46H-39401-46796
2 vaccinations
5 coded responses
23 check-ins
5 free-text entries
2 call cases
- Sex
- Female
- Age at first dose
- 61-65
- ZIP prefix
- 613 / IL
- Registered
- 2021-02-02
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-02-02
Registered in v-safe
-
2021-02-02
Dose 1 — Moderna
- 2021-02-02
- 2021-02-03
- 2021-02-04
- 2021-02-05
- 2021-02-06
- 2021-02-07
- 2021-02-08
- 2021-02-09
- 2021-02-17
- 2021-02-23
- 2021-03-02
-
2021-03-03
Dose 2 — Moderna
-
2021-03-07
Survey response — days 1–6 daily, dose 2MedDRA: Axillary pain, Oedema peripheral — Feeling: Good · Site: Pain · NauseaFree text: Swollen under arm and tendernessMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-03-08
Survey response — days 1–6 daily, dose 2MedDRA: Tenderness — Feeling: Good · Fatigue or tirednessFree text: Under arm tenderness of arm that I received the injection.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-03-09
- 2021-03-10
- 2021-03-17
- 2021-03-24
- 2021-03-31
- 2021-04-07
-
2021-04-14
Survey response — day 42, dose 2MedDRA: Headache — Feeling: FairFree text: Slight headache off on on nearly every day this past week.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-06-02
Survey response — 3 months, dose 2MedDRA: Full blood count abnormal, Office visit, Palpitations — Feeling: Fair · Get care from a doctor or other healthcare professionalFree text: Symptoms: Racing and pounding heart with pulse of 135-140 that lasted for 10-30 minutes each time - 3 times since April 7. My CBC with diff came back slightly off from other times. Will be having follow-up in a couple of days with physician. · Healthcare visit (other): Office visit with blood work.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-06-02
Report sent to call center — 3 months, dose 2Get care from a doctor or other healthcare professional1 call case(s)
- 2021-09-03
-
2022-03-07
Survey response — 12 months, dose 2MedDRA: Blood pressure increased, Dizziness, Hypotension, Nausea, Office visit — Feeling: Good · Get care from a doctor or other healthcare professionalFree text: Symptoms: Light headedness & slight nausea 6 times/24 hours. Higher than normal BP that day. Symptoms only 1 day & have not experienced it since. This was mid February. Also, several weeks of lower than normal for me blood pressure prior to that 24 hr. · Healthcare visit (other): Office visit.MedDRA releases: 2024-11 · check-in free text available
-
2022-03-07
Report sent to call center — 12 months, dose 2Get care from a doctor or other healthcare professional1 call case(s)
- 2022-03-09
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-02-02 | Moderna | |
| 2 | 2021-03-03 | Moderna |
Call center
2 call center cases
2 unsuccessful
Free text
Release 5 — days 1–6 daily, dose 2
Systemic reaction (other): Swollen under arm and tenderness
Systemic reaction (other): Under arm tenderness of arm that I received the injection.
Release 7 — day 42, dose 2
Symptoms: Slight headache off on on nearly every day this past week.
Release 8 — 3 months, dose 2
Symptoms: Racing and pounding heart with pulse of 135-140 that lasted for 10-30 minutes each time - 3 times since April 7. My CBC with diff came back slightly off from other times. Will be having follow-up in a couple of days with physician.
Healthcare visit (other): Office visit with blood work.
Release 11 — 12 months, dose 2
Symptoms: Light headedness & slight nausea 6 times/24 hours. Higher than normal BP that day. Symptoms only 1 day & have not experienced it since. This was mid February. Also, several weeks of lower than normal for me blood pressure prior to that 24 hr.
Healthcare visit (other): Office 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
| Field | Preferred term | 2021-09 | 2023-04 | 2024-11 |
|---|---|---|---|---|
| HCVO | Office visit | ✓ | ✓ | ✓ |
| SD | Blood pressure increased | · | · | ✓ |
| SD | Dizziness | · | · | ✓ |
| SD | Full blood count abnormal | ✓ | ✓ | ✓ |
| SD | Headache | ✓ | ✓ | ✓ |
| SD | Hypotension | · | · | ✓ |
| SD | Nausea | · | · | ✓ |
| SD | Palpitations | ✓ | ✓ | ✓ |
| SRO | Axillary pain | ✓ | ✓ | ✓ |
| SRO | Oedema peripheral | ✓ | ✓ | ✓ |
| SRO | Tenderness | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release