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53M-14324-50819

3 vaccinations 1 coded response 3 check-ins 1 free-text entry 0 call cases
Sex
Female
Age at first dose
21-25
ZIP prefix
140 / NY
Registered
2021-11-23
Relationship
Self
Race
White
Ethnicity
Not Hispanic or Latino

Timeline

  1. 2021-03-05
    Dose 1 — Moderna
  2. 2021-11-05
    Dose 2 — Moderna
  3. 2021-11-23
    Registered in v-safe
  4. 2021-11-23
    Dose 3 — Moderna
  5. 2021-11-23
    Health check-in — day 0, dose 3
    Feeling: Fair · Site: Pain · None
    Adult check-in
  6. 2021-11-24
    Survey response — days 1–6 daily, dose 3
    MedDRA: Dizziness — Feeling: Fair · Site: Pain · Headache, Muscle or body aches, Fatigue or tiredness · Be unable to work or attend school
    Free text: Lightheaded
    MedDRA releases: 2024-11 · check-in free text available
  7. 2022-01-06
    Health check-in — day 42, dose 3
    Feeling: Good
    Adult check-in

Vaccinations

DoseDateManufacturerCo-administered
12021-03-05Moderna No
22021-11-05Moderna No
32021-11-23Moderna No

Free text

Release 10 — days 1–6 daily, dose 3

2021-11-24

Systemic reaction (other): Lightheaded

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
SRODizziness · · ✓

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