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YGP-27386-53429

2 vaccinations 1 coded response 18 check-ins 1 free-text entry 0 call cases
Sex
Female
Age at first dose
31-35
ZIP prefix
021 / MA
Registered
2020-12-28
Relationship
Self
Race
White
Ethnicity
Not Hispanic or Latino

Timeline

  1. 2020-12-28
    Registered in v-safe
  2. 2020-12-28
    Dose 1 — Moderna
  3. 2020-12-28
    Health check-in — day 0, dose 1
    Feeling: Good · Site: Pain · None
    Adult check-in
  4. 2020-12-29
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · Site: Pain · None
    Adult check-in
  5. 2020-12-30
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · Site: Pain · None
    Adult check-in
  6. 2020-12-31
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · None
    Adult check-in
  7. 2021-01-01
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · None
    Adult check-in
  8. 2021-01-03
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · None
    Adult check-in
  9. 2021-01-04
    Health check-in — day 7, dose 1
    Feeling: Good · None
    Adult check-in
  10. 2021-01-18
    Health check-in — day 21, dose 1
    Feeling: Good
    Adult check-in
  11. 2021-01-25
    Health check-in — day 28, dose 1
    Feeling: Good
    Adult check-in
  12. 2021-01-29
    Dose 2 — Moderna
  13. 2021-01-30
    Survey response — days 1–6 daily, dose 2
    MedDRA: Blood pressure decreased, Dizziness, Emergency care, Heart rate decreased, Hypertension, Hypoacusis, Hypotension, Nausea, Presyncope, Syncope, Visual impairment — Feeling: Poor · Site: Pain · Fever · Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to do your normal daily activities
    Free text: Pre-syncopal, hypotensive episode this AM around 9:10 AM for which we called 911 because I had shaded vision and diminished hearing along with a massive wave of nausea, dizziness, and a feeling like I was going to pass out. It lasted maybe 5 minutes, and subsided after my husband helped me reclined against the couch. My systolic BP was 88, normally it is 100-120. My HR also bottomed out (per Garmin watch) for a few seconds at the time of the episode.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  14. 2021-01-31
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · Site: Pain · Fatigue or tiredness · Be unable to do your normal daily activities
    Adult check-in
  15. 2021-02-02
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · None
    Adult check-in
  16. 2021-02-04
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · None
    Adult check-in
  17. 2021-02-05
    Health check-in — day 7, dose 2
    Feeling: Good · None
    Adult check-in
  18. 2021-02-12
    Health check-in — day 14, dose 2
    Feeling: Good
    Adult check-in
  19. 2021-02-19
    Health check-in — day 21, dose 2
    Feeling: Good
    Adult check-in
  20. 2021-07-30
    Health check-in — 6 months, dose 2
    Feeling: Good
    Adult check-in
  21. 2022-01-29
    Health check-in — 12 months, dose 2
    Feeling: Good
    Adult check-in

Vaccinations

DoseDateManufacturerCo-administered
12020-12-28Moderna
22021-01-29Moderna

Free text

Release 3 — days 1–6 daily, dose 2

2021-01-30

Systemic reaction (other): Pre-syncopal, hypotensive episode this AM around 9:10 AM for which we called 911 because I had shaded vision and diminished hearing along with a massive wave of nausea, dizziness, and a feeling like I was going to pass out. It lasted maybe 5 minutes, and subsided after my husband helped me reclined against the couch. My systolic BP was 88, normally it is 100-120. My HR also bottomed out (per Garmin watch) for a few seconds at the time of the episode.

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
SROBlood pressure decreased ○ ✓ ○
SRODizziness ✓ ✓ ✓
SROEmergency care ✓ ✓ ✓
SROHeart rate decreased ✓ · ✓
SROHypertension ○ ✓ ○
SROHypoacusis ✓ ✓ ✓
SROHypotension ✓ · ✓
SRONausea ✓ ✓ ✓
SROPresyncope ✓ ✓ ✓
SROSyncope ○ ✓ ○
SROVisual impairment ✓ ✓ ✓

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