓
SROEmergency care ✓ ✓ ✓
SROFeeling abnormal ✓ ✓ ✓
SROHeadache ✓ ✓ ✓
SROHeart rate increased ✓ ✓ ✓
SROImmediate post-injection reaction ✓ ✓ ✓
SROLoss of consciousness ○ ○ ○

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