2JJ-31131-17717
1 vaccination
7 coded responses
7 check-ins
7 free-text entries
4 call cases
- Sex
- Female
- Age at first dose
- 46-50
- ZIP prefix
- 936 / CA
- Registered
- 2021-03-25
- Relationship
- Self
- Race
- White
- Ethnicity
- Hispanic or Latino
Timeline
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2021-03-25
Registered in v-safe
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2021-03-25
Dose 1 — Moderna
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2021-03-25
Survey response — day 0, dose 1MedDRA: Chest discomfort, Dizziness — Feeling: Fair · Site: Pain · Headache, Fatigue or tirednessFree text: Dizziness & tightness in chestMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-03-26
Survey response — days 1–6 daily, dose 1MedDRA: Chest discomfort, Dizziness, Dyspnoea — Feeling: Poor · Site: Pain, Redness, Swelling · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activitiesFree text: Severe dizziness, shortness of breath & tightness in my chestMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-03-29
Survey response — days 1–6 daily, dose 1MedDRA: Chest discomfort, Dizziness — Feeling: Poor · Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visitFree text: Tightness in my chest & severe dizzinessMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-03-29
Report sent to call center — days 1–6 daily, dose 1Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional1 call case(s)
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2021-04-08
Survey response — day 14, dose 1MedDRA: Chest discomfort, Dizziness — Feeling: Fair · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit, Emergency room or emergency department visitFree text: Severe chest tightness & dizzinessMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-04-08
Report sent to call center — day 14, dose 1Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional1 call case(s)
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2021-04-15
Survey response — day 21, dose 1MedDRA: Dizziness — Feeling: Fair · Be unable to do your normal daily activitiesFree text: Morning dizzines is more severe when I first wake up and lasts until 1:00 or 2:00 in the afternoon. Dizziness remains throughout the day but is more tolerable as the day goes on.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-09-23
Survey response — 6 months, dose 1MedDRA: Chest discomfort, Chest pain, Dyspnoea, Office visit — Feeling: Poor · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit, Emergency room or emergency department visitFree text: Symptoms: Chest tightness, shortness of breath, chest pressure & pain · Healthcare visit (other): CardiologistMedDRA releases: 2024-11 · check-in free text available
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2021-09-23
Report sent to call center — 6 months, dose 1Be unable to do your normal daily activities · Get care from a doctor or other healthcare professionalOutpatient clinic or urgent care clinic visit · Emergency room or emergency department visit · 1 call case(s)
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2021-09-24
Call successfulReported to VAERS voluntarily prior to GDIT contact
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2022-03-25
Survey response — 12 months, dose 1MedDRA: Anaemia, Dyspnoea, Fatigue, Muscular weakness — Feeling: Fair · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visitFree text: Anemia, fatigue, muscle weakness, shortness of breathMedDRA releases: 2024-11 · check-in free text available
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2022-03-25
Report sent to call center — 12 months, dose 1Be unable to do your normal daily activities · Get care from a doctor or other healthcare professionalOutpatient clinic or urgent care clinic visit · 1 call case(s)
- 2022-03-28
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-03-25 | Moderna |
Call center
4 call center cases
3 successful · 1 unsuccessful
VAERS report filed, before or during a call: 3
Free text
Release 6 — day 0, dose 1
Systemic reaction (other): Dizziness & tightness in chest
Release 6 — days 1–6 daily, dose 1
Systemic reaction (other): Severe dizziness, shortness of breath & tightness in my chest
Systemic reaction (other): Tightness in my chest & severe dizziness
Release 7 — day 14, dose 1
Symptoms: Severe chest tightness & dizziness
Release 7 — day 21, dose 1
Symptoms: Morning dizzines is more severe when I first wake up and lasts until 1:00 or 2:00 in the afternoon. Dizziness remains throughout the day but is more tolerable as the day goes on.
Release 9 — 6 months, dose 1
Symptoms: Chest tightness, shortness of breath, chest pressure & pain
Healthcare visit (other): Cardiologist
Release 11 — 12 months, dose 1
Symptoms: Anemia, fatigue, muscle weakness, shortness of breath
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 | Office visit | · | · | ✓ |
| SD | Anaemia | · | · | ✓ |
| SD | Chest discomfort | ✓ | ✓ | ✓ |
| SD | Chest pain | · | · | ✓ |
| SD | Dizziness | ✓ | ✓ | ✓ |
| SD | Dyspnoea | · | · | ✓ |
| SD | Fatigue | · | · | ✓ |
| SD | Muscular weakness | · | · | ✓ |
| SRO | Chest discomfort | ✓ | ✓ | ✓ |
| SRO | Dizziness | ✓ | ✓ | ✓ |
| SRO | Dyspnoea | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release