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276-24516-03381

2 vaccinations 6 coded responses 25 check-ins 6 free-text entries 0 call cases
Sex
Female
Age at first dose
51-55
ZIP prefix
082 / NJ
Registered
2021-03-09
Relationship
Self
Race
White
Ethnicity
Not Hispanic or Latino

Timeline

  1. 2021-03-09
    Registered in v-safe
  2. 2021-03-09
    Dose 1 — Moderna
  3. 2021-03-09
    Survey response — day 0, dose 1
    MedDRA: Pain in extremity — Feeling: Good · Site: Pain
    Free text: Sore arm
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  4. 2021-03-10
    Health check-in — days 1–6 daily, dose 1
    Feeling: Fair · Site: Pain · Fever · Chills
    Adult check-in
  5. 2021-03-11
    Survey response — days 1–6 daily, dose 1
    MedDRA: Condition aggravated, Pre-existing disease, Self-medication — Feeling: Good
    Free text: Pain in areas I had previous issues with within last 10 years resurfaced yesterday! Left toe (fractured 2.5 years ago), hip shooting pain down leg, shoulder pain, and throbbing muscle in left leg. I hurt! I took acetaminophen with codeine and 100mg of sleeping pills. Feeling back to normal today
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  6. 2021-03-12
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · None
    Adult check-in
  7. 2021-03-13
    Survey response — days 1–6 daily, dose 1
    MedDRA: Unevaluable event — Feeling: Good · Abdominal pain
    Free text: Overnight
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  8. 2021-03-15
    Survey response — days 1–6 daily, dose 1
    MedDRA: Pain in extremity — Feeling: Good
    Free text: Big toe painful last night again.. intermittent
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  9. 2021-03-16
    Health check-in — day 7, dose 1
    Feeling: Good · None
    Adult check-in
  10. 2021-03-23
    Health check-in — day 14, dose 1
    Feeling: Good
    Adult check-in
  11. 2021-03-30
    Health check-in — day 21, dose 1
    Feeling: Good
    Adult check-in
  12. 2021-04-06
    Dose 2 — Moderna
  13. 2021-04-06
    Health check-in — day 0, dose 2
    Feeling: Fair · Site: Pain · Headache, Muscle or body aches
    Adult check-in
  14. 2021-04-07
    Health check-in — days 1–6 daily, dose 2
    Feeling: Poor · Site: Pain · Fever · Chills, Headache, Joint pains, Muscle or body aches · Be unable to work, Be unable to do your normal daily activities
    Adult check-in
  15. 2021-04-08
    Survey response — days 1–6 daily, dose 2
    MedDRA: Back pain, Chest pain — Feeling: Fair · Site: Pain
    Free text: Chest pain and minor back pain just started
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  16. 2021-04-09
    Survey response — days 1–6 daily, dose 2
    MedDRA: Dizziness — Feeling: Poor · Headache, Fatigue or tiredness · Be unable to do your normal daily activities
    Free text: Light headed
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  17. 2021-04-10
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · None
    Adult check-in
  18. 2021-04-11
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · Headache
    Adult check-in
  19. 2021-04-12
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · None
    Adult check-in
  20. 2021-04-13
    Health check-in — day 7, dose 2
    Feeling: Good · None
    Adult check-in
  21. 2021-04-20
    Health check-in — day 14, dose 2
    Feeling: Good
    Adult check-in
  22. 2021-04-27
    Health check-in — day 21, dose 2
    Feeling: Good
    Adult check-in
  23. 2021-05-04
    Health check-in — day 28, dose 2
    Feeling: Good
    Adult check-in
  24. 2021-05-11
    Health check-in — day 35, dose 2
    Feeling: Good
    Adult check-in
  25. 2021-05-18
    Health check-in — day 42, dose 2
    Feeling: Good
    Adult check-in
  26. 2021-07-06
    Health check-in — 3 months, dose 2
    Feeling: Good
    Adult check-in
  27. 2021-10-07
    Health check-in — 6 months, dose 2
    Feeling: Good
    Adult check-in
  28. 2022-04-06
    Health check-in — 12 months, dose 2
    Feeling: Good
    Adult check-in

Vaccinations

DoseDateManufacturerCo-administered
12021-03-09Moderna
22021-04-06Moderna

Free text

Release 5 — day 0, dose 1

2021-03-09

Systemic reaction (other): Sore arm

Release 5 — days 1–6 daily, dose 1

2021-03-11

Systemic reaction (other): Pain in areas I had previous issues with within last 10 years resurfaced yesterday! Left toe (fractured 2.5 years ago), hip shooting pain down leg, shoulder pain, and throbbing muscle in left leg. I hurt! I took acetaminophen with codeine and 100mg of sleeping pills. Feeling back to normal today

2021-03-13

Systemic reaction (other): Overnight

2021-03-15

Systemic reaction (other): Big toe painful last night again.. intermittent

Release 7 — days 1–6 daily, dose 2

2021-04-08

Systemic reaction (other): Chest pain and minor back pain just started

2021-04-09

Systemic reaction (other): Light headed

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
SROBack pain ✓ ✓ ✓
SROChest pain ✓ ✓ ✓
SROCondition aggravated ✓ ✓ ✓
SRODizziness ✓ ✓ ✓
SROPain in extremity ✓ ✓ ✓
SROPre-existing disease ✓ ✓ ✓
SROSelf-medication ✓ ✓ ✓
SROUnevaluable event ✓ ✓ ✓

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

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