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XVJ-30771-80059

3 vaccinations 6 coded responses 21 check-ins 6 free-text entries 0 call cases
Sex
Female
Age at first dose
56-60
ZIP prefix
395 / MS
Registered
2021-07-29
Relationship
Self
Race
White
Ethnicity
Not Hispanic or Latino

Timeline

  1. 2021-07-29
    Registered in v-safe
  2. 2021-07-29
    Dose 1 — Moderna
  3. 2021-07-30
    Survey response — days 1–6 daily, dose 1
    MedDRA: Chest discomfort, Chest pain, Oxygen saturation decreased — Feeling: Poor · Site: Pain
    MedDRA releases: 2021-09,2024-11 · check-in answers available
  4. 2021-07-31
    Health check-in — days 1–6 daily, dose 1
    Feeling: Fair · Nausea, Abdominal pain
    Adult check-in
  5. 2021-08-01
    Survey response — days 1–6 daily, dose 1
    MedDRA: Lymph node pain, Lymphadenopathy — Feeling: Poor · Be unable to do your normal daily activities
    MedDRA releases: 2021-09,2024-11 · check-in answers available
  6. 2021-08-03
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · None
    Adult check-in
  7. 2021-08-04
    Health check-in — days 1–6 daily, dose 1
    Feeling: Fair · Abdominal pain
    Adult check-in
  8. 2021-08-07
    Survey response — 7 day, dose 1
    MedDRA: Blood pressure increased, Chest pain, Office visit — Feeling: Fair
    MedDRA releases: 2021-09,2024-11 · check-in answers available
  9. 2021-08-27
    Dose 2 — Moderna
  10. 2021-08-28
    Health check-in — days 1–6 daily, dose 2
    Feeling: Fair · Site: Pain · Fever · Headache, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to do your normal daily activities
    Adult check-in
  11. 2021-08-29
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · Site: Pain, Redness, Swelling · Headache
    Adult check-in
  12. 2021-08-30
    Survey response — days 1–6 daily, dose 2
    MedDRA: Chest pain — Feeling: Fair · Site: Pain, Redness, Swelling, Itching
    MedDRA releases: 2021-09,2024-11 · check-in answers available
  13. 2021-08-31
    Health check-in — days 1–6 daily, dose 2
    Feeling: Fair · Site: Pain, Redness, Swelling, Itching · None
    Adult check-in
  14. 2021-09-01
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · None
    Adult check-in
  15. 2021-09-03
    Health check-in — 7 day, dose 2
    Feeling: Good · None
    Adult check-in
  16. 2021-09-12
    Health check-in — 14 day, dose 2
    Feeling: Good
    Adult check-in
  17. 2021-09-18
    Survey response — 21 day, dose 2
    MedDRA: Injection site reaction, Muscle spasms, Muscle twitching — Feeling: Fair · Be unable to do your normal daily activities
    MedDRA releases: 2024-11 · check-in answers available
  18. 2021-09-24
    Health check-in — 28 day, dose 2
    Feeling: Good
    Adult check-in
  19. 2021-11-28
    Health check-in — 3 month, dose 2
    Feeling: Good
    Adult check-in
  20. 2022-01-24
    Dose 3 — Moderna
  21. 2022-01-27
    Health check-in — days 1–6 daily, dose 3
    Feeling: Fair · Site: Pain, Redness, Swelling, Itching · Fever · Chills, Headache, Fatigue or tiredness · Be unable to do your normal daily activities
    Adult check-in
  22. 2022-01-28
    Health check-in — days 1–6 daily, dose 3
    Feeling: Fair · Site: Pain, Redness, Itching · Fatigue or tiredness
    Adult check-in
  23. 2022-01-29
    Health check-in — days 1–6 daily, dose 3
    Feeling: Good · None
    Adult check-in
  24. 2022-01-30
    Survey response — days 1–6 daily, dose 3
    MedDRA: Hypertension — Feeling: Good
    MedDRA releases: 2024-11 · check-in answers available
  25. 2022-01-31
    Health check-in — 7 day, dose 3
    Feeling: Good · None
    Adult check-in

Vaccinations

DoseDateManufacturerCo-administered
12021-07-29Moderna No
22021-08-27Moderna No
32022-01-24Moderna No

Free text

Release 9

Systemic reaction (other): Chest pain & low oxygen levels started last night, day of vaccine. Mild chest discomfort today continues.

Systemic reaction (other): Painful very swollen lymph node in neck on side of injections site.

Systemic reaction (other): Saw my cardiologist this morning it was determined that my elevated blood pressure and chest pains are probably not vaccine related

Systemic reaction (other): Mild chest pains

Symptoms: Constant muscle twitching/spasms in my upper right arm (side where shot was received). Has been 48 hours. Will see a doctor on Monday if still bothering me.

Release 11

Systemic reaction (other): Abnormal High blood pressure issues

Free-text releases are not linked to a specific 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
SDInjection site reaction · · ✓
SDMuscle spasms · · ✓
SDMuscle twitching · · ✓
SROBlood pressure increased ✓ · ✓
SROChest discomfort ✓ · ✓
SROChest pain ✓ · ✓
SROHypertension · · ✓
SROLymph node pain ✓ · ✓
SROLymphadenopathy ✓ · ✓
SROOffice visit ✓ · ✓
SROOxygen saturation decreased ✓ · ✓

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