4EF-46240-53573
2 vaccinations
4 coded responses
22 check-ins
4 free-text entries
1 call case
- Sex
- Male
- Age at first dose
- 61-65
- ZIP prefix
- 996 / AK
- Registered
- 2021-01-12
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-01-12
Registered in v-safe
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2021-01-12
Dose 1 — Moderna
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2021-01-12
Survey response — day 0, dose 1MedDRA: Dizziness — Feeling: GoodFree text: tiny bit light headedMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-01-13
Health check-in — days 1–6 daily, dose 1Feeling: Fair · Site: Pain · Fatigue or tiredness · Be unable to work, Be unable to do your normal daily activitiesAdult check-in
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2021-01-13
Report sent to call center — days 1–6 daily, dose 1Be unable to work · Be unable to do your normal daily activities1 call case(s)
- 2021-01-15
- 2021-01-16
- 2021-01-17
- 2021-01-19
- 2021-01-26
- 2021-02-02
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2021-02-09
Dose 2 — Moderna
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2021-02-09
Survey response — day 0, dose 2MedDRA: Musculoskeletal discomfort — Feeling: Good · Site: Pain · Fatigue or tirednessFree text: wasnt so much pain as a very minor but noticeable stinging in my shoulder area but only lasted about an hour following shotMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-02-10
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Site: Pain, Redness · Fever · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Abdominal pain · Be unable to work, Be unable to do your normal daily activitiesAdult check-in
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2021-02-11
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Site: Pain · Muscle or body aches, Fatigue or tirednessAdult check-in
- 2021-02-12
- 2021-02-13
- 2021-02-14
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2021-02-15
Survey response — days 1–6 daily, dose 2MedDRA: Migraine — Feeling: Good · HeadacheFree text: I get occasional migraines and am thinking this one is no different. not vaccine relatedMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-02-16
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2021-02-23
Survey response — day 14, dose 2MedDRA: Dizziness, Hypertension, Pre-existing disease — Feeling: Good · Be unable to work, Be unable to do your normal daily activitiesFree text: I have high blood pressure and normal is about 135/90 with 80mg Telamasarten. 1 week after the 2nd dose.. I got very dizzy taking out the trash. My bp reading was 175/113! I doubled up on the meds, and cut out salt. Bp norm after approx. 3-4 dayMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-03-02
- 2021-03-09
- 2021-03-16
- 2021-08-10
- 2022-02-09
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-01-12 | Moderna | |
| 2 | 2021-02-09 | Moderna |
Call center
1 call center case
1 priority 2/3 (triaged and no follow up)
Free text
Release 1 — day 0, dose 1
Systemic reaction (other): tiny bit light headed
Release 3 — day 0, dose 2
Systemic reaction (other): wasnt so much pain as a very minor but noticeable stinging in my shoulder area but only lasted about an hour following shot
Release 4 — days 1–6 daily, dose 2
Systemic reaction (other): I get occasional migraines and am thinking this one is no different. not vaccine related
Release 4 — day 14, dose 2
Symptoms: I have high blood pressure and normal is about 135/90 with 80mg Telamasarten. 1 week after the 2nd dose.. I got very dizzy taking out the trash. My bp reading was 175/113! I doubled up on the meds, and cut out salt. Bp norm after approx. 3-4 day cut off by CDC
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 |
|---|---|---|---|---|
| SD | Dizziness | ✓ | ✓ | ✓ |
| SD | Hypertension | ✓ | ✓ | ✓ |
| SD | Pre-existing disease | ✓ | ✓ | ✓ |
| SRO | Dizziness | ✓ | ✓ | ✓ |
| SRO | Migraine | ✓ | ✓ | ✓ |
| SRO | Musculoskeletal discomfort | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release