4JQ-25777-91165
2 vaccinations
7 coded responses
18 check-ins
7 free-text entries
1 call case
- Sex
- Female
- Age at first dose
- 31-35
- ZIP prefix
- 170 / PA
- Registered
- 2021-05-09
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-04-30
Dose 1 — Moderna
-
2021-05-09
Registered in v-safe
-
2021-05-09
Survey response — day 7, dose 1MedDRA: Anxiety, Decreased appetite, Insomnia, Mood swings, Paranoia, Skin sensitisation — Feeling: Poor · Site: Pain, Itching · Chills, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activitiesFree text: insomnia with some anxiety or paranoia, appetite loss, mood swings, skin sensitivityMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-05-14
- 2021-05-21
-
2021-05-28
Dose 2 — Moderna
-
2021-05-29
Survey response — days 1–6 daily, dose 2MedDRA: Cough, Obstructive airways disorder, Paraesthesia — Feeling: Poor · Site: Pain, Itching · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activitiesFree text: Slightly constricted airways causing me to cough, tingly skinMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-05-30
Survey response — days 1–6 daily, dose 2MedDRA: Chest pain, Cough, Musculoskeletal chest pain — Feeling: Fair · Site: Pain · Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to do your normal daily activitiesFree text: chest pain, lessening cough from constricted airway, ribs hurt all around this morningMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-05-31
Survey response — days 1–6 daily, dose 2MedDRA: Cough, Throat tightness — Feeling: Fair · Site: Pain · Be unable to do your normal daily activitiesFree text: cough almost gone from constricted airways, menstruating, waiting for possible delayed reaction like with first shotMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-06-01
Survey response — days 1–6 daily, dose 2MedDRA: Axillary pain, Chest discomfort, Cough — Feeling: Good · Site: Itching · Fatigue or tiredness · Be unable to work, Be unable to do your normal daily activitiesFree text: pain in armpit, chest discomfort, still slight cough, menstruatingMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-06-02
- 2021-06-03
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2021-06-04
Survey response — day 7, dose 2MedDRA: Decreased appetite — Feeling: GoodFree text: some appetite lossMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-06-11
- 2021-06-18
- 2021-06-25
- 2021-07-02
- 2021-07-09
- 2021-08-27
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2021-11-26
Survey response — 6 months, dose 2MedDRA: Blood pressure increased, Extrasystoles, Office visit, Sinus disorder — Feeling: Good · Get care from a doctor or other healthcare professionalFree text: Symptoms: Extra heartbeats, elevated blood pressure, slight sinus issues · Healthcare visit (other): doctor and cardiologistMedDRA releases: 2024-11 · check-in free text available
-
2021-11-26
Report sent to call center — 6 months, dose 2Get care from a doctor or other healthcare professional1 call case(s)
- 2021-11-30
- 2022-05-28
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-04-30 | Moderna | |
| 2 | 2021-05-28 | Moderna |
Call center
1 call center case
1 unsuccessful
Free text
Release 8 — day 7, dose 1
Systemic reaction (other): insomnia with some anxiety or paranoia, appetite loss, mood swings, skin sensitivity
Release 8 — days 1–6 daily, dose 2
Systemic reaction (other): Slightly constricted airways causing me to cough, tingly skin
Systemic reaction (other): chest pain, lessening cough from constricted airway, ribs hurt all around this morning
Systemic reaction (other): cough almost gone from constricted airways, menstruating, waiting for possible delayed reaction like with first shot
Systemic reaction (other): pain in armpit, chest discomfort, still slight cough, menstruating
Release 8 — day 7, dose 2
Systemic reaction (other): some appetite loss
Release 10 — 6 months, dose 2
Symptoms: Extra heartbeats, elevated blood pressure, slight sinus issues
Healthcare visit (other): doctor and cardiologist
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 | Blood pressure increased | · | · | ✓ |
| SD | Extrasystoles | · | · | ✓ |
| SD | Sinus disorder | · | · | ✓ |
| SRO | Anxiety | ✓ | ✓ | ✓ |
| SRO | Axillary pain | ✓ | ✓ | ✓ |
| SRO | Chest discomfort | ✓ | ✓ | ✓ |
| SRO | Chest pain | ✓ | ✓ | ✓ |
| SRO | Cough | ✓ | ✓ | ✓ |
| SRO | Decreased appetite | ✓ | ✓ | ✓ |
| SRO | Insomnia | ✓ | ✓ | ✓ |
| SRO | Mood swings | ✓ | ✓ | ✓ |
| SRO | Musculoskeletal chest pain | ✓ | ✓ | ✓ |
| SRO | Obstructive airways disorder | ✓ | ✓ | ✓ |
| SRO | Paraesthesia | ✓ | ✓ | ✓ |
| SRO | Paranoia | ✓ | ✓ | ✓ |
| SRO | Skin sensitisation | ✓ | ✓ | ✓ |
| SRO | Throat tightness | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release