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
-
2021-07-29
Registered in v-safe
-
2021-07-29
Dose 1 — Moderna
-
2021-07-30
Survey response — days 1–6 daily, dose 1MedDRA: Chest discomfort, Chest pain, Oxygen saturation decreased — Feeling: Poor · Site: PainMedDRA releases: 2021-09,2024-11 · check-in answers available
- 2021-07-31
-
2021-08-01
Survey response — days 1–6 daily, dose 1MedDRA: Lymph node pain, Lymphadenopathy — Feeling: Poor · Be unable to do your normal daily activitiesMedDRA releases: 2021-09,2024-11 · check-in answers available
- 2021-08-03
- 2021-08-04
-
2021-08-07
Survey response — 7 day, dose 1MedDRA: Blood pressure increased, Chest pain, Office visit — Feeling: FairMedDRA releases: 2021-09,2024-11 · check-in answers available
-
2021-08-27
Dose 2 — Moderna
-
2021-08-28
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Site: Pain · Fever · Headache, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to do your normal daily activitiesAdult check-in
-
2021-08-29
Health check-in — days 1–6 daily, dose 2Feeling: Good · Site: Pain, Redness, Swelling · HeadacheAdult check-in
-
2021-08-30
Survey response — days 1–6 daily, dose 2MedDRA: Chest pain — Feeling: Fair · Site: Pain, Redness, Swelling, ItchingMedDRA releases: 2021-09,2024-11 · check-in answers available
-
2021-08-31
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Site: Pain, Redness, Swelling, Itching · NoneAdult check-in
- 2021-09-01
- 2021-09-03
- 2021-09-12
-
2021-09-18
Survey response — 21 day, dose 2MedDRA: Injection site reaction, Muscle spasms, Muscle twitching — Feeling: Fair · Be unable to do your normal daily activitiesMedDRA releases: 2024-11 · check-in answers available
- 2021-09-24
- 2021-11-28
-
2022-01-24
Dose 3 — Moderna
-
2022-01-27
Health check-in — days 1–6 daily, dose 3Feeling: Fair · Site: Pain, Redness, Swelling, Itching · Fever · Chills, Headache, Fatigue or tiredness · Be unable to do your normal daily activitiesAdult check-in
-
2022-01-28
Health check-in — days 1–6 daily, dose 3Feeling: Fair · Site: Pain, Redness, Itching · Fatigue or tirednessAdult check-in
- 2022-01-29
-
2022-01-30
Survey response — days 1–6 daily, dose 3MedDRA: Hypertension — Feeling: GoodMedDRA releases: 2024-11 · check-in answers available
- 2022-01-31
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-07-29 | Moderna | No |
| 2 | 2021-08-27 | Moderna | No |
| 3 | 2022-01-24 | Moderna | 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
| Field | Preferred term | 2021-09 | 2023-04 | 2024-11 |
|---|---|---|---|---|
| SD | Injection site reaction | · | · | ✓ |
| SD | Muscle spasms | · | · | ✓ |
| SD | Muscle twitching | · | · | ✓ |
| SRO | Blood pressure increased | ✓ | · | ✓ |
| SRO | Chest discomfort | ✓ | · | ✓ |
| SRO | Chest pain | ✓ | · | ✓ |
| SRO | Hypertension | · | · | ✓ |
| SRO | Lymph node pain | ✓ | · | ✓ |
| SRO | Lymphadenopathy | ✓ | · | ✓ |
| SRO | Office visit | ✓ | · | ✓ |
| SRO | Oxygen saturation decreased | ✓ | · | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release