3Q7-16368-61290
3 vaccinations
9 coded responses
22 check-ins
9 free-text entries
0 call cases
- Sex
- Female
- Age at first dose
- 66+
- ZIP prefix
- 286 / NC
- Registered
- 2021-02-12
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
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2021-02-12
Registered in v-safe
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2021-02-12
Dose 1 — Moderna
- 2021-02-12
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2021-02-13
Survey response — days 1–6 daily, dose 1MedDRA: Sleep disorder — Feeling: Good · Site: PainFree text: Dont know if its related to the vaccine but I was unable to fall asleep last nightMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-02-14
Health check-in — days 1–6 daily, dose 1Feeling: Good · Site: Pain · Fatigue or tirednessAdult check-in
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2021-02-16
Survey response — days 1–6 daily, dose 1MedDRA: Dizziness — Feeling: Good · Fatigue or tirednessFree text: Sunday late afternoon through Monday I had slight dizzinessMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-02-17
Survey response — days 1–6 daily, dose 1MedDRA: Dizziness — Feeling: Good · Fatigue or tirednessFree text: Still slight dizzinessMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-02-18
Survey response — days 1–6 daily, dose 1MedDRA: Confusional state, Visual impairment — Feeling: Good · Fatigue or tirednessFree text: Yes! Yesterday late afternoon I had a vision scare, a clear blob showed up in my right eye peripheral vision. It lasted about an hour. Also during that time I experienced confusion while trying to text. This lasted a short while then went away. Scary. No issues with that today. I have a call in to your numberMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-02-19
Survey response — day 7, dose 1MedDRA: Unevaluable event — Feeling: Good · Fatigue or tirednessFree text: Just what I reported yesterday And I never heard backMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-02-26
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2021-03-12
Dose 2 — Moderna
- 2021-03-12
- 2021-03-13
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2021-03-14
Survey response — days 1–6 daily, dose 2MedDRA: Injection site erythema — Feeling: Good · Site: Pain, Redness, SwellingFree text: Weird red splotches on arm below where I got the shotMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-03-15
Survey response — days 1–6 daily, dose 2MedDRA: Dizziness — Feeling: Good · Site: Redness, ItchingFree text: Slight dizzinessMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-03-17
- 2021-03-19
- 2021-04-18
- 2021-06-11
- 2021-09-13
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2021-11-18
Dose 3 — Moderna
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2021-11-22
Survey response — days 1–6 daily, dose 3MedDRA: Dizziness — Feeling: Fair · Site: Pain · Muscle or body aches, Fatigue or tirednessFree text: DizzinessMedDRA releases: 2024-11 · check-in free text available
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2021-11-23
Survey response — days 1–6 daily, dose 3MedDRA: Dizziness — Feeling: GoodFree text: DizzinessMedDRA releases: 2024-11 · check-in free text available
- 2021-11-25
- 2021-12-02
- 2021-12-09
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-02-12 | Moderna | |
| 2 | 2021-03-12 | Moderna | |
| 3 | 2021-11-18 | Moderna | No |
Free text
Release 4 — days 1–6 daily, dose 1
Systemic reaction (other): Dont know if its related to the vaccine but I was unable to fall asleep last night
Systemic reaction (other): Sunday late afternoon through Monday I had slight dizziness
Systemic reaction (other): Still slight dizziness
Systemic reaction (other): Yes! Yesterday late afternoon I had a vision scare, a clear blob showed up in my right eye peripheral vision. It lasted about an hour. Also during that time I experienced confusion while trying to text. This lasted a short while then went away. Scary. No issues with that today. I have a call in to your number
Release 4 — day 7, dose 1
Systemic reaction (other): Just what I reported yesterday And I never heard back
Release 5 — days 1–6 daily, dose 2
Systemic reaction (other): Weird red splotches on arm below where I got the shot
Systemic reaction (other): Slight dizziness
Release 10 — days 1–6 daily, dose 3
Systemic reaction (other): Dizziness
Systemic reaction (other): Dizziness
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 |
|---|---|---|---|---|
| SRO | Confusional state | ✓ | ✓ | ✓ |
| SRO | Dizziness | ✓ | ✓ | ✓ |
| SRO | Injection site erythema | ✓ | ✓ | ✓ |
| SRO | Sleep disorder | ✓ | ✓ | ✓ |
| SRO | Unevaluable event | ✓ | ✓ | ✓ |
| SRO | Visual impairment | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release