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4S6-27646-65475

2 vaccinations 6 coded responses 21 check-ins 6 free-text entries 0 call cases
Sex
Female
Age at first dose
56-60
ZIP prefix
919 / CA
Registered
2021-01-15
Relationship
Self
Race
Multiracial
Ethnicity
Not Hispanic or Latino

Timeline

  1. 2021-01-15
    Registered in v-safe
  2. 2021-01-15
    Dose 1 — Moderna
  3. 2021-01-15
    Survey response — day 0, dose 1
    MedDRA: Dizziness, Immediate post-injection reaction — Feeling: Good
    Free text: Lightheaded right after receiving vaccine but subsided 30 mins after.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  4. 2021-01-16
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · None
    Adult check-in
  5. 2021-01-17
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · None
    Adult check-in
  6. 2021-01-19
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · None
    Adult check-in
  7. 2021-01-22
    Health check-in — day 7, dose 1
    Feeling: Fair · Site: Itching · None
    Adult check-in
  8. 2021-01-29
    Survey response — day 14, dose 1
    MedDRA: Contusion, Pruritus, Rash — Feeling: Fair
    Free text: Rash about 2-3 inches below the injection sight. Looks like a bite then bruised. Very itchy but has calmed down. Its been about a week now. I didnt know that could be fr the vaccination but my friend had the same thing.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  9. 2021-02-05
    Health check-in — day 21, dose 1
    Feeling: Good
    Adult check-in
  10. 2021-02-12
    Dose 2 — Moderna
  11. 2021-02-12
    Health check-in — day 0, dose 2
    Feeling: Fair · Site: Pain · Muscle or body aches
    Adult check-in
  12. 2021-02-13
    Survey response — days 1–6 daily, dose 2
    MedDRA: Dizziness — Feeling: Fair · Site: Pain · Chills, Fatigue or tiredness · Be unable to do your normal daily activities
    Free text: Lightheaded
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  13. 2021-02-14
    Survey response — days 1–6 daily, dose 2
    MedDRA: Headache — Feeling: Fair · Site: Itching · Headache, Fatigue or tiredness · Be unable to do your normal daily activities
    Free text: Light headache
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  14. 2021-02-15
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · None
    Adult check-in
  15. 2021-02-16
    Health check-in — days 1–6 daily, dose 2
    Feeling: Fair · Rash, not including the immediate area around the injection site
    Adult check-in
  16. 2021-02-17
    Health check-in — days 1–6 daily, dose 2
    Feeling: Fair · Rash, not including the immediate area around the injection site
    Adult check-in
  17. 2021-02-18
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · None
    Adult check-in
  18. 2021-02-19
    Health check-in — day 7, dose 2
    Feeling: Good · Site: Itching · None
    Adult check-in
  19. 2021-02-26
    Survey response — day 14, dose 2
    MedDRA: Injection site pruritus — Feeling: Good
    Free text: Itchy near the injection sight.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  20. 2021-03-05
    Health check-in — day 21, dose 2
    Feeling: Good
    Adult check-in
  21. 2021-03-12
    Health check-in — day 28, dose 2
    Feeling: Good
    Adult check-in
  22. 2021-03-19
    Survey response — day 35, dose 2
    MedDRA: Dizziness, Ear pain, Headache, Pre-existing disease, Vertigo, Visual impairment — Feeling: Poor · Be unable to work, Be unable to do your normal daily activities
    Free text: Vertigo; dizzy, lightheaded, weird vision stuff, feels best to lay down, right ear and head hurts. H/O vertigo 2 years ago
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  23. 2021-03-26
    Health check-in — day 42, dose 2
    Feeling: Good
    Adult check-in
  24. 2021-05-14
    Health check-in — 3 months, dose 2
    Feeling: Good
    Adult check-in

Vaccinations

DoseDateManufacturerCo-administered
12021-01-15Moderna
22021-02-12Moderna

Free text

Release 2 — day 0, dose 1

2021-01-15

Systemic reaction (other): Lightheaded right after receiving vaccine but subsided 30 mins after.

Release 3 — day 14, dose 1

2021-01-29

Symptoms: Rash about 2-3 inches below the injection sight. Looks like a bite then bruised. Very itchy but has calmed down. Its been about a week now. I didnt know that could be fr the vaccination but my friend had the same thing.

Release 4 — days 1–6 daily, dose 2

2021-02-13

Systemic reaction (other): Lightheaded

2021-02-14

Systemic reaction (other): Light headache

Release 4 — day 14, dose 2

2021-02-26

Symptoms: Itchy near the injection sight.

Release 5 — day 35, dose 2

2021-03-19

Symptoms: Vertigo; dizzy, lightheaded, weird vision stuff, feels best to lay down, right ear and head hurts. H/O vertigo 2 years ago

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
SDContusion ✓ ✓ ✓
SDDizziness ✓ ✓ ✓
SDEar pain ✓ ✓ ✓
SDHeadache ✓ ✓ ✓
SDInjection site pruritus ✓ ✓ ✓
SDPre-existing disease ✓ ✓ ✓
SDPruritus ✓ ✓ ✓
SDRash ✓ ✓ ✓
SDVertigo ✓ ✓ ✓
SDVisual impairment ✓ ✓ ✓
SRODizziness ✓ ✓ ✓
SROHeadache ✓ ✓ ✓
SROImmediate post-injection reaction ✓ ✓ ✓

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