395-53719-98967
2 vaccinations
2 coded responses
2 check-ins
2 free-text entries
1 call case
- Sex
- Female
- Age at first dose
- 46-50
- ZIP prefix
- 778 / TX
- Registered
- 2021-02-02
- Relationship
- Self
- Race
- White
- Ethnicity
- Hispanic or Latino
Timeline
-
2021-02-02
Registered in v-safe
-
2021-02-02
Dose 1 — Moderna
-
2021-03-04
Survey response — day 28, dose 1MedDRA: Dizziness, Immediate post-injection reaction, Muscle tightness, Pyrexia — Feeling: Good · Be unable to do your normal daily activitiesFree text: Immediately after the first injection I got feverish, dizzy and light headed. It all went away in about 20 minutes. In the weeks to follow I had dizzy spells and muscle tightness in my jaw, legs and arms.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-03-05
Dose 2 — Moderna
-
2022-03-05
Survey response — 12 months, dose 2MedDRA: Asthenia, Blood glucose abnormal, COVID-19, Cardiac flutter, Chest pain, Cough, Diarrhoea, Dyspnoea, Fatigue, Nausea, Office visit, Oropharyngeal pain, Pre-existing disease — Feeling: Fair · Be unable to work or attend school, Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultation, Outpatient clinic or urgent care clinic visitFree text: Symptoms: I had COViD January 3rd, fatigue, weakness, shortness of breath, chest pain, heart is fluttering, cough, started with a sore throat, loose stool, nausea · Healthcare visit (other): CT Scan if lungs with contrast, catheterization of my heart, gastroenterologist care, sugar levels not in control since COVID, but if I had not been vaccinated I would have probably been hospitalized, having post Covid symptoms currentlyMedDRA releases: 2024-11 · check-in free text available
-
2022-03-05
Report sent to call center — 12 months, dose 2Be unable to work or attend school · Be unable to do your normal daily activities · Get care from a doctor or other healthcare prTelehealth, virtual health, or email health consultation · Outpatient clinic or urgent care clinic visit · 1 call case(s)
- 2022-03-09
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-02-02 | Moderna | |
| 2 | 2021-03-05 | Moderna |
Call center
1 call center case
1 unsuccessful
Free text
Release 5 — day 28, dose 1
Symptoms: Immediately after the first injection I got feverish, dizzy and light headed. It all went away in about 20 minutes. In the weeks to follow I had dizzy spells and muscle tightness in my jaw, legs and arms.
Release 11 — 12 months, dose 2
Symptoms: I had COViD January 3rd, fatigue, weakness, shortness of breath, chest pain, heart is fluttering, cough, started with a sore throat, loose stool, nausea
Healthcare visit (other): CT Scan if lungs with contrast, catheterization of my heart, gastroenterologist care, sugar levels not in control since COVID, but if I had not been vaccinated I would have probably been hospitalized, having post Covid symptoms currently
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 |
|---|---|---|---|---|
| HCVO | Blood glucose abnormal | · | · | ✓ |
| HCVO | Office visit | · | · | ✓ |
| HCVO | Pre-existing disease | · | · | ✓ |
| SD | Asthenia | · | · | ✓ |
| SD | Cardiac flutter | · | · | ✓ |
| SD | Chest pain | · | · | ✓ |
| SD | Cough | · | · | ✓ |
| SD | COVID-19 | · | · | ✓ |
| SD | Diarrhoea | · | · | ✓ |
| SD | Dizziness | ✓ | ✓ | ✓ |
| SD | Dyspnoea | · | · | ✓ |
| SD | Fatigue | · | · | ✓ |
| SD | Immediate post-injection reaction | ✓ | ✓ | ✓ |
| SD | Muscle tightness | ✓ | ✓ | ✓ |
| SD | Nausea | · | · | ✓ |
| SD | Oropharyngeal pain | · | · | ✓ |
| SD | Pyrexia | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release