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
-
2021-04-03
Registered in v-safe
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2021-04-03
Dose 1 — Moderna
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2021-04-03
Survey response — day 0, dose 1MedDRA: Disturbance in attention, Dysmenorrhoea — Feeling: Good · Site: Pain · Headache, Fatigue or tirednessFree 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
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2021-04-04
Survey response — days 1–6 daily, dose 1MedDRA: Chest discomfort, Chest pain — Feeling: Fair · Site: Pain · Headache, Muscle or body aches · Be unable to work, Be unable to do your normal daily activitiesFree 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
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2021-04-05
Survey response — days 1–6 daily, dose 1MedDRA: 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 activitiesFree 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
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2021-04-06
Survey response — days 1–6 daily, dose 1MedDRA: Abdominal pain upper, Fatigue — Feeling: Good · Fatigue or tiredness, Abdominal painFree 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
- 2021-04-07
- 2021-04-08
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2021-04-09
Survey response — days 1–6 daily, dose 1MedDRA: Fatigue, Pre-existing disease — Feeling: Good · Fatigue or tirednessFree 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
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2021-04-10
Survey response — day 7, dose 1MedDRA: Adverse reaction — Feeling: Good · Rash, not including the immediate area around the injection siteFree text: Around checks, nose and chin.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-04-17
- 2021-04-24
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2021-05-01
Dose 2 — Moderna
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2021-05-01
Health check-in — day 0, dose 2Feeling: 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 activitiesAdult check-in
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2021-05-02
Survey response — days 1–6 daily, dose 2MedDRA: 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 activitiesFree 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
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2021-05-03
Survey response — days 1–6 daily, dose 2MedDRA: 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 activitiesFree 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
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2021-05-04
Survey response — days 1–6 daily, dose 2MedDRA: Rash — Feeling: Good · Diarrhea, Rash, not including the immediate area around the injection siteFree text: Rash on chest and faceMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-05-05
Health check-in — days 1–6 daily, dose 2Feeling: Good · Site: Itching · Fatigue or tirednessAdult check-in
- 2021-05-07
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2021-05-08
Health check-in — day 7, dose 2Feeling: Good · Site: Pain, Itching · Muscle or body achesAdult check-in
- 2021-05-15
- 2021-05-22
- 2021-05-29
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2021-07-31
Survey response — 3 months, dose 2MedDRA: 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 visitFree 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): GynMedDRA releases: 2021-09,2024-11 · check-in free text available
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2021-07-31
Report sent to call center — 3 months, dose 2Be unable to work or attend school · Be unable to do your normal daily activities · Get care from a doctor or other healthcare pr1 call case(s)
- 2021-08-12
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-04-03 | Moderna | |
| 2 | 2021-05-01 | Moderna |
Call center
1 call center case
1 unsuccessful
Free text
Release 6 — day 0, dose 1
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
Systemic reaction (other): Chest pain in lymp nodes. Once in a while it feels heavy and then just real sore.
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
Systemic reaction (other): Feel much better today. Had a little fatigue and a little stomach cramping.
Systemic reaction (other): I have one kidney and diabetes, I might just feel tired from it.
Release 7 — day 7, dose 1
Systemic reaction (other): Around checks, nose and chin.
Release 8 — days 1–6 daily, dose 2
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.
Systemic reaction (other): Rash on chest, face and arm where i got the shot. I took a baby asprin for light chest pain.
Systemic reaction (other): Rash on chest and face
Release 9 — 3 months, dose 2
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
| Field | Preferred term | 2021-09 | 2023-04 | 2024-11 |
|---|---|---|---|---|
| HCVO | Office visit | ✓ | · | ✓ |
| SD | Asthma | ✓ | · | ✓ |
| SD | Heavy menstrual bleeding | ✓ | · | ✓ |
| SD | Thyroid disorder | ✓ | · | ✓ |
| SRO | Abdominal pain upper | ✓ | ✓ | ✓ |
| SRO | Adverse reaction | ✓ | ✓ | ✓ |
| SRO | Chest discomfort | ✓ | ✓ | ✓ |
| SRO | Chest pain | ✓ | ✓ | ✓ |
| SRO | Disturbance in attention | ✓ | ✓ | ✓ |
| SRO | Dysmenorrhoea | ✓ | ✓ | ✓ |
| SRO | Fatigue | ✓ | ✓ | ✓ |
| SRO | Pain | ✓ | ✓ | ✓ |
| SRO | Pre-existing disease | ✓ | ✓ | ✓ |
| SRO | Pyrexia | ✓ | ✓ | ✓ |
| SRO | Rash | ✓ | ✓ | ✓ |
| SRO | Self-medication | ✓ | ✓ | ✓ |
| SRO | Swelling face | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release