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5TY-32478-41941

2 vaccinations 11 coded responses 15 check-ins 11 free-text entries 1 call case
Sex
Female
Age at first dose
56-60
ZIP prefix
601 / IL
Registered
2021-09-03
Relationship
Self
Race
White
Ethnicity
Not Hispanic or Latino

Timeline

  1. 2021-08-06
    Dose 1 — Moderna
  2. 2021-09-03
    Registered in v-safe
  3. 2021-09-03
    Dose 2 — Moderna
  4. 2021-09-03
    Health check-in — day 0, dose 2
    Feeling: Fair · Fatigue or tiredness
    Adult check-in
  5. 2021-09-04
    Survey response — days 1–6 daily, dose 2
    MedDRA: Fatigue — Feeling: Fair · Site: Pain, Redness, Swelling · Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to work or attend school, Be unable to do your normal daily activities
    Free text: Tired
    MedDRA releases: 2021-09,2024-11 · check-in free text available
  6. 2021-09-05
    Survey response — days 1–6 daily, dose 2
    MedDRA: Palpitations — Feeling: Poor · Site: Pain, Swelling · Muscle or body aches, Fatigue or tiredness, Diarrhea · Be unable to work or attend school, Be unable to do your normal daily activities
    Free text: Palpitations for about an hour
    MedDRA releases: 2021-09,2024-11 · check-in free text available
  7. 2021-09-06
    Survey response — days 1–6 daily, dose 2
    MedDRA: Dizziness, Palpitations — Feeling: Poor · Site: Pain · Muscle or body aches, Fatigue or tiredness, Abdominal pain · Be unable to work or attend school, Be unable to do your normal daily activities
    Free text: Palpations and lightheaded
    MedDRA releases: 2021-09,2024-11 · check-in free text available
  8. 2021-09-07
    Survey response — days 1–6 daily, dose 2
    MedDRA: Dizziness, Paraesthesia — Feeling: Poor · Site: Pain · Joint pains, Muscle or body aches, Fatigue or tiredness, Diarrhea, Abdominal pain · Be unable to work or attend school, Be unable to do your normal daily activities
    Free text: Buzzing feeling in legs And lightheadedness. Have had to spend a lot of time in bed last 3-4 days
    MedDRA releases: 2024-11 · check-in free text available
  9. 2021-09-09
    Survey response — days 1–6 daily, dose 2
    MedDRA: Condition aggravated, Dizziness, Pre-existing disease — Feeling: Poor · Muscle or body aches, Fatigue or tiredness · Be unable to work or attend school, Be unable to do your normal daily activities
    Free text: Dizzy and lightheaded (I do have POTS Syndrome- it has aggravated it since day 2)
    MedDRA releases: 2024-11 · check-in free text available
  10. 2021-09-10
    Survey response — day 7, dose 2
    MedDRA: Diarrhoea, Dizziness — Feeling: Fair · Muscle or body aches, Fatigue or tiredness · Be unable to work or attend school, Be unable to do your normal daily activities
    Free text: Lightheaded, loose stools
    MedDRA releases: 2024-11 · check-in free text available
  11. 2021-09-19
    Health check-in — day 14, dose 2
    Feeling: Fair
    Adult check-in
  12. 2021-09-24
    Health check-in — day 21, dose 2
    Feeling: Fair
    Adult check-in
  13. 2021-10-01
    Survey response — day 28, dose 2
    MedDRA: Back pain — Feeling: Poor · Be unable to work or attend school, Be unable to do your normal daily activities
    Free text: Back pain
    MedDRA releases: 2024-11 · check-in free text available
  14. 2021-10-08
    Health check-in — day 35, dose 2
    Feeling: Fair
    Adult check-in
  15. 2021-10-15
    Survey response — day 42, dose 2
    MedDRA: Palpitations — Feeling: Fair · Be unable to work or attend school, Be unable to do your normal daily activities
    Free text: Heart palpations
    MedDRA releases: 2024-11 · check-in free text available
  16. 2021-12-03
    Survey response — 3 months, dose 2
    MedDRA: Arthralgia, Dizziness, Neck pain, Palpitations — Feeling: Fair · Be unable to do your normal daily activities
    Free text: Neck and shoulder pain and increased lightheadedness Heart palpitations
    MedDRA releases: 2024-11 · check-in free text available
  17. 2022-03-04
    Survey response — 6 months, dose 2
    MedDRA: Gastrooesophageal reflux disease, Pre-existing disease — Feeling: Fair · Be unable to do your normal daily activities
    Free text: GERD I had the other health condition before VACCINE
    MedDRA releases: 2024-11 · check-in free text available
  18. 2022-09-05
    Survey response — 12 months, dose 2
    MedDRA: Anaemia — Feeling: Fair · Be unable to work or attend school, Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit, Emergency room or emergency department visit
    Free text: Anemia
    MedDRA releases: 2024-11 · check-in free text available
  19. 2022-09-05
    Report sent to call center — 12 months, dose 2
    Be unable to work or attend school · Be unable to do your normal daily activities · Get care from a doctor or other healthcare pr
    Outpatient clinic or urgent care clinic visit · Emergency room or emergency department visit · 1 call case(s)
  20. 2022-09-07

Vaccinations

DoseDateManufacturerCo-administered
12021-08-06Moderna No
22021-09-03Moderna No

Call center

1 call center case

1 unsuccessful

See the call center timeline

Free text

Release 9 — days 1–6 daily, dose 2

2021-09-04

Systemic reaction (other): Tired

2021-09-05

Systemic reaction (other): Palpitations for about an hour

2021-09-06

Systemic reaction (other): Palpations and lightheaded

2021-09-07

Systemic reaction (other): Buzzing feeling in legs And lightheadedness. Have had to spend a lot of time in bed last 3-4 days

2021-09-09

Systemic reaction (other): Dizzy and lightheaded (I do have POTS Syndrome- it has aggravated it since day 2)

Release 9 — day 7, dose 2

2021-09-10

Systemic reaction (other): Lightheaded, loose stools

Release 9 — day 28, dose 2

2021-10-01

Symptoms: Back pain

Release 10 — day 42, dose 2

2021-10-15

Symptoms: Heart palpations

Release 10 — 3 months, dose 2

2021-12-03

Symptoms: Neck and shoulder pain and increased lightheadedness Heart palpitations

Release 11 — 6 months, dose 2

2022-03-04

Symptoms: GERD I had the other health condition before VACCINE

Release 12 — 12 months, dose 2

2022-09-05

Symptoms: Anemia

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
SDAnaemia · · ✓
SDArthralgia · · ✓
SDBack pain · · ✓
SDDizziness · · ✓
SDGastrooesophageal reflux disease · · ✓
SDNeck pain · · ✓
SDPalpitations · · ✓
SDPre-existing disease · · ✓
SROCondition aggravated · · ✓
SRODiarrhoea · · ✓
SRODizziness ✓ · ✓
SROFatigue ✓ · ✓
SROMobility decreased · · ○
SROPalpitations ✓ · ✓
SROParaesthesia · · ✓
SROPre-existing disease · · ✓

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

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