Z5A-17735-88836
2 vaccinations
4 coded responses
26 check-ins
4 free-text entries
0 call cases
- Sex
- Female
- Age at first dose
- 61-65
- ZIP prefix
- 303 / GA
- Registered
- 2021-01-11
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-01-11
Registered in v-safe
-
2021-01-11
Dose 1 — Moderna
- 2021-01-11
- 2021-01-12
- 2021-01-13
- 2021-01-14
- 2021-01-15
- 2021-01-16
- 2021-01-17
- 2021-01-18
- 2021-01-25
- 2021-02-01
-
2021-02-08
Dose 2 — Moderna
-
2021-02-08
Survey response — day 0, dose 2MedDRA: Headache — Feeling: Good · Site: Pain · HeadacheFree text: Had headache about an hour after shot, but subsided after a couple of hoursMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-02-09
- 2021-02-10
- 2021-02-11
- 2021-02-12
- 2021-02-13
- 2021-02-14
- 2021-02-15
-
2021-02-22
Survey response — day 14, dose 2MedDRA: Blood glucose increased, Dizziness, Headache, Palpitations, Tension headache, Tinnitus — Feeling: GoodFree text: Bad headaches at night & morning, dizzy in the morning & high resting glucose levels last Sun, Wed -Sat. Head felt tight & ringing ears. Also had heart palpitations w/dizziness on Sun 2/14 for a few min. As of yesterday, 2/21 feel normal w/no issueMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-03-01
Survey response — day 21, dose 2MedDRA: Dizziness, Headache, Tinnitus — Feeling: FairFree text: Headaches, ringing in ears and light headed.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-03-08
Survey response — day 28, dose 2MedDRA: Dizziness, Headache, Tinnitus — Feeling: FairFree text: Continued headaches, lightheaded and ringing in ears.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-03-16
- 2021-03-22
- 2021-05-10
- 2021-08-12
- 2022-02-08
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-01-11 | Moderna | |
| 2 | 2021-02-08 | Moderna |
Free text
Release 3 — day 0, dose 2
Systemic reaction (other): Had headache about an hour after shot, but subsided after a couple of hours
Release 4 — day 14, dose 2
Symptoms: Bad headaches at night & morning, dizzy in the morning & high resting glucose levels last Sun, Wed -Sat. Head felt tight & ringing ears. Also had heart palpitations w/dizziness on Sun 2/14 for a few min. As of yesterday, 2/21 feel normal w/no issue cut off by CDC
Release 4 — day 21, dose 2
Symptoms: Headaches, ringing in ears and light headed.
Release 5 — day 28, dose 2
Symptoms: Continued headaches, lightheaded and ringing in ears.
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 |
|---|---|---|---|---|
| SD | Blood glucose increased | ✓ | ✓ | ✓ |
| SD | Dizziness | ✓ | ✓ | ✓ |
| SD | Headache | ✓ | ✓ | ✓ |
| SD | Palpitations | ✓ | ✓ | ✓ |
| SD | Tension headache | ✓ | ✓ | ✓ |
| SD | Tinnitus | ✓ | ✓ | ✓ |
| SRO | Headache | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release