2JM-24024-21361
2 vaccinations
5 coded responses
22 check-ins
5 free-text entries
1 call case
- Sex
- Female
- Age at first dose
- 31-35
- ZIP prefix
- 804 / CO
- Registered
- 2021-03-22
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-03-21
Dose 1 — Moderna
-
2021-03-22
Registered in v-safe
- 2021-03-22
- 2021-03-23
- 2021-03-24
- 2021-03-26
- 2021-03-27
- 2021-03-28
-
2021-04-04
Survey response — day 14, dose 1MedDRA: Diarrhoea — Feeling: Fair · Be unable to do your normal daily activitiesFree text: Diarrhea for 2 daysMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-04-11
- 2021-04-19
-
2021-04-23
Dose 2 — Moderna
-
2021-04-25
Survey response — days 1–6 daily, dose 2MedDRA: Heart rate increased — Feeling: Poor · Site: Pain · Fever · Chills, Headache, Joint pains, Muscle or body aches, Nausea, Diarrhea, Abdominal pain · Be unable to do your normal daily activitiesFree text: High pulse rateMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-04-26
- 2021-04-27
-
2021-04-28
Survey response — days 1–6 daily, dose 2MedDRA: Blister — Feeling: Fair · Site: Pain · Joint pains, Fatigue or tiredness, Nausea, Diarrhea, Abdominal painFree text: Pain like blisters on my head but no blistersMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-04-30
-
2021-05-07
Survey response — day 14, dose 2MedDRA: Asthenia, Fatigue, Laboratory test abnormal, Multiple sclerosis, Pre-existing disease, White blood cell count increased — Feeling: Fair · Be unable to do your normal daily activitiesFree text: Multiple sclerosis symptoms were exacerbated. Wbc and lymphs high and weak and tired feeling.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-05-14
- 2021-05-21
- 2021-05-28
- 2021-06-04
-
2021-07-23
Survey response — 3 months, dose 2MedDRA: Fall, Fatigue, Hypoaesthesia, Multiple sclerosis, Nausea, Pain, Pain in extremity, Paraesthesia, Pre-existing disease, White blood cell count increased — Feeling: Fair · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultation, Outpatient clinic or urgent care clinic visitFree text: My wbc went up to 14.8. I feel very exhausted & that' w/b12 shots. My multiple sclerosis systems increased. I'm very nauseous a lot, I've been falling, & my hand pain has increased. I also had numbness in both arms & tingling on my face.MedDRA releases: 2021-09,2024-11 · check-in free text available
-
2021-07-23
Report sent to call center — 3 months, dose 2Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional1 call case(s)
- 2021-08-02
- 2021-10-22
- 2022-04-25
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-03-21 | Moderna | |
| 2 | 2021-04-23 | Moderna |
Call center
1 call center case
1 unsuccessful
Free text
Release 6 — day 14, dose 1
Symptoms: Diarrhea for 2 days
Release 7 — days 1–6 daily, dose 2
Systemic reaction (other): High pulse rate
Release 8 — days 1–6 daily, dose 2
Systemic reaction (other): Pain like blisters on my head but no blisters
Release 8 — day 14, dose 2
Symptoms: Multiple sclerosis symptoms were exacerbated. Wbc and lymphs high and weak and tired feeling.
Release 9 — 3 months, dose 2
Symptoms: My wbc went up to 14.8. I feel very exhausted & that' w/b12 shots. My multiple sclerosis systems increased. I'm very nauseous a lot, I've been falling, & my hand pain has increased. I also had numbness in both arms & tingling on my face.
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 | Asthenia | ✓ | ✓ | ✓ |
| SD | Diarrhoea | ✓ | ✓ | ✓ |
| SD | Fall | ✓ | · | ✓ |
| SD | Fatigue | ✓ | ✓ | ✓ |
| SD | Hypoaesthesia | ✓ | · | ✓ |
| SD | Laboratory test abnormal | ✓ | ✓ | ✓ |
| SD | Multiple sclerosis | ✓ | ✓ | ✓ |
| SD | Nausea | ✓ | · | ✓ |
| SD | Pain | ✓ | · | ✓ |
| SD | Pain in extremity | ✓ | · | ✓ |
| SD | Paraesthesia | ✓ | · | ✓ |
| SD | Pre-existing disease | ✓ | ✓ | ✓ |
| SD | White blood cell count increased | ✓ | ✓ | ✓ |
| SRO | Blister | ✓ | ✓ | ✓ |
| SRO | Heart rate increased | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release