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
-
2021-01-12
Registered in v-safe
-
2021-01-12
Dose 1 — Moderna
-
2021-01-12
Survey response — day 0, dose 1MedDRA: 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 activitiesFree text: Light headed, dizzy, chest painMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-01-12
Report sent to call center — day 0, dose 1Be unable to work · Be unable to do your normal daily activities1 call case(s)
-
2021-01-13
Survey response — days 1–6 daily, dose 1MedDRA: Neck pain — Feeling: Fair · Site: Pain · Fatigue or tiredness, Nausea, Diarrhea, Abdominal pain · Be unable to work, Be unable to do your normal daily activitiesFree text: Neck painMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-01-13
Report sent to call center — days 1–6 daily, dose 1Be unable to work · Be unable to do your normal daily activities1 call case(s)
-
2021-01-15
Survey response — days 1–6 daily, dose 1MedDRA: 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 visitFree text: Very short of breathMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-01-15
Report sent to call center — days 1–6 daily, dose 1Get care from a doctor or other healthcare professional1 call case(s)
-
2021-01-16
Survey response — days 1–6 daily, dose 1MedDRA: Adverse reaction — Feeling: Good · Muscle or body aches, Fatigue or tiredness, Abdominal painFree text: Oxygen sats are much better. O2 Sats 95%MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-01-17
Survey response — days 1–6 daily, dose 1MedDRA: Dyspnoea — Feeling: Fair · Fever · Headache, Muscle or body aches, Fatigue or tiredness, Abdominal pain · Be unable to workFree text: Short of breathMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-01-17
-
2021-01-18
Health check-in — days 1–6 daily, dose 1Feeling: Good · Headache, Muscle or body achesAdult check-in
- 2021-01-19
- 2021-01-26
- 2021-03-11
-
2021-07-13
Survey response — 6 months, dose 1MedDRA: 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, HospitalizationFree 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
-
2021-07-13
Report sent to call center — 6 months, dose 1Be unable to work or attend school · Be unable to do your normal daily activities · Get care from a doctor or other healthcare pr1 call case(s)
-
2022-01-12
Survey response — 12 months, dose 1MedDRA: Blood pressure increased, Cardiac flutter, Transient ischaemic attack — Feeling: Fair · Be unable to work or attend school, Be unable to do your normal daily activitiesFree 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
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-01-12 | Moderna |
Call center
5 call center cases
5 unsuccessful
Free text
Release 1 — day 0, dose 1
Systemic reaction (other): Light headed, dizzy, chest pain
Release 1 — days 1–6 daily, dose 1
Systemic reaction (other): Neck pain
Release 2 — days 1–6 daily, dose 1
Systemic reaction (other): Very short of breath
Systemic reaction (other): Oxygen sats are much better. O2 Sats 95%
Systemic reaction (other): Short of breath
Release 9 — 6 months, dose 1
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
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
| Field | Preferred term | 2021-09 | 2023-04 | 2024-11 |
|---|---|---|---|---|
| SD | Blood pressure increased | · | · | ✓ |
| SD | Cardiac flutter | · | · | ✓ |
| SD | Hospitalisation | ✓ | ✓ | ✓ |
| SD | Illness | ✓ | ✓ | ○ |
| SD | Malaise | · | · | ✓ |
| SD | SARS-CoV-2 test negative | ✓ | ✓ | ○ |
| SD | Transient ischaemic attack | · | · | ✓ |
| SRO | Adverse reaction | ✓ | ✓ | ✓ |
| SRO | Chest pain | ✓ | ✓ | ✓ |
| SRO | Dizziness | ✓ | ✓ | ✓ |
| SRO | Dyspnoea | ✓ | ✓ | ✓ |
| SRO | Neck pain | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release