5JQ-30400-58546
2 vaccinations
3 coded responses
26 check-ins
3 free-text entries
3 call cases
- Sex
- Female
- Age at first dose
- 51-55
- ZIP prefix
- 019 / MA
- Registered
- 2021-01-28
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-01-28
Registered in v-safe
-
2021-01-28
Dose 1 — Moderna
- 2021-01-28
- 2021-01-29
- 2021-01-30
- 2021-01-31
- 2021-02-01
- 2021-02-02
- 2021-02-03
- 2021-02-04
-
2021-02-11
Survey response — day 14, dose 1MedDRA: Abdominal discomfort, Arthralgia, Dizziness, Fatigue, Headache, Retching, SARS-CoV-2 test — Feeling: Fair · Be unable to work, Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultationFree text: Symptoms: Soreness of right shoulder near immunization. Upset stomach, lightheartedness, fatigue. Nearly passing out, dry heaving, headaches. · Healthcare visit (other): Covid test. Awaiting resultsMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-02-11
Report sent to call center — day 14, dose 1Be unable to work · Get care from a doctor or other healthcare professional1 call case(s)
- 2021-02-18
- 2021-02-25
-
2021-02-26
Dose 2 — Moderna
-
2021-02-27
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Site: Pain · Fever · Headache, Fatigue or tirednessAdult check-in
- 2021-02-28
- 2021-03-01
- 2021-03-02
- 2021-03-03
- 2021-03-04
- 2021-03-05
- 2021-03-12
- 2021-03-19
- 2021-03-26
- 2021-04-02
- 2021-04-09
- 2021-05-28
- 2021-07-29
-
2021-08-27
Survey response — 6 months, dose 2MedDRA: Diplopia, Dizziness, Headache, Office visit, Unevaluable event — Feeling: Good · Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultation, Outpatient clinic or urgent care clinic visitFree text: Symptoms: I have been having dizzy spells, headaches and double vision. I have seen a neurologist and had several eeg tests done in the last couple of months. I was prescribed magnesium as a supplement to treat headaches · Healthcare visit (other): 48 hour ambulatory eegMedDRA releases: 2021-09,2024-11 · check-in free text available
-
2021-08-27
Report sent to call center — 6 months, dose 2Get care from a doctor or other healthcare professional1 call case(s)
- 2021-08-31
- 2021-09-03
-
2022-02-26
Survey response — 12 months, dose 2MedDRA: Oxygen saturation decreased — Feeling: Good · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Emergency room or emergency department visit, HospitalizationFree text: Low blood oxygenMedDRA releases: 2024-11 · check-in free text available
-
2022-02-26
Report sent to call center — 12 months, dose 2Be unable to do your normal daily activities · Get care from a doctor or other healthcare professionalEmergency room or emergency department visit · Hospitalization · 1 call case(s)
- 2022-03-01
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-01-28 | Moderna | |
| 2 | 2021-02-26 | Moderna |
Call center
3 call center cases
3 unsuccessful
1 wait over 3 months for a first call
Free text
Release 4 — day 14, dose 1
Symptoms: Soreness of right shoulder near immunization. Upset stomach, lightheartedness, fatigue. Nearly passing out, dry heaving, headaches.
Healthcare visit (other): Covid test. Awaiting results
Release 9 — 6 months, dose 2
Symptoms: I have been having dizzy spells, headaches and double vision. I have seen a neurologist and had several eeg tests done in the last couple of months. I was prescribed magnesium as a supplement to treat headaches
Healthcare visit (other): 48 hour ambulatory eeg
Release 11 — 12 months, dose 2
Symptoms: Low blood oxygen
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 | SARS-CoV-2 test | ✓ | ✓ | ✓ |
| HCVO | Unevaluable event | ✓ | · | ✓ |
| SD | Abdominal discomfort | ✓ | ✓ | ✓ |
| SD | Arthralgia | ✓ | ✓ | ✓ |
| SD | Diplopia | ✓ | · | ✓ |
| SD | Dizziness | ✓ | ✓ | ✓ |
| SD | Fatigue | ✓ | ✓ | ✓ |
| SD | Headache | ✓ | ✓ | ✓ |
| SD | Office visit | ✓ | · | ✓ |
| SD | Oxygen saturation decreased | · | · | ✓ |
| SD | Retching | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release