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2JM-16573-42096

2 vaccinations 10 coded responses 21 check-ins 10 free-text entries 1 call case
Sex
Female
Age at first dose
51-55
ZIP prefix
207 / MD
Registered
2021-04-03
Relationship
Self
Race
White
Ethnicity
Not Hispanic or Latino

Timeline

  1. 2021-04-03
    Registered in v-safe
  2. 2021-04-03
    Dose 1 — Moderna
  3. 2021-04-03
    Survey response — day 0, dose 1
    MedDRA: Disturbance in attention, Dysmenorrhoea — Feeling: Good · Site: Pain · Headache, Fatigue or tiredness
    Free text: I had menstrual cramps really bad before the shot. Now i feel better. Just a little hard to focus.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  4. 2021-04-04
    Survey response — days 1–6 daily, dose 1
    MedDRA: Chest discomfort, Chest pain — Feeling: Fair · Site: Pain · Headache, Muscle or body aches · Be unable to work, Be unable to do your normal daily activities
    Free text: Chest pain in lymp nodes. Once in a while it feels heavy and then just real sore.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  5. 2021-04-05
    Survey response — days 1–6 daily, dose 1
    MedDRA: Fatigue, Pain, Rash — Feeling: Good · Muscle or body aches, Fatigue or tiredness, Rash, not including the immediate area around the injection site · Be unable to do your normal daily activities
    Free text: Little rach on my neck and arms. Have little aches and pains.Feel tired but good.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  6. 2021-04-06
    Survey response — days 1–6 daily, dose 1
    MedDRA: Abdominal pain upper, Fatigue — Feeling: Good · Fatigue or tiredness, Abdominal pain
    Free text: Feel much better today. Had a little fatigue and a little stomach cramping.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  7. 2021-04-07
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · None
    Adult check-in
  8. 2021-04-08
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · None
    Adult check-in
  9. 2021-04-09
    Survey response — days 1–6 daily, dose 1
    MedDRA: Fatigue, Pre-existing disease — Feeling: Good · Fatigue or tiredness
    Free text: I have one kidney and diabetes, I might just feel tired from it.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  10. 2021-04-10
    Survey response — day 7, dose 1
    MedDRA: Adverse reaction — Feeling: Good · Rash, not including the immediate area around the injection site
    Free text: Around checks, nose and chin.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  11. 2021-04-17
    Health check-in — day 14, dose 1
    Feeling: Good
    Adult check-in
  12. 2021-04-24
    Health check-in — day 21, dose 1
    Feeling: Good
    Adult check-in
  13. 2021-05-01
    Dose 2 — Moderna
  14. 2021-05-01
    Health check-in — day 0, dose 2
    Feeling: Fair · Site: Pain, Swelling · Fever · Nausea, Vomiting, Abdominal pain, Rash, not including the immediate area around the injection site · Be unable to do your normal daily activities
    Adult check-in
  15. 2021-05-02
    Survey response — days 1–6 daily, dose 2
    MedDRA: Pyrexia, Swelling face — Feeling: Fair · Site: Pain, Redness, Swelling · Fever · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Rash, not including the immediate area around the injection site · Be unable to work, Be unable to do your normal daily activities
    Free text: Face feels swollen, could be from the fever. I just got over my period April 30th and it started up again a little and then went away again.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  16. 2021-05-03
    Survey response — days 1–6 daily, dose 2
    MedDRA: Chest pain, Rash, Self-medication — Feeling: Good · Site: Pain, Redness, Swelling · Nausea, Diarrhea, Rash, not including the immediate area around the injection site · Be unable to do your normal daily activities
    Free text: Rash on chest, face and arm where i got the shot. I took a baby asprin for light chest pain.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  17. 2021-05-04
    Survey response — days 1–6 daily, dose 2
    MedDRA: Rash — Feeling: Good · Diarrhea, Rash, not including the immediate area around the injection site
    Free text: Rash on chest and face
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  18. 2021-05-05
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · Site: Itching · Fatigue or tiredness
    Adult check-in
  19. 2021-05-07
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · Site: Itching · None
    Adult check-in
  20. 2021-05-08
    Health check-in — day 7, dose 2
    Feeling: Good · Site: Pain, Itching · Muscle or body aches
    Adult check-in
  21. 2021-05-15
    Health check-in — day 14, dose 2
    Feeling: Good
    Adult check-in
  22. 2021-05-22
    Health check-in — day 21, dose 2
    Feeling: Good
    Adult check-in
  23. 2021-05-29
    Health check-in — day 28, dose 2
    Feeling: Good
    Adult check-in
  24. 2021-07-31
    Survey response — 3 months, dose 2
    MedDRA: Asthma, Heavy menstrual bleeding, Office visit, Thyroid disorder — Feeling: Good · Be unable to work or attend school, Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit
    Free text: Symptoms: Been getting a very heavy period, that has lasted for a month, thyroids been acting up, and have symptoms of asthma and had to get an inhaler. Might be my age though. · Healthcare visit (other): Gyn
    MedDRA releases: 2021-09,2024-11 · check-in free text available
  25. 2021-07-31
    Report sent to call center — 3 months, dose 2
    Be unable to work or attend school · Be unable to do your normal daily activities · Get care from a doctor or other healthcare pr
    1 call case(s)
  26. 2021-08-12

