6RX-78512-31287
2 vaccinations
2 coded responses
24 check-ins
2 free-text entries
0 call cases
- Sex
- Male
- Age at first dose
- 46-50
- ZIP prefix
- 281 / NC
- Registered
- 2021-03-25
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-03-25
Registered in v-safe
-
2021-03-25
Dose 1 — Moderna
-
2021-03-25
Survey response — day 0, dose 1MedDRA: Dizziness, Hyperhidrosis, Immediate post-injection reaction, Medical observation, Nausea — Feeling: Fair · Site: Pain, Swelling · Fatigue or tiredness, Nausea · Be unable to do your normal daily activitiesFree text: Within the first minute after receiving the vaccine, I started feeling very light headed, was sweating profusely, nausea, and felt like I was going to pass out. The staff took my blood pressure about 30 minutes later and it was 100/50. Very low for me. The aforementioned symptoms lasted for about 1 hour before I was able to stand up and walk to my vehicle. 3 hours later, most symptoms have subsided but my BP was still on the low side at 112/67.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-03-26
Survey response — days 1–6 daily, dose 1MedDRA: Dizziness — Feeling: Fair · Site: Pain, Swelling · Fatigue or tirednessFree text: Slight dizziness.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-03-27
- 2021-03-28
- 2021-03-29
- 2021-03-30
- 2021-03-31
- 2021-04-01
- 2021-04-08
- 2021-04-15
-
2021-04-22
Dose 2 — Moderna
- 2021-04-22
-
2021-04-23
Health check-in — days 1–6 daily, dose 2Feeling: Poor · Site: Pain, Swelling · Fever · Chills, Muscle or body aches, Fatigue or tiredness · Be unable to work, Be unable to do your normal daily activitiesAdult check-in
-
2021-04-24
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Site: Pain, Swelling · Fatigue or tirednessAdult check-in
- 2021-04-25
- 2021-04-26
- 2021-04-27
- 2021-04-28
- 2021-04-29
- 2021-05-06
- 2021-05-13
- 2021-05-20
- 2021-05-27
- 2021-06-03
- 2021-07-22
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-03-25 | Moderna | |
| 2 | 2021-04-22 | Moderna |
Free text
Release 6 — day 0, dose 1
Systemic reaction (other): Within the first minute after receiving the vaccine, I started feeling very light headed, was sweating profusely, nausea, and felt like I was going to pass out. The staff took my blood pressure about 30 minutes later and it was 100/50. Very low for me. The aforementioned symptoms lasted for about 1 hour before I was able to stand up and walk to my vehicle. 3 hours later, most symptoms have subsided but my BP was still on the low side at 112/67.
Release 6 — days 1–6 daily, dose 1
Systemic reaction (other): Slight dizziness.
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 |
|---|---|---|---|---|
| SRO | Dizziness | ✓ | ✓ | ✓ |
| SRO | Hyperhidrosis | ✓ | ✓ | ✓ |
| SRO | Immediate post-injection reaction | ✓ | ✓ | ✓ |
| SRO | Medical observation | ✓ | ✓ | ✓ |
| SRO | Nausea | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release