5V9-31563-20848
2 vaccinations
6 coded responses
24 check-ins
6 free-text entries
0 call cases
- Sex
- Female
- Age at first dose
- 46-50
- ZIP prefix
- 711 / LA
- Registered
- 2021-07-31
- Relationship
- Self
- Race
- Asian
- Ethnicity
- Not Hispanic or Latino
Timeline
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2021-07-31
Registered in v-safe
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2021-10-07
Dose 1 — ModernaCo-administered: Flu
- 2021-10-07
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2021-10-08
Health check-in — days 1–6 daily, dose 1Feeling: Fair · Site: Pain · Fever · Chills, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activitiesAdult check-in
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2021-10-09
Health check-in — days 1–6 daily, dose 1Feeling: Good · Site: Pain · Joint pains, Fatigue or tiredness, Abdominal painAdult check-in
- 2021-10-10
- 2021-10-11
- 2021-10-12
- 2021-10-13
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2021-10-14
Health check-in — day 7, dose 1Feeling: Good · Joint pains, Muscle or body aches, Fatigue or tirednessAdult check-in
- 2021-10-21
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2021-10-28
Survey response — day 21, dose 1MedDRA: Angina pectoris, Chest discomfort, Chest pain — Feeling: GoodFree text: Having heart chest pain. Pressure and aching feeling. Started later on after getting my 1st Moderna Vaccine Shot.MedDRA releases: 2024-11 · check-in free text available
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2021-11-04
Dose 2 — Moderna
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2021-11-04
Survey response — day 0, dose 2MedDRA: Cardiac discomfort, Chest pain — Feeling: Good · Site: Pain · Fever · Muscle or body achesFree text: Had chest pain from the 1st shot back. Lingering chest pain. Heavy squeezing pressure in my heart.MedDRA releases: 2024-11 · check-in free text available
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2021-11-05
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Site: Pain · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activitiesAdult check-in
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2021-11-06
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Site: Pain · Fever · Fatigue or tiredness, Rash, not including the immediate area around the injection siteAdult check-in
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2021-11-07
Health check-in — days 1–6 daily, dose 2Feeling: Good · Site: Itching · Rash, not including the immediate area around the injection siteAdult check-in
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2021-11-08
Survey response — days 1–6 daily, dose 2MedDRA: Cardiac discomfort, Chest pain — Feeling: Good · Site: Itching · Muscle or body aches, Rash, not including the immediate area around the injection siteFree text: Chest pain feeling. Heart feels like it's being squeezed.MedDRA releases: 2024-11 · check-in free text available
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2021-11-09
Survey response — days 1–6 daily, dose 2MedDRA: Cardiac discomfort, Chest discomfort, Chest pain — Feeling: Good · Muscle or body aches, Rash, not including the immediate area around the injection siteFree text: Chest pain. Squeezing pressure. In the heart area.MedDRA releases: 2024-11 · check-in free text available
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2021-11-10
Survey response — days 1–6 daily, dose 2MedDRA: Back pain, Cardiac discomfort, Chest pain, Fatigue — Feeling: Good · Muscle or body aches, Fatigue or tiredness, Rash, not including the immediate area around the injection siteFree text: Minor chest pains. Feels like the heart us being squeezed tightly. Lower back pain. Tired.MedDRA releases: 2024-11 · check-in free text available
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2021-11-11
Health check-in — day 7, dose 2Feeling: Good · Headache, Muscle or body aches, Fatigue or tirednessAdult check-in
- 2021-11-18
- 2021-11-25
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2021-12-02
Survey response — day 28, dose 2MedDRA: Abdominal pain, Abdominal pain upper, Chest pain, Dizziness, Headache, Muscle spasms, Nausea, Rash, Sneezing — Feeling: Good · Be unable to do your normal daily activitiesFree text: Abdominal Stomach Pain, Cramping, Nausea, Dizziness, Headache, Chest Pain, Sneezing and RashMedDRA releases: 2024-11 · check-in free text available
- 2021-12-09
- 2021-12-16
- 2022-02-03
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-10-07 | Moderna | Flu |
| 2 | 2021-11-04 | Moderna | No |
Free text
Release 10 — day 21, dose 1
Symptoms: Having heart chest pain. Pressure and aching feeling. Started later on after getting my 1st Moderna Vaccine Shot.
Release 10 — day 0, dose 2
Systemic reaction (other): Had chest pain from the 1st shot back. Lingering chest pain. Heavy squeezing pressure in my heart.
Release 10 — days 1–6 daily, dose 2
Systemic reaction (other): Chest pain feeling. Heart feels like it's being squeezed.
Systemic reaction (other): Chest pain. Squeezing pressure. In the heart area.
Systemic reaction (other): Minor chest pains. Feels like the heart us being squeezed tightly. Lower back pain. Tired.
Release 10 — day 28, dose 2
Symptoms: Abdominal Stomach Pain, Cramping, Nausea, Dizziness, Headache, Chest Pain, Sneezing and Rash
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 | Abdominal pain | · | · | ✓ |
| SD | Abdominal pain upper | · | · | ✓ |
| SD | Angina pectoris | · | · | ✓ |
| SD | Chest discomfort | · | · | ✓ |
| SD | Chest pain | · | · | ✓ |
| SD | Dizziness | · | · | ✓ |
| SD | Headache | · | · | ✓ |
| SD | Muscle spasms | · | · | ✓ |
| SD | Nausea | · | · | ✓ |
| SD | Rash | · | · | ✓ |
| SD | Sneezing | · | · | ✓ |
| SRO | Back pain | · | · | ✓ |
| SRO | Cardiac discomfort | · | · | ✓ |
| SRO | Chest discomfort | · | · | ✓ |
| SRO | Chest pain | · | · | ✓ |
| SRO | Fatigue | · | · | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release