4PM-25405-71453
1 vaccination
6 coded responses
8 check-ins
6 free-text entries
2 call cases
- Sex
- Female
- Age at first dose
- 41-45
- ZIP prefix
- 070 / NJ
- Registered
- 2021-05-04
- Relationship
- Self
- Race
- Other
- Ethnicity
- Hispanic or Latino
Timeline
-
2021-05-03
Dose 1 — Moderna
-
2021-05-04
Registered in v-safe
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2021-05-04
Survey response — days 1–6 daily, dose 1MedDRA: Chest pain — Feeling: Fair · Site: Swelling · Chills, Nausea, Abdominal pain · Be unable to do your normal daily activitiesFree text: Chest PainMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-05-05
Survey response — days 1–6 daily, dose 1MedDRA: Chest pain — Feeling: Fair · Chills, Headache, Fatigue or tiredness, Nausea, Diarrhea, Abdominal pain · Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultationFree text: Last Night, i had Burning Chest Pain on Left side. All day yesterday was Sharp Chest Pain ;( on and offMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-05-05
Report sent to call center — days 1–6 daily, dose 1Get care from a doctor or other healthcare professional1 call case(s)
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2021-05-06
Survey response — days 1–6 daily, dose 1MedDRA: Chest pain, Self-medication, Swelling face — Feeling: Fair · Chills, Headache, Fatigue or tiredness, DiarrheaFree text: Chest Pain, Face Swollen and i took BenadrylMedDRA 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 1MedDRA: Emergency care — Feeling: Fair · Chills, Headache, Nausea, Vomiting, Diarrhea, Abdominal pain · Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultation, Emergency room or emergency department visitFree text: Emergency room last night from 12:30am till 8amMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-05-07
Report sent to call center — days 1–6 daily, dose 1Get care from a doctor or other healthcare professional1 call case(s)
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2021-05-08
Survey response — days 1–6 daily, dose 1MedDRA: Dyspnoea, Heart rate increased, Insomnia, Tremor — Feeling: Fair · Chills, Headache, Nausea, Abdominal painFree text: Yes, i keep waking up in the middle of the night with my heart beating fast and shaking and gasping for airMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-05-09
- 2021-05-17
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2021-05-24
Survey response — day 21, dose 1MedDRA: Chest pain — Feeling: FairFree text: Chest Pain on and off. All that started 4 hours after i took the first Moderna. I have Cardiologist Appointment in 2 weeksMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2022-01-07
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-05-03 | Moderna |
Call center
2 call center cases
2 unsuccessful
1 wait over 3 months for a first call
Free text
Release 8 — days 1–6 daily, dose 1
Systemic reaction (other): Chest Pain
Systemic reaction (other): Last Night, i had Burning Chest Pain on Left side. All day yesterday was Sharp Chest Pain ;( on and off
Systemic reaction (other): Chest Pain, Face Swollen and i took Benadryl
Healthcare visit (other): Emergency room last night from 12:30am till 8am
Systemic reaction (other): Yes, i keep waking up in the middle of the night with my heart beating fast and shaking and gasping for air
Release 8 — day 21, dose 1
Symptoms: Chest Pain on and off. All that started 4 hours after i took the first Moderna. I have Cardiologist Appointment in 2 weeks
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 | Emergency care | ✓ | ✓ | ✓ |
| SD | Chest pain | ✓ | ✓ | ✓ |
| SRO | Chest pain | ✓ | ✓ | ✓ |
| SRO | Dyspnoea | ✓ | ✓ | ✓ |
| SRO | Heart rate increased | ✓ | ✓ | ✓ |
| SRO | Insomnia | ✓ | ✓ | ✓ |
| SRO | Self-medication | ✓ | ✓ | ✓ |
| SRO | Swelling face | ✓ | ✓ | ✓ |
| SRO | Tremor | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release