2H3-16893-88134
2 vaccinations
8 coded responses
26 check-ins
8 free-text entries
2 call cases
- Sex
- Female
- Age at first dose
- 66+
- ZIP prefix
- 076 / NJ
- Registered
- 2021-02-14
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-02-14
Registered in v-safe
-
2021-02-14
Dose 1 — Moderna
- 2021-02-14
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2021-02-15
Health check-in — days 1–6 daily, dose 1Feeling: Fair · Site: Pain · Headache, Joint pains, Muscle or body aches, Fatigue or tirednessAdult check-in
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2021-02-16
Health check-in — days 1–6 daily, dose 1Feeling: Fair · Site: Pain · Headache, Fatigue or tirednessAdult check-in
- 2021-02-17
- 2021-02-18
- 2021-02-19
- 2021-02-20
- 2021-02-21
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2021-02-28
Survey response — day 14, dose 1MedDRA: Headache, Injection site erythema, Injection site induration, Injection site warmth, Pain — Feeling: Fair · Be unable to do your normal daily activitiesFree text: 8 days after having my first vaccine I developed a significantly reddened area at injection site. Hot to touch with slight induration. Also had body aches and a headache. Seems to have been a delayed reaction.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-03-07
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2021-03-12
Dose 2 — Moderna
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2021-03-12
Health check-in — day 0, dose 2Feeling: Fair · Chills, Muscle or body aches, Fatigