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JNK-11231-73677

1 vaccination 3 coded responses 12 check-ins 3 free-text entries 0 call cases
Sex
Female
Age at first dose
66+
ZIP prefix
073 / NJ
Registered
2021-08-22
Relationship
Adult relative or friend
Guardian
57G-27826-23818
Race
White
Ethnicity
Not Hispanic or Latino

Timeline

  1. 2021-08-21
    Dose 1 — Moderna
  2. 2021-08-22
    Registered in v-safe
  3. 2021-08-22
    Survey response — days 1–6 daily, dose 1, dependent
    MedDRA: Tachycardia — Feeling: Good · Headache · Be unable to do their normal daily activities
    Free text: Tachycardia
    MedDRA releases: 2021-09,2024-11 · check-in free text available
  4. 2021-08-23
    Health check-in — days 1–6 daily, dose 1, dependent
    Feeling: Good · None
    Adult check-in
  5. 2021-08-25
    Survey response — days 1–6 daily, dose 1, dependent
    MedDRA: Chest pain — Feeling: Good
    Free text: Chest pain
    MedDRA releases: 2021-09,2024-11 · check-in free text available
  6. 2021-08-26
    Health check-in — days 1–6 daily, dose 1, dependent
    Feeling: Good · None
    Adult check-in
  7. 2021-08-27
    Health check-in — days 1–6 daily, dose 1, dependent
    Feeling: Good · None
    Adult check-in
  8. 2021-09-06
    Health check-in — day 14, dose 1, dependent
    Feeling: Good
    Adult check-in
  9. 2021-09-11
    Survey response — day 21, dose 1, dependent
    MedDRA: Fatigue — Feeling: Fair
    Free text: Fatigue but, most probably, unrelated to the vaccine
    MedDRA releases: 2024-11 · check-in free text available
  10. 2021-09-18
    Health check-in — day 28, dose 1, dependent
    Feeling: Good
    Adult check-in
  11. 2021-09-25
    Health check-in — day 35, dose 1, dependent
    Feeling: Good
    Adult check-in
  12. 2021-11-22
  13. 2022-02-21
  14. 2022-08-21

Vaccinations

DoseDateManufacturerCo-administered
12021-08-21Moderna No

Free text

Release 9 — days 1–6 daily, dose 1, dependent

2021-08-22

Systemic reaction (other): Tachycardia

2021-08-25

Systemic reaction (other): Chest pain

Release 9 — day 21, dose 1, dependent

2021-09-11

Symptoms: Fatigue but, most probably, unrelated to the vaccine

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
SDFatigue · · ✓
SROChest pain ✓ · ✓
SROTachycardia ✓ · ✓

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