2JS-24962-94387
3 vaccinations
4 coded responses
26 check-ins
4 free-text entries
2 call cases
- Sex
- Female
- Age at first dose
- 36-40
- ZIP prefix
- 483 / MI
- Registered
- 2021-04-07
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-04-07
Registered in v-safe
-
2021-04-07
Dose 1 — Moderna
-
2021-04-07
Health check-in — day 0, dose 1Feeling: Good · Site: Pain · Headache, Muscle or body achesAdult check-in
-
2021-04-08
Health check-in — days 1–6 daily, dose 1Feeling: Good · Site: Pain · Muscle or body achesAdult check-in
- 2021-04-09
- 2021-04-10
- 2021-04-11
- 2021-04-12
- 2021-04-13
- 2021-04-16
- 2021-04-21
- 2021-04-28
-
2021-05-05
Dose 2 — Moderna
- 2021-05-05
-
2021-05-06
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Site: Pain, Redness, Swelling · Headache, Muscle or body aches, Fatigue or tirednessAdult check-in
-
2021-05-08
Survey response — days 1–6 daily, dose 2MedDRA: Heart rate increased — Feeling: Good · Site: Swelling · Fatigue or tirednessFree text: rapid heartbeatMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-05-09
- 2021-05-10
- 2021-05-11
- 2021-05-12
- 2021-05-19
- 2021-05-26
- 2021-06-02
- 2021-06-09
- 2021-06-16
- 2021-08-04
-
2021-11-05
Survey response — 6 months, dose 2MedDRA: Cardiovascular symptom, Chest pain, Emergency care, Pain in extremity — Feeling: Good · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit, Emergency room or emergency department visitFree text: Had heart attack symptoms of severe pain in left arm that became pain in left chest area; ER tests did not show heart attack. Pain eventually faded as week continued; undiagnosed conclusion is possibly a pulled muscle.MedDRA releases: 2024-11 · check-in free text available
-
2021-11-05
Report sent to call center — 6 months, dose 2Get care from a doctor or other healthcare professionalOutpatient clinic or urgent care clinic visit · Emergency room or emergency department visit · 1 call case(s)
- 2021-11-08
-
2021-12-07
Dose 3 — Moderna
-
2022-06-07
Survey response — 6 months, dose 3MedDRA: Cardiac discomfort — Feeling: Fair · Be unable to do your normal daily activitiesFree text: Heart discomfort - possibly stress related.MedDRA releases: 2024-11 · check-in free text available
-
2022-12-07
Survey response — 12 months, dose 3MedDRA: Condition aggravated, Illness, Malaise, Nasopharyngitis, Office visit, Pre-existing disease, SARS-CoV-2 test negative, SARS-CoV-2 test positive — Feeling: Fair · Be unable to work or attend school, Be unable to do your normal daily activities, Get care from a doctor or other healthcare professionalFree text: Symptoms: Tested positive for COVID again in October 2022. Then had a severe cold or illness in Nov 2022 which testing said was not COVID. Continue to rupture of some kind in my right ear drum anytime I am sick, regardless if I have head congestion. · Healthcare visit (other): appt with my primary care physicianMedDRA releases: 2024-11 · check-in free text available
-
2022-12-07
Report sent to call center — 12 months, dose 3Be 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)
- 2022-12-08
- 2022-12-08
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-04-07 | Moderna | |
| 2 | 2021-05-05 | Moderna | |
| 3 | 2021-12-07 | Moderna | No |
Call center
2 call center cases
2 unsuccessful
Free text
Release 8 — days 1–6 daily, dose 2
Systemic reaction (other): rapid heartbeat
Release 10 — 6 months, dose 2
Symptoms: Had heart attack symptoms of severe pain in left arm that became pain in left chest area; ER tests did not show heart attack. Pain eventually faded as week continued; undiagnosed conclusion is possibly a pulled muscle.
Release 11 — 6 months, dose 3
Symptoms: Heart discomfort - possibly stress related.
Release 12 — 12 months, dose 3
Symptoms: Tested positive for COVID again in October 2022. Then had a severe cold or illness in Nov 2022 which testing said was not COVID. Continue to rupture of some kind in my right ear drum anytime I am sick, regardless if I have head congestion.
Healthcare visit (other): appt with my primary care physician
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 | Cardiac discomfort | · | · | ✓ |
| SD | Cardiovascular symptom | · | · | ✓ |
| SD | Chest pain | · | · | ✓ |
| SD | Condition aggravated | · | · | ✓ |
| SD | Emergency care | · | · | ✓ |
| SD | Illness | · | · | ✓ |
| SD | Malaise | · | · | ✓ |
| SD | Nasopharyngitis | · | · | ✓ |
| SD | Pain in extremity | · | · | ✓ |
| SD | Pre-existing disease | · | · | ✓ |
| SD | SARS-CoV-2 test negative | · | · | ✓ |
| SD | SARS-CoV-2 test positive | · | · | ✓ |
| SRO | Heart rate increased | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release