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55Y-25988-49326

1 vaccination 7 coded responses 10 check-ins 7 free-text entries 5 call cases
Sex
Female
Age at first dose
46-50
ZIP prefix
785 / TX
Registered
2021-01-12
Relationship
Self
Race
White
Ethnicity
Hispanic or Latino

Timeline

  1. 2021-01-12
    Registered in v-safe
  2. 2021-01-12
    Dose 1 — Moderna
  3. 2021-01-12
    Survey response — day 0, dose 1
    MedDRA: Chest pain, Dizziness — Feeling: Fair · Site: Pain, Swelling, Itching · Headache, Joint pains, Fatigue or tiredness, Nausea, Diarrhea, Abdominal pain · Be unable to work, Be unable to do your normal daily activities
    Free text: Light headed, dizzy, chest pain
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  4. 2021-01-12
    Report sent to call center — day 0, dose 1
    Be unable to work · Be unable to do your normal daily activities
    1 call case(s)
  5. 2021-01-13
    Survey response — days 1–6 daily, dose 1
    MedDRA: Neck pain — Feeling: Fair · Site: Pain · Fatigue or tiredness, Nausea, Diarrhea, Abdominal pain · Be unable to work, Be unable to do your normal daily activities
    Free text: Neck pain
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  6. 2021-01-13
    Report sent to call center — days 1–6 daily, dose 1
    Be unable to work · Be unable to do your normal daily activities
    1 call case(s)
  7. 2021-01-15
    Survey response — days 1–6 daily, dose 1
    MedDRA: Dyspnoea — Feeling: Fair · Chills, Headache, Muscle or body aches, Fatigue or tiredness, Nausea, Abdominal pain · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit
    Free text: Very short of breath
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  8. 2021-01-15
    Report sent to call center — days 1–6 daily, dose 1
    Get care from a doctor or other healthcare professional
    1 call case(s)
  9. 2021-01-16
    Survey response — days 1–6 daily, dose 1
    MedDRA: Adverse reaction — Feeling: Good · Muscle or body aches, Fatigue or tiredness, Abdominal pain
    Free text: Oxygen sats are much better. O2 Sats 95%
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  10. 2021-01-17
    Survey response — days 1–6 daily, dose 1
    MedDRA: Dyspnoea — Feeling: Fair · Fever · Headache, Muscle or body aches, Fatigue or tiredness, Abdominal pain · Be unable to work
    Free text: Short of breath
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  11. 2021-01-17
  12. 2021-01-18
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · Headache, Muscle or body aches
    Adult check-in
  13. 2021-01-19
    Health check-in — day 7, dose 1
    Feeling: Good · Fatigue or tiredness
    Adult check-in
  14. 2021-01-26
    Health check-in — day 14, dose 1
    Feeling: Good
    Adult check-in
  15. 2021-03-11
  16. 2021-07-13
    Survey response — 6 months, dose 1
    MedDRA: Hospitalisation, Illness, Malaise, SARS-CoV-2 test negative, Transient ischaemic attack — Feeling: Good · Be unable to work or attend school, Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit, Emergency room or emergency department visit, Hospitalization
    Free text: After vaccination i got very sick and told i had clinical covid. But it was not confirmed by lab tests. Then this year 2021 I had a T I A and was hospitalized for 3 days.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  17. 2021-07-13
    Report sent to call center — 6 months, dose 1
    Be unable to work or attend school · Be unable to do your normal daily activities · Get care from a doctor or other healthcare pr
    1 call case(s)
  18. 2022-01-12
    Survey response — 12 months, dose 1
    MedDRA: Blood pressure increased, Cardiac flutter, Transient ischaemic attack — Feeling: Fair · Be unable to work or attend school, Be unable to do your normal daily activities
    Free text: I had a TIA in April 2021. I feel Heart Flutters and experience elevated bp. I was given a new medication as needed for emergency elevated bp. And started plavix.
    MedDRA releases: 2024-11 · check-in free text available

Vaccinations

DoseDateManufacturerCo-administered
12021-01-12Moderna

Call center

5 call center cases

5 unsuccessful

See the call center timeline

Free text

Release 1 — day 0, dose 1

2021-01-12

Systemic reaction (other): Light headed, dizzy, chest pain

Release 1 — days 1–6 daily, dose 1

2021-01-13

Systemic reaction (other): Neck pain

Release 2 — days 1–6 daily, dose 1

2021-01-15

Systemic reaction (other): Very short of breath

2021-01-16

Systemic reaction (other): Oxygen sats are much better. O2 Sats 95%

2021-01-17

Systemic reaction (other): Short of breath

Release 9 — 6 months, dose 1

2021-07-13

Symptoms: After vaccination i got very sick and told i had clinical covid. But it was not confirmed by lab tests. Then this year 2021 I had a T I A and was hospitalized for 3 days.

Release 10 — 12 months, dose 1

2022-01-12

Symptoms: I had a TIA in April 2021. I feel Heart Flutters and experience elevated bp. I was given a new medication as needed for emergency elevated bp. And started plavix.

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
SDBlood pressure increased · · ✓
SDCardiac flutter · · ✓
SDHospitalisation ✓ ✓ ✓
SDIllness ✓ ✓ ○
SDMalaise · · ✓
SDSARS-CoV-2 test negative ✓ ✓ ○
SDTransient ischaemic attack · · ✓
SROAdverse reaction ✓ ✓ ✓
SROChest pain ✓ ✓ ✓
SRODizziness ✓ ✓ ✓
SRODyspnoea ✓ ✓ ✓
SRONeck pain ✓ ✓ ✓

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