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
-
2021-01-15
Dose 1 — Moderna
-
2021-02-12
Dose 2 — Moderna
-
2021-02-17
Registered in v-safe
-
2021-02-17
Survey response — days 1–6 daily, dose 2MedDRA: 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 activitiesFree 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 foodMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-02-18
Survey response — days 1–6 daily, dose 2MedDRA: 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 activitiesFree 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
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2021-02-19
Survey response — day 7, dose 2MedDRA: 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 activitiesFree 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 weatherMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-02-26
- 2021-03-05
- 2021-03-12
- 2021-03-20
- 2021-03-29
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2021-05-14
Survey response — 3 months, dose 2MedDRA: 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 professionalFree 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 bisitMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-05-14
Report sent to call center — 3 months, dose 2Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional1 call case(s)
- 2021-08-14
- 2022-04-16
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-01-15 | Moderna | |
| 2 | 2021-02-12 | Moderna |
Call center
1 call center case
1 unsuccessful
1 wait over 3 months for a first call
Free text
Release 4 — days 1–6 daily, dose 2
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
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
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
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
| Field | Preferred term | 2021-09 | 2023-04 | 2024-11 |
|---|---|---|---|---|
| HCVO | Office visit | ✓ | ✓ | ✓ |
| SD | Epistaxis | ✓ | ✓ | ✓ |
| SD | Jaw disorder | ✓ | ✓ | ✓ |
| SD | Sinus disorder | ✓ | ✓ | ✓ |
| SRO | Abdominal discomfort | ✓ | ✓ | ✓ |
| SRO | Decreased appetite | ✓ | ✓ | ✓ |
| SRO | Dizziness | ✓ | ✓ | ✓ |
| SRO | Dysgeusia | ✓ | ✓ | ✓ |
| SRO | Ear discomfort | ✓ | ✓ | ✓ |
| SRO | Fatigue | ✓ | ✓ | ✓ |
| SRO | Feeding disorder | ✓ | ✓ | ✓ |
| SRO | Nasal congestion | ✓ | ✓ | ✓ |
| SRO | Oropharyngeal pain | ✓ | ✓ | ✓ |
| SRO | Pain in extremity | ✓ | ✓ | ✓ |
| SRO | Respiratory tract congestion | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release