5BX-14682-21392
2 vaccinations
2 coded responses
24 check-ins
2 free-text entries
1 call case
- Sex
- Female
- Age at first dose
- 46-50
- ZIP prefix
- 930 / CA
- Registered
- 2021-03-10
- Relationship
- Self
- Race
- White
- Ethnicity
- Hispanic or Latino
Timeline
- 2021-01-05
-
2021-03-10
Registered in v-safe
-
2021-03-10
Dose 1 — Moderna
- 2021-03-10
-
2021-03-11
Health check-in — days 1–6 daily, dose 1Feeling: Good · Site: Pain, Redness, Swelling, Itching · NoneAdult check-in
- 2021-03-12
- 2021-03-13
- 2021-03-14
- 2021-03-15
- 2021-03-16
- 2021-03-17
- 2021-03-24
- 2021-03-31
-
2021-04-06
Dose 2 — Moderna
-
2021-04-07
Survey response — days 1–6 daily, dose 2MedDRA: Abdominal pain upper, Diarrhoea, Dysstasia, Emergency care, Immediate post-injection reaction, Nausea, Presyncope — Feeling: Good · Be unable to work, Get care from a doctor or other healthcare professional · Emergency room or emergency department visitFree text: The instant I got my shot pushed, I had extreme nausea and I almost passed out. Within 40 minutes after shot, I was home and had extreme stomach cramping, diarrhea, and almost was passing out from the stomach pain. I couldnt even stand up. I called an ambulance to get to ER. Paramedic gave me a Zofran for nausea in route to the hospital. ER doctor said I was fine because my acute symptoms were gone. I got my shot at 7:30 p.m. By 9:20 p.m., I was feeling normal again. Today, I feel totally fine.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-04-07
Report sent to call center — days 1–6 daily, dose 2Be unable to work · Get care from a doctor or other healthcare professional1 call case(s)
- 2021-04-08
- 2021-04-09
- 2021-04-10
- 2021-04-11
- 2021-04-12
- 2021-04-15
- 2021-04-20
- 2021-04-27
- 2021-05-04
- 2021-05-11
- 2021-05-18
-
2021-07-08
Survey response — 3 months, dose 2MedDRA: Cough, Nasopharyngitis, Sinus congestion — Feeling: Fair · Be unable to do your normal daily activitiesFree text: I have a cold with sinus congestion and coughMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2022-04-10
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-03-10 | Moderna | |
| 2 | 2021-04-06 | Moderna |
Call center
1 call center case
1 unsuccessful
Free text
Release 7 — days 1–6 daily, dose 2
Systemic reaction (other): The instant I got my shot pushed, I had extreme nausea and I almost passed out. Within 40 minutes after shot, I was home and had extreme stomach cramping, diarrhea, and almost was passing out from the stomach pain. I couldnt even stand up. I called an ambulance to get to ER. Paramedic gave me a Zofran for nausea in route to the hospital. ER doctor said I was fine because my acute symptoms were gone. I got my shot at 7:30 p.m. By 9:20 p.m., I was feeling normal again. Today, I feel totally fine.
Release 9 — 3 months, dose 2
Symptoms: I have a cold with sinus congestion and cough
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 | Cough | ✓ | ✓ | ✓ |
| SD | Nasopharyngitis | ✓ | ✓ | ✓ |
| SD | Sinus congestion | ✓ | ✓ | ✓ |
| SRO | Abdominal pain upper | ✓ | ✓ | ✓ |
| SRO | Diarrhoea | ✓ | ✓ | ✓ |
| SRO | Dysstasia | ✓ | ✓ | ✓ |
| SRO | Emergency care | ✓ | ✓ | ✓ |
| SRO | Immediate post-injection reaction | ✓ | ✓ | ✓ |
| SRO | Nausea | ✓ | ✓ | ✓ |
| SRO | Presyncope | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release