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3TH-74645-74339

1 vaccination 5 coded responses 11 check-ins 5 free-text entries 3 call cases
Sex
Female
Age at first dose
66+
ZIP prefix
077 / NJ
Registered
2021-03-09
Relationship
Self
Race
White
Ethnicity
Not Hispanic or Latino

Timeline

  1. 2021-03-06
    Dose 1 — Moderna
  2. 2021-03-09
    Registered in v-safe
  3. 2021-03-09
    Survey response — days 1–6 daily, dose 1
    MedDRA: Dizziness, Eye pain, Photophobia — Feeling: Fair · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Abdominal pain · Be unable to work, Be unable to do your normal daily activities
    Free text: Pains in the eyes. Extremely light sensitive and dizzy
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  4. 2021-03-10
    Health check-in — days 1–6 daily, dose 1
    Feeling: Poor · Fever · Headache, Fatigue or tiredness, Diarrhea, Abdominal pain · Be unable to work, Be unable to do your normal daily activities
    Adult check-in
  5. 2021-03-11
    Health check-in — days 1–6 daily, dose 1
    Feeling: Poor · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to work, Be unable to do your normal daily activities
    Adult check-in
  6. 2021-03-12
    Health check-in — days 1–6 daily, dose 1
    Feeling: Fair · 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
  7. 2021-03-15
    Survey response — day 7, dose 1
    MedDRA: Burning sensation, Rash — Feeling: Poor · Rash, not including the immediate area around the injection site
    Free text: Burning rash in the neck near the throat with feeling like someone is pressing on my windpipe
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  8. 2021-03-20
    Survey response — day 14, dose 1
    MedDRA: Dizziness, Fatigue, Rash, Specialist consultation — Feeling: Poor · Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultation
    Free text: Symptoms: Fatigue and dizziness. Also rash on my neck is not going away · Healthcare visit (other): Primary and also dermatologist
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  9. 2021-03-20
    Report sent to call center — day 14, dose 1
    Get care from a doctor or other healthcare professional
    1 call case(s)
  10. 2021-03-27
    Health check-in — day 21, dose 1
    Feeling: Fair
    Adult check-in
  11. 2021-04-03
    Survey response — day 28, dose 1
    MedDRA: Blood pressure increased, Dizziness, Headache, Medical counselling, Pre-existing disease — Feeling: Fair · Be unable to work, Get care from a doctor or other healthcare professional
    Free text: Symptoms: Blood pressure has elevated and high despite medication. Also terrible headache since Monday and dizziness. Also exacerbation of MS and was given prednisone · Healthcare visit (other): Neurologist, infectious disease Dr and Rheumotologist.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  12. 2021-04-03
    Report sent to call center — day 28, dose 1
    Be unable to work · Get care from a doctor or other healthcare professional
    1 call case(s)
  13. 2021-04-13
    Survey response — day 35, dose 1
    MedDRA: Dizziness, Headache, Hypertension, Office visit — Feeling: Fair · Get care from a doctor or other healthcare professional
    Free text: Symptoms: High blood pressure despite taking the medication, dizziness, killer headache · Healthcare visit (other): Cardiologist visit
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  14. 2021-04-13
    Report sent to call center — day 35, dose 1
    Get care from a doctor or other healthcare professional
    1 call case(s)
  15. 2021-04-19
    Health check-in — day 42, dose 1
    Feeling: Fair
    Adult check-in
  16. 2021-06-10
  17. 2021-06-10
  18. 2021-06-10
  19. 2021-09-06
    Health check-in — 6 months, dose 1
    Feeling: Good
    Adult check-in

Vaccinations

DoseDateManufacturerCo-administered
12021-03-06Moderna

Call center

3 call center cases

3 unsuccessful

See the call center timeline

Free text

Release 5 — days 1–6 daily, dose 1

2021-03-09

Systemic reaction (other): Pains in the eyes. Extremely light sensitive and dizzy

Release 5 — day 7, dose 1

2021-03-15

Systemic reaction (other): Burning rash in the neck near the throat with feeling like someone is pressing on my windpipe

Release 6 — day 14, dose 1

2021-03-20

Symptoms: Fatigue and dizziness. Also rash on my neck is not going away
Healthcare visit (other): Primary and also dermatologist

Release 6 — day 28, dose 1

2021-04-03

Symptoms: Blood pressure has elevated and high despite medication. Also terrible headache since Monday and dizziness. Also exacerbation of MS and was given prednisone
Healthcare visit (other): Neurologist, infectious disease Dr and Rheumotologist.

Release 7 — day 35, dose 1

2021-04-13

Symptoms: High blood pressure despite taking the medication, dizziness, killer headache
Healthcare visit (other): Cardiologist visit

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
HCVOMedical counselling ✓ ✓ ✓
HCVOOffice visit ✓ ✓ ✓
HCVOSpecialist consultation ✓ ✓ ✓
SDBlood pressure increased ✓ ✓ ✓
SDDizziness ✓ ✓ ✓
SDFatigue ✓ ✓ ✓
SDHeadache ✓ ✓ ✓
SDHypertension ✓ ✓ ✓
SDPre-existing disease ✓ ✓ ✓
SDRash ✓ ✓ ✓
SROBurning sensation ✓ ✓ ✓
SRODizziness ✓ ✓ ✓
SROEye pain ✓ ✓ ✓
SROPhotophobia ✓ ✓ ✓
SRORash ✓ ✓ ✓

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