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6X4-11703-19945

1 vaccination 4 coded responses 9 check-ins 4 free-text entries 1 call case
Sex
Female
Age at first dose
21-25
ZIP prefix
980 / WA
Registered
2021-04-18
Relationship
Self
Race
White
Ethnicity
Not Hispanic or Latino

Timeline

  1. 2021-04-18
    Registered in v-safe
  2. 2021-04-18
    Dose 1 — Moderna
  3. 2021-04-18
    Survey response — day 0, dose 1
    MedDRA: Blood pressure systolic decreased, Dizziness, Feeling hot, Immediate post-injection reaction, Medical observation, Presyncope, Vomiting — Feeling: Fair · Headache, Fatigue or tiredness, Nausea, Vomiting, Abdominal pain · Get care from a doctor or other healthcare professional
    Free text: Systemic reaction (other): I got really light headed right after the injection, felt way too hot (usually Im freezing), nearly passed out on the way to the observation room and threw up twice, the nurse said my blood pressure was 60 systolic. Im still in observation while writing this · Healthcare visit (other): Nurse had to take care of me and check in frequently between injection and observation (Im still in observation for a few more minutes)
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  4. 2021-04-18
    Report sent to call center — day 0, dose 1
    Get care from a doctor or other healthcare professional
    1 call case(s)
  5. 2021-04-19
    Survey response — days 1–6 daily, dose 1
    MedDRA: Renal pain — Feeling: Good · Site: Pain, Swelling · Muscle or body aches, Fatigue or tiredness
    Free text: My kidneys feel a little sore, kinda similar to menstrual pain (not nearly as intense) even though Im on birth control and dont menstruate
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  6. 2021-04-20
    Health check-in — days 1–6 daily, dose 1
    Feeling: Poor · Site: Pain · Fever · Headache, Fatigue or tiredness, Nausea, Diarrhea, Abdominal pain · Be unable to do your normal daily activities
    Adult check-in
  7. 2021-04-21
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · None
    Adult check-in
  8. 2021-04-22
    Survey response — days 1–6 daily, dose 1
    MedDRA: Unevaluable event — Feeling: Fair · Fatigue or tiredness, Diarrhea, Abdominal pain
    Free text: Not sure if this is related to the shot or my celiacs disease
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  9. 2021-04-23
    Health check-in — days 1–6 daily, dose 1
    Feeling: Poor · Fatigue or tiredness, Diarrhea · Be unable to do your normal daily activities
    Adult check-in
  10. 2021-04-24
    Survey response — days 1–6 daily, dose 1
    MedDRA: Pruritus — Feeling: Fair · Fatigue or tiredness
    Free text: My chest was super itchy last night, not sure why or if it had anything to do with the injection but it was certainly unusual
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  11. 2021-04-25
    Health check-in — day 7, dose 1
    Feeling: Fair · Headache, Fatigue or tiredness · Be unable to do your normal daily activities
    Adult check-in
  12. 2022-03-16
    Call successful
    Not applicable (accidental reporting or does not believe symptoms are related to vaccine)
  13. 2022-04-18
    Health check-in — 12 months, dose 1
    Feeling: Good
    Adult check-in

Vaccinations

DoseDateManufacturerCo-administered
12021-04-18Moderna

Call center

1 call center case

1 successful

See the call center timeline

Free text

Release 7 — day 0, dose 1

2021-04-18

Systemic reaction (other): I got really light headed right after the injection, felt way too hot (usually Im freezing), nearly passed out on the way to the observation room and threw up twice, the nurse said my blood pressure was 60 systolic. Im still in observation while writing this
Healthcare visit (other): Nurse had to take care of me and check in frequently between injection and observation (Im still in observation for a few more minutes)

Release 7 — days 1–6 daily, dose 1

2021-04-19

Systemic reaction (other): My kidneys feel a little sore, kinda similar to menstrual pain (not nearly as intense) even though Im on birth control and dont menstruate

2021-04-22

Systemic reaction (other): Not sure if this is related to the shot or my celiacs disease

2021-04-24

Systemic reaction (other): My chest was super itchy last night, not sure why or if it had anything to do with the injection but it was certainly unusual

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
HCVOMedical observation ✓ ✓ ✓
SROBlood pressure systolic decreased ○ ✓ ○
SRODizziness ✓ ✓ ✓
SROFeeling hot ✓ ✓ ✓
SROImmediate post-injection reaction ✓ ✓ ✓
SROMedical observation ✓ · ✓
SROPresyncope ✓ · ✓
SROPruritus ✓ ✓ ✓
SRORenal pain ✓ ✓ ✓
SROUnevaluable event ✓ ✓ ✓
SROVomiting ✓ ✓ ✓

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