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5BM-23613-27597

2 vaccinations 5 coded responses 15 check-ins 5 free-text entries 1 call case
Sex
Female
Age at first dose
66+
ZIP prefix
103 / NY
Registered
2021-02-04
Relationship
Self
Race
White
Ethnicity
Not Hispanic or Latino

Timeline

  1. 2021-01-17
    Dose 1 — Moderna
  2. 2021-02-04
    Registered in v-safe
  3. 2021-02-04
    Health check-in — day 14, dose 1
    Feeling: Good
    Adult check-in
  4. 2021-02-09
    Health check-in — day 21, dose 1
    Feeling: Good
    Adult check-in
  5. 2021-02-14
    Dose 2 — Moderna
  6. 2021-02-15
    Survey response — days 1–6 daily, dose 2
    MedDRA: Dehydration — Feeling: Poor · Site: Pain, Swelling · Headache, Fatigue or tiredness, Nausea, Diarrhea · Be unable to do your normal daily activities
    Free text: Dehydration
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  7. 2021-02-16
    Survey response — days 1–6 daily, dose 2
    MedDRA: Abdominal discomfort, Dehydration, Palpitations, Sinus congestion, Sinus pain — Feeling: Fair · Headache
    Free text: My body became so dehydrated my sinuses dried up and are painful. Stomach is off. Heart feels perioducally like its pounding but pulse is fine
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  8. 2021-02-17
    Survey response — days 1–6 daily, dose 2
    MedDRA: Abdominal discomfort, Blood electrolytes decreased, Blood electrolytes increased, Dehydration, Palpitations, Self-medication — Feeling: Fair
    Free text: Stomach is off not nausea just off. Heart feels like its working hard I notice it started late yesterday afylter my check in. I do believe the shot dehydrated me and I lost alot of electrolytes. I upped my intake of potassium and magnesium and it was better yesterday but started up today. I am doing the same today. Keeping an eye on it
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  9. 2021-02-18
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · None
    Adult check-in
  10. 2021-02-19
    Survey response — days 1–6 daily, dose 2
    MedDRA: Abdominal discomfort, Headache — Feeling: Fair · Headache
    Free text: Slight headache this afternoon and stomach is ",off" but nothing majpr
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  11. 2021-02-23
    Health check-in — day 7, dose 2
    Feeling: Good · None
    Adult check-in
  12. 2021-02-28
    Health check-in — day 14, dose 2
    Feeling: Good
    Adult check-in
  13. 2021-03-07
    Health check-in — day 21, dose 2
    Feeling: Good
    Adult check-in
  14. 2021-03-14
    Health check-in — day 28, dose 2
    Feeling: Good
    Adult check-in
  15. 2021-03-21
    Health check-in — day 35, dose 2
    Feeling: Good
    Adult check-in
  16. 2021-03-29
    Health check-in — day 42, dose 2
    Feeling: Good
    Adult check-in
  17. 2021-05-18
    Health check-in — 3 months, dose 2
    Feeling: Good
    Adult check-in
  18. 2022-02-16
    Survey response — 12 months, dose 2
    MedDRA: Head discomfort, Headache, Office visit, Paranasal sinus discomfort, Sinus pain — Feeling: Good · Get care from a doctor or other healthcare professional
    Free text: Symptoms: Sinus and head pressure and pain · Healthcare visit (other): Dr office
    MedDRA releases: 2024-11 · check-in free text available
  19. 2022-02-16
    Report sent to call center — 12 months, dose 2
    Get care from a doctor or other healthcare professional
    1 call case(s)
  20. 2022-02-17

Vaccinations

DoseDateManufacturerCo-administered
12021-01-17Moderna
22021-02-14Moderna

Call center

1 call center case

1 unsuccessful

See the call center timeline

Free text

Release 4 — days 1–6 daily, dose 2

2021-02-15

Systemic reaction (other): Dehydration

2021-02-16

Systemic reaction (other): My body became so dehydrated my sinuses dried up and are painful. Stomach is off. Heart feels perioducally like its pounding but pulse is fine

2021-02-17

Systemic reaction (other): Stomach is off not nausea just off. Heart feels like its working hard I notice it started late yesterday afylter my check in. I do believe the shot dehydrated me and I lost alot of electrolytes. I upped my intake of potassium and magnesium and it was better yesterday but started up today. I am doing the same today. Keeping an eye on it

2021-02-19

Systemic reaction (other): Slight headache this afternoon and stomach is ",off" but nothing majpr

Release 11 — 12 months, dose 2

2022-02-16

Symptoms: Sinus and head pressure and pain
Healthcare visit (other): Dr office

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
HCVOOffice visit · · ✓
SDHead discomfort · · ✓
SDHeadache · · ✓
SDParanasal sinus discomfort · · ✓
SDSinus pain · · ✓
SROAbdominal discomfort ✓ ✓ ✓
SROBlood electrolytes decreased ✓ · ✓
SROBlood electrolytes increased ○ ✓ ○
SRODehydration ✓ ✓ ✓
SROHeadache ✓ ✓ ✓
SROPalpitations ✓ ✓ ✓
SROSelf-medication ✓ · ✓
SROSinus congestion ✓ ✓ ✓
SROSinus pain ✓ ✓ ✓

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