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2JE-11603-34447

2 vaccinations 11 coded responses 15 check-ins 11 free-text entries 1 call case
Sex
Male
Age at first dose
66+
ZIP prefix
349 / FL
Registered
2021-01-11
Relationship
Self

Timeline

  1. 2021-01-11
    Registered in v-safe
  2. 2021-01-11
    Dose 1 — Moderna
  3. 2021-01-11
    Survey response — day 0, dose 1
    MedDRA: Abdominal discomfort, Chest discomfort, Dizziness — Feeling: Fair
    Free text: 2 Hours after my shot @ 5 PM today I am dizzy, feel pressure on my chest, went to bathroom 2x and have some stomach discomfort. It is now 7:05 PM Monday 1/11/2021. So far my symptoms are moderate since it has only been 2 hours since my vaccine shot.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  4. 2021-01-12
    Survey response — days 1–6 daily, dose 1
    MedDRA: Dizziness — Feeling: Good · Site: Pain · Headache
    Free text: Dizzy
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  5. 2021-01-14
    Survey response — days 1–6 daily, dose 1
    MedDRA: Chest discomfort, Insomnia — Feeling: Fair · Site: Pain · Headache, Muscle or body aches, Abdominal pain
    Free text: Could not sleep last night had some pressure again in chest
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  6. 2021-01-15
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · Site: Pain · Headache
    Adult check-in
  7. 2021-01-16
    Survey response — days 1–6 daily, dose 1
    MedDRA: Dizziness — Feeling: Fair · Muscle or body aches, Fatigue or tiredness
    Free text: Dizzy
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  8. 2021-01-17
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · None
    Adult check-in
  9. 2021-01-18
    Survey response — day 7, dose 1
    MedDRA: Dizziness — Feeling: Poor · Fever · Headache, Fatigue or tiredness
    Free text: Dizzy off balance
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  10. 2021-01-25
    Survey response — day 14, dose 1
    MedDRA: Balance disorder, Dizziness, Unevaluable event — Feeling: Fair · Get care from a doctor or other healthcare professional
    Free text: Symptoms: Dizzy and off balance almost every day · Healthcare visit (other): Made an appointment for tomorrow with doctor
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  11. 2021-01-25
    Report sent to call center — day 14, dose 1
    Get care from a doctor or other healthcare professional
    1 call case(s)
  12. 2021-02-01
    Health check-in — day 21, dose 1
    Feeling: Good
    Adult check-in
  13. 2021-02-06
    Dose 2 — Moderna
  14. 2021-02-08
    Survey response — days 1–6 daily, dose 2
    MedDRA: Dizziness — Feeling: Fair · Site: Pain · Headache, Joint pains, Muscle or body aches
    Free text: Dizzy
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  15. 2021-02-09
    Survey response — days 1–6 daily, dose 2
    MedDRA: Dizziness — Feeling: Good · Headache
    Free text: Dizzy
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  16. 2021-02-10
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · None
    Adult check-in
  17. 2021-02-11
    Survey response — days 1–6 daily, dose 2
    MedDRA: Dizziness — Feeling: Good · Fatigue or tiredness
    Free text: Dizzy
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  18. 2021-02-12
    Survey response — days 1–6 daily, dose 2
    MedDRA: Dizziness — Feeling: Good · Headache
    Free text: Dizzy
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  19. 2021-02-20
    Survey response — day 14, dose 2
    MedDRA: Influenza like illness — Feeling: Good
    Free text: Flu like symptoms overnight.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  20. 2021-04-07

Vaccinations

DoseDateManufacturerCo-administered
12021-01-11Moderna
22021-02-06Moderna

Call center

1 call center case

1 unsuccessful

See the call center timeline

Free text

Release 1 — day 0, dose 1

2021-01-11

Systemic reaction (other): 2 Hours after my shot @ 5 PM today I am dizzy, feel pressure on my chest, went to bathroom 2x and have some stomach discomfort. It is now 7:05 PM Monday 1/11/2021. So far my symptoms are moderate since it has only been 2 hours since my vaccine shot.

Release 1 — days 1–6 daily, dose 1

2021-01-12

Systemic reaction (other): Dizzy

2021-01-14

Systemic reaction (other): Could not sleep last night had some pressure again in chest

Release 2 — days 1–6 daily, dose 1

2021-01-16

Systemic reaction (other): Dizzy

Release 2 — day 7, dose 1

2021-01-18

Systemic reaction (other): Dizzy off balance

Release 2 — day 14, dose 1

2021-01-25

Symptoms: Dizzy and off balance almost every day
Healthcare visit (other): Made an appointment for tomorrow with doctor

Release 3 — days 1–6 daily, dose 2

2021-02-08

Systemic reaction (other): Dizzy

2021-02-09

Systemic reaction (other): Dizzy

Release 4 — days 1–6 daily, dose 2

2021-02-11

Systemic reaction (other): Dizzy

2021-02-12

Systemic reaction (other): Dizzy

Release 4 — day 14, dose 2

2021-02-20

Symptoms: Flu like symptoms overnight.

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
HCVOUnevaluable event ✓ ✓ ✓
SDBalance disorder ✓ ✓ ✓
SDDizziness ✓ ✓ ✓
SDInfluenza like illness ✓ ✓ ✓
SROAbdominal discomfort ✓ ✓ ✓
SROChest discomfort ✓ ✓ ✓
SRODizziness ✓ ✓ ✓
SROInsomnia ✓ ✓ ✓

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

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