2AJ-25159-34446
2 vaccinations
4 coded responses
7 check-ins
4 free-text entries
2 call cases
- Sex
- Male
- Age at first dose
- 21-25
- ZIP prefix
- 750 / TX
- Registered
- 2021-09-01
- Relationship
- Self
- Race
- White
- Ethnicity
- Hispanic or Latino
Timeline
-
2021-08-01
Dose 1 — Moderna
-
2021-08-30
Dose 2 — Moderna
-
2021-09-01
Registered in v-safe
-
2021-09-01
Survey response — days 1–6 daily, dose 2MedDRA: Chest discomfort, Chest pain, Discomfort — Feeling: Fair · Site: Pain · Be unable to do your normal daily activitiesFree text: Uncomfortable feeling in chest area Sometimes chest pains mostly on my heart side(left) & sometimes uncomfortable breathingMedDRA releases: 2021-09,2024-11 · check-in free text available
-
2021-09-02
Survey response — days 1–6 daily, dose 2MedDRA: Cardiac discomfort, Chest discomfort, Emergency care, Muscle spasms — Feeling: Poor · Headache, Muscle or body aches, Fatigue or tiredness · Be unable to work or attend school, Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit, Emergency room or emergency department visitFree text: Systemic reaction (other): Tightness & cramping on left part of chest & my itll feel like a lot of pressure on my heart like heavy · Healthcare visit (other): Went to emergency room because of the heavy feeling on my left side of chest and tightness on left side of chest like a cramping feelingMedDRA releases: 2021-09,2024-11 · check-in free text available
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2021-09-02
Report sent to call center — days 1–6 daily, dose 2Be unable to work or attend school · Get care from a doctor or other healthcare professional1 call case(s)
-
2021-09-03
Survey response — days 1–6 daily, dose 2MedDRA: Chest discomfort — Feeling: FairFree text: Mild chest tightness/ pressure or weight on chest left sideMedDRA releases: 2021-09,2024-11 · check-in free text available
- 2021-09-07
- 2021-09-09
-
2021-09-20
Survey response — day 21, dose 2MedDRA: Chest pain, Dyspnoea — Feeling: Poor · Get care from a doctor or other healthcare professional · Emergency room or emergency department visitFree text: Chest pains , somewhat trouble breathingMedDRA releases: 2024-11 · check-in free text available
-
2021-09-20
Report sent to call center — day 21, dose 2Get care from a doctor or other healthcare professional1 call case(s)
-
2021-09-22
Call successfulParticipant prefers to complete VAERS report online
-
2021-09-22
Call successfulParticipant prefers to complete VAERS report online
- 2021-10-06
- 2021-12-01
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-08-01 | Moderna | No |
| 2 | 2021-08-30 | Moderna | No |
Call center
2 call center cases
2 successful
Free text
Release 9 — days 1–6 daily, dose 2
Systemic reaction (other): Uncomfortable feeling in chest area Sometimes chest pains mostly on my heart side(left) & sometimes uncomfortable breathing
Systemic reaction (other): Tightness & cramping on left part of chest & my itll feel like a lot of pressure on my heart like heavy
Healthcare visit (other): Went to emergency room because of the heavy feeling on my left side of chest and tightness on left side of chest like a cramping feeling
Systemic reaction (other): Mild chest tightness/ pressure or weight on chest left side
Release 9 — day 21, dose 2
Symptoms: Chest pains , somewhat trouble breathing
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 |
|---|---|---|---|---|
| HCVO | Chest discomfort | ✓ | · | ✓ |
| HCVO | Emergency care | ✓ | · | ✓ |
| HCVO | Muscle spasms | ✓ | · | ✓ |
| SD | Chest pain | · | · | ✓ |
| SD | Dyspnoea | · | · | ✓ |
| SRO | Cardiac discomfort | ✓ | · | ✓ |
| SRO | Chest discomfort | ✓ | · | ✓ |
| SRO | Chest pain | ✓ | · | ✓ |
| SRO | Discomfort | ✓ | · | ✓ |
| SRO | Muscle spasms | ✓ | · | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release