2JN-13853-01024
2 vaccinations
3 coded responses
24 check-ins
3 free-text entries
1 call case
- Sex
- Female
- Age at first dose
- 46-50
- ZIP prefix
- 294 / SC
- Registered
- 2021-08-10
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-08-10
Registered in v-safe
-
2021-08-10
Dose 1 — Moderna
- 2021-08-10
- 2021-08-11
- 2021-08-12
- 2021-08-13
- 2021-08-14
- 2021-08-15
- 2021-08-16
- 2021-08-17
- 2021-08-24
-
2021-08-31
Survey response — day 21, dose 1MedDRA: Headache, Oropharyngeal pain — Feeling: Good · Be unable to work or attend school, Be unable to do your normal daily activitiesFree text: Headache and sore throatMedDRA releases: 2021-09,2024-11 · check-in free text available
-
2021-09-08
Dose 2 — Moderna
- 2021-09-08
-
2021-09-09
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Site: Pain · Chills, Muscle or body aches, Fatigue or tiredness, Nausea, Diarrhea, Abdominal pain · Be unable to do your normal daily activitiesAdult check-in
-
2021-09-10
Health check-in — days 1–6 daily, dose 2Feeling: Good · Site: Pain · Chills, Muscle or body achesAdult check-in
- 2021-09-11
- 2021-09-12
- 2021-09-13
- 2021-09-14
- 2021-09-15
- 2021-09-22
-
2021-09-29
Survey response — day 21, dose 2MedDRA: Alopecia — Feeling: GoodFree text: My hair is falling out by the handful and has never done this beforeMedDRA releases: 2024-11 · check-in free text available
- 2021-10-06
- 2021-10-23
- 2021-12-10
-
2022-09-08
Survey response — 12 months, dose 2MedDRA: COVID-19 — 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: Got covidMedDRA releases: 2024-11 · check-in free text available
-
2022-09-08
Report sent to call center — 12 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 prOutpatient clinic or urgent care clinic visit · 1 call case(s)
- 2022-09-09
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-08-10 | Moderna | No |
| 2 | 2021-09-08 | Moderna | No |
Call center
| Reported | Outcome | VAERS-related outcome |
|---|---|---|
| 2022-09-08 | Unsuccessful |
Free text
Release 9 — day 21, dose 1
Symptoms: Headache and sore throat
Release 9 — day 21, dose 2
Symptoms: My hair is falling out by the handful and has never done this before
Release 12 — 12 months, dose 2
Symptoms: Got covid
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 | Alopecia | · | · | ✓ |
| SD | COVID-19 | · | · | ✓ |
| SD | Headache | ✓ | · | ✓ |
| SD | Oropharyngeal pain | ✓ | · | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release