2V2-55838-61177
4 vaccinations
4 coded responses
13 check-ins
4 free-text entries
0 call cases
- Sex
- Female
- Age at first dose
- 66+
- ZIP prefix
- 273 / NC
- Registered
- 2021-03-06
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-01-19
Dose 1 — Moderna
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2021-02-16
Dose 2 — Moderna
-
2021-03-06
Registered in v-safe
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2021-03-06
Survey response — day 14, dose 2MedDRA: Chills, Dizziness, Feeling abnormal, Headache, Heart rate increased, Malaise, Pain, Pain in extremity — Feeling: Fair · Be unable to do your normal daily activitiesFree text: Next day after second shot, experienced strong headache, brain fog, chills, fast pulse (125), dizziness, achy, arm was very sore (since resolved), just didn't feel well, especially for three days and just laid around the house.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-03-11
Survey response — day 21, dose 2MedDRA: Dizziness, Heart rate increased, Malaise, Nausea — Feeling: Poor · Be unable to do your normal daily activitiesFree text: Dizzy, nauseous, fast pulse, not feeling well.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-03-16
- 2021-03-23
- 2021-03-31
- 2021-05-19
- 2021-08-18
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2021-12-01
Dose 3 — Moderna
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2022-02-19
Survey response — 12 months, dose 2MedDRA: Rash pruritic — Feeling: FairFree text: Had global itchy rash since late September or early October. Had Covid booster on December 1 so probably not related. Still persists.MedDRA releases: 2024-11 · check-in free text available
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2022-04-01
Dose 4 — Moderna
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2022-04-27
Survey response — day 21, dose 4MedDRA: Sensory disturbance, Vision blurred — Feeling: Good · Be unable to work or attend school, Be unable to do your normal daily activitiesFree text: On 4/25/22 whi l e sitting at computer, everything went out of focus and felt strange movement in my head, only lasted about five minutes. No similar symptoms since.MedDRA releases: 2024-11 · check-in free text available
- 2022-04-29
- 2022-05-10
- 2022-05-16
- 2022-07-02
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-01-19 | Moderna | |
| 2 | 2021-02-16 | Moderna | |
| 3 | 2021-12-01 | Moderna | No |
| 4 | 2022-04-01 | Moderna | No |
Free text
Release 5 — day 14, dose 2
Symptoms: Next day after second shot, experienced strong headache, brain fog, chills, fast pulse (125), dizziness, achy, arm was very sore (since resolved), just didn't feel well, especially for three days and just laid around the house.
Release 5 — day 21, dose 2
Symptoms: Dizzy, nauseous, fast pulse, not feeling well.
Release 11 — 12 months, dose 2
Symptoms: Had global itchy rash since late September or early October. Had Covid booster on December 1 so probably not related. Still persists.
Release 11 — day 21, dose 4
Symptoms: On 4/25/22 whi l e sitting at computer, everything went out of focus and felt strange movement in my head, only lasted about five minutes. No similar symptoms since.
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 | Chills | ✓ | ✓ | ✓ |
| SD | Dizziness | ✓ | ✓ | ✓ |
| SD | Feeling abnormal | ✓ | ✓ | ✓ |
| SD | Headache | ✓ | ✓ | ✓ |
| SD | Heart rate increased | ✓ | ✓ | ✓ |
| SD | Malaise | ✓ | ✓ | ✓ |
| SD | Nausea | ✓ | ✓ | ✓ |
| SD | Pain | ✓ | ✓ | ✓ |
| SD | Pain in extremity | ✓ | ✓ | ✓ |
| SD | Rash pruritic | · | · | ✓ |
| SD | Sensory disturbance | · | · | ✓ |
| SD | Vision blurred | · | · | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release