GLU-41152-43850
1 vaccination
2 coded responses
14 check-ins
2 free-text entries
2 call cases
- Sex
- Female
- Age at first dose
- 26-30
- ZIP prefix
- 208 / MD
- Registered
- 2021-01-09
- Relationship
- Self
- Race
- N/A
- Ethnicity
- N/A
Timeline
-
2021-01-08
Dose 1 — Moderna
-
2021-01-09
Registered in v-safe
- 2021-01-10
- 2021-01-11
- 2021-01-12
- 2021-01-13
- 2021-01-14
-
2021-01-15
Survey response — day 7, dose 1MedDRA: Syncope — Feeling: Poor · Fatigue or tiredness, Nausea · Be unable to workFree text: SyncopeMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-01-15
-
2021-01-22
Survey response — day 14, dose 1MedDRA: Syncope — Feeling: Fair · Be unable to work, Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visitFree text: Episodes of faintingMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-01-22
Report sent to call center — day 14, dose 1Be unable to work · Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional1 call case(s)
- 2021-01-29
- 2021-02-05
- 2021-02-12
- 2021-02-12
- 2021-02-19
- 2021-04-10
- 2021-07-11
- 2022-01-08
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-01-08 | Moderna |
Call center
2 call center cases
2 unsuccessful
Free text
Release 2 — day 7, dose 1
Systemic reaction (other): Syncope
Release 2 — day 14, dose 1
Symptoms: Episodes of fainting
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 | Syncope | ✓ | ✓ | ✓ |
| SRO | Syncope | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release