553-23828-44207
2 vaccinations
6 coded responses
19 check-ins
6 free-text entries
2 call cases
- Sex
- Female
- Age at first dose
- 46-50
- ZIP prefix
- 181 / PA
- Registered
- 2021-04-10
- Relationship
- Self
- Race
- N/A
- Ethnicity
- N/A
Timeline
-
2021-04-10
Registered in v-safe
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2021-04-10
Dose 1 — Moderna
- 2021-04-10
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2021-04-11
Health check-in — days 1–6 daily, dose 1Feeling: Good · Site: Pain · Fatigue or tirednessAdult check-in
- 2021-04-12
- 2021-04-15
- 2021-04-16
- 2021-04-17
- 2021-04-24
- 2021-05-01
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2021-05-08
Dose 2 — Moderna
- 2021-05-08
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2021-05-09
Survey response — days 1–6 daily, dose 2MedDRA: Dry mouth, Energy increased — Feeling: Good · Site: Pain · Fatigue or tirednessFree text: Dry mouth, a little extra energyMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-05-10
Survey response — days 1–6 daily, dose 2MedDRA: Abdominal pain, Fatigue — Feeling: Good · Fatigue or tiredness, Abdominal painFree text: Only a little tired, and abdominal cramping was as if onset of mild menstrual cramping.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-05-11
Survey response — days 1–6 daily, dose 2MedDRA: Dizziness, Fatigue, Vertigo — Feeling: Fair · Fatigue or tiredness · Be unable to do your normal daily activitiesFree text: Dizziness, vertigo. I suffer from vertigo outside of vaccine, but this episide seems different. I was concerned about getting vaccine because of my other issues. Super tired today as well. As i expected to be day 1.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-05-12
Survey response — days 1–6 daily, dose 2MedDRA: Vertigo — Feeling: Fair · Fatigue or tiredness · Be unable to do your normal daily activitiesFree text: Vertigo.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-05-13
Health check-in — days 1–6 daily, dose 2Feeling: Fair · None · Be unable to do your normal daily activitiesAdult check-in
- 2021-05-14
- 2021-05-15
- 2021-05-22
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2021-08-07
Survey response — 3 months, dose 2MedDRA: Vertigo — Feeling: Good · Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultation, Outpatient clinic or urgent care clinic visitFree text: Still experiencing vertigo symptoms on and off.MedDRA releases: 2021-09,2024-11 · check-in free text available
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2021-08-07
Report sent to call center — 3 months, dose 2Get care from a doctor or other healthcare professional1 call case(s)
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2021-11-08
Survey response — 6 months, dose 2MedDRA: Dry eye, Office visit — Feeling: Good · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professionalFree text: Symptoms: Extremely dry eyes that require prescription eye drops. · Healthcare visit (other): Eye Dr visitMedDRA releases: 2024-11 · check-in free text available
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2021-11-08
Report sent to call center — 6 months, dose 2Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional1 call case(s)
- 2021-11-09
- 2021-11-15
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-04-10 | Moderna | |
| 2 | 2021-05-08 | Moderna |
Call center
2 call center cases
2 unsuccessful
Free text
Release 8 — days 1–6 daily, dose 2
Systemic reaction (other): Dry mouth, a little extra energy
Systemic reaction (other): Only a little tired, and abdominal cramping was as if onset of mild menstrual cramping.
Systemic reaction (other): Dizziness, vertigo. I suffer from vertigo outside of vaccine, but this episide seems different. I was concerned about getting vaccine because of my other issues. Super tired today as well. As i expected to be day 1.
Systemic reaction (other): Vertigo.
Release 9 — 3 months, dose 2
Symptoms: Still experiencing vertigo symptoms on and off.
Release 10 — 6 months, dose 2
Symptoms: Extremely dry eyes that require prescription eye drops.
Healthcare visit (other): Eye Dr visit
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 |
|---|---|---|---|---|
| HCVO | Office visit | · | · | ✓ |
| SD | Dry eye | · | · | ✓ |
| SD | Vertigo | ✓ | · | ✓ |
| SRO | Abdominal pain | ✓ | ✓ | ✓ |
| SRO | Dizziness | ✓ | ✓ | ✓ |
| SRO | Dry mouth | ✓ | ✓ | ✓ |
| SRO | Energy increased | ✓ | ✓ | ✓ |
| SRO | Fatigue | ✓ | ✓ | ✓ |
| SRO | Vertigo | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release