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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

  1. 2021-03-09
    Dose 1 — Moderna
  2. 2021-04-06
    Dose 2 — Moderna
  3. 2021-04-08
    Registered in v-safe
  4. 2021-04-08
    Survey response — days 1–6 daily, dose 2
    MedDRA: 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 activities
    Free 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
  5. 2021-04-09
    Survey response — days 1–6 daily, dose 2
    MedDRA: Anxiety, Fear, Nervousness — Feeling: Fair · Site: Pain · Headache, Fatigue or tiredness · Be unable to work, Be unable to do your normal daily activities
    Free text: Feelings of nervousness/anxious/fear are gone - Took two days off work to plan for second injection in case of side effects/recovery
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  6. 2021-04-10
    Survey response — days 1–6 daily, dose 2
    MedDRA: Cough, Oropharyngeal pain — Feeling: Fair · Site: Pain · Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities
    Free text: Sore throat. Intermittent Dry cough
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  7. 2021-04-11
    Survey response — days 1–6 daily, dose 2
    MedDRA: Dyspnoea exertional — Feeling: Fair · Site: Pain · Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities
    Free text: Get Short of breath with moderate activity like during gardening, fast walking, or exercising
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  8. 2021-04-12
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · Site: Pain · Joint pains, Muscle or body aches · Be unable to work, Be unable to do your normal daily activities
    Adult check-in
  9. 2021-04-13
    Health check-in — day 7, dose 2
    Feeling: Good · Site: Pain · Joint pains, Muscle or body aches, Fatigue or tiredness
    Adult check-in
  10. 2021-04-20
    Health check-in — day 14, dose 2
    Feeling: Good
    Adult check-in
  11. 2021-04-27
    Health check-in — day 21, dose 2
    Feeling: Good
    Adult check-in
  12. 2021-05-04
    Health check-in — day 28, dose 2
    Feeling: Good
    Adult check-in
  13. 2021-05-11
    Health check-in — day 35, dose 2
    Feeling: Good
    Adult check-in
  14. 2021-05-18
    Health check-in — day 42, dose 2
    Feeling: Good
    Adult check-in
  15. 2021-07-06
    Health check-in — 3 months, dose 2
    Feeling: Good
    Adult check-in
  16. 2021-10-05
    Health check-in — 6 months, dose 2
    Feeling: Good
    Adult check-in
  17. 2021-11-15
    Dose 3 — Moderna
  18. 2022-04-07
    Survey response — 12 months, dose 2
    MedDRA: 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 visit
    Free 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/rest
    MedDRA releases: 2024-11 · check-in free text available
  19. 2022-04-07
    Report sent to call center — 12 months, dose 2
    Be unable to work or attend school · Be unable to do your normal daily activities · Get care from a doctor or other healthcare pr
    Outpatient clinic or urgent care clinic visit · 1 call case(s)
  20. 2022-04-15
  21. 2022-05-16
    Health check-in — 6 months, dose 3
    Feeling: Good
    Adult check-in

Vaccinations

DoseDateManufacturerCo-administered
12021-03-09Moderna
22021-04-06Moderna
32021-11-15Moderna No

Call center

1 call center case

1 unsuccessful

See the call center timeline

Free text

Release 7 — days 1–6 daily, dose 2

2021-04-08

Systemic reaction (other): I felt strange feeling of nervousness or being scared prior to my fever getting high.

2021-04-09

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

2021-04-10

Systemic reaction (other): Sore throat. Intermittent Dry cough

2021-04-11

Systemic reaction (other): Get Short of breath with moderate activity like during gardening, fast walking, or exercising

Release 11 — 12 months, dose 2

2022-04-07

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

FieldPreferred term2021-092023-042024-11
SDAbdominal pain upper · · ✓
SDDiarrhoea · · ✓
SDDyspnoea · · ✓
SDFatigue · · ✓
SDHeadache · · ✓
SDHyperhidrosis · · ✓
SDInsomnia · · ✓
SDPain · · ✓
SDProductive cough · · ✓
SDPyrexia · · ✓
SDRespiratory tract congestion · · ✓
SDRhinorrhoea · · ✓
SDSputum discoloured · · ✓
SDWheezing · · ✓
SROAnxiety ✓ ✓ ✓
SROCough ✓ ✓ ✓
SRODyspnoea exertional ✓ ✓ ✓
SROFear · · ✓
SROFeeling abnormal ✓ ✓ ✓
SRONervousness ✓ ✓ ✓
SROOropharyngeal pain ✓ ✓ ✓
SROPyrexia ✓ ✓ ✓

✓ active code · ○ coded but marked inactive · blank = not in that release