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DU5-16547-90858

1 vaccination 3 coded responses 3 check-ins 3 free-text entries 0 call cases
Sex
Female
Age at first dose
26-30
ZIP prefix
275 / NC
Registered
2021-05-10
Relationship
Self
Race
White
Ethnicity
Not Hispanic or Latino

Timeline

  1. 2021-05-06
    Dose 1 — Moderna
  2. 2021-05-10
    Registered in v-safe
  3. 2021-05-10
    Survey response — days 1–6 daily, dose 1
    MedDRA: Dizziness — Feeling: Poor · Site: Pain · Headache, Joint pains, Fatigue or tiredness · Be unable to do your normal daily activities
    Free text: Dizziness
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  4. 2021-05-12
    Survey response — days 1–6 daily, dose 1
    MedDRA: Back pain, Night sweats — Feeling: Fair · Fever · Muscle or body aches, Fatigue or tiredness, Diarrhea
    Free text: Night sweats, back pain
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  5. 2021-05-13
    Survey response — day 7, dose 1
    MedDRA: Blood glucose decreased — Feeling: Fair · Fatigue or tiredness
    Free text: Low blood sugar
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available

Vaccinations

DoseDateManufacturerCo-administered
12021-05-06Moderna

Free text

Release 8 — days 1–6 daily, dose 1

2021-05-10

Systemic reaction (other): Dizziness

2021-05-12

Systemic reaction (other): Night sweats, back pain

Release 8 — day 7, dose 1

2021-05-13

Systemic reaction (other): Low blood sugar

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
SROBack pain ✓ ✓ ✓
SROBlood glucose decreased ✓ ✓ ✓
SRODizziness ✓ ✓ ✓
SRONight sweats ✓ ✓ ✓

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