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
-
2021-05-06
Registered in v-safe
-
2021-05-06
Dose 1 — Moderna
-
2021-05-06
Survey response — day 0, dose 1MedDRA: 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 professionalFree 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
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2021-05-06
Report sent to call center — day 0, dose 1Be unable to work · Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional1 call case(s)
-
2021-05-07
Health check-in — days 1–6 daily, dose 1Feeling: Good · Site: Pain · Fatigue or tirednessAdult check-in
- 2021-05-08
- 2021-05-09
- 2021-05-12
- 2021-05-15
- 2021-05-20
- 2021-05-27
-
2021-06-03
Dose 2 — Moderna
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2021-06-03
Health check-in — day 0, dose 2Feeling: Fair · Site: Pain, Redness, Swelling · Fatigue or tiredness · Be unable to work, Be unable to do your normal daily activitiesAdult check-in
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2021-06-04
Health check-in — days 1–6 daily, dose 2Feeling: 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 activitiesAdult check-in
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2021-06-05
Health check-in — days 1–6 daily, dose 2Feeling: Good · Site: Pain · Muscle or body aches, Fatigue or tirednessAdult check-in
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2021-06-06
Survey response — days 1–6 daily, dose 2MedDRA: Rash, Rash erythematous — Feeling: Good · Site: Pain · Rash, not including the immediate area around the injection siteFree text: Rash of red splotches and white bumps on my face.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-06-07
Survey response — days 1–6 daily, dose 2MedDRA: Rash, Rash macular — Feeling: Good · Site: Pain · Rash, not including the immediate area around the injection siteFree text: Red splotches on my face have still not gone completely awayMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-06-08
- 2021-06-09
- 2021-06-10
- 2021-06-17
- 2021-06-24
- 2021-07-01
- 2021-07-08
- 2021-07-15
- 2021-09-02
- 2021-12-02
- 2022-05-04
- 2022-06-05
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-05-06 | Moderna | |
| 2 | 2021-06-03 | Moderna |
Call center
1 call center case
1 unsuccessful
1 wait over 3 months for a first call
Free text
Release 8 — day 0, dose 1
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
Systemic reaction (other): Rash of red splotches and white bumps on my face.
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
| Field | Preferred term | 2021-09 | 2023-04 | 2024-11 |
|---|---|---|---|---|
| HCVO | Office visit | ✓ | ✓ | ✓ |
| SRO | Anxiety | ✓ | ✓ | ✓ |
| SRO | Dizziness | ✓ | ✓ | ✓ |
| SRO | Immediate post-injection reaction | ✓ | ✓ | ✓ |
| SRO | Rash | ✓ | ✓ | ✓ |
| SRO | Rash erythematous | ✓ | ✓ | ✓ |
| SRO | Rash macular | ✓ | ✓ | ✓ |
| SRO | Self-medication | ✓ | ✓ | ✓ |
| SRO | Tremor | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release