4JM-18242-09003
2 vaccinations
6 coded responses
17 check-ins
6 free-text entries
1 call case
- Sex
- Female
- Age at first dose
- 61-65
- ZIP prefix
- 774 / TX
- Registered
- 2021-01-10
- Relationship
- Self
- Race
- Asian
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-01-10
Registered in v-safe
-
2021-01-10
Dose 1 — Moderna
- 2021-01-10
- 2021-01-11
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2021-01-12
Health check-in — days 1–6 daily, dose 1Feeling: Fair · Site: Pain, Swelling · Chills, Headache, Muscle or body aches, NauseaAdult check-in
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2021-01-13
Health check-in — days 1–6 daily, dose 1Feeling: Fair · Site: Pain · Headache, Fatigue or tirednessAdult check-in
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2021-01-14
Survey response — days 1–6 daily, dose 1MedDRA: Neuralgia, Renal pain — Feeling: Fair · Chills, Fatigue or tirednessFree text: Last night kidney area discomfort, nerve pain on right hip and right legMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-01-15
Survey response — days 1–6 daily, dose 1MedDRA: Chest discomfort — Feeling: Fair · Fatigue or tiredness, NauseaFree text: Chest feels heavyMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-01-16
Survey response — days 1–6 daily, dose 1MedDRA: Lymph node pain — Feeling: Fair · Fatigue or tirednessFree text: Left neck Lymph nodes tenderMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-01-17
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2021-01-24
Survey response — day 14, dose 1MedDRA: Chest discomfort, Fatigue, Oropharyngeal discomfort, Palpitations — Feeling: Fair · Be unable to do your normal daily activitiesFree text: Wake up fatigue, stay fatigue all day. chest feeling heavy, racing heart beat sometimes, feeling heart jumps out of throatMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-01-31
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2021-02-07
Survey response — day 28, dose 1MedDRA: Feeling abnormal, Hyperaesthesia teeth — Feeling: FairFree text: Upper and lower left side (injection side) teeth sensitive. Left calf feeling weirdMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-02-14
- 2021-02-21
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2021-04-02
Dose 2 — Janssen/Johnson & Johnson
- 2021-04-11
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2021-07-02
Survey response — 3 months, dose 2MedDRA: Hypertension, Neuralgia, Office visit, Pain in extremity — Feeling: Fair · Get care from a doctor or other healthcare professional · Emergency room or emergency department visitFree text: Symptoms: Nerve pain on whole feet and toes, nerve pain on fingers. Also high blood pressure and I had normal/low blood pressure before vaccines. · Healthcare visit (other): Doctors office visit and follow upsMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-07-02
Report sent to call center — 3 months, dose 2Get care from a doctor or other healthcare professional1 call case(s)
- 2021-07-07
- 2021-10-01
- 2022-04-02
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-01-10 | Moderna | |
| 2 | 2021-04-02 | Janssen/Johnson & Johnson |
Call center
1 call center case
1 unsuccessful
Free text
Release 2 — days 1–6 daily, dose 1
Systemic reaction (other): Last night kidney area discomfort, nerve pain on right hip and right leg
Systemic reaction (other): Chest feels heavy
Systemic reaction (other): Left neck Lymph nodes tender
Release 2 — day 14, dose 1
Symptoms: Wake up fatigue, stay fatigue all day. chest feeling heavy, racing heart beat sometimes, feeling heart jumps out of throat
Release 3 — day 28, dose 1
Symptoms: Upper and lower left side (injection side) teeth sensitive. Left calf feeling weird
Release 9 — 3 months, dose 2
Symptoms: Nerve pain on whole feet and toes, nerve pain on fingers. Also high blood pressure and I had normal/low blood pressure before vaccines.
Healthcare visit (other): Doctors office visit and follow ups
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 | Chest discomfort | ✓ | ✓ | ✓ |
| SD | Fatigue | ✓ | ✓ | ✓ |
| SD | Feeling abnormal | ✓ | ✓ | ✓ |
| SD | Hyperaesthesia teeth | ✓ | ✓ | ✓ |
| SD | Hypertension | ✓ | ✓ | ✓ |
| SD | Neuralgia | ✓ | ✓ | ✓ |
| SD | Oropharyngeal discomfort | ✓ | ✓ | ✓ |
| SD | Pain in extremity | ✓ | ✓ | ✓ |
| SD | Palpitations | ✓ | ✓ | ✓ |
| SRO | Chest discomfort | ✓ | ✓ | ✓ |
| SRO | Lymph node pain | ✓ | ✓ | ✓ |
| SRO | Neuralgia | ✓ | ✓ | ✓ |
| SRO | Renal pain | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release