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
-
2021-01-15
Dose 1 — Moderna
-
2021-01-19
Registered in v-safe
- 2021-01-19
-
2021-01-22
Survey response — day 7, dose 1MedDRA: Cough, Oropharyngeal pain, Rhinorrhoea — Feeling: Fair · Site: Pain, Itching · Headache, Muscle or body achesFree text: Sore throat, occasional cough, runny noseMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-01-29
Survey response — day 14, dose 1MedDRA: 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 consultationFree 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
-
2021-01-29
Report sent to call center — day 14, dose 1Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional1 call case(s)
-
2021-02-05
Survey response — day 21, dose 1MedDRA: 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 consultationFree text: COVID positiveMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-02-05
Report sent to call center — day 21, dose 1Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional1 call case(s)
-
2021-02-12
Dose 2 — Moderna
-
2021-02-19
Survey response — day 7, dose 2MedDRA: Chills, Fatigue, Headache, Pain, Pyrexia, Vomiting — Feeling: Good · Site: Pain · Be unable to do your normal daily activitiesFree 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
- 2021-02-26
- 2021-03-05
- 2021-03-12
- 2021-03-19
- 2021-03-26
- 2021-05-14
-
2021-06-09
Call successfulNot applicable (accidental reporting or does not believe symptoms are related to vaccine)
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-01-15 | Moderna | |
| 2 | 2021-02-12 | Moderna |
Call center
2 call center cases
2 successful
Free text
Release 2 — day 7, dose 1
Systemic reaction (other): Sore throat, occasional cough, runny nose
Release 3 — day 14, dose 1
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
Symptoms: COVID positive
Release 4 — day 7, dose 2
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
| Field | Preferred term | 2021-09 | 2023-04 | 2024-11 |
|---|---|---|---|---|
| SD | Cough | ✓ | ✓ | ✓ |
| SD | Exposure to SARS-CoV-2 | ✓ | ✓ | ✓ |
| SD | Headache | ✓ | ✓ | ✓ |
| SD | Oropharyngeal pain | ✓ | ✓ | ✓ |
| SD | Pain | ✓ | ✓ | ✓ |
| SD | Respiratory tract congestion | ✓ | ✓ | ✓ |
| SD | Rhinorrhoea | ✓ | ✓ | ✓ |
| SD | SARS-CoV-2 test | ✓ | ✓ | ✓ |
| SD | SARS-CoV-2 test positive | ✓ | ✓ | ✓ |
| SRO | Chills | ✓ | ✓ | ✓ |
| SRO | Cough | ✓ | ✓ | ✓ |
| SRO | Fatigue | ✓ | ✓ | ✓ |
| SRO | Headache | ✓ | ✓ | ✓ |
| SRO | Oropharyngeal pain | ✓ | ✓ | ✓ |
| SRO | Pain | ✓ | ✓ | ✓ |
| SRO | Pyrexia | ✓ | ✓ | ✓ |
| SRO | Rhinorrhoea | ✓ | ✓ | ✓ |
| SRO | Vomiting | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release