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25Q-29911-75201

2 vaccinations 4 coded responses 10 check-ins 4 free-text entries 1 call case
Sex
Female
Age at first dose
66+
ZIP prefix
079 / NJ
Registered
2021-02-17
Relationship
Self
Race
N/A
Ethnicity
Not Hispanic or Latino

Timeline

  1. 2021-01-15
    Dose 1 — Moderna
  2. 2021-02-12
    Dose 2 — Moderna
  3. 2021-02-17
    Registered in v-safe
  4. 2021-02-17
    Survey response — days 1–6 daily, dose 2
    MedDRA: Ear discomfort, Fatigue, Feeding disorder, Oropharyngeal pain — Feeling: Fair · Site: Pain, Redness, Swelling, Itching · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea, Diarrhea, Abdominal pain, Rash, not including the immediate area around the injection site · Be unable to do your normal daily activities
    Free text: Exacerbation of surgical site pain, congestion in ears and nasal passages with sinus area affected, slight sore throat with thickened swallowing, inability to recover fully after 6 days with setbacks when attempting to resume normal life/schedule including complete fatigue and inability to eat food
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  5. 2021-02-18
    Survey response — days 1–6 daily, dose 2
    MedDRA: Abdominal discomfort, Decreased appetite, Dizziness, Feeding disorder, Respiratory tract congestion — Feeling: Fair · Site: Itching · Fatigue or tiredness, Nausea, Diarrhea, Rash, not including the immediate area around the injection site · Be unable to do your normal daily activities
    Free text: Dizziness persists off and on, congestion better but still happening, unsettled stomach, loss of appetite, have to eat light diet or next to nothing (tea & toast)
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  6. 2021-02-19
    Survey response — day 7, dose 2
    MedDRA: Decreased appetite, Dizziness, Dysgeusia, Fatigue, Nasal congestion, Pain in extremity — Feeling: Fair · Site: Itching · Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea, Rash, not including the immediate area around the injection site · Be unable to do your normal daily activities
    Free text: Continued dizziness, queasy stomach, bad taste in mouth, loss of appetite, left side only (inoculated arm side) pain from elbow joint to wrist starting late yesterday, continued nasal congestion and tiredness/feeling Uber the weather
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  7. 2021-02-26
    Health check-in — day 14, dose 2
    Feeling: Good
    Adult check-in
  8. 2021-03-05
    Health check-in — day 21, dose 2
    Feeling: Good
    Adult check-in
  9. 2021-03-12
    Health check-in — day 28, dose 2
    Feeling: Good
    Adult check-in
  10. 2021-03-20
    Health check-in — day 35, dose 2
    Feeling: Good
    Adult check-in
  11. 2021-03-29
    Health check-in — day 42, dose 2
    Feeling: Good
    Adult check-in
  12. 2021-05-14
    Survey response — 3 months, dose 2
    MedDRA: Epistaxis, Jaw disorder, Office visit, Sinus disorder — Feeling: Fair · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional
    Free text: Symptoms: Sinus problems, nose bleeds, jaw/dental alignment issues: health concerns that do not seem vaccine related as defined by side effects · Healthcare visit (other): doctor visit, dentist bisit
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  13. 2021-05-14
    Report sent to call center — 3 months, dose 2
    Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional
    1 call case(s)
  14. 2021-08-14
    Health check-in — 6 months, dose 2
    Feeling: Good
    Adult check-in
  15. 2022-04-16

Vaccinations

DoseDateManufacturerCo-administered
12021-01-15Moderna
22021-02-12Moderna

Call center

1 call center case

1 unsuccessful

1 wait over 3 months for a first call

See the call center timeline

Free text

Release 4 — days 1–6 daily, dose 2

2021-02-17

Systemic reaction (other): Exacerbation of surgical site pain, congestion in ears and nasal passages with sinus area affected, slight sore throat with thickened swallowing, inability to recover fully after 6 days with setbacks when attempting to resume normal life/schedule including complete fatigue and inability to eat food

2021-02-18

Systemic reaction (other): Dizziness persists off and on, congestion better but still happening, unsettled stomach, loss of appetite, have to eat light diet or next to nothing (tea & toast)

Release 4 — day 7, dose 2

2021-02-19

Systemic reaction (other): Continued dizziness, queasy stomach, bad taste in mouth, loss of appetite, left side only (inoculated arm side) pain from elbow joint to wrist starting late yesterday, continued nasal congestion and tiredness/feeling Uber the weather

Release 8 — 3 months, dose 2

2021-05-14

Symptoms: Sinus problems, nose bleeds, jaw/dental alignment issues: health concerns that do not seem vaccine related as defined by side effects
Healthcare visit (other): doctor visit, dentist bisit

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
HCVOOffice visit ✓ ✓ ✓
SDEpistaxis ✓ ✓ ✓
SDJaw disorder ✓ ✓ ✓
SDSinus disorder ✓ ✓ ✓
SROAbdominal discomfort ✓ ✓ ✓
SRODecreased appetite ✓ ✓ ✓
SRODizziness ✓ ✓ ✓
SRODysgeusia ✓ ✓ ✓
SROEar discomfort ✓ ✓ ✓
SROFatigue ✓ ✓ ✓
SROFeeding disorder ✓ ✓ ✓
SRONasal congestion ✓ ✓ ✓
SROOropharyngeal pain ✓ ✓ ✓
SROPain in extremity ✓ ✓ ✓
SRORespiratory tract congestion ✓ ✓ ✓

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