56T-78931-36473
2 vaccinations
7 coded responses
13 check-ins
7 free-text entries
0 call cases
- Sex
- Female
- Age at first dose
- 36-40
- ZIP prefix
- 832 / ID
- Registered
- 2021-02-12
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
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2021-01-15
Dose 1 — Moderna
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2021-02-12
Registered in v-safe
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2021-02-12
Dose 2 — Moderna
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2021-02-12
Survey response — day 0, dose 2MedDRA: Dizziness, Nausea — Feeling: Fair · Site: Pain · Fever · Headache, Fatigue or tiredness · Be unable to do your normal daily activitiesFree text: Somewhat dizzy and mild nauseaMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-02-13
Health check-in — days 1–6 daily, dose 2Feeling: Poor · Site: Pain · Fever · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Diarrhea · Be unable to work, Be unable to do your normal daily activitiesAdult check-in
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2021-02-14
Survey response — days 1–6 daily, dose 2MedDRA: Body temperature normal, Dizziness, Fatigue, Feeling hot, Pyrexia — Feeling: Fair · Site: Pain · Fever · Fatigue or tiredness · Be unable to work, Be unable to do your normal daily activitiesFree text: Tired, occasional dizziness, Hot and feverish feeling but temperature is normal.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-02-15
Survey response — days 1–6 daily, dose 2MedDRA: Disorientation — Feeling: Fair · Site: Pain · Fever · Headache, Fatigue or tiredness · Be unable to do your normal daily activitiesFree text: Feeling kinda disorientedMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-02-16
Survey response — days 1–6 daily, dose 2MedDRA: Dizziness — Feeling: Fair · Fever · Fatigue or tiredness, NauseaFree text: Feel mildy dizzy and disorientedMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-02-17
Survey response — days 1–6 daily, dose 2MedDRA: Dizziness — Feeling: Fair · Fever · Headache, Fatigue or tiredness, Nausea · Be unable to do your normal daily activitiesFree text: Dizzy and disorientedMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-02-18
Survey response — days 1–6 daily, dose 2MedDRA: Disorientation — Feeling: Fair · Fever · Headache, Joint pains, Fatigue or tiredness, Nausea · Be unable to do your normal daily activitiesFree text: DisorientedMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-02-19
Health check-in — day 7, dose 2Feeling: Fair · Fever · Headache, Fatigue or tiredness, Nausea · Be unable to do your normal daily activitiesAdult check-in
- 2021-03-05
- 2021-03-22
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2021-03-26
Survey response — day 42, dose 2MedDRA: Dizziness, Flushing, Hypertension, Stress — Feeling: GoodFree text: I ahve had issues with blood pressure but i think is more related.to stress rather than the vaccine. I still do get flush though and noticed my temperature seems to run higher now like 99.0. Sometimes feel dizzy still.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-05-14
- 2021-08-15
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-01-15 | Moderna | |
| 2 | 2021-02-12 | Moderna |
Free text
Release 4 — day 0, dose 2
Systemic reaction (other): Somewhat dizzy and mild nausea
Release 4 — days 1–6 daily, dose 2
Systemic reaction (other): Tired, occasional dizziness, Hot and feverish feeling but temperature is normal.
Systemic reaction (other): Feeling kinda disoriented
Systemic reaction (other): Feel mildy dizzy and disoriented
Systemic reaction (other): Dizzy and disoriented
Systemic reaction (other): Disoriented
Release 6 — day 42, dose 2
Symptoms: I ahve had issues with blood pressure but i think is more related.to stress rather than the vaccine. I still do get flush though and noticed my temperature seems to run higher now like 99.0. Sometimes feel dizzy still.
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 | Dizziness | ✓ | ✓ | ✓ |
| SD | Flushing | ✓ | ✓ | ✓ |
| SD | Hypertension | ✓ | ✓ | ✓ |
| SD | Stress | ✓ | ✓ | ✓ |
| SRO | Body temperature normal | ✓ | ✓ | ✓ |
| SRO | Disorientation | ✓ | ✓ | ✓ |
| SRO | Dizziness | ✓ | ✓ | ✓ |
| SRO | Fatigue | ✓ | ✓ | ✓ |
| SRO | Feeling hot | ✓ | ✓ | ✓ |
| SRO | Nausea | ✓ | ✓ | ✓ |
| SRO | Pyrexia | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release