DMJ-18479-28253
2 vaccinations
2 coded responses
21 check-ins
2 free-text entries
1 call case
- Sex
- Female
- Age at first dose
- 31-35
- ZIP prefix
- 982 / WA
- Registered
- 2021-02-02
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-02-02
Registered in v-safe
-
2021-02-02
Dose 1 — Moderna
- 2021-02-02
-
2021-02-03
Health check-in — days 1–6 daily, dose 1Feeling: Fair · Site: Pain · Muscle or body aches, Fatigue or tirednessAdult check-in
- 2021-02-04
- 2021-02-05
- 2021-02-06
- 2021-02-07
- 2021-02-08
- 2021-02-16
- 2021-02-23
-
2021-03-06
Dose 2 — Moderna
-
2021-03-07
Survey response — days 1–6 daily, dose 2MedDRA: Syncope — Feeling: Poor · Site: Pain · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea, Abdominal pain · Be unable to do your normal daily activitiesFree text: Almost faintingMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-03-08
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Site: Pain, Redness, Itching · Headache, Fatigue or tirednessAdult check-in
-
2021-03-09
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Site: Pain, Redness, Itching · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activitiesAdult check-in
-
2021-03-10
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Site: Pain, Itching · Headache, Fatigue or tiredness · Be unable to do your normal daily activitiesAdult check-in
- 2021-03-13
- 2021-03-22
- 2021-03-27
- 2021-04-12
- 2021-04-17
- 2021-06-05
- 2021-09-04
-
2022-03-06
Survey response — 12 months, dose 2MedDRA: Immediate post-injection reaction, Inflammation, Musculoskeletal stiffness, Urticaria — Feeling: Fair · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visitFree text: I've had a stiff neck and have had inflammation (hives) each time I shower or am in warm water for a time (15+ minutes). This started right after getting a Pfizer booster. 1st and 2nd shots were moderna. I have a family history of auto immune diseaseMedDRA releases: 2024-11 · check-in free text available
-
2022-03-06
Report sent to call center — 12 months, dose 2Get care from a doctor or other healthcare professionalOutpatient clinic or urgent care clinic visit · 1 call case(s)
- 2022-03-11
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-02-02 | Moderna | |
| 2 | 2021-03-06 | Moderna |
Call center
1 call center case
1 unsuccessful
Free text
Release 5 — days 1–6 daily, dose 2
Systemic reaction (other): Almost fainting
Release 11 — 12 months, dose 2
Symptoms: I've had a stiff neck and have had inflammation (hives) each time I shower or am in warm water for a time (15+ minutes). This started right after getting a Pfizer booster. 1st and 2nd shots were moderna. I have a family history of auto immune disease cut off by CDC
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 | Immediate post-injection reaction | · | · | ✓ |
| SD | Inflammation | · | · | ✓ |
| SD | Musculoskeletal stiffness | · | · | ✓ |
| SD | Urticaria | · | · | ✓ |
| SRO | Syncope | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release