J4C-84653-80616
3 vaccinations
5 coded responses
15 check-ins
5 free-text entries
1 call case
- Sex
- Female
- Age at first dose
- 41-45
- ZIP prefix
- 902 / CA
- Registered
- 2021-04-08
- Relationship
- Self
- Race
- Asian
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-03-09
Dose 1 — Moderna
-
2021-04-06
Dose 2 — Moderna
-
2021-04-08
Registered in v-safe
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2021-04-08
Survey response — days 1–6 daily, dose 2MedDRA: Feeling abnormal, Nervousness, Pyrexia — Feeling: Poor · Site: Pain · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to do your normal daily activitiesFree text: I felt strange feeling of nervousness or being scared prior to my fever getting high.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-04-09
Survey response — days 1–6 daily, dose 2MedDRA: Anxiety, Fear, Nervousness — Feeling: Fair · Site: Pain · Headache, Fatigue or tiredness · Be unable to work, Be unable to do your normal daily activitiesFree text: Feelings of nervousness/anxious/fear are gone - Took two days off work to plan for second injection in case of side effects/recoveryMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-04-10
Survey response — days 1–6 daily, dose 2MedDRA: Cough, Oropharyngeal pain — Feeling: Fair · Site: Pain · Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activitiesFree text: Sore throat. Intermittent Dry coughMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-04-11
Survey response — days 1–6 daily, dose 2MedDRA: Dyspnoea exertional — Feeling: Fair · Site: Pain · Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activitiesFree text: Get Short of breath with moderate activity like during gardening, fast walking, or exercisingMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-04-12
Health check-in — days 1–6 daily, dose 2Feeling: Good · Site: Pain · Joint pains, Muscle or body aches · Be unable to work, Be unable to do your normal daily activitiesAdult check-in
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2021-04-13
Health check-in — day 7, dose 2Feeling: Good · Site: Pain · Joint pains, Muscle or body aches, Fatigue or tirednessAdult check-in
- 2021-04-20
- 2021-04-27
- 2021-05-04
- 2021-05-11
- 2021-05-18
- 2021-07-06
- 2021-10-05
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2021-11-15
Dose 3 — Moderna
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2022-04-07
Survey response — 12 months, dose 2MedDRA: Abdominal pain upper, Diarrhoea, Dyspnoea, Fatigue, Headache, Hyperhidrosis, Insomnia, Pain, Productive cough, Pyrexia, Respiratory tract congestion, Rhinorrhoea, Sputum discoloured, Wheezing — 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 · Outpatient clinic or urgent care clinic visitFree text: High fever and sweating. Severe body aches. Cough with green phglem. Runny nose, congestion, hard to take deep breaths at night, wheezing, shortness of breath, and severe fatigue Massive headaches and stomach ache and diarrhea. Unable to sleep/restMedDRA releases: 2024-11 · check-in free text available
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2022-04-07
Report sent to call center — 12 months, dose 2Be unable to work or attend school · Be unable to do your normal daily activities · Get care from a doctor or other healthcare prOutpatient clinic or urgent care clinic visit · 1 call case(s)
- 2022-04-15
- 2022-05-16
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-03-09 | Moderna | |
| 2 | 2021-04-06 | Moderna | |
| 3 | 2021-11-15 | Moderna | No |
Call center
1 call center case
1 unsuccessful
Free text
Release 7 — days 1–6 daily, dose 2
Systemic reaction (other): I felt strange feeling of nervousness or being scared prior to my fever getting high.
Systemic reaction (other): Feelings of nervousness/anxious/fear are gone - Took two days off work to plan for second injection in case of side effects/recovery
Systemic reaction (other): Sore throat. Intermittent Dry cough
Systemic reaction (other): Get Short of breath with moderate activity like during gardening, fast walking, or exercising
Release 11 — 12 months, dose 2
Symptoms: High fever and sweating. Severe body aches. Cough with green phglem. Runny nose, congestion, hard to take deep breaths at night, wheezing, shortness of breath, and severe fatigue Massive headaches and stomach ache and diarrhea. Unable to sleep/rest 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 | Abdominal pain upper | · | · | ✓ |
| SD | Diarrhoea | · | · | ✓ |
| SD | Dyspnoea | · | · | ✓ |
| SD | Fatigue | · | · | ✓ |
| SD | Headache | · | · | ✓ |
| SD | Hyperhidrosis | · | · | ✓ |
| SD | Insomnia | · | · | ✓ |
| SD | Pain | · | · | ✓ |
| SD | Productive cough | · | · | ✓ |
| SD | Pyrexia | · | · | ✓ |
| SD | Respiratory tract congestion | · | · | ✓ |
| SD | Rhinorrhoea | · | · | ✓ |
| SD | Sputum discoloured | · | · | ✓ |
| SD | Wheezing | · | · | ✓ |
| SRO | Anxiety | ✓ | ✓ | ✓ |
| SRO | Cough | ✓ | ✓ | ✓ |
| SRO | Dyspnoea exertional | ✓ | ✓ | ✓ |
| SRO | Fear | · | · | ✓ |
| SRO | Feeling abnormal | ✓ | ✓ | ✓ |
| SRO | Nervousness | ✓ | ✓ | ✓ |
| SRO | Oropharyngeal pain | ✓ | ✓ | ✓ |
| SRO | Pyrexia | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release