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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

  1. 2021-04-30
    Dose 1 — Moderna
  2. 2021-05-09
    Registered in v-safe
  3. 2021-05-09
    Survey response — day 7, dose 1
    MedDRA: 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 activities
    Free text: insomnia with some anxiety or paranoia, appetite loss, mood swings, skin sensitivity
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  4. 2021-05-14
    Health check-in — day 14, dose 1
    Feeling: Good
    Adult check-in
  5. 2021-05-21
    Health check-in — day 21, dose 1
    Feeling: Good
    Adult check-in
  6. 2021-05-28
    Dose 2 — Moderna
  7. 2021-05-29
    Survey response — days 1–6 daily, dose 2
    MedDRA: 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 activities
    Free text: Slightly constricted airways causing me to cough, tingly skin
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  8. 2021-05-30
    Survey response — days 1–6 daily, dose 2
    MedDRA: 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 activities
    Free text: chest pain, lessening cough from constricted airway, ribs hurt all around this morning
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  9. 2021-05-31
    Survey response — days 1–6 daily, dose 2
    MedDRA: Cough, Throat tightness — Feeling: Fair · Site: Pain · Be unable to do your normal daily activities
    Free text: cough almost gone from constricted airways, menstruating, waiting for possible delayed reaction like with first shot
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  10. 2021-06-01
    Survey response — days 1–6 daily, dose 2
    MedDRA: Axillary pain, Chest discomfort, Cough — Feeling: Good · Site: Itching · Fatigue or tiredness · Be unable to work, Be unable to do your normal daily activities
    Free text: pain in armpit, chest discomfort, still slight cough, menstruating
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  11. 2021-06-02
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · None
    Adult check-in
  12. 2021-06-03
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · Headache
    Adult check-in
  13. 2021-06-04
    Survey response — day 7, dose 2
    MedDRA: Decreased appetite — Feeling: Good
    Free text: some appetite loss
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  14. 2021-06-11
    Health check-in — day 14, dose 2
    Feeling: Fair
    Adult check-in
  15. 2021-06-18
    Health check-in — day 21, dose 2
    Feeling: Good
    Adult check-in
  16. 2021-06-25
    Health check-in — day 28, dose 2
    Feeling: Fair
    Adult check-in
  17. 2021-07-02
    Health check-in — day 35, dose 2
    Feeling: Good
    Adult check-in
  18. 2021-07-09
    Health check-in — day 42, dose 2
    Feeling: Good
    Adult check-in
  19. 2021-08-27
    Health check-in — 3 months, dose 2
    Feeling: Fair
    Adult check-in
  20. 2021-11-26
    Survey response — 6 months, dose 2
    MedDRA: Blood pressure increased, Extrasystoles, Office visit, Sinus disorder — Feeling: Good · Get care from a doctor or other healthcare professional
    Free text: Symptoms: Extra heartbeats, elevated blood pressure, slight sinus issues · Healthcare visit (other): doctor and cardiologist
    MedDRA releases: 2024-11 · check-in free text available
  21. 2021-11-26
    Report sent to call center — 6 months, dose 2
    Get care from a doctor or other healthcare professional
    1 call case(s)
  22. 2021-11-30
  23. 2022-05-28
    Health check-in — 12 months, dose 2
    Feeling: Fair
    Adult check-in

Vaccinations

DoseDateManufacturerCo-administered
12021-04-30Moderna
22021-05-28Moderna

Call center

1 call center case

1 unsuccessful

See the call center timeline

Free text

Release 8 — day 7, dose 1

2021-05-09

Systemic reaction (other): insomnia with some anxiety or paranoia, appetite loss, mood swings, skin sensitivity

Release 8 — days 1–6 daily, dose 2

2021-05-29

Systemic reaction (other): Slightly constricted airways causing me to cough, tingly skin

2021-05-30

Systemic reaction (other): chest pain, lessening cough from constricted airway, ribs hurt all around this morning

2021-05-31

Systemic reaction (other): cough almost gone from constricted airways, menstruating, waiting for possible delayed reaction like with first shot

2021-06-01

Systemic reaction (other): pain in armpit, chest discomfort, still slight cough, menstruating

Release 8 — day 7, dose 2

2021-06-04

Systemic reaction (other): some appetite loss

Release 10 — 6 months, dose 2

2021-11-26

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

FieldPreferred term2021-092023-042024-11
HCVOOffice visit · · ✓
SDBlood pressure increased · · ✓
SDExtrasystoles · · ✓
SDSinus disorder · · ✓
SROAnxiety ✓ ✓ ✓
SROAxillary pain ✓ ✓ ✓
SROChest discomfort ✓ ✓ ✓
SROChest pain ✓ ✓ ✓
SROCough ✓ ✓ ✓
SRODecreased appetite ✓ ✓ ✓
SROInsomnia ✓ ✓ ✓
SROMood swings ✓ ✓ ✓
SROMusculoskeletal chest pain ✓ ✓ ✓
SROObstructive airways disorder ✓ ✓ ✓
SROParaesthesia ✓ ✓ ✓
SROParanoia ✓ ✓ ✓
SROSkin sensitisation ✓ ✓ ✓
SROThroat tightness ✓ ✓ ✓

✓ active code · ○ coded but marked inactive · blank = not in that release