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QXH-11146-71596

2 vaccinations 5 coded responses 18 check-ins 5 free-text entries 1 call case
Sex
Female
Age at first dose
31-35
ZIP prefix
974 / OR
Registered
2021-01-19
Relationship
Self
Race
Multiracial
Ethnicity
Not Hispanic or Latino

Timeline

  1. 2021-01-14
    Dose 1 — Moderna
  2. 2021-01-19
    Registered in v-safe
  3. 2021-01-19
    Survey response — days 1–6 daily, dose 1
    MedDRA: Dizziness, Feeling abnormal, Immediate post-injection reaction — Feeling: Good · Site: Pain · Headache
    Free text: After immediate injection i felt my legs go really dizzy, fuzzy feeling. ( its how like have a few drinks and you start to feel the alchohol.) It went away within a few mins
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  4. 2021-01-21
    Survey response — day 7, dose 1
    MedDRA: Axillary pain — Feeling: Fair
    Free text: Under arm is sore like lymph nodes
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  5. 2021-01-28
    Health check-in — day 14, dose 1
    Feeling: Good
    Adult check-in
  6. 2021-02-04
    Health check-in — day 21, dose 1
    Feeling: Good
    Adult check-in
  7. 2021-02-11
    Dose 2 — Moderna
  8. 2021-02-11
    Survey response — day 0, dose 2
    MedDRA: Dizziness — Feeling: Good · Site: Pain
    Free text: Dizzy
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  9. 2021-02-12
    Health check-in — days 1–6 daily, dose 2
    Feeling: Poor · Site: Pain, Redness, Swelling · Fever · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to work
    Adult check-in
  10. 2021-02-13
    Health check-in — days 1–6 daily, dose 2
    Feeling: Fair · Site: Pain, Redness, Swelling · Fatigue or tiredness, Nausea, Diarrhea
    Adult check-in
  11. 2021-02-14
    Health check-in — days 1–6 daily, dose 2
    Feeling: Fair · Site: Redness, Swelling · Muscle or body aches, Fatigue or tiredness, Diarrhea
    Adult check-in
  12. 2021-02-15
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · Site: Pain, Swelling · None
    Adult check-in
  13. 2021-02-16
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · Headache, Fatigue or tiredness
    Adult check-in
  14. 2021-02-27
    Health check-in — day 14, dose 2
    Feeling: Good
    Adult check-in
  15. 2021-03-06
    Health check-in — day 21, dose 2
    Feeling: Good
    Adult check-in
  16. 2021-03-11
    Health check-in — day 28, dose 2
    Feeling: Good
    Adult check-in
  17. 2021-03-18
    Health check-in — day 35, dose 2
    Feeling: Good
    Adult check-in
  18. 2021-03-25
    Health check-in — day 42, dose 2
    Feeling: Good
    Adult check-in
  19. 2021-05-15
    Health check-in — 3 months, dose 2
    Feeling: Good
    Adult check-in
  20. 2021-08-14
    Survey response — 6 months, dose 2
    MedDRA: Headache — Feeling: Good
    Free text: I get more headaches now than before i had the vaccine.
    MedDRA releases: 2021-09,2024-11 · check-in free text available
  21. 2022-02-11
    Survey response — 12 months, dose 2
    MedDRA: COVID-19, Palpitations, Pre-existing disease, Unevaluable event — Feeling: Fair · Get care from a doctor or other healthcare professional
    Free text: Symptoms: Contracted covid and now my heart is getting more palpitations then it use to. ( have a dr appointment for it.) · Healthcare visit (other): Waiting for appointment in April
    MedDRA releases: 2024-11 · check-in free text available
  22. 2022-02-11
    Report sent to call center — 12 months, dose 2
    Get care from a doctor or other healthcare professional
    1 call case(s)
  23. 2022-02-15

Vaccinations

DoseDateManufacturerCo-administered
12021-01-14Moderna
22021-02-11Moderna

Call center

1 call center case

1 unsuccessful

See the call center timeline

Free text

Release 2 — days 1–6 daily, dose 1

2021-01-19

Systemic reaction (other): After immediate injection i felt my legs go really dizzy, fuzzy feeling. ( its how like have a few drinks and you start to feel the alchohol.) It went away within a few mins

Release 2 — day 7, dose 1

2021-01-21

Systemic reaction (other): Under arm is sore like lymph nodes

Release 4 — day 0, dose 2

2021-02-11

Systemic reaction (other): Dizzy

Release 9 — 6 months, dose 2

2021-08-14

Symptoms: I get more headaches now than before i had the vaccine.

Release 11 — 12 months, dose 2

2022-02-11

Symptoms: Contracted covid and now my heart is getting more palpitations then it use to. ( have a dr appointment for it.)
Healthcare visit (other): Waiting for appointment in April

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
HCVOUnevaluable event · · ✓
SDCOVID-19 · · ✓
SDHeadache ✓ · ✓
SDPalpitations · · ✓
SDPre-existing disease · · ✓
SROAxillary pain ✓ ✓ ✓
SRODizziness ✓ ✓ ✓
SROFeeling abnormal ✓ ✓ ✓
SROImmediate post-injection reaction ✓ ✓ ✓

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