5XE-29980-20423
2 vaccinations
5 coded responses
9 check-ins
5 free-text entries
3 call cases
- Sex
- Female
- Age at first dose
- 66+
- ZIP prefix
- 814 / CO
- Registered
- 2021-03-05
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-02-02
Dose 1 — Moderna
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2021-03-02
Dose 2 — Moderna
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2021-03-05
Registered in v-safe
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2021-03-05
Survey response — days 1–6 daily, dose 2MedDRA: Feeling hot, Office visit — Feeling: Fair · Site: Pain, Redness, Swelling, Itching · Muscle or body aches, Fatigue or tiredness · Get care from a doctor or other healthcare professionalFree text: Systemic reaction (other): Systemic prickly hot sensations scalp and skin · Healthcare visit (other): Doctor officeMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-03-05
Report sent to call center — days 1–6 daily, dose 2Get care from a doctor or other healthcare professional1 call case(s)
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2021-03-06
Survey response — days 1–6 daily, dose 2MedDRA: Abdominal symptom, Autonomic nervous system imbalance, Body temperature decreased, Dizziness, Ear disorder, Gait disturbance, Gastrointestinal motility disorder, Nausea, Visual impairment — Feeling: Fair · Site: Redness · Fatigue or tiredness, Nausea · Be unable to do your normal daily activitiesFree text: Dysautonomia: unusual sound in the ears(not tinnitus); visual changes as if the two people I was talking too were fading into white light; my bowels needed to move; nausea and tightness in my abdomen; altered gait; feeling I was about to pass out. It was like a fainting spell in slow motion. My BP and pulse were normal, temp was 96.2. Still feMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-03-07
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Site: Redness, Itching · Headache, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activitiesAdult check-in
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2021-03-08
Health check-in — days 1–6 daily, dose 2Feeling: Good · Headache, Muscle or body aches, Fatigue or tirednessAdult check-in
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2021-03-09
Survey response — day 7, dose 2MedDRA: Oxygen saturation decreased — Feeling: Fair · Headache, Muscle or body aches, Fatigue or tiredness · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visitFree text: Low oxygenMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-03-09
Report sent to call center — day 7, dose 2Get care from a doctor or other healthcare professional1 call case(s)
- 2021-03-16
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2021-03-23
Survey response — day 21, dose 2MedDRA: Dysphagia, Dysphonia — Feeling: GoodFree text: Hoarse voice; change in swallowingMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-08-31
Survey response — 6 months, dose 2MedDRA: Herpes zoster, West Nile viral infection — Feeling: Good · 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 visitFree text: Shingles in April,West Nile Virus in AugustMedDRA releases: 2021-09,2024-11 · check-in free text available
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2021-08-31
Report sent to call center — 6 months, dose 2Be unable to work or attend school · Be unable to do your normal daily activities · Get care from a doctor or other healthcare pr1 call case(s)
- 2021-09-01
- 2022-03-06
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-02-02 | Moderna | |
| 2 | 2021-03-02 | Moderna |
Call center
3 call center cases
3 unsuccessful
Free text
Release 5 — days 1–6 daily, dose 2
Systemic reaction (other): Systemic prickly hot sensations scalp and skin
Healthcare visit (other): Doctor office
Systemic reaction (other): Dysautonomia: unusual sound in the ears(not tinnitus); visual changes as if the two people I was talking too were fading into white light; my bowels needed to move; nausea and tightness in my abdomen; altered gait; feeling I was about to pass out. It was like a fainting spell in slow motion. My BP and pulse were normal, temp was 96.2. Still fe
Release 5 — day 7, dose 2
Systemic reaction (other): Low oxygen
Release 6 — day 21, dose 2
Symptoms: Hoarse voice; change in swallowing
Release 9 — 6 months, dose 2
Symptoms: Shingles in April,West Nile Virus in August
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 | Dysphagia | ✓ | ✓ | ✓ |
| SD | Dysphonia | ✓ | ✓ | ✓ |
| SD | Herpes zoster | ✓ | · | ✓ |
| SD | West Nile viral infection | ✓ | · | ✓ |
| SRO | Abdominal symptom | ✓ | ✓ | ✓ |
| SRO | Autonomic nervous system imbalance | ✓ | ✓ | ✓ |
| SRO | Body temperature decreased | ✓ | ✓ | ✓ |
| SRO | Dizziness | ✓ | ✓ | ✓ |
| SRO | Ear disorder | ✓ | ✓ | ✓ |
| SRO | Feeling hot | ✓ | ✓ | ✓ |
| SRO | Gait disturbance | ✓ | ✓ | ✓ |
| SRO | Gastrointestinal motility disorder | ✓ | ✓ | ✓ |
| SRO | Nausea | ✓ | ✓ | ✓ |
| SRO | Oxygen saturation decreased | ✓ | ✓ | ✓ |
| SRO | Visual impairment | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release