2JQ-27457-93419
6 vaccinations
6 coded responses
53 check-ins
5 free-text entries
2 call cases
- Sex
- —
- Age at first dose
- 46-50
- ZIP prefix
- 537 / WI
- Registered
- 2021-03-25
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-03-25
Registered in v-safe
-
2021-03-25
Dose 1 — Moderna
- 2021-03-25
-
2021-03-26
Health check-in — days 1–6 daily, dose 1Feeling: Fair · Site: Pain · Fever · Headache, Muscle or body aches, Fatigue or tirednessAdult check-in
- 2021-03-27
- 2021-03-28
- 2021-03-29
- 2021-03-30
- 2021-03-31
- 2021-04-01
- 2021-04-08
-
2021-04-15
Survey response — day 21, dose 1MedDRA: Condition aggravated, Inflammation, Lyme disease, Pain, Pre-existing disease — Feeling: Fair · Be unable to do your normal daily activitiesFree text: I am having a flare of my chronic Lyme disease symptoms. Mostly deep pain and inflammation. Not sure this is connected to the vaccine or not.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-04-22
Dose 2 — Moderna
- 2021-04-22
-
2021-04-23
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Site: Pain · Fever · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activitiesAdult check-in
- 2021-04-24
- 2021-04-25
- 2021-04-26
- 2021-04-27
- 2021-04-28
- 2021-04-29
- 2021-05-06
- 2021-05-13
- 2021-05-20
- 2021-05-27
- 2021-06-03
- 2021-07-22
- 2021-10-21
-
2021-11-03
Dose 3 — Moderna
- 2021-11-03
-
2021-11-04
Health check-in — days 1–6 daily, dose 3Feeling: Fair · Site: Pain · Fever · Joint pains, Muscle or body aches, Fatigue or tirednessAdult check-in
-
2021-11-05
Health check-in — days 1–6 daily, dose 3Feeling: Fair · Site: Pain · Fever · Joint pains, Muscle or body aches, Fatigue or tirednessAdult check-in
- 2021-11-06
- 2021-11-07
- 2021-11-08
- 2021-11-09
- 2021-11-10
- 2021-11-17
- 2021-11-24
- 2021-12-01
-
2021-12-08
Survey response — day 35, dose 3MedDRA: Abdominal discomfort, Nausea — Feeling: Poor · Be unable to do your normal daily activitiesFree text: Nausea and digestive distress today. Unsure why.MedDRA releases: 2024-11 · check-in free text available
- 2021-12-15
-
2022-02-02
Survey response — 3 months, dose 3MedDRA: Adenomyosis, Emergency care, Muscle spasms, Postmenopausal haemorrhage, Uterine cyst — Feeling: Good · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Emergency room or emergency department visitFree text: I had to go to the ER due to severe post menopausal bleeding and cramps. Likely not related to vaccine but it might have made it more intense? Unknown. A cyst and adenomyosis of the uterus was found.MedDRA releases: 2024-11 · check-in free text available
-
2022-02-02
Report sent to call center — 3 months, dose 3Be unable to do your normal daily activities · Get care from a doctor or other healthcare professionalEmergency room or emergency department visit · 1 call case(s)
- 2022-02-03
-
2022-05-07
Survey response — 6 months, dose 3MedDRA: Gallbladder disorder — Feeling: Poor · Be unable to do your normal daily activitiesFree text: Gallbladder issuesMedDRA releases: 2024-11 · check-in free text available
-
2022-08-02
Dose 4 — Moderna
-
2022-09-16
Survey response — day 42, dose 4MedDRA: Abdominal discomfort, Abdominal pain upper, Pain — Feeling: Poor · Be unable to do your normal daily activitiesFree text: More random pain. Digestive pain and discomfort.MedDRA releases: 2024-11 · check-in free text available
-
2022-10-01
Dose 5 — Moderna
- 2022-10-15
- 2022-10-22
- 2022-10-29
- 2022-11-05
- 2022-11-12
- 2023-01-02
-
2023-04-01
Survey response — 6 months, dose 5MedDRA: Back pain, Neck pain, Nerve compression, Neuropathy peripheral, Sciatica — 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 visitMedDRA releases: 2024-11
-
2023-04-01
Report sent to call center — 6 months, dose 5Be 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)
- 2023-04-03
- 2023-04-03
-
2023-05-09
Dose 6 — Moderna
-
2023-05-10
Health check-in — days 1–6 daily, dose 6Feeling: Fair · Site: Pain · Joint pains, Muscle or body aches, Fatigue or tirednessAdult check-in
- 2023-05-12
- 2023-05-13
- 2023-05-14
- 2023-05-16
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-03-25 | Moderna | |
| 2 | 2021-04-22 | Moderna | |
| 3 | 2021-11-03 | Moderna | No |
| 4 | 2022-08-02 | Moderna | No |
| 5 | 2022-10-01 | Moderna | No |
| 6 | 2023-05-09 | Moderna | No |
Call center
2 call center cases
2 unsuccessful
Free text
Release 7 — day 21, dose 1
Symptoms: I am having a flare of my chronic Lyme disease symptoms. Mostly deep pain and inflammation. Not sure this is connected to the vaccine or not.
Release 10 — day 35, dose 3
Symptoms: Nausea and digestive distress today. Unsure why.
Release 11 — 3 months, dose 3
Symptoms: I had to go to the ER due to severe post menopausal bleeding and cramps. Likely not related to vaccine but it might have made it more intense? Unknown. A cyst and adenomyosis of the uterus was found.
Release 11 — 6 months, dose 3
Symptoms: Gallbladder issues
Release 12 — day 42, dose 4
Symptoms: More random pain. Digestive pain and discomfort.
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 | Abdominal discomfort | · | · | ✓ |
| SD | Abdominal pain upper | · | · | ✓ |
| SD | Adenomyosis | · | · | ✓ |
| SD | Back pain | · | · | ✓ |
| SD | Condition aggravated | ✓ | ✓ | ✓ |
| SD | Emergency care | · | · | ✓ |
| SD | Gallbladder disorder | · | · | ✓ |
| SD | Inflammation | ✓ | ✓ | ✓ |
| SD | Lyme disease | ✓ | ✓ | ✓ |
| SD | Muscle spasms | · | · | ✓ |
| SD | Nausea | · | · | ✓ |
| SD | Neck pain | · | · | ✓ |
| SD | Nerve compression | · | · | ✓ |
| SD | Neuropathy peripheral | · | · | ✓ |
| SD | Pain | ✓ | ✓ | ✓ |
| SD | Postmenopausal haemorrhage | · | · | ✓ |
| SD | Pre-existing disease | ✓ | ✓ | ✓ |
| SD | Sciatica | · | · | ✓ |
| SD | Uterine cyst | · | · | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release