3AQ-11498-47779
2 vaccinations
2 coded responses
7 check-ins
2 free-text entries
0 call cases
- Sex
- Female
- Age at first dose
- 31-35
- ZIP prefix
- 631 / MO
- Registered
- 2021-04-10
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-03-09
Dose 1 — Moderna
-
2021-04-08
Dose 2 — Moderna
-
2021-04-10
Registered in v-safe
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2021-04-10
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Site: Pain, Swelling · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activitiesAdult check-in
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2021-04-11
Survey response — days 1–6 daily, dose 2MedDRA: Arthralgia, Chills, Pain, Pyrexia — Feeling: Fair · Site: Pain, Swelling, Itching · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activitiesFree text: The day after the vaccine i had a solid fever, body sches, chills, joint pain... but i didnt register until the next day and couldnt add those symptoms in anywhere for this site. I was in bed most of the day and night and took tylenol to help with symptoms for sleep.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-04-12
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Site: Pain · Fatigue or tiredness, Diarrhea · Be unable to do your normal daily activitiesAdult check-in
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2021-04-13
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Site: Swelling · Fatigue or tiredness · Be unable to do your normal daily activitiesAdult check-in
- 2021-07-10
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2021-10-07
Survey response — 6 months, dose 2MedDRA: Asthenia, Chest pain, Heart rate decreased, Neck pain, Pain in jaw, Palpitations, Vomiting — Feeling: Fair · Be unable to do your normal daily activitiesFree text: Lots mote palpitations. Oct 1st 2021, my heart rate dropped to 50s and maintained in the 60s for quite some time, after vomiting chunky acid and felt pain in my upper middle chest to my bottom jaw near chin. I felt the pain and weakness while in 60s.MedDRA releases: 2024-11 · check-in free text available
- 2022-04-08
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-03-09 | Moderna | |
| 2 | 2021-04-08 | Moderna |
Free text
Release 7 — days 1–6 daily, dose 2
Systemic reaction (other): The day after the vaccine i had a solid fever, body sches, chills, joint pain... but i didnt register until the next day and couldnt add those symptoms in anywhere for this site. I was in bed most of the day and night and took tylenol to help with symptoms for sleep.
Release 10 — 6 months, dose 2
Symptoms: Lots mote palpitations. Oct 1st 2021, my heart rate dropped to 50s and maintained in the 60s for quite some time, after vomiting chunky acid and felt pain in my upper middle chest to my bottom jaw near chin. I felt the pain and weakness while in 60s. cut off by CDC
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 | Chest pain | · | · | ✓ |
| SD | Heart rate decreased | · | · | ✓ |
| SD | Neck pain | · | · | ✓ |
| SD | Pain in jaw | · | · | ✓ |
| SD | Palpitations | · | · | ✓ |
| SD | Vomiting | · | · | ✓ |
| SRO | Arthralgia | ✓ | ✓ | ✓ |
| SRO | Chills | ✓ | ✓ | ✓ |
| SRO | Pain | ✓ | ✓ | ✓ |
| SRO | Pyrexia | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release