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3LL-27075-19817

2 vaccinations 5 coded responses 13 check-ins 5 free-text entries 1 call case
Sex
Male
Age at first dose
66+
ZIP prefix
285 / NC
Registered
2021-01-09
Relationship
Self
Race
White
Ethnicity
Not Hispanic or Latino

Timeline

  1. 2021-01-08
    Dose 1 — Moderna
  2. 2021-01-09
    Registered in v-safe
  3. 2021-01-09
    Survey response — days 1–6 daily, dose 1
    MedDRA: Blood pressure increased, Dizziness — Feeling: Fair · Site: Pain · Fatigue or tiredness · Be unable to work, Be unable to do your normal daily activities
    Free text: Dizziness during the night and blood pressure went up significantly but still not all the way to danger zone of 180/120. My high was 173/108. Dizziness gone and BP headed back down. Never had high BP so no Meds for that and resolution natural. Currently 151/106, heart rate 96. Never any fever or other named symptoms.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  4. 2021-01-09
    Report sent to call center — days 1–6 daily, dose 1
    Be unable to work · Be unable to do your normal daily activities
    1 call case(s)
  5. 2021-01-11
    Survey response — days 1–6 daily, dose 1
    MedDRA: No adverse event — Feeling: Good · Fatigue or tiredness
    Free text: None now
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  6. 2021-01-12
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · None
    Adult check-in
  7. 2021-01-13
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · None
    Adult check-in
  8. 2021-01-15
    Health check-in — day 7, dose 1
    Feeling: Good · None
    Adult check-in
  9. 2021-01-22
    Survey response — day 14, dose 1
    MedDRA: Diarrhoea — Feeling: Fair · Be unable to work, Be unable to do your normal daily activities
    Free text: Diarrhea last night and today. No temperature or vomiting. Probably something I ate.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  10. 2021-01-29
    Health check-in — day 21, dose 1
    Feeling: Good
    Adult check-in
  11. 2021-02-05
    Dose 2 — Moderna
  12. 2021-02-13
    Survey response — day 7, dose 2
    MedDRA: Dizziness — Feeling: Good · Fatigue or tiredness, Diarrhea · Be unable to do your normal daily activities
    Free text: Dizziness
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  13. 2021-02-19
    Survey response — day 14, dose 2
    MedDRA: Balance disorder, Dizziness — Feeling: Good · Be unable to work, Be unable to do your normal daily activities
    Free text: Dizziness and imbalance. Now mostly gone.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  14. 2021-02-26
    Health check-in — day 21, dose 2
    Feeling: Good
    Adult check-in
  15. 2021-03-05
    Health check-in — day 28, dose 2
    Feeling: Good
    Adult check-in
  16. 2021-03-12
    Health check-in — day 35, dose 2
    Feeling: Good
    Adult check-in
  17. 2021-03-19
    Health check-in — day 42, dose 2
    Feeling: Good
    Adult check-in

Vaccinations

DoseDateManufacturerCo-administered
12021-01-08Moderna
22021-02-05Moderna

Call center

1 call center case

1 priority 2/3 (triaged and no follow up)

See the call center timeline

Free text

Release 1 — days 1–6 daily, dose 1

2021-01-09

Systemic reaction (other): Dizziness during the night and blood pressure went up significantly but still not all the way to danger zone of 180/120. My high was 173/108. Dizziness gone and BP headed back down. Never had high BP so no Meds for that and resolution natural. Currently 151/106, heart rate 96. Never any fever or other named symptoms.

2021-01-11

Systemic reaction (other): None now

Release 2 — day 14, dose 1

2021-01-22

Symptoms: Diarrhea last night and today. No temperature or vomiting. Probably something I ate.

Release 4 — day 7, dose 2

2021-02-13

Systemic reaction (other): Dizziness

Release 4 — day 14, dose 2

2021-02-19

Symptoms: Dizziness and imbalance. Now mostly gone.

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
SDBalance disorder ✓ ✓ ✓
SDDiarrhoea ✓ ✓ ✓
SDDizziness ✓ ✓ ✓
SROBlood pressure increased ✓ ✓ ✓
SRODizziness ✓ ✓ ✓
SRONo adverse event ✓ ✓ ✓
SROUnevaluable event ○ ○ ○

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

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