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46Z-13804-95223

2 vaccinations 5 coded responses 26 check-ins 5 free-text entries 2 call cases
Sex
Female
Age at first dose
51-55
ZIP prefix
784 / TX
Registered
2020-12-27
Relationship
Self
Race
Black or African American
Ethnicity
Not Hispanic or Latino

Timeline

  1. 2020-12-27
    Registered in v-safe
  2. 2020-12-27
    Dose 1 — Moderna
  3. 2020-12-27
    Survey response — day 0, dose 1
    MedDRA: Cold sweat — Feeling: Fair · Chills
    Free text: Clammy momentarily
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  4. 2020-12-28
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · Site: Pain · None
    Adult check-in
  5. 2020-12-29
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · Site: Pain · None
    Adult check-in
  6. 2020-12-30
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · Site: Pain · None
    Adult check-in
  7. 2020-12-31
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · None
    Adult check-in
  8. 2021-01-01
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · Muscle or body aches, Fatigue or tiredness
    Adult check-in
  9. 2021-01-02
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · None
    Adult check-in
  10. 2021-01-03
    Health check-in — day 7, dose 1
    Feeling: Good · None
    Adult check-in
  11. 2021-01-10
    Survey response — day 14, dose 1
    MedDRA: Blood pressure increased, Fatigue, Hypertension, Myalgia — Feeling: Good · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit
    Free text: Fatigue, muscle aches, and Elevated blood pressure, diagnosedwithhypertension for the first time. Not sure if it has anything to do with vaccine or not. I'm doing well now on medication.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  12. 2021-01-10
    Report sent to call center — day 14, dose 1
    Get care from a doctor or other healthcare professional
    1 call case(s)
  13. 2021-01-17
    Health check-in — day 21, dose 1
    Feeling: Good
    Adult check-in
  14. 2021-01-24
    Dose 2 — Moderna
  15. 2021-01-24
    Health check-in — day 0, dose 2
    Feeling: Good · None
    Adult check-in
  16. 2021-01-25
    Survey response — days 1–6 daily, dose 2
    MedDRA: Dizziness — Feeling: Fair · Site: Pain, Swelling · 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
    Free text: Dizziness
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  17. 2021-01-26
    Survey response — days 1–6 daily, dose 2
    MedDRA: Dizziness — Feeling: Fair · Site: Pain, Swelling · Fever · Chills, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to work
    Free text: Dizziness
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  18. 2021-01-27
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · Site: Pain · Fatigue or tiredness
    Adult check-in
  19. 2021-01-28
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · None
    Adult check-in
  20. 2021-01-29
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · None
    Adult check-in
  21. 2021-01-30
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · None
    Adult check-in
  22. 2021-01-31
    Health check-in — day 7, dose 2
    Feeling: Good · None
    Adult check-in
  23. 2021-02-07
    Health check-in — day 14, dose 2
    Feeling: Good
    Adult check-in
  24. 2021-02-14
    Health check-in — day 21, dose 2
    Feeling: Good
    Adult check-in
  25. 2021-02-17
  26. 2021-02-21
    Health check-in — day 28, dose 2
    Feeling: Good
    Adult check-in
  27. 2021-02-28
    Health check-in — day 35, dose 2
    Feeling: Good
    Adult check-in
  28. 2021-03-08
    Health check-in — day 42, dose 2
    Feeling: Good
    Adult check-in
  29. 2021-04-27
    Health check-in — 3 months, dose 2
    Feeling: Good
    Adult check-in
  30. 2021-07-25
    Survey response — 6 months, dose 2
    MedDRA: Fatigue, Hypertension, Hypoaesthesia, Office visit, Paraesthesia — Feeling: Fair · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit
    Free text: Symptoms: Fatigue, high blood pressure, tingling and numbness of my extremities. Mild abnormality on EKG; no baseline for comparison, so not sure · Healthcare visit (other): Outpatient visit. Was started on Bp med.d on blood pressure med
    MedDRA releases: 2021-09,2024-11 · check-in free text available
  31. 2021-07-25
    Report sent to call center — 6 months, dose 2
    Get care from a doctor or other healthcare professional
    1 call case(s)
  32. 2021-07-27
  33. 2022-01-24
    Health check-in — 12 months, dose 2
    Feeling: Good
    Adult check-in

Vaccinations

DoseDateManufacturerCo-administered
12020-12-27Moderna
22021-01-24Moderna

Call center

2 call center cases

2 unsuccessful

See the call center timeline

Free text

Release 1 — day 0, dose 1

2020-12-27

Systemic reaction (other): Clammy momentarily

Release 1 — day 14, dose 1

2021-01-10

Symptoms: Fatigue, muscle aches, and Elevated blood pressure, diagnosedwithhypertension for the first time. Not sure if it has anything to do with vaccine or not. I'm doing well now on medication.

Release 2 — days 1–6 daily, dose 2

2021-01-25

Systemic reaction (other): Dizziness

2021-01-26

Systemic reaction (other): Dizziness

Release 9 — 6 months, dose 2

2021-07-25

Symptoms: Fatigue, high blood pressure, tingling and numbness of my extremities. Mild abnormality on EKG; no baseline for comparison, so not sure
Healthcare visit (other): Outpatient visit. Was started on Bp med.d on blood pressure med

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
HCVOOffice visit ✓ · ✓
SDBlood pressure increased ✓ ✓ ✓
SDFatigue ✓ ✓ ✓
SDHypertension ✓ ✓ ✓
SDHypoaesthesia ✓ · ✓
SDMyalgia ✓ ✓ ✓
SDParaesthesia ✓ · ✓
SROCold sweat ✓ ✓ ✓
SRODizziness ✓ ✓ ✓

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