4R3-45261-43518
2 vaccinations
3 coded responses
9 check-ins
3 free-text entries
1 call case
- Sex
- Female
- Age at first dose
- 66+
- ZIP prefix
- 933 / CA
- Registered
- 2021-01-29
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-01-29
Registered in v-safe
-
2021-01-29
Dose 1 — Moderna
- 2021-01-29
- 2021-01-30
- 2021-02-01
- 2021-02-03
- 2021-02-04
- 2021-02-21
-
2021-02-26
Dose 2 — Moderna
-
2021-03-14
Survey response — day 14, dose 2MedDRA: Chest pain, Emergency care, Flank pain, Office visit, Pain in extremity, Self-medication — Feeling: Poor · Be unable to work, Be unable to do your normal daily activitiesFree text: Extreme pain in the left chest, left arm and left side of the back for more than 2 weeks post second Maderna shot. Have been to urgent care for cardiac work up, been to ER for cardiac work up and have had a CT scan. Tylenol and Advil do not work.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-03-26
Survey response — day 28, dose 2MedDRA: Chest pain, Emergency care, Feeling abnormal, Office visit — Feeling: Poor · Be unable to do your normal daily activitiesFree text: My left side around my heart has been hurting since I got my second shot! I have never I. My life felt so badly. Went to urgent care, emergency at hospital. They did all kinds of test, nothing wrong with my heart. Im curious to know if any one elsMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-05-28
Survey response — 3 months, dose 2MedDRA: Lymph node pain, Lymphadenopathy — Feeling: Poor · Be unable to work, Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultation, Outpatient clinic or urgent care clinic visit, Emergency room or emergency department visitFree text: Have had pain for 3 months, since my second vaccine, had my lymph nodes have been swollen in my left breast, very painful.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-05-28
Report sent to call center — 3 months, dose 2Be unable to work · Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional1 call case(s)
-
2022-02-15
Call successfulDoes not wish to fill out VAERS report
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-01-29 | Moderna | |
| 2 | 2021-02-26 | Moderna |
Call center
1 call center case
1 successful
Free text
Release 5 — day 14, dose 2
Symptoms: Extreme pain in the left chest, left arm and left side of the back for more than 2 weeks post second Maderna shot. Have been to urgent care for cardiac work up, been to ER for cardiac work up and have had a CT scan. Tylenol and Advil do not work.
Release 6 — day 28, dose 2
Symptoms: My left side around my heart has been hurting since I got my second shot! I have never I. My life felt so badly. Went to urgent care, emergency at hospital. They did all kinds of test, nothing wrong with my heart. Im curious to know if any one els
Release 8 — 3 months, dose 2
Symptoms: Have had pain for 3 months, since my second vaccine, had my lymph nodes have been swollen in my left breast, very painful.
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 |
|---|---|---|---|---|
| SD | Chest pain | ✓ | ✓ | ✓ |
| SD | Emergency care | ✓ | ✓ | ✓ |
| SD | Feeling abnormal | · | · | ✓ |
| SD | Flank pain | ✓ | ✓ | ✓ |
| SD | Lymph node pain | ✓ | ✓ | ✓ |
| SD | Lymphadenopathy | ✓ | ✓ | ✓ |
| SD | Office visit | ✓ | ✓ | ✓ |
| SD | Pain in extremity | ✓ | ✓ | ✓ |
| SD | Self-medication | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release