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
-
2021-01-17
Dose 1 — Moderna
-
2021-02-04
Registered in v-safe
- 2021-02-04
- 2021-02-09
-
2021-02-14
Dose 2 — Moderna
-
2021-02-15
Survey response — days 1–6 daily, dose 2MedDRA: Dehydration — Feeling: Poor · Site: Pain, Swelling · Headache, Fatigue or tiredness, Nausea, Diarrhea · Be unable to do your normal daily activitiesFree text: DehydrationMedDRA 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: Abdominal discomfort, Dehydration, Palpitations, Sinus congestion, Sinus pain — Feeling: Fair · HeadacheFree 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 fineMedDRA 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: Abdominal discomfort, Blood electrolytes decreased, Blood electrolytes increased, Dehydration, Palpitations, Self-medication — Feeling: FairFree 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 itMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-02-18
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2021-02-19
Survey response — days 1–6 daily, dose 2MedDRA: Abdominal discomfort, Headache — Feeling: Fair · HeadacheFree text: Slight headache this afternoon and stomach is ",off" but nothing majprMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-02-23
- 2021-02-28
- 2021-03-07
- 2021-03-14
- 2021-03-21
- 2021-03-29
- 2021-05-18
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2022-02-16
Survey response — 12 months, dose 2MedDRA: Head discomfort, Headache, Office visit, Paranasal sinus discomfort, Sinus pain — Feeling: Good · Get care from a doctor or other healthcare professionalFree text: Symptoms: Sinus and head pressure and pain · Healthcare visit (other): Dr officeMedDRA releases: 2024-11 · check-in free text available
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2022-02-16
Report sent to call center — 12 months, dose 2Get care from a doctor or other healthcare professional1 call case(s)
- 2022-02-17
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-01-17 | Moderna | |
| 2 | 2021-02-14 | Moderna |
Call center
1 call center case
1 unsuccessful
Free text
Release 4 — days 1–6 daily, dose 2
Systemic reaction (other): Dehydration
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
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
Systemic reaction (other): Slight headache this afternoon and stomach is ",off" but nothing majpr
Release 11 — 12 months, dose 2
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 |
|---|---|---|---|---|
| HCVO | Office visit | · | · | ✓ |
| SD | Head discomfort | · | · | ✓ |
| SD | Headache | · | · | ✓ |
| SD | Paranasal sinus discomfort | · | · | ✓ |
| SD | Sinus pain | · | · | ✓ |
| SRO | Abdominal discomfort | ✓ | ✓ | ✓ |
| SRO | Blood electrolytes decreased | ✓ | · | ✓ |
| SRO | Blood electrolytes increased | ○ | ✓ | ○ |
| SRO | Dehydration | ✓ | ✓ | ✓ |
| SRO | Headache | ✓ | ✓ | ✓ |
| SRO | Palpitations | ✓ | ✓ | ✓ |
| SRO | Self-medication | ✓ | · | ✓ |
| SRO | Sinus congestion | ✓ | ✓ | ✓ |
| SRO | Sinus pain | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release