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
-
2021-01-12
Registered in v-safe
-
2021-01-12
Dose 1 — Moderna
-
2021-01-12
Survey response — day 0, dose 1MedDRA: Dizziness — Feeling: GoodFree text: DizzinessMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-01-13
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2021-01-14
Health check-in — days 1–6 daily, dose 1Feeling: Fair · Site: Pain, Swelling · Fever · Headache, Fatigue or tirednessAdult check-in
- 2021-01-15
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2021-01-16
Survey response — days 1–6 daily, dose 1MedDRA: Malaise, Oropharyngeal pain — Feeling: Poor · Fever · Chills, Fatigue or tiredness · Be unable to workFree text: Sore throat, malaiseMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-01-16
-
2021-01-18
Survey response — days 1–6 daily, dose 1MedDRA: Malaise — Feeling: Fair · Fever · ChillsFree text: MalaiseMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-01-19
- 2021-01-26
- 2021-02-02
-
2021-02-09
Dose 2 — Moderna
- 2021-02-09
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2021-02-16
Health check-in — day 7, dose 2Feeling: 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 activitiesAdult check-in
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2021-02-23
Survey response — day 14, dose 2MedDRA: Dizziness, Headache, Myalgia, Syncope — Feeling: Fair · Be unable to do your normal daily activitiesFree text: Had a syncope/vasal vagel type event in 2/21. Continued dizziness, muscle aches and headachesMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-03-02
- 2021-03-11
- 2021-03-16
- 2021-03-25
- 2021-05-11
- 2021-08-10
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2022-02-11
Survey response — 12 months, dose 2MedDRA: 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 visitFree 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 tooMedDRA releases: 2024-11 · check-in free text available
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2022-02-11
Report sent to call center — 12 months, dose 2Be unable to work or attend school · Be unable to do your normal daily activities · Get care from a doctor or other healthcare prOutpatient clinic or urgent care clinic visit · Emergency room or emergency department visit · 1 call case(s)
-
2022-02-14
Call successfulNot applicable (accidental reporting or does not believe symptoms are related to vaccine)
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-01-12 | Moderna | |
| 2 | 2021-02-09 | Moderna |
Call center
2 call center cases
1 successful · 1 priority 2/3 (triaged and no follow up)
Free text
Release 1 — day 0, dose 1
Systemic reaction (other): Dizziness
Release 2 — days 1–6 daily, dose 1
Systemic reaction (other): Sore throat, malaise
Systemic reaction (other): Malaise
Release 4 — day 14, dose 2
Symptoms: Had a syncope/vasal vagel type event in 2/21. Continued dizziness, muscle aches and headaches
Release 11 — 12 months, dose 2
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
| Field | Preferred term | 2021-09 | 2023-04 | 2024-11 |
|---|---|---|---|---|
| SD | Cough | · | · | ✓ |
| SD | COVID-19 | · | · | ✓ |
| SD | Dizziness | ✓ | ✓ | ✓ |
| SD | Dyspnoea | · | · | ✓ |
| SD | Headache | ✓ | ✓ | ✓ |
| SD | Migraine | · | · | ✓ |
| SD | Myalgia | ✓ | ✓ | ✓ |
| SD | Syncope | ✓ | ✓ | ✓ |
| SRO | Dizziness | ✓ | ✓ | ✓ |
| SRO | Malaise | ✓ | ✓ | ✓ |
| SRO | Oropharyngeal pain | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release