5K7-29154-59128
1 vaccination
2 coded responses
5 check-ins
2 free-text entries
1 call case
- Sex
- Female
- Age at first dose
- 61-65
- ZIP prefix
- 342 / FL
- Registered
- 2021-03-19
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-03-19
Registered in v-safe
-
2021-03-19
Dose 1 — Moderna
- 2021-03-19
- 2021-03-20
- 2021-03-21
-
2021-09-19
Survey response — 6 months, dose 1MedDRA: Cardiovascular symptom, Chest discomfort, Chest pain, Hospitalisation — Feeling: Good · Be unable to work or attend school, Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Emergency room or emergency department visit, HospitalizationFree text: Had symptoms of heart attack and admitted to hospital while testing done on the cause. Determined not to be my heart, but cause of pain and tightness in chest not determined.MedDRA releases: 2024-11 · check-in free text available
-
2021-09-19
Report sent to call center — 6 months, dose 1Be unable to work or attend school · Be unable to do your normal daily activities · Get care from a doctor or other healthcare pr1 call case(s)
- 2021-09-23
-
2022-03-20
Survey response — 12 months, dose 1MedDRA: Angina pectoris, Arthritis, Asthenia, Depressed mood, Discomfort, Headache, Pain, Self-medication — Feeling: Good · Be unable to work or attend school, Be unable to do your normal daily activitiesFree text: After my booster I was down for 3 days with low energy, headache and apparent inflammation in my joints that caused discomfort, and at times pain near my heart. The pain moved around, and I received some relief taking Advil every 4 hours.MedDRA releases: 2024-11 · check-in free text available
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-03-19 | Moderna |
Call center
1 call center case
1 unsuccessful
Free text
Release 9 — 6 months, dose 1
Symptoms: Had symptoms of heart attack and admitted to hospital while testing done on the cause. Determined not to be my heart, but cause of pain and tightness in chest not determined.
Release 11 — 12 months, dose 1
Symptoms: After my booster I was down for 3 days with low energy, headache and apparent inflammation in my joints that caused discomfort, and at times pain near my heart. The pain moved around, and I received some relief taking Advil every 4 hours.
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 | Angina pectoris | · | · | ✓ |
| SD | Arthritis | · | · | ✓ |
| SD | Asthenia | · | · | ✓ |
| SD | Cardiovascular symptom | · | · | ✓ |
| SD | Chest discomfort | · | · | ✓ |
| SD | Chest pain | · | · | ✓ |
| SD | Depressed mood | · | · | ✓ |
| SD | Discomfort | · | · | ✓ |
| SD | Headache | · | · | ✓ |
| SD | Hospitalisation | · | · | ✓ |
| SD | Pain | · | · | ✓ |
| SD | Self-medication | · | · | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release