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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

  1. 2021-01-15
    Dose 1 — Moderna
  2. 2021-02-12
    Registered in v-safe
  3. 2021-02-12
    Dose 2 — Moderna
  4. 2021-02-12
    Survey response — day 0, dose 2
    MedDRA: Dizziness, Nausea — Feeling: Fair · Site: Pain · Fever · Headache, Fatigue or tiredness · Be unable to do your normal daily activities
    Free text: Somewhat dizzy and mild nausea
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  5. 2021-02-13
    Health check-in — days 1–6 daily, dose 2
    Feeling: 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 activities
    Adult check-in
  6. 2021-02-14
    Survey response — days 1–6 daily, dose 2
    MedDRA: 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 activities
    Free 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
  7. 2021-02-15
    Survey response — days 1–6 daily, dose 2
    MedDRA: Disorientation — Feeling: Fair · Site: Pain · Fever · Headache, Fatigue or tiredness · Be unable to do your normal daily activities
    Free text: Feeling kinda disoriented
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  8. 2021-02-16
    Survey response — days 1–6 daily, dose 2
    MedDRA: Dizziness — Feeling: Fair · Fever · Fatigue or tiredness, Nausea
    Free text: Feel mildy dizzy and disoriented
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  9. 2021-02-17
    Survey response — days 1–6 daily, dose 2
    MedDRA: Dizziness — Feeling: Fair · Fever · Headache, Fatigue or tiredness, Nausea · Be unable to do your normal daily activities
    Free text: Dizzy and disoriented
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  10. 2021-02-18
    Survey response — days 1–6 daily, dose 2
    MedDRA: Disorientation — Feeling: Fair · Fever · Headache, Joint pains, Fatigue or tiredness, Nausea · Be unable to do your normal daily activities
    Free text: Disoriented
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  11. 2021-02-19
    Health check-in — day 7, dose 2
    Feeling: Fair · Fever · Headache, Fatigue or tiredness, Nausea · Be unable to do your normal daily activities
    Adult check-in
  12. 2021-03-05
    Health check-in — day 21, dose 2
    Feeling: Fair
    Adult check-in
  13. 2021-03-22
    Health check-in — day 35, dose 2
    Feeling: Good
    Adult check-in
  14. 2021-03-26
    Survey response — day 42, dose 2
    MedDRA: Dizziness, Flushing, Hypertension, Stress — Feeling: Good
    Free 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
  15. 2021-05-14
    Health check-in — 3 months, dose 2
    Feeling: Good
    Adult check-in
  16. 2021-08-15
    Health check-in — 6 months, dose 2
    Feeling: Good
    Adult check-in

Vaccinations

DoseDateManufacturerCo-administered
12021-01-15Moderna
22021-02-12Moderna

Free text

Release 4 — day 0, dose 2

2021-02-12

Systemic reaction (other): Somewhat dizzy and mild nausea

Release 4 — days 1–6 daily, dose 2

2021-02-14

Systemic reaction (other): Tired, occasional dizziness, Hot and feverish feeling but temperature is normal.

2021-02-15

Systemic reaction (other): Feeling kinda disoriented

2021-02-16

Systemic reaction (other): Feel mildy dizzy and disoriented

2021-02-17

Systemic reaction (other): Dizzy and disoriented

2021-02-18

Systemic reaction (other): Disoriented

Release 6 — day 42, dose 2

2021-03-26

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

FieldPreferred term2021-092023-042024-11
SDDizziness ✓ ✓ ✓
SDFlushing ✓ ✓ ✓
SDHypertension ✓ ✓ ✓
SDStress ✓ ✓ ✓
SROBody temperature normal ✓ ✓ ✓
SRODisorientation ✓ ✓ ✓
SRODizziness ✓ ✓ ✓
SROFatigue ✓ ✓ ✓
SROFeeling hot ✓ ✓ ✓
SRONausea ✓ ✓ ✓
SROPyrexia ✓ ✓ ✓

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