6LZ-10393-78150
1 vaccination
3 coded responses
5 check-ins
3 free-text entries
1 call case
- Sex
- Female
- Age at first dose
- 51-55
- ZIP prefix
- 936 / CA
- Registered
- 2021-04-08
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-03-10
Dose 1 — Moderna
-
2021-04-08
Registered in v-safe
-
2021-04-08
Survey response — day 28, dose 1MedDRA: Dyspnoea, Fatigue, Headache, Heart rate increased, Nausea, Swelling face — Feeling: Fair · Be unable to work or attend schoolFree text: Rapid heart beat, difficult breathing, facial swelling, nausea, fatigue, and severe headaches following the first dose. Headaches lasted almost two weeks.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-04-16
Survey response — day 35, dose 1MedDRA: Fatigue — Feeling: Fair · Be unable to do your normal daily activitiesFree text: Im so tired all of the time. My second dose was not reserved for me! That provider gave my dose away. My personal provider said to not mix brands, then changed their minds and said that I should mix brands and get a different 2nd dose despite reseMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-04-22
-
2021-06-09
Survey response — 3 months, dose 1MedDRA: Anaphylactic reaction — Feeling: Good · 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: Mild anaphylactic reaction to Covid vaccine.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-06-09
Report sent to call center — 3 months, dose 1Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional1 call case(s)
- 2021-09-09
- 2021-11-11
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-03-10 | Moderna |
Call center
1 call center case
1 unsuccessful
1 wait over 3 months for a first call
Free text
Release 7 — day 28, dose 1
Symptoms: Rapid heart beat, difficult breathing, facial swelling, nausea, fatigue, and severe headaches following the first dose. Headaches lasted almost two weeks.
Release 7 — day 35, dose 1
Symptoms: Im so tired all of the time. My second dose was not reserved for me! That provider gave my dose away. My personal provider said to not mix brands, then changed their minds and said that I should mix brands and get a different 2nd dose despite rese
Release 8 — 3 months, dose 1
Symptoms: Mild anaphylactic reaction to Covid vaccine.
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 | Anaphylactic reaction | ✓ | ✓ | ✓ |
| SD | Dyspnoea | ✓ | ✓ | ✓ |
| SD | Fatigue | ✓ | ✓ | ✓ |
| SD | Headache | ✓ | ✓ | ✓ |
| SD | Heart rate increased | ✓ | ✓ | ✓ |
| SD | Nausea | ✓ | ✓ | ✓ |
| SD | Swelling face | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release