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ZGE-89067-37046

2 vaccinations 4 coded responses 7 check-ins 4 free-text entries 0 call cases
Sex
Female
Age at first dose
51-55
ZIP prefix
209 / MD
Registered
2021-06-30
Relationship
Self
Race
Black or African American
Ethnicity
Not Hispanic or Latino

Timeline

  1. 2021-05-04
    Dose 1 — Moderna
  2. 2021-06-29
    Dose 2 — Moderna
  3. 2021-06-30
    Registered in v-safe
  4. 2021-06-30
    Health check-in — days 1–6 daily, dose 2
    Feeling: Poor · Site: Pain · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to work or attend school, Be unable to do your normal daily activities
    Adult check-in
  5. 2021-07-01
    Survey response — days 1–6 daily, dose 2
    MedDRA: Balance disorder, Visual impairment — Feeling: Fair · Site: Pain · Joint pains, Muscle or body aches · Be unable to do your normal daily activities
    Free text: Feel some sudden visual distance with no nausea but quick dis balance
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  6. 2021-07-02
    Survey response — days 1–6 daily, dose 2
    MedDRA: Balance disorder, Fatigue, Vertigo — Feeling: Fair · Site: Pain · Chills, Muscle or body aches · Be unable to do your normal daily activities
    Free text: Fatigue , light but real Off-balance ( vertigo like quick episode)
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  7. 2021-07-03
    Survey response — days 1–6 daily, dose 2
    MedDRA: Balance disorder, Muscle spasms — Feeling: Fair · Site: Pain · Fever · Chills, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities
    Free text: Still have unbalanced episodes and muscle spasms less joints:: acting as focused pressure the release
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  8. 2021-07-04
    Survey response — days 1–6 daily, dose 2
    MedDRA: Chills, Muscle spasms, Nausea — Feeling: Fair · Site: Pain · Fever · Chills, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea
    Free text: Felt light nausea in middle of the night and at wake up but its gone. Still feel chills and lighter muscle/joints spasms but more in the background still less but unbalanced (slanted if I move too fast)
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  9. 2021-07-20
    Health check-in — day 21, dose 2
    Feeling: Fair
    Adult check-in
  10. 2021-07-27
    Health check-in — day 28, dose 2
    Feeling: Fair
    Adult check-in

Vaccinations

DoseDateManufacturerCo-administered
12021-05-04Moderna No
22021-06-29Moderna No

Free text

Release 9 — days 1–6 daily, dose 2

2021-07-01

Systemic reaction (other): Feel some sudden visual distance with no nausea but quick dis balance

2021-07-02

Systemic reaction (other): Fatigue , light but real Off-balance ( vertigo like quick episode)

2021-07-03

Systemic reaction (other): Still have unbalanced episodes and muscle spasms less joints:: acting as focused pressure the release

2021-07-04

Systemic reaction (other): Felt light nausea in middle of the night and at wake up but its gone. Still feel chills and lighter muscle/joints spasms but more in the background still less but unbalanced (slanted if I move too fast)

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
SROBalance disorder ✓ ✓ ✓
SROChills ✓ ✓ ✓
SROFatigue ✓ ✓ ✓
SROMuscle spasms ✓ ✓ ✓
SRONausea ✓ ✓ ✓
SROVertigo ✓ ✓ ✓
SROVisual impairment ✓ ✓ ✓

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