Z3A-24512-56771
4 vaccinations
3 coded responses
29 check-ins
3 free-text entries
0 call cases
- Sex
- Female
- Age at first dose
- 46-50
- ZIP prefix
- 113 / NY
- Registered
- 2021-04-07
- Relationship
- Self
- Race
- Asian
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-04-07
Registered in v-safe
-
2021-04-07
Dose 1 — Moderna
- 2021-04-07
- 2021-04-08
- 2021-04-09
- 2021-04-10
- 2021-04-11
- 2021-04-12
- 2021-04-13
- 2021-04-14
- 2021-04-21
- 2021-04-28
-
2021-05-05
Dose 2 — Moderna
- 2021-05-05
-
2021-05-06
Survey response — days 1–6 daily, dose 2MedDRA: Cold sweat, Paraesthesia, Presyncope, Tinnitus — Feeling: Poor · Site: Pain · Fever · Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to do your normal daily activitiesFree text: Tingling or certain unusual sensation when washing hands with cool water (1st time was worst, now getting better), and near syncope episode two times: 1st was when I simply sat in a chair around 5am, second was when I had a bowel movement around 9am. For both, I didn't lose consciousness, but experienced pre-faint symptom followed by ringing in my ears for a couple of minutes, then my skin became clammy.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-05-07
Survey response — days 1–6 daily, dose 2MedDRA: Dizziness, Dizziness postural — Feeling: Fair · Site: Pain · Fever · Muscle or body aches, Fatigue or tiredness, NauseaFree text: Feel a little dizzy particularly with movementMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-05-08
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Site: Pain · Fever · Fatigue or tiredness, NauseaAdult check-in
-
2021-05-09
Survey response — days 1–6 daily, dose 2MedDRA: Disturbance in attention, Headache — Feeling: Fair · Fever · Headache, Fatigue or tirednessFree text: The headache is more like dullness or daze. I can't focus on things as usual.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-05-10
- 2021-05-11
- 2021-05-12
- 2021-05-19
- 2021-05-26
- 2021-06-02
- 2021-06-09
- 2021-06-16
- 2021-08-04
- 2021-11-03
-
2021-12-27
Dose 3 — Pfizer-BioNTech
- 2022-06-27
-
2022-10-10
Dose 4 — Pfizer-BioNTech
- 2022-12-29
- 2023-01-09
- 2023-04-10
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-04-07 | Moderna | |
| 2 | 2021-05-05 | Moderna | |
| 3 | 2021-12-27 | Pfizer-BioNTech | No |
| 4 | 2022-10-10 | Pfizer-BioNTech | No |
Free text
Release 8 — days 1–6 daily, dose 2
Systemic reaction (other): Tingling or certain unusual sensation when washing hands with cool water (1st time was worst, now getting better), and near syncope episode two times: 1st was when I simply sat in a chair around 5am, second was when I had a bowel movement around 9am. For both, I didn't lose consciousness, but experienced pre-faint symptom followed by ringing in my ears for a couple of minutes, then my skin became clammy.
Systemic reaction (other): Feel a little dizzy particularly with movement
Systemic reaction (other): The headache is more like dullness or daze. I can't focus on things as usual.
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 | Cold sweat | ✓ | ✓ | ✓ |
| SRO | Disturbance in attention | ✓ | ✓ | ✓ |
| SRO | Dizziness | ✓ | ✓ | ✓ |
| SRO | Dizziness postural | ✓ | ✓ | ✓ |
| SRO | Headache | ✓ | ✓ | ✓ |
| SRO | Paraesthesia | ✓ | ✓ | ✓ |
| SRO | Presyncope | ✓ | ✓ | ✓ |
| SRO | Tinnitus | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release