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2EP-29229-28472

2 vaccinations 4 coded responses 11 check-ins 4 free-text entries 2 call cases
Sex
Female
Age at first dose
66+
ZIP prefix
070 / NJ
Registered
2021-01-19
Relationship
Self
Race
White
Ethnicity
Not Hispanic or Latino

Timeline

  1. 2021-01-15
    Dose 1 — Moderna
  2. 2021-01-19
    Registered in v-safe
  3. 2021-01-19
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · Site: Pain, Itching · None
    Adult check-in
  4. 2021-01-22
    Survey response — day 7, dose 1
    MedDRA: Cough, Oropharyngeal pain, Rhinorrhoea — Feeling: Fair · Site: Pain, Itching · Headache, Muscle or body aches
    Free text: Sore throat, occasional cough, runny nose
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  5. 2021-01-29
    Survey response — day 14, dose 1
    MedDRA: Cough, Exposure to SARS-CoV-2, Headache, Oropharyngeal pain, Pain, Respiratory tract congestion, Rhinorrhoea, SARS-CoV-2 test — Feeling: Poor · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultation
    Free text: My husband tested positive for COVID. Im waiting to get my results back but PMD says to assume Im positive too since we have same symptoms. Headache, sore throat , cough, congestion, runny nose, achy. Symptoms are mild/moderate, change daily.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  6. 2021-01-29
    Report sent to call center — day 14, dose 1
    Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional
    1 call case(s)
  7. 2021-02-05
    Survey response — day 21, dose 1
    MedDRA: SARS-CoV-2 test positive — Feeling: Fair · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultation
    Free text: COVID positive
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  8. 2021-02-05
    Report sent to call center — day 21, dose 1
    Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional
    1 call case(s)
  9. 2021-02-12
    Dose 2 — Moderna
  10. 2021-02-19
    Survey response — day 7, dose 2
    MedDRA: Chills, Fatigue, Headache, Pain, Pyrexia, Vomiting — Feeling: Good · Site: Pain · Be unable to do your normal daily activities
    Free text: No symptoms now but had severe reaction to 2nd dose. Fever, chills, vomiting, fatigue, headache, body aches. Lasted 48 hrs.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  11. 2021-02-26
    Health check-in — day 14, dose 2
    Feeling: Fair
    Adult check-in
  12. 2021-03-05
    Health check-in — day 21, dose 2
    Feeling: Good
    Adult check-in
  13. 2021-03-12
    Health check-in — day 28, dose 2
    Feeling: Good
    Adult check-in
  14. 2021-03-19
    Health check-in — day 35, dose 2
    Feeling: Good
    Adult check-in
  15. 2021-03-26
    Health check-in — day 42, dose 2
    Feeling: Good
    Adult check-in
  16. 2021-05-14
    Health check-in — 3 months, dose 2
    Feeling: Good
    Adult check-in
  17. 2021-06-09
    Call successful
    Not applicable (accidental reporting or does not believe symptoms are related to vaccine)

Vaccinations

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

Call center

2 call center cases

2 successful

See the call center timeline

Free text

Release 2 — day 7, dose 1

2021-01-22

Systemic reaction (other): Sore throat, occasional cough, runny nose

Release 3 — day 14, dose 1

2021-01-29

Symptoms: My husband tested positive for COVID. Im waiting to get my results back but PMD says to assume Im positive too since we have same symptoms. Headache, sore throat , cough, congestion, runny nose, achy. Symptoms are mild/moderate, change daily.

Release 3 — day 21, dose 1

2021-02-05

Symptoms: COVID positive

Release 4 — day 7, dose 2

2021-02-19

Systemic reaction (other): No symptoms now but had severe reaction to 2nd dose. Fever, chills, vomiting, fatigue, headache, body aches. Lasted 48 hrs.

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
SDCough ✓ ✓ ✓
SDExposure to SARS-CoV-2 ✓ ✓ ✓
SDHeadache ✓ ✓ ✓
SDOropharyngeal pain ✓ ✓ ✓
SDPain ✓ ✓ ✓
SDRespiratory tract congestion ✓ ✓ ✓
SDRhinorrhoea ✓ ✓ ✓
SDSARS-CoV-2 test ✓ ✓ ✓
SDSARS-CoV-2 test positive ✓ ✓ ✓
SROChills ✓ ✓ ✓
SROCough ✓ ✓ ✓
SROFatigue ✓ ✓ ✓
SROHeadache ✓ ✓ ✓
SROOropharyngeal pain ✓ ✓ ✓
SROPain ✓ ✓ ✓
SROPyrexia ✓ ✓ ✓
SRORhinorrhoea ✓ ✓ ✓
SROVomiting ✓ ✓ ✓

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