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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

  1. 2021-05-03
    Dose 1 — Moderna
  2. 2021-05-04
    Registered in v-safe
  3. 2021-05-04
    Survey response — days 1–6 daily, dose 1
    MedDRA: Chest pain — Feeling: Fair · Site: Swelling · Chills, Nausea, Abdominal pain · Be unable to do your normal daily activities
    Free text: Chest Pain
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  4. 2021-05-05
    Survey response — days 1–6 daily, dose 1
    MedDRA: 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 consultation
    Free text: Last Night, i had Burning Chest Pain on Left side. All day yesterday was Sharp Chest Pain ;( on and off
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  5. 2021-05-05
    Report sent to call center — days 1–6 daily, dose 1
    Get care from a doctor or other healthcare professional
    1 call case(s)
  6. 2021-05-06
    Survey response — days 1–6 daily, dose 1
    MedDRA: Chest pain, Self-medication, Swelling face — Feeling: Fair · Chills, Headache, Fatigue or tiredness, Diarrhea
    Free text: Chest Pain, Face Swollen and i took Benadryl
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  7. 2021-05-07
    Survey response — days 1–6 daily, dose 1
    MedDRA: 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 visit
    Free text: Emergency room last night from 12:30am till 8am
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  8. 2021-05-07
    Report sent to call center — days 1–6 daily, dose 1
    Get care from a doctor or other healthcare professional
    1 call case(s)
  9. 2021-05-08
    Survey response — days 1–6 daily, dose 1
    MedDRA: Dyspnoea, Heart rate increased, Insomnia, Tremor — Feeling: Fair · Chills, Headache, Nausea, Abdominal pain
    Free text: Yes, i keep waking up in the middle of the night with my heart beating fast and shaking and gasping for air
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  10. 2021-05-09
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · None
    Adult check-in
  11. 2021-05-17
    Health check-in — day 14, dose 1
    Feeling: Good
    Adult check-in
  12. 2021-05-24
    Survey response — day 21, dose 1
    MedDRA: Chest pain — Feeling: Fair
    Free text: Chest Pain on and off. All that started 4 hours after i took the first Moderna. I have Cardiologist Appointment in 2 weeks
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  13. 2022-01-07

Vaccinations

DoseDateManufacturerCo-administered
12021-05-03Moderna

Call center

2 call center cases

2 unsuccessful

1 wait over 3 months for a first call

See the call center timeline

Free text

Release 8 — days 1–6 daily, dose 1

2021-05-04

Systemic reaction (other): Chest Pain

2021-05-05

Systemic reaction (other): Last Night, i had Burning Chest Pain on Left side. All day yesterday was Sharp Chest Pain ;( on and off

2021-05-06

Systemic reaction (other): Chest Pain, Face Swollen and i took Benadryl

2021-05-07

Healthcare visit (other): Emergency room last night from 12:30am till 8am

2021-05-08

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

2021-05-24

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

FieldPreferred term2021-092023-042024-11
HCVOEmergency care ✓ ✓ ✓
SDChest pain ✓ ✓ ✓
SROChest pain ✓ ✓ ✓
SRODyspnoea ✓ ✓ ✓
SROHeart rate increased ✓ ✓ ✓
SROInsomnia ✓ ✓ ✓
SROSelf-medication ✓ ✓ ✓
SROSwelling face ✓ ✓ ✓
SROTremor ✓ ✓ ✓

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