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G53-24897-34423

2 vaccinations 5 coded responses 19 check-ins 5 free-text entries 2 call cases
Sex
Female
Age at first dose
31-35
ZIP prefix
140 / NY
Registered
2021-01-12
Relationship
Self
Race
White
Ethnicity
Not Hispanic or Latino

Timeline

  1. 2021-01-12
    Registered in v-safe
  2. 2021-01-12
    Dose 1 — Moderna
  3. 2021-01-12
    Survey response — day 0, dose 1
    MedDRA: Dizziness — Feeling: Good
    Free text: Dizziness
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  4. 2021-01-13
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · Site: Pain, Swelling · None
    Adult check-in
  5. 2021-01-14
    Health check-in — days 1–6 daily, dose 1
    Feeling: Fair · Site: Pain, Swelling · Fever · Headache, Fatigue or tiredness
    Adult check-in
  6. 2021-01-15
    Health check-in — days 1–6 daily, dose 1
    Feeling: Fair · Fever · Chills
    Adult check-in
  7. 2021-01-16
    Survey response — days 1–6 daily, dose 1
    MedDRA: Malaise, Oropharyngeal pain — Feeling: Poor · Fever · Chills, Fatigue or tiredness · Be unable to work
    Free text: Sore throat, malaise
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  8. 2021-01-16
  9. 2021-01-18
    Survey response — days 1–6 daily, dose 1
    MedDRA: Malaise — Feeling: Fair · Fever · Chills
    Free text: Malaise
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  10. 2021-01-19
    Health check-in — day 7, dose 1
    Feeling: Good · None
    Adult check-in
  11. 2021-01-26
    Health check-in — day 14, dose 1
    Feeling: Good
    Adult check-in
  12. 2021-02-02
    Health check-in — day 21, dose 1
    Feeling: Good
    Adult check-in
  13. 2021-02-09
    Dose 2 — Moderna
  14. 2021-02-09
    Health check-in — day 28, dose 1
    Feeling: Good
    Adult check-in
  15. 2021-02-16
    Health check-in — day 7, dose 2
    Feeling: Fair · Site: Pain, Swelling · Fever · Chills, Headache, Muscle or body aches, Fatigue or tiredness, Nausea, Vomiting · Be unable to work, Be unable to do your normal daily activities
    Adult check-in
  16. 2021-02-23
    Survey response — day 14, dose 2
    MedDRA: Dizziness, Headache, Myalgia, Syncope — Feeling: Fair · Be unable to do your normal daily activities
    Free text: Had a syncope/vasal vagel type event in 2/21. Continued dizziness, muscle aches and headaches
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  17. 2021-03-02
    Health check-in — day 21, dose 2
    Feeling: Fair
    Adult check-in
  18. 2021-03-11
    Health check-in — day 28, dose 2
    Feeling: Good
    Adult check-in
  19. 2021-03-16
    Health check-in — day 35, dose 2
    Feeling: Good
    Adult check-in
  20. 2021-03-25
    Health check-in — day 42, dose 2
    Feeling: Good
    Adult check-in
  21. 2021-05-11
    Health check-in — 3 months, dose 2
    Feeling: Good
    Adult check-in
  22. 2021-08-10
    Health check-in — 6 months, dose 2
    Feeling: Good
    Adult check-in
  23. 2022-02-11
    Survey response — 12 months, dose 2
    MedDRA: COVID-19, Cough, Dyspnoea, Migraine — Feeling: Fair · Be unable to work or attend school, Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit, Emergency room or emergency department visit
    Free text: I got COVID on 1/10/22 and continue to have shortness of breath and cough occasionally. My migraines have been much worse since The last contact too
    MedDRA releases: 2024-11 · check-in free text available
  24. 2022-02-11
    Report sent to call center — 12 months, dose 2
    Be unable to work or attend school · Be unable to do your normal daily activities · Get care from a doctor or other healthcare pr
    Outpatient clinic or urgent care clinic visit · Emergency room or emergency department visit · 1 call case(s)
  25. 2022-02-14
    Call successful
    Not applicable (accidental reporting or does not believe symptoms are related to vaccine)

Vaccinations

DoseDateManufacturerCo-administered
12021-01-12Moderna
22021-02-09Moderna

Call center

2 call center cases

1 successful · 1 priority 2/3 (triaged and no follow up)

See the call center timeline

Free text

Release 1 — day 0, dose 1

2021-01-12

Systemic reaction (other): Dizziness

Release 2 — days 1–6 daily, dose 1

2021-01-16

Systemic reaction (other): Sore throat, malaise

2021-01-18

Systemic reaction (other): Malaise

Release 4 — day 14, dose 2

2021-02-23

Symptoms: Had a syncope/vasal vagel type event in 2/21. Continued dizziness, muscle aches and headaches

Release 11 — 12 months, dose 2

2022-02-11

Symptoms: I got COVID on 1/10/22 and continue to have shortness of breath and cough occasionally. My migraines have been much worse since The last contact too

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
SDCough · · ✓
SDCOVID-19 · · ✓
SDDizziness ✓ ✓ ✓
SDDyspnoea · · ✓
SDHeadache ✓ ✓ ✓
SDMigraine · · ✓
SDMyalgia ✓ ✓ ✓
SDSyncope ✓ ✓ ✓
SRODizziness ✓ ✓ ✓
SROMalaise ✓ ✓ ✓
SROOropharyngeal pain ✓ ✓ ✓

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