4JL-26368-12709
2 vaccinations
4 coded responses
16 check-ins
4 free-text entries
1 call case
- Sex
- Female
- Age at first dose
- 31-35
- ZIP prefix
- 327 / FL
- Registered
- 2021-04-06
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-04-06
Registered in v-safe
-
2021-04-06
Dose 1 — Moderna
- 2021-04-06
- 2021-04-07
- 2021-04-08
- 2021-04-09
- 2021-04-10
- 2021-04-11
- 2021-04-12
- 2021-04-13
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2021-04-21
Survey response — day 14, dose 1MedDRA: Migraine, Pre-existing disease — Feeling: FairFree text: Had a migraine headache on April 19, could be unrelated as Ive had migraines before, though I do not have them frequently.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-04-27
Survey response — day 21, dose 1MedDRA: Anxiety, Dizziness, Headache, Paraesthesia, Unevaluable event — Feeling: Fair · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professionalFree text: Symptoms: Have had recurring headache, pins and needles feeling in left hand and foot. Some lightheadedness and anxiety. · Healthcare visit (other): Have a doctors appointment tomorrow, have not gone yet.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-04-27
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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2021-05-04
Dose 2 — Moderna
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2021-05-04
Health check-in — day 0, dose 2Feeling: Good · Site: Pain, Itching · Headache, Fatigue or tirednessAdult check-in
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2021-05-05
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Site: Pain, Redness, Swelling, Itching · Headache, Muscle or body aches, Fatigue or tiredness, Nausea, Diarrhea · Be unable to work, Be unable to do your normal daily activitiesAdult check-in
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2021-05-06
Survey response — days 1–6 daily, dose 2MedDRA: Back pain, Chest pain, Pain, Self-medication — Feeling: Fair · Site: Pain, Redness, Swelling, Itching · Headache, Muscle or body aches, Fatigue or tiredness · Be unable to work, Be unable to do your normal daily activitiesFree text: Had very severe back pain last evening, was kind of radiating into my chest. Has eased up with ibuprofen and rest.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-05-07
Survey response — days 1–6 daily, dose 2MedDRA: Malaise — Feeling: Poor · Site: Pain, Redness, Swelling, Itching · Headache, Muscle or body aches, Fatigue or tirednessFree text: Feeling unwellMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-08-03
- 2021-11-04
- 2022-04-07
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-04-06 | Moderna | |
| 2 | 2021-05-04 | Moderna |
Call center
1 call center case
1 unsuccessful
1 wait over 3 months for a first call
Free text
Release 7 — day 14, dose 1
Symptoms: Had a migraine headache on April 19, could be unrelated as Ive had migraines before, though I do not have them frequently.
Release 8 — day 21, dose 1
Symptoms: Have had recurring headache, pins and needles feeling in left hand and foot. Some lightheadedness and anxiety.
Healthcare visit (other): Have a doctors appointment tomorrow, have not gone yet.
Release 8 — days 1–6 daily, dose 2
Systemic reaction (other): Had very severe back pain last evening, was kind of radiating into my chest. Has eased up with ibuprofen and rest.
Systemic reaction (other): Feeling unwell
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 | Unevaluable event | ✓ | ✓ | ✓ |
| SD | Anxiety | ✓ | ✓ | ✓ |
| SD | Dizziness | ✓ | ✓ | ✓ |
| SD | Headache | ✓ | ✓ | ✓ |
| SD | Migraine | ✓ | ✓ | ✓ |
| SD | Paraesthesia | ✓ | ✓ | ✓ |
| SD | Pre-existing disease | ✓ | ✓ | ✓ |
| SRO | Back pain | ✓ | ✓ | ✓ |
| SRO | Chest pain | ✓ | ✓ | ✓ |
| SRO | Malaise | ✓ | ✓ | ✓ |
| SRO | Pain | ✓ | ✓ | ✓ |
| SRO | Self-medication | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release