5A5-27140-16054
3 vaccinations
5 coded responses
40 check-ins
5 free-text entries
1 call case
- Sex
- Female
- Age at first dose
- 26-30
- ZIP prefix
- 785 / TX
- Registered
- 2021-01-07
- Relationship
- Self
- Race
- White
- Ethnicity
- Hispanic or Latino
Registered dependents
VSF-24254-98561
Child or adolescent in my care · Female · 2021-11-08
Timeline
-
2021-01-06
Dose 1 — Moderna
-
2021-01-07
Registered in v-safe
- 2021-01-07
-
2021-01-08
Survey response — days 1–6 daily, dose 1MedDRA: Dizziness, Heart rate increased, Immediate post-injection reaction, Throat tightness — Feeling: Good · Site: Pain, Swelling · Fatigue or tiredness, Abdominal painFree text: The day I got the vaccine, I got extremely dizzy, rapid heart beat, slight tightening of my throat after 10 minutes of getting the vaccine and it lasted about 5-7 minutesMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-01-09
Survey response — days 1–6 daily, dose 1MedDRA: Dizziness, Nervousness — Feeling: Fair · Site: Pain · Headache, Fatigue or tiredness, Nausea, Vomiting · Be unable to work, Be unable to do your normal daily activitiesFree text: The day I got the vaccine I was also very shaky before almost passing out but went away after 5-7 minutesMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-01-09
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)
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2021-01-10
Health check-in — days 1–6 daily, dose 1Feeling: Fair · Fever · Chills, Headache, Fatigue or tiredness, Nausea, Diarrhea, Abdominal painAdult check-in
- 2021-01-11
- 2021-01-12
- 2021-01-14
- 2021-01-21
- 2021-01-29
- 2021-02-06
-
2021-02-09
Dose 2 — Moderna
-
2021-02-09
Survey response — day 0, dose 2MedDRA: Dizziness — Feeling: Good · Site: PainFree text: Slightly Light headed and dry mouth that went away after 30 minsMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-02-10
Survey response — days 1–6 daily, dose 2MedDRA: Peripheral swelling, Swelling — Feeling: Poor · Site: Pain, Swelling · Fever · Chills, Headache, Muscle or body aches, Fatigue or tiredness, Nausea, Abdominal pain · Be unable to work, Be unable to do your normal daily activitiesFree text: Right arm is a little swollen to my fingers and to right side of neckMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-02-11
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Site: Pain, Swelling · Headache, Fatigue or tiredness, Abdominal pain · Be unable to do your normal daily activitiesAdult check-in
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2021-02-12
Survey response — days 1–6 daily, dose 2MedDRA: Swelling — Feeling: Fair · Site: Pain, Swelling · Headache, Fatigue or tiredness, Abdominal painFree text: Neck is still a little swollen on right sideMedDRA 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: Good · Site: Pain, Swelling · Headache, Fatigue or tirednessAdult check-in
- 2021-02-14
- 2021-02-16
- 2021-02-23
- 2021-03-02
- 2021-03-09
- 2021-03-16
- 2021-03-23
- 2021-05-11
- 2021-08-11
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2021-11-06
Dose 3 — Moderna
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2021-11-06
Health check-in — day 0, dose 3Feeling: Fair · Site: Pain, Redness, Swelling · Chills, Headache, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activitiesAdult check-in
-
2021-11-07
Health check-in — days 1–6 daily, dose 3Feeling: Poor · Site: Pain, Redness, Swelling · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to work or attend school, Be unable to do your normal daily activitiesAdult check-in
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2021-11-08
Health check-in — days 1–6 daily, dose 3Feeling: Good · Site: Pain, Swelling · Headache, Muscle or body aches, Fatigue or tirednessAdult check-in
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2021-11-09
Health check-in — days 1–6 daily, dose 3Feeling: Good · Site: Pain · Headache, Muscle or body aches, Fatigue or tirednessAdult check-in
-
2021-11-10
Health check-in — days 1–6 daily, dose 3Feeling: Good · Headache, Muscle or body aches, Fatigue or tirednessAdult check-in
- 2021-11-11
- 2021-11-12
-
2021-11-13
Health check-in — day 7, dose 3Feeling: Poor · Headache, Fatigue or tiredness, Nausea, Vomiting · Be unable to work or attend schoolAdult check-in
- 2021-11-22
- 2021-11-29
- 2021-12-06
- 2021-12-11
- 2021-12-19
- 2022-02-06
- 2022-05-09
- 2022-11-08
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-01-06 | Moderna | |
| 2 | 2021-02-09 | Moderna | |
| 3 | 2021-11-06 | Moderna | No |
Call center
1 call center case
1 priority 2/3 (triaged and no follow up)
Free text
Release 1 — days 1–6 daily, dose 1
Systemic reaction (other): The day I got the vaccine, I got extremely dizzy, rapid heart beat, slight tightening of my throat after 10 minutes of getting the vaccine and it lasted about 5-7 minutes
Systemic reaction (other): The day I got the vaccine I was also very shaky before almost passing out but went away after 5-7 minutes
Release 3 — day 0, dose 2
Systemic reaction (other): Slightly Light headed and dry mouth that went away after 30 mins
Release 4 — days 1–6 daily, dose 2
Systemic reaction (other): Right arm is a little swollen to my fingers and to right side of neck
Systemic reaction (other): Neck is still a little swollen on right side
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 |
|---|---|---|---|---|
| SRO | Dizziness | ✓ | ✓ | ✓ |
| SRO | Heart rate increased | ✓ | ✓ | ✓ |
| SRO | Immediate post-injection reaction | ✓ | ✓ | ✓ |
| SRO | Nervousness | ✓ | ✓ | ✓ |
| SRO | Peripheral swelling | ✓ | ✓ | ✓ |
| SRO | Swelling | ✓ | ✓ | ✓ |
| SRO | Throat tightness | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release