2JF-26231-41708
2 vaccinations
6 coded responses
24 check-ins
6 free-text entries
1 call case
- Sex
- Female
- Age at first dose
- 41-45
- ZIP prefix
- 900 / CA
- Registered
- 2021-01-27
- Relationship
- Self
- Race
- Asian
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-01-27
Registered in v-safe
-
2021-01-27
Dose 1 — Moderna
-
2021-01-28
Health check-in — days 1–6 daily, dose 1Feeling: Good · Site: Pain, Redness, Swelling, Itching · Joint pains, Abdominal painAdult check-in
- 2021-01-29
- 2021-01-30
-
2021-01-31
Health check-in — days 1–6 daily, dose 1Feeling: Good · Site: Itching · Joint pains, Muscle or body aches, Fatigue or tirednessAdult check-in
- 2021-02-01
- 2021-02-02
- 2021-02-03
- 2021-02-10
- 2021-02-17
- 2021-02-24
-
2021-03-01
Dose 2 — Moderna
-
2021-03-02
Survey response — days 1–6 daily, dose 2MedDRA: Dizziness, Tinnitus — Feeling: Poor · Site: Pain · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to workFree text: Dizziness, tinnitus.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-03-03
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Site: Pain · Muscle or body aches, Fatigue or tirednessAdult check-in
-
2021-03-04
Health check-in — days 1–6 daily, dose 2Feeling: Good · Site: Pain · Fatigue or tirednessAdult check-in
- 2021-03-05
- 2021-03-06
-
2021-03-07
Survey response — days 1–6 daily, dose 2MedDRA: Headache — Feeling: Good · HeadacheFree text: Headache reappears daily at around 4-9p, but the question asks only about today (not past 24 hrs)MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-03-08
- 2021-03-15
- 2021-03-22
-
2021-03-29
Survey response — day 28, dose 2MedDRA: Fatigue, Headache — Feeling: GoodFree text: The afternoon headaches and fatigue have returned.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-04-05
Survey response — day 35, dose 2MedDRA: Headache — Feeling: GoodFree text: Afternoon headaches persist.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-04-12
-
2021-05-31
Survey response — 3 months, dose 2MedDRA: Headache — Feeling: GoodFree text: Occasional/intermittent headachesMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2022-03-01
Survey response — 12 months, dose 2MedDRA: Headache, Heart rate irregular — Feeling: Good · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visitFree text: Irregular heartbeat, continued mild headaches.MedDRA releases: 2024-11 · check-in free text available
-
2022-03-01
Report sent to call center — 12 months, dose 2Get care from a doctor or other healthcare professionalOutpatient clinic or urgent care clinic visit · 1 call case(s)
- 2022-03-03
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-01-27 | Moderna | |
| 2 | 2021-03-01 | Moderna |
Call center
| Reported | Outcome | VAERS-related outcome |
|---|---|---|
| 2022-03-01 | Unsuccessful |
Free text
Release 4 — days 1–6 daily, dose 2
Systemic reaction (other): Dizziness, tinnitus.
Release 5 — days 1–6 daily, dose 2
Systemic reaction (other): Headache reappears daily at around 4-9p, but the question asks only about today (not past 24 hrs)
Release 6 — day 28, dose 2
Symptoms: The afternoon headaches and fatigue have returned.
Release 6 — day 35, dose 2
Symptoms: Afternoon headaches persist.
Release 8 — 3 months, dose 2
Symptoms: Occasional/intermittent headaches
Release 11 — 12 months, dose 2
Symptoms: Irregular heartbeat, continued mild headaches.
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 | Fatigue | ✓ | ✓ | ✓ |
| SD | Headache | ✓ | ✓ | ✓ |
| SD | Heart rate irregular | · | · | ✓ |
| SRO | Dizziness | ✓ | ✓ | ✓ |
| SRO | Headache | ✓ | ✓ | ✓ |
| SRO | Tinnitus | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release