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3L3-79832-54033

2 vaccinations 3 coded responses 24 check-ins 3 free-text entries 1 call case
Sex
Female
Age at first dose
56-60
ZIP prefix
838 / ID
Registered
2021-05-06
Relationship
Self
Race
White
Ethnicity
Not Hispanic or Latino

Timeline

  1. 2021-05-06
    Registered in v-safe
  2. 2021-05-06
    Dose 1 — Moderna
  3. 2021-05-06
    Survey response — day 0, dose 1
    MedDRA: Anxiety, Dizziness, Immediate post-injection reaction, Office visit, Self-medication, Tremor — Feeling: Fair · Be unable to work, Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional
    Free text: Systemic reaction (other): Within 15 minutes of getting the injection, i started experiencing waves of dizziness which i think then caused anxiety. I was shaky and was checked out by the paramedics. I took a benadryl as a precaution, stayed where I could be observed for another 1.5 hours, then went home and slept. · Healthcare visit (other): The nurses and EMTs at the vaccination facility.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  4. 2021-05-06
    Report sent to call center — day 0, dose 1
    Be unable to work · Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional
    1 call case(s)
  5. 2021-05-07
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · Site: Pain · Fatigue or tiredness
    Adult check-in
  6. 2021-05-08
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · Site: Pain · None
    Adult check-in
  7. 2021-05-09
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · None
    Adult check-in
  8. 2021-05-12
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · None
    Adult check-in
  9. 2021-05-15
    Health check-in — day 7, dose 1
    Feeling: Good · None
    Adult check-in
  10. 2021-05-20
    Health check-in — day 14, dose 1
    Feeling: Good
    Adult check-in
  11. 2021-05-27
    Health check-in — day 21, dose 1
    Feeling: Good
    Adult check-in
  12. 2021-06-03
    Dose 2 — Moderna
  13. 2021-06-03
    Health check-in — day 0, dose 2
    Feeling: Fair · Site: Pain, Redness, Swelling · Fatigue or tiredness · Be unable to work, Be unable to do your normal daily activities
    Adult check-in
  14. 2021-06-04
    Health check-in — days 1–6 daily, dose 2
    Feeling: Poor · Site: Pain, Redness, Swelling · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to work, Be unable to do your normal daily activities
    Adult check-in
  15. 2021-06-05
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · Site: Pain · Muscle or body aches, Fatigue or tiredness
    Adult check-in
  16. 2021-06-06
    Survey response — days 1–6 daily, dose 2
    MedDRA: Rash, Rash erythematous — Feeling: Good · Site: Pain · Rash, not including the immediate area around the injection site
    Free text: Rash of red splotches and white bumps on my face.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  17. 2021-06-07
    Survey response — days 1–6 daily, dose 2
    MedDRA: Rash, Rash macular — Feeling: Good · Site: Pain · Rash, not including the immediate area around the injection site
    Free text: Red splotches on my face have still not gone completely away
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  18. 2021-06-08
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · None
    Adult check-in
  19. 2021-06-09
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · None
    Adult check-in
  20. 2021-06-10
    Health check-in — day 7, dose 2
    Feeling: Good · None
    Adult check-in
  21. 2021-06-17
    Health check-in — day 14, dose 2
    Feeling: Good
    Adult check-in
  22. 2021-06-24
    Health check-in — day 21, dose 2
    Feeling: Good
    Adult check-in
  23. 2021-07-01
    Health check-in — day 28, dose 2
    Feeling: Good
    Adult check-in
  24. 2021-07-08
    Health check-in — day 35, dose 2
    Feeling: Good
    Adult check-in
  25. 2021-07-15
    Health check-in — day 42, dose 2
    Feeling: Good
    Adult check-in
  26. 2021-09-02
    Health check-in — 3 months, dose 2
    Feeling: Good
    Adult check-in
  27. 2021-12-02
    Health check-in — 6 months, dose 2
    Feeling: Good
    Adult check-in
  28. 2022-05-04
  29. 2022-06-05
    Health check-in — 12 months, dose 2
    Feeling: Good
    Adult check-in

Vaccinations

DoseDateManufacturerCo-administered
12021-05-06Moderna
22021-06-03Moderna

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 8 — day 0, dose 1

2021-05-06

Systemic reaction (other): Within 15 minutes of getting the injection, i started experiencing waves of dizziness which i think then caused anxiety. I was shaky and was checked out by the paramedics. I took a benadryl as a precaution, stayed where I could be observed for another 1.5 hours, then went home and slept.
Healthcare visit (other): The nurses and EMTs at the vaccination facility.

Release 8 — days 1–6 daily, dose 2

2021-06-06

Systemic reaction (other): Rash of red splotches and white bumps on my face.

2021-06-07

Systemic reaction (other): Red splotches on my face have still not gone completely away

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
HCVOOffice visit ✓ ✓ ✓
SROAnxiety ✓ ✓ ✓
SRODizziness ✓ ✓ ✓
SROImmediate post-injection reaction ✓ ✓ ✓
SRORash ✓ ✓ ✓
SRORash erythematous ✓ ✓ ✓
SRORash macular ✓ ✓ ✓
SROSelf-medication ✓ ✓ ✓
SROTremor ✓ ✓ ✓

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