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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

  1. 2021-03-10
    Dose 1 — Moderna
  2. 2021-04-08
    Registered in v-safe
  3. 2021-04-08
    Survey response — day 28, dose 1
    MedDRA: Dyspnoea, Fatigue, Headache, Heart rate increased, Nausea, Swelling face — Feeling: Fair · Be unable to work or attend school
    Free 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
  4. 2021-04-16
    Survey response — day 35, dose 1
    MedDRA: Fatigue — Feeling: Fair · Be unable to do your normal daily activities
    Free 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 rese
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  5. 2021-04-22
    Health check-in — day 42, dose 1
    Feeling: Good
    Adult check-in
  6. 2021-06-09
    Survey response — 3 months, dose 1
    MedDRA: 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 visit
    Free text: Mild anaphylactic reaction to Covid vaccine.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  7. 2021-06-09
    Report sent to call center — 3 months, dose 1
    Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional
    1 call case(s)
  8. 2021-09-09
    Health check-in — 6 months, dose 1
    Feeling: Good
    Adult check-in
  9. 2021-11-11

Vaccinations

DoseDateManufacturerCo-administered
12021-03-10Moderna

Call center

1 call center case

1 unsuccessful

1 wait over 3 months for a first call

See the call center timeline

Free text

Release 7 — day 28, dose 1

2021-04-08

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

2021-04-16

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

2021-06-09

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

FieldPreferred term2021-092023-042024-11
SDAnaphylactic reaction ✓ ✓ ✓
SDDyspnoea ✓ ✓ ✓
SDFatigue ✓ ✓ ✓
SDHeadache ✓ ✓ ✓
SDHeart rate increased ✓ ✓ ✓
SDNausea ✓ ✓ ✓
SDSwelling face ✓ ✓ ✓

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