3PJ-53609-22854
1 vaccination
4 coded responses
8 check-ins
4 free-text entries
3 call cases
- Sex
- Female
- Age at first dose
- 36-40
- ZIP prefix
- 931 / CA
- Registered
- 2021-01-26
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
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2021-01-19
Dose 1 — Moderna
-
2021-01-26
Registered in v-safe
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2021-01-26
Survey response — day 7, dose 1MedDRA: Breast pain — Feeling: Poor · Site: Pain, Redness, Swelling · Chills, Joint pains, Fatigue or tiredness, Nausea · Be unable to do your normal daily activitiesFree text: Breast painMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-02-02
Survey response — day 14, dose 1MedDRA: Heart rate abnormal, Office visit — Feeling: Fair · 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: Im a long distance runner, went to the local clinic after my heart rate continued to be abnormally high when I try to do an easy run.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-02-02
Report sent to call center — day 14, dose 1Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional1 call case(s)
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2021-02-09
Survey response — day 21, dose 1MedDRA: Chest pain, Heart rate abnormal — Feeling: Poor · 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: Chest pain increased this week. Got a chest x-ray yesterday. Unable to exercise due to heart rate issues and chest pain. Waiting to hear back from the lab to schedule an EKG.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-02-09
Report sent to call center — day 21, dose 1Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional1 call case(s)
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2021-02-16
Survey response — day 28, dose 1MedDRA: Chest pain, Exercise tolerance decreased, Lymph node pain, Lymphadenopathy — Feeling: Poor · Be unable to work, Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultationFree text: Chest pain still present. Lymph nodes swelled back up and became painful. Still able to only do minimum physical activity and unable to exercise.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-02-16
Report sent to call center — day 28, dose 1Be unable to work · Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional1 call case(s)
- 2021-02-23
- 2021-03-02
- 2021-04-21
- 2021-06-17
- 2022-01-19
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-01-19 | Moderna |
Call center
3 call center cases
3 unsuccessful
1 wait over 3 months for a first call
Free text
Release 2 — day 7, dose 1
Systemic reaction (other): Breast pain
Release 3 — day 14, dose 1
Symptoms: Im a long distance runner, went to the local clinic after my heart rate continued to be abnormally high when I try to do an easy run.
Release 3 — day 21, dose 1
Symptoms: Chest pain increased this week. Got a chest x-ray yesterday. Unable to exercise due to heart rate issues and chest pain. Waiting to hear back from the lab to schedule an EKG.
Release 4 — day 28, dose 1
Symptoms: Chest pain still present. Lymph nodes swelled back up and became painful. Still able to only do minimum physical activity and unable to exercise.
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 | Chest pain | ✓ | ✓ | ✓ |
| SD | Exercise tolerance decreased | ✓ | ✓ | ✓ |
| SD | Heart rate abnormal | ✓ | ✓ | ✓ |
| SD | Lymph node pain | ✓ | ✓ | ✓ |
| SD | Lymphadenopathy | ✓ | ✓ | ✓ |
| SD | Office visit | ✓ | ✓ | ✓ |
| SRO | Breast pain | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release