67H-25767-61614
2 vaccinations
4 coded responses
22 check-ins
4 free-text entries
2 call cases
- Sex
- Female
- Age at first dose
- 61-65
- ZIP prefix
- 914 / CA
- Registered
- 2021-01-08
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-01-06
Dose 1 — Moderna
-
2021-01-08
Registered in v-safe
-
2021-01-08
Survey response — days 1–6 daily, dose 1MedDRA: Malaise, Nervousness, Pain, Pyrexia — Feeling: Good · Site: Pain · Be unable to do your normal daily activitiesFree text: I felt very much like I had the Covid symptoms I had when I was sick in December shaky and achy and low grade fever 99.8 for about 30 min All symptoms came and went and resolved with Tylenol extra strength. Just a bit offMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-01-08
Report sent to call center — days 1–6 daily, dose 1Be unable to do your normal daily activities1 call case(s)
-
2021-01-09
Survey response — days 1–6 daily, dose 1MedDRA: Heart rate irregular — Feeling: Good · Site: Itching · Fatigue or tirednessFree text: Just my heart beating changes all the time. Sometimes I have to take a deep breathMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-01-10
Survey response — days 1–6 daily, dose 1MedDRA: Dyspnoea, Heart rate increased, Unevaluable event — Feeling: Fair · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visitFree text: Systemic reaction (other): Now I have shortness of breath and my heart is beating over 110 at times. I am seeing my primary md tomorrow · Healthcare visit (other): Going to the md tomorrowMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-01-10
Report sent to call center — days 1–6 daily, dose 1Get care from a doctor or other healthcare professional1 call case(s)
- 2021-01-11
- 2021-01-12
- 2021-01-13
- 2021-01-20
- 2021-01-28
-
2021-02-05
Dose 2 — Moderna
- 2021-02-05
-
2021-02-06
Health check-in — days 1–6 daily, dose 2Feeling: Poor · Site: Pain · Headache · Be unable to work, Be unable to do your normal daily activitiesAdult check-in
- 2021-02-07
-
2021-02-08
Survey response — days 1–6 daily, dose 2MedDRA: Dizziness, Feeling abnormal, Head discomfort — Feeling: GoodFree text: Feel light headed and fluffy in the headMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-02-09
- 2021-02-10
- 2021-02-11
- 2021-02-12
- 2021-02-15
- 2021-02-19
- 2021-02-26
- 2021-03-05
- 2021-03-14
- 2021-03-19
- 2021-05-09
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-01-06 | Moderna | |
| 2 | 2021-02-05 | Moderna |
Call center
2 call center cases
2 unsuccessful
Free text
Release 1 — days 1–6 daily, dose 1
Systemic reaction (other): I felt very much like I had the Covid symptoms I had when I was sick in December shaky and achy and low grade fever 99.8 for about 30 min All symptoms came and went and resolved with Tylenol extra strength. Just a bit off
Systemic reaction (other): Just my heart beating changes all the time. Sometimes I have to take a deep breath
Systemic reaction (other): Now I have shortness of breath and my heart is beating over 110 at times. I am seeing my primary md tomorrow
Healthcare visit (other): Going to the md tomorrow
Release 3 — days 1–6 daily, dose 2
Systemic reaction (other): Feel light headed and fluffy in the head
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 | Medical observation | ○ | ○ | ○ |
| HCVO | Unevaluable event | ✓ | ✓ | ✓ |
| SRO | Dizziness | ✓ | ✓ | ✓ |
| SRO | Dyspnoea | ✓ | ✓ | ✓ |
| SRO | Feeling abnormal | ○ | ✓ | ○ |
| SRO | Head discomfort | ✓ | · | ✓ |
| SRO | Heart rate increased | ✓ | ✓ | ✓ |
| SRO | Heart rate irregular | ✓ | ✓ | ✓ |
| SRO | Malaise | ✓ | ✓ | ✓ |
| SRO | Nervousness | ✓ | ✓ | ✓ |
| SRO | Pain | ✓ | ✓ | ✓ |
| SRO | Pyrexia | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release