XWR-17606-51827
4 vaccinations
1 coded response
20 check-ins
1 free-text entry
0 call cases
- Sex
- Female
- Age at first dose
- 31-35
- ZIP prefix
- 223 / VA
- Registered
- 2021-12-21
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-02-12
Dose 1 — Moderna
-
2021-03-12
Dose 2 — Moderna
-
2021-12-20
Dose 3 — Moderna
-
2021-12-21
Registered in v-safe
-
2021-12-21
Survey response — days 1–6 daily, dose 3MedDRA: Feeling hot, Syncope — Feeling: Poor · Site: Pain · Chills, Headache, Fatigue or tiredness, Nausea · Be unable to work or attend school, Be unable to do your normal daily activitiesFree text: I fainted after getting very hotMedDRA releases: 2024-11 · check-in free text available
- 2021-12-22
- 2021-12-23
- 2021-12-24
- 2021-12-25
- 2021-12-27
- 2022-01-05
- 2022-01-10
- 2022-01-17
- 2022-01-24
- 2022-01-31
- 2022-03-23
- 2022-06-20
-
2022-09-23
Dose 4 — Moderna
- 2022-10-10
- 2022-10-15
- 2022-10-21
- 2022-10-28
- 2022-11-04
- 2022-12-23
- 2023-03-24
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-02-12 | Moderna | No |
| 2 | 2021-03-12 | Moderna | No |
| 3 | 2021-12-20 | Moderna | No |
| 4 | 2022-09-23 | Moderna | No |
Free text
Release 10 — days 1–6 daily, dose 3
Systemic reaction (other): I fainted after getting very hot
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 |
|---|---|---|---|---|
| SRO | Feeling hot | · | · | ✓ |
| SRO | Syncope | · | · | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release