CQS-16773-49330
1 vaccination
2 coded responses
3 check-ins
2 free-text entries
0 call cases
- Sex
- Female
- Age at first dose
- 26-30
- ZIP prefix
- 479 / IN
- Registered
- 2021-12-20
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-12-20
Registered in v-safe
-
2021-12-20
Dose 1 — Moderna
-
2021-12-20
Survey response — day 0, dose 1MedDRA: Dizziness — Feeling: Fair · Site: Pain, Swelling · Chills, Headache, Muscle or body aches, Fatigue or tiredness, Nausea, Abdominal pain · Be unable to work or attend schoolFree text: DizzyMedDRA releases: 2024-11 · check-in free text available
-
2021-12-21
Survey response — days 1–6 daily, dose 1MedDRA: Chest pain — Feeling: Poor · Site: Pain · Fever · Joint pains, Muscle or body aches, Fatigue or tiredness, Abdominal pain · Be unable to work or attend schoolFree text: Chest pain bad on left sideMedDRA releases: 2024-11 · check-in free text available
- 2022-01-17
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-12-20 | Moderna | No |
Free text
Release 10 — day 0, dose 1
Systemic reaction (other): Dizzy
Release 10 — days 1–6 daily, dose 1
Systemic reaction (other): Chest pain bad on left side
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 | Chest pain | · | · | ✓ |
| SRO | Dizziness | · | · | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release