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VXJ-93460-86276

2 vaccinations 5 coded responses 16 check-ins 5 free-text entries 0 call cases
Sex
Female
Age at first dose
31-35
ZIP prefix
232 / VA
Registered
2021-08-26
Relationship
Self
Race
White
Ethnicity
Not Hispanic or Latino

Timeline

  1. 2021-08-06
    Dose 1 — Moderna
  2. 2021-08-26
    Registered in v-safe
  3. 2021-08-26
    Health check-in — day 14, dose 1
    Feeling: Good
    Adult check-in
  4. 2021-08-29
    Health check-in — day 21, dose 1
    Feeling: Good
    Adult check-in
  5. 2021-09-03
    Dose 2 — Moderna
  6. 2021-09-03
    Survey response — day 0, dose 2
    MedDRA: No adverse event — Feeling: Good · Site: Pain
    Free text: Symptoms: \ · Systemic reaction (other): No
    MedDRA releases: 2021-09,2024-11 · check-in free text available
  7. 2021-09-05
    Survey response — days 1–6 daily, dose 2
    MedDRA: Chest discomfort, Chest pain, Dyspnoea, Heart rate increased — Feeling: Fair · Site: Pain, Swelling · Muscle or body aches · Be unable to do your normal daily activities
    Free text: Earlier today I did have some chest pain (tightening around my heart) and slight shortness of breath. I also noticed my heart rate was very fast as if I had just exercised. I was going to call my doctor if the symptoms persisted but they did not.
    MedDRA releases: 2021-09,2024-11 · check-in free text available
  8. 2021-09-06
    Survey response — days 1–6 daily, dose 2
    MedDRA: Heart rate increased — Feeling: Good · Site: Swelling
    Free text: I had an elevated heart rate in the middle of the night.
    MedDRA releases: 2021-09,2024-11 · check-in free text available
  9. 2021-09-07
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · None
    Adult check-in
  10. 2021-09-08
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · None
    Adult check-in
  11. 2021-09-09
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · None
    Adult check-in
  12. 2021-09-10
    Health check-in — day 7, dose 2
    Feeling: Good · Diarrhea
    Adult check-in
  13. 2021-09-17
    Health check-in — day 14, dose 2
    Feeling: Good
    Adult check-in
  14. 2021-09-24
    Survey response — day 21, dose 2
    MedDRA: Back pain, Chills, Lethargy — Feeling: Good · Be unable to work or attend school, Be unable to do your normal daily activities
    Free text: Late Saturday night and all day Sunday I had chills/shivering, lethargy and very bad back aches. No fever.
    MedDRA releases: 2024-11 · check-in free text available
  15. 2021-10-01
    Health check-in — day 28, dose 2
    Feeling: Good
    Adult check-in
  16. 2021-10-10
    Health check-in — day 35, dose 2
    Feeling: Good
    Adult check-in
  17. 2021-10-15
    Health check-in — day 42, dose 2
    Feeling: Good
    Adult check-in
  18. 2021-12-03
    Health check-in — 3 months, dose 2
    Feeling: Good
    Adult check-in
  19. 2022-03-04
    Survey response — 6 months, dose 2
    MedDRA: Abdominal pain upper, Chills, Diarrhoea, Pain — Feeling: Poor · Be unable to work or attend school, Be unable to do your normal daily activities
    Free text: Chills, body aches, diarrhea, stomach pain, are soreness
    MedDRA releases: 2024-11 · check-in free text available

Vaccinations

DoseDateManufacturerCo-administered
12021-08-06Moderna No
22021-09-03Moderna No

Free text

Release 9 — day 0, dose 2

2021-09-03

Symptoms: \
Systemic reaction (other): No

Release 9 — days 1–6 daily, dose 2

2021-09-05

Systemic reaction (other): Earlier today I did have some chest pain (tightening around my heart) and slight shortness of breath. I also noticed my heart rate was very fast as if I had just exercised. I was going to call my doctor if the symptoms persisted but they did not.

2021-09-06

Systemic reaction (other): I had an elevated heart rate in the middle of the night.

Release 9 — day 21, dose 2

2021-09-24

Symptoms: Late Saturday night and all day Sunday I had chills/shivering, lethargy and very bad back aches. No fever.

Release 11 — 6 months, dose 2

2022-03-04

Symptoms: Chills, body aches, diarrhea, stomach pain, are soreness

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 · · ✓
SDBack pain · · ✓
SDChills · · ✓
SDDiarrhoea · · ✓
SDLethargy · · ✓
SDPain · · ✓
SROChest discomfort ✓ · ✓
SROChest pain ✓ · ✓
SRODyspnoea ✓ · ✓
SROHeart rate increased ✓ · ✓
SRONo adverse event ✓ · ✓

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