2HQ-25777-14098
2 vaccinations
6 coded responses
25 check-ins
6 free-text entries
1 call case
- Sex
- Female
- Age at first dose
- 46-50
- ZIP prefix
- 241 / VA
- Registered
- 2021-03-18
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-03-18
Registered in v-safe
-
2021-03-18
Dose 1 — Moderna
- 2021-03-18
-
2021-03-19
Health check-in — days 1–6 daily, dose 1Feeling: Fair · Site: Pain · Headache, Fatigue or tirednessAdult check-in
- 2021-03-20
- 2021-03-21
- 2021-03-22
- 2021-03-23
- 2021-03-24
- 2021-03-25
- 2021-04-01
- 2021-04-08
-
2021-04-15
Dose 2 — Moderna
- 2021-04-15
-
2021-04-16
Health check-in — days 1–6 daily, dose 2Feeling: Poor · Site: Pain, Swelling · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to work, Be unable to do your normal daily activitiesAdult check-in
-
2021-04-17
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Site: Pain · Fever · Muscle or body aches, Fatigue or tiredness · Be unable to work, Be unable to do your normal daily activitiesAdult check-in
-
2021-04-18
Health check-in — days 1–6 daily, dose 2Feeling: Good · Site: Pain · Joint pains, Fatigue or tirednessAdult check-in
-
2021-04-19
Survey response — days 1–6 daily, dose 2MedDRA: Ocular hyperaemia, Tinnitus — Feeling: Good · Site: Pain · HeadacheFree text: Ringing ears -red left eyeMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-04-21
Survey response — days 1–6 daily, dose 2MedDRA: Confusional state, Dizziness, Fall — Feeling: GoodFree text: On Monday after my check in and through Tuesday mid-day I was having dizziness and some mild confusion- I fell 3 times from syncope type syndrome- this is unusual for me and has since resolvedMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-04-22
- 2021-04-29
- 2021-05-06
-
2021-05-13
Survey response — day 28, dose 2MedDRA: Fatigue — Feeling: GoodFree text: Some fatigue- could be allergiesMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-05-20
-
2021-05-27
Survey response — day 42, dose 2MedDRA: Gastroenteritis viral — Feeling: Good · Be unable to workFree text: Unrelated stomach virus I believeMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-07-15
-
2021-10-14
Survey response — 6 months, dose 2MedDRA: Breakthrough COVID-19, Lymphadenopathy, Mental disorder, Nervous system disorder — Feeling: Good · Be unable to work or attend schoolFree text: Enlarged lymph nodes - break through Covid- neurological issues- psychological issuesMedDRA releases: 2024-11 · check-in free text available
-
2022-04-16
Survey response — 12 months, dose 2MedDRA: Chest pain, Electrocardiogram abnormal, Emergency care, Myocardial infarction, Office visit — Feeling: Good · Get care from a doctor or other healthcare professional · Emergency room or emergency department visitFree text: Septal infarct showed on EKG following booster - cardiologist was not sure if this was endocarditis following vaccine or from break through Covid case-had visit to ER for chest pain after BoosterMedDRA releases: 2024-11 · check-in free text available
-
2022-04-16
Report sent to call center — 12 months, dose 2Get care from a doctor or other healthcare professionalEmergency room or emergency department visit · 1 call case(s)
- 2022-04-20
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-03-18 | Moderna | |
| 2 | 2021-04-15 | Moderna |
Call center
1 call center case
1 unsuccessful
Free text
Release 7 — days 1–6 daily, dose 2
Systemic reaction (other): Ringing ears -red left eye
Systemic reaction (other): On Monday after my check in and through Tuesday mid-day I was having dizziness and some mild confusion- I fell 3 times from syncope type syndrome- this is unusual for me and has since resolved
Release 8 — day 28, dose 2
Symptoms: Some fatigue- could be allergies
Release 8 — day 42, dose 2
Symptoms: Unrelated stomach virus I believe
Release 10 — 6 months, dose 2
Symptoms: Enlarged lymph nodes - break through Covid- neurological issues- psychological issues
Release 11 — 12 months, dose 2
Symptoms: Septal infarct showed on EKG following booster - cardiologist was not sure if this was endocarditis following vaccine or from break through Covid case-had visit to ER for chest pain after Booster
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 |
|---|---|---|---|---|
| SD | Breakthrough COVID-19 | · | · | ✓ |
| SD | Chest pain | · | · | ✓ |
| SD | Electrocardiogram abnormal | · | · | ✓ |
| SD | Emergency care | · | · | ✓ |
| SD | Fatigue | ✓ | ✓ | ✓ |
| SD | Gastroenteritis viral | ✓ | ✓ | ✓ |
| SD | Lymphadenopathy | · | · | ✓ |
| SD | Mental disorder | · | · | ✓ |
| SD | Myocardial infarction | · | · | ✓ |
| SD | Nervous system disorder | · | · | ✓ |
| SD | Office visit | · | · | ✓ |
| SRO | Confusional state | ✓ | ✓ | ✓ |
| SRO | Dizziness | ✓ | ✓ | ✓ |
| SRO | Fall | ✓ | ✓ | ✓ |
| SRO | Ocular hyperaemia | ✓ | ✓ | ✓ |
| SRO | Tinnitus | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release