4XL-29484-74778
1 vaccination
3 coded responses
8 check-ins
3 free-text entries
1 call case
- Sex
- Female
- Age at first dose
- 36-40
- ZIP prefix
- 600 / IL
- Registered
- 2021-04-10
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-03-26
Dose 1 — Moderna
-
2021-04-10
Registered in v-safe
-
2021-04-10
Survey response — day 14, dose 1MedDRA: Dysstasia, Emergency care, Presyncope — Feeling: Poor · Be unable to work, Be unable to do your normal daily activitiesFree text: Since the the day after my shot (3/27/21), I have had reoccurring near syncope episodes. They have been so debilitating that I went to the Emergency Room and had to move in with my parents because I cant stand long enough to make food for myself.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-04-16
Survey response — day 21, dose 1MedDRA: Hypotension, Muscular weakness, Vertigo — Feeling: Poor · Be unable to work, Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultation, Emergency room or emergency department visitFree text: I still have weakness in my limbs. But have now have low blood pressure, which started after the shot, and vertigo. I still cant stand long enough to make food for myself or shower alone.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-04-16
Report sent to call center — day 21, dose 1Be unable to work · Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional1 call case(s)
- 2021-04-23
- 2021-04-30
- 2021-05-07
-
2021-06-25
Survey response — 3 months, dose 1MedDRA: Rash — Feeling: FairFree text: Rash on my left arm.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-09-24
- 2021-12-15
- 2022-03-26
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-03-26 | Moderna |
Call center
1 call center case
1 unsuccessful
1 wait over 3 months for a first call
Free text
Release 7 — day 14, dose 1
Symptoms: Since the the day after my shot (3/27/21), I have had reoccurring near syncope episodes. They have been so debilitating that I went to the Emergency Room and had to move in with my parents because I cant stand long enough to make food for myself.
Release 7 — day 21, dose 1
Symptoms: I still have weakness in my limbs. But have now have low blood pressure, which started after the shot, and vertigo. I still cant stand long enough to make food for myself or shower alone.
Release 9 — 3 months, dose 1
Symptoms: Rash on my left arm.
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 | Dysstasia | ✓ | ✓ | ✓ |
| SD | Emergency care | ✓ | ✓ | ✓ |
| SD | Hypotension | ✓ | ✓ | ✓ |
| SD | Muscular weakness | ✓ | ✓ | ✓ |
| SD | Presyncope | ✓ | ✓ | ✓ |
| SD | Rash | ✓ | ✓ | ✓ |
| SD | Vertigo | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release