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5Y8-10831-69188

2 vaccinations 3 coded responses 14 check-ins 3 free-text entries 0 call cases
Sex
Female
Age at first dose
66+
ZIP prefix
138 / NY
Registered
2021-03-03
Relationship
Self
Race
White
Ethnicity
Not Hispanic or Latino

Timeline

  1. 2021-02-24
    Dose 1 — Moderna
  2. 2021-03-03
    Registered in v-safe
  3. 2021-03-03
    Survey response — day 7, dose 1
    MedDRA: Vertigo — Feeling: Good · Fatigue or tiredness
    Free text: Since day two after 1st dose have had vertigo. First day of vertigo was moderate. Vertigo still there but lessening each day. Have had vertigo and balance issues before. Have neurological/ nerve issues since bad fall and concussion 2 years ago. Unsure if that is a contributing factor to what I feel is a reaction to the vaccine?
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  4. 2021-03-10
    Health check-in — day 14, dose 1
    Feeling: Good
    Adult check-in
  5. 2021-03-17
    Survey response — day 21, dose 1
    MedDRA: Dizziness — Feeling: Good
    Free text: Not a new symptom ... experienced extreme dizziness on day 2 after 1st dose. Spoke with my primary and those that administered the 1st shot. Told small percentage of recipients experience vertigo but that would subside. It has lessened but not gone.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  6. 2021-03-24
    Dose 2 — Moderna
  7. 2021-03-24
    Health check-in — day 0, dose 2
    Feeling: Good · Fatigue or tiredness
    Adult check-in
  8. 2021-03-25
    Health check-in — days 1–6 daily, dose 2
    Feeling: Fair · Site: Pain · Fatigue or tiredness, Nausea
    Adult check-in
  9. 2021-03-26
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · Site: Pain · Fatigue or tiredness
    Adult check-in
  10. 2021-03-27
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · None
    Adult check-in
  11. 2021-03-28
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · Nausea
    Adult check-in
  12. 2021-03-29
    Survey response — days 1–6 daily, dose 2
    MedDRA: Abdominal discomfort, Fatigue — Feeling: Good · Fatigue or tiredness, Abdominal pain
    Free text: Slightly fatigued and stomach upset for two days
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  13. 2021-03-30
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · None
    Adult check-in
  14. 2021-03-31
    Health check-in — day 7, dose 2
    Feeling: Good · None
    Adult check-in
  15. 2021-04-07
    Health check-in — day 14, dose 2
    Feeling: Good
    Adult check-in
  16. 2021-04-14
    Health check-in — day 21, dose 2
    Feeling: Good
    Adult check-in
  17. 2021-04-21
    Health check-in — day 28, dose 2
    Feeling: Good
    Adult check-in

Vaccinations

DoseDateManufacturerCo-administered
12021-02-24Moderna
22021-03-24Moderna

Free text

Release 5 — day 7, dose 1

2021-03-03

Systemic reaction (other): Since day two after 1st dose have had vertigo. First day of vertigo was moderate. Vertigo still there but lessening each day. Have had vertigo and balance issues before. Have neurological/ nerve issues since bad fall and concussion 2 years ago. Unsure if that is a contributing factor to what I feel is a reaction to the vaccine?

Release 5 — day 21, dose 1

2021-03-17

Symptoms: Not a new symptom ... experienced extreme dizziness on day 2 after 1st dose. Spoke with my primary and those that administered the 1st shot. Told small percentage of recipients experience vertigo but that would subside. It has lessened but not gone. cut off by CDC

Release 6 — days 1–6 daily, dose 2

2021-03-29

Systemic reaction (other): Slightly fatigued and stomach upset for two days

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
SDDizziness ✓ ✓ ✓
SROAbdominal discomfort ✓ ✓ ✓
SROFatigue ✓ ✓ ✓
SROVertigo ✓ ✓ ✓

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