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UMP-26854-34022

2 vaccinations 1 coded response 3 check-ins 1 free-text entry 0 call cases
Sex
Female
Age at first dose
31-35
ZIP prefix
973 / OR
Registered
2021-04-09
Relationship
Self
Race
White
Ethnicity
Not Hispanic or Latino

Timeline

  1. 2021-04-09
    Registered in v-safe
  2. 2021-04-09
    Dose 1 — Moderna
  3. 2021-04-09
    Survey response — day 0, dose 1
    MedDRA: Syncope — Feeling: Fair · Site: Pain · Fever · Chills, Fatigue or tiredness, Nausea · Be unable to work
    Free text: Feeling faint
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  4. 2021-08-20
    Dose 2 — Moderna
  5. 2021-08-20
    Health check-in — day 0, dose 2
    Feeling: Fair · Chills
    Adult check-in
  6. 2021-08-21
    Health check-in — days 1–6 daily, dose 2
    Feeling: Fair · Site: Pain · Fever · Headache, Fatigue or tiredness
    Adult check-in

Vaccinations

DoseDateManufacturerCo-administered
12021-04-09Moderna
22021-08-20Moderna No

Free text

Release 7 — day 0, dose 1

2021-04-09

Systemic reaction (other): Feeling faint

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
SROSyncope ✓ ✓ ✓

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

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