5J5-24761-00576
1 vaccination
7 coded responses
12 check-ins
7 free-text entries
2 call cases
- Sex
- Female
- Age at first dose
- 66+
- ZIP prefix
- 958 / CA
- Registered
- 2021-03-04
- Relationship
- Self
- Race
- Multiracial
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-03-04
Registered in v-safe
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2021-03-04
Dose 1 — Moderna
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2021-03-04
Survey response — day 0, dose 1MedDRA: Injection site pain, Limb discomfort — Feeling: GoodFree text: Slight soreness and heaviness in upper arm where I received the vaccine.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-03-06
Survey response — days 1–6 daily, dose 1MedDRA: Pain in extremity — Feeling: GoodFree text: Still a very mild soreness in my upper arm.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-03-07
Survey response — days 1–6 daily, dose 1MedDRA: Lymphadenopathy, Medical counselling, Neck pain — Feeling: Poor · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Diarrhea · 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 consultationFree text: Systemic reaction (other): Swollen gland on my neck, below right ear, that hurts. · Healthcare visit (other): Telephone call with nurseMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-03-07
Report sent to call center — days 1–6 daily, dose 1Be unable to work · Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional1 call case(s)
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2021-03-10
Survey response — days 1–6 daily, dose 1MedDRA: Dyspnoea, Palpitations — Feeling: Fair · Fever · Muscle or body aches, Fatigue or tirednessFree text: Shortness of breath for the past 4 days. Heart palpitations too.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-03-11
Survey response — day 7, dose 1MedDRA: Respiration abnormal, Sneezing — Feeling: GoodFree text: I didnt sneeze today and realized that Ive been sneezing 5-6 times every day, since getting the vaccine. This is also the first day that my breathing has felt almost normal and not constricted.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-03-18
- 2021-03-25
- 2021-04-01
- 2021-04-08
- 2021-04-16
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2021-06-03
Survey response — 3 months, dose 1MedDRA: Arrhythmia, Dyspnoea, Syncope — Feeling: Good · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultationFree text: Increased incidents of heart arrhythmia. I also had other severe symptoms 3-8 days after my 1st shot including fainting, shortness of breath, and arrhythmia which I was unable to report at the time.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-06-03
Report sent to call center — 3 months, dose 1Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional1 call case(s)
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2021-09-02
Survey response — 6 months, dose 1MedDRA: Pruritus — Feeling: GoodFree text: Itchiness.MedDRA releases: 2021-09,2024-11 · check-in free text available
- 2021-12-15
- 2021-12-15
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-03-04 | Moderna |
Call center
2 call center cases
2 unsuccessful
2 waits over 3 months for a first call
Free text
Release 5 — day 0, dose 1
Systemic reaction (other): Slight soreness and heaviness in upper arm where I received the vaccine.
Release 5 — days 1–6 daily, dose 1
Systemic reaction (other): Still a very mild soreness in my upper arm.
Systemic reaction (other): Swollen gland on my neck, below right ear, that hurts.
Healthcare visit (other): Telephone call with nurse
Systemic reaction (other): Shortness of breath for the past 4 days. Heart palpitations too.
Release 5 — day 7, dose 1
Systemic reaction (other): I didnt sneeze today and realized that Ive been sneezing 5-6 times every day, since getting the vaccine. This is also the first day that my breathing has felt almost normal and not constricted.
Release 8 — 3 months, dose 1
Symptoms: Increased incidents of heart arrhythmia. I also had other severe symptoms 3-8 days after my 1st shot including fainting, shortness of breath, and arrhythmia which I was unable to report at the time.
Release 9 — 6 months, dose 1
Symptoms: Itchiness.
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 | Medical counselling | ✓ | ✓ | ✓ |
| SD | Arrhythmia | ✓ | ✓ | ✓ |
| SD | Dyspnoea | ✓ | ✓ | ✓ |
| SD | Pruritus | ✓ | · | ✓ |
| SD | Syncope | ✓ | ✓ | ✓ |
| SRO | Dyspnoea | ✓ | ✓ | ✓ |
| SRO | Injection site pain | ✓ | ✓ | ✓ |
| SRO | Limb discomfort | ✓ | ✓ | ✓ |
| SRO | Lymphadenopathy | ✓ | ✓ | ✓ |
| SRO | Neck pain | ✓ | ✓ | ✓ |
| SRO | Pain in extremity | ✓ | ✓ | ✓ |
| SRO | Palpitations | ✓ | ✓ | ✓ |
| SRO | Respiration abnormal | ✓ | ✓ | ✓ |
| SRO | Sneezing | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release