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347-16253-73671

2 vaccinations 5 coded responses 19 check-ins 5 free-text entries 1 call case
Sex
Female
Age at first dose
61-65
ZIP prefix
300 / GA
Registered
2021-02-19
Relationship
Self
Race
Black or African American
Ethnicity
Not Hispanic or Latino

Timeline

  1. 2021-02-11
    Dose 1 — Moderna
  2. 2021-02-19
    Registered in v-safe
  3. 2021-02-19
    Survey response — day 7, dose 1
    MedDRA: Pyrexia — Feeling: Good · Site: Pain
    Free text: I had a slight fever from 2/11 to 2/14
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  4. 2021-02-25
    Health check-in — day 14, dose 1
    Feeling: Good
    Adult check-in
  5. 2021-03-04
    Health check-in — day 21, dose 1
    Feeling: Fair
    Adult check-in
  6. 2021-03-11
    Dose 2 — Moderna
  7. 2021-03-11
    Survey response — day 0, dose 2
    MedDRA: Unevaluable event — Feeling: Good
    Free text: I received the vaccine 2 hrs ago so no symptoms.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  8. 2021-03-12
    Survey response — days 1–6 daily, dose 2
    MedDRA: Dizziness, Injection site pain, Injection site warmth, Oropharyngeal pain, Pain — Feeling: Poor · Site: Pain · Fever · Muscle or body aches, Fatigue or tiredness
    Free text: Pain at injection site and quite warm to the touch. A bit of sore throat and some body ache I also feel a bit woozy/dizzy.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  9. 2021-03-13
    Survey response — days 1–6 daily, dose 2
    MedDRA: Body temperature increased, Pyrexia, Self-medication — Feeling: Fair · Site: Pain, Itching · Fever · Muscle or body aches · Be unable to do your normal daily activities
    Free text: My temp went up to 100.4 last night. I took tylenol which helped. A low grade fever returnef today.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  10. 2021-03-14
    Health check-in — days 1–6 daily, dose 2
    Feeling: Fair · Fatigue or tiredness
    Adult check-in
  11. 2021-03-15
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · None
    Adult check-in
  12. 2021-03-16
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · None
    Adult check-in
  13. 2021-03-17
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · None
    Adult check-in
  14. 2021-03-18
    Health check-in — day 7, dose 2
    Feeling: Good · None
    Adult check-in
  15. 2021-03-25
    Health check-in — day 14, dose 2
    Feeling: Good
    Adult check-in
  16. 2021-04-01
    Health check-in — day 21, dose 2
    Feeling: Good
    Adult check-in
  17. 2021-04-09
    Survey response — day 28, dose 2
    MedDRA: Hospitalisation, Loss of consciousness, Syncope — Feeling: Good · Get care from a doctor or other healthcare professional · Emergency room or emergency department visit, Hospitalization
    Free text: Symptoms: Passed out on Sunday. Taken to (b)(6) and the diagnosis was Vasovagal Syncope. · Healthcare visit (other): Was kept in hospital overnight and released mid-day.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  18. 2021-04-09
    Report sent to call center — day 28, dose 2
    Get care from a doctor or other healthcare professional
    1 call case(s)
  19. 2021-04-16
    Health check-in — day 35, dose 2
    Feeling: Good
    Adult check-in
  20. 2021-04-22
    Health check-in — day 42, dose 2
    Feeling: Good
    Adult check-in
  21. 2021-06-10
    Health check-in — 3 months, dose 2
    Feeling: Good
    Adult check-in
  22. 2021-09-09
    Health check-in — 6 months, dose 2
    Feeling: Good
    Adult check-in
  23. 2021-11-06
  24. 2022-03-17
    Health check-in — 12 months, dose 2
    Feeling: Good
    Adult check-in

Vaccinations

DoseDateManufacturerCo-administered
12021-02-11Moderna
22021-03-11Moderna

Call center

1 call center case

1 unsuccessful

1 wait over 3 months for a first call

See the call center timeline

Free text

Release 4 — day 7, dose 1

2021-02-19

Systemic reaction (other): I had a slight fever from 2/11 to 2/14

Release 5 — day 0, dose 2

2021-03-11

Systemic reaction (other): I received the vaccine 2 hrs ago so no symptoms.

Release 5 — days 1–6 daily, dose 2

2021-03-12

Systemic reaction (other): Pain at injection site and quite warm to the touch. A bit of sore throat and some body ache I also feel a bit woozy/dizzy.

2021-03-13

Systemic reaction (other): My temp went up to 100.4 last night. I took tylenol which helped. A low grade fever returnef today.

Release 7 — day 28, dose 2

2021-04-09

Symptoms: Passed out on Sunday. Taken to (b)(6) and the diagnosis was Vasovagal Syncope.
Healthcare visit (other): Was kept in hospital overnight and released mid-day.
redacted (b)(6)

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
HCVOHospitalisation ✓ ✓ ✓
SDHospitalisation ✓ ✓ ✓
SDLoss of consciousness ✓ ✓ ✓
SDSyncope ✓ ✓ ✓
SROBody temperature increased ✓ ✓ ✓
SRODizziness ✓ ✓ ✓
SROInjection site pain ✓ ✓ ✓
SROInjection site warmth ✓ ✓ ✓
SROOropharyngeal pain ✓ ✓ ✓
SROPain ✓ ✓ ✓
SROPyrexia ✓ ✓ ✓
SROSelf-medication ✓ ✓ ✓
SROUnevaluable event ✓ ✓ ✓

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