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
-
2021-02-24
Dose 1 — Moderna
-
2021-03-03
Registered in v-safe
-
2021-03-03
Survey response — day 7, dose 1MedDRA: Vertigo — Feeling: Good · Fatigue or tirednessFree 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
- 2021-03-10
-
2021-03-17
Survey response — day 21, dose 1MedDRA: Dizziness — Feeling: GoodFree 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
-
2021-03-24
Dose 2 — Moderna
- 2021-03-24
-
2021-03-25
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Site: Pain · Fatigue or tiredness, NauseaAdult check-in
-
2021-03-26
Health check-in — days 1–6 daily, dose 2Feeling: Good · Site: Pain · Fatigue or tirednessAdult check-in
- 2021-03-27
- 2021-03-28
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2021-03-29
Survey response — days 1–6 daily, dose 2MedDRA: Abdominal discomfort, Fatigue — Feeling: Good · Fatigue or tiredness, Abdominal painFree text: Slightly fatigued and stomach upset for two daysMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-03-30
- 2021-03-31
- 2021-04-07
- 2021-04-14
- 2021-04-21
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-02-24 | Moderna | |
| 2 | 2021-03-24 | Moderna |
Free text
Release 5 — day 7, dose 1
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
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
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
| Field | Preferred term | 2021-09 | 2023-04 | 2024-11 |
|---|---|---|---|---|
| SD | Dizziness | ✓ | ✓ | ✓ |
| SRO | Abdominal discomfort | ✓ | ✓ | ✓ |
| SRO | Fatigue | ✓ | ✓ | ✓ |
| SRO | Vertigo | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release