J57-28234-20259
3 vaccinations
1 coded response
3 check-ins
1 free-text entry
1 call case
- Sex
- Female
- Age at first dose
- 41-45
- ZIP prefix
- 936 / CA
- Registered
- 2021-12-23
- Relationship
- Self
- Race
- White
- Ethnicity
- Hispanic or Latino
Timeline
-
2021-01-06
Dose 1 — Moderna
-
2021-02-03
Dose 2 — Moderna
-
2021-10-26
Dose 3 — Moderna
-
2021-12-23
Registered in v-safe
- 2022-01-25
- 2022-04-26
-
2022-10-28
Survey response — 12 months, dose 3MedDRA: Inflammation, Pain — Feeling: Good · Get care from a doctor or other healthcare professional · Emergency room or emergency department visitFree text: Inflammation in the body with severe painMedDRA releases: 2024-11 · check-in free text available
-
2022-10-28
Report sent to call center — 12 months, dose 3Get care from a doctor or other healthcare professionalEmergency room or emergency department visit · 1 call case(s)
- 2022-10-31
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-01-06 | Moderna | No |
| 2 | 2021-02-03 | Moderna | No |
| 3 | 2021-10-26 | Moderna | No |
Call center
1 call center case
1 unsuccessful
Free text
Release 12 — 12 months, dose 3
Symptoms: Inflammation in the body with severe pain
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 | Inflammation | · | · | ✓ |
| SD | Pain | · | · | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release