Vaccinations

DoseDateManufacturerCo-administered
12021-04-03Moderna
22021-05-01Moderna

Call center

1 call center case

1 unsuccessful

See the call center timeline

Free text

Release 6 — day 0, dose 1

2021-04-03

Systemic reaction (other): I had menstrual cramps really bad before the shot. Now i feel better. Just a little hard to focus.

Release 6 — days 1–6 daily, dose 1

2021-04-04

Systemic reaction (other): Chest pain in lymp nodes. Once in a while it feels heavy and then just real sore.

2021-04-05

Systemic reaction (other): Little rach on my neck and arms. Have little aches and pains.Feel tired but good.

Release 7 — days 1–6 daily, dose 1

2021-04-06

Systemic reaction (other): Feel much better today. Had a little fatigue and a little stomach cramping.

2021-04-09

Systemic reaction (other): I have one kidney and diabetes, I might just feel tired from it.

Release 7 — day 7, dose 1

2021-04-10

Systemic reaction (other): Around checks, nose and chin.

Release 8 — days 1–6 daily, dose 2

2021-05-02

Systemic reaction (other): Face feels swollen, could be from the fever. I just got over my period April 30th and it started up again a little and then went away again.

2021-05-03

Systemic reaction (other): Rash on chest, face and arm where i got the shot. I took a baby asprin for light chest pain.

2021-05-04

Systemic reaction (other): Rash on chest and face

Release 9 — 3 months, dose 2

2021-07-31

Symptoms: Been getting a very heavy period, that has lasted for a month, thyroids been acting up, and have symptoms of asthma and had to get an inhaler. Might be my age though.
Healthcare visit (other): Gyn

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
HCVOOffice visit ✓ · ✓
SDAsthma ✓ · ✓
SDHeavy menstrual bleeding ✓ · ✓
SDThyroid disorder ✓ · ✓
SROAbdominal pain upper ✓ ✓ ✓
SROAdverse reaction ✓ ✓ ✓
SROChest discomfort ✓ ✓ ✓
SROChest pain ✓ ✓ ✓
SRODisturbance in attention ✓ ✓ ✓
SRODysmenorrhoea ✓ ✓ ✓
SROFatigue ✓ ✓ ✓
SROPain ✓ ✓ ✓
SROPre-existing disease ✓ ✓ ✓
SROPyrexia ✓ ✓ ✓
SRORash ✓ ✓ ✓
SROSelf-medication ✓ ✓ ✓
SROSwelling face ✓ ✓ ✓

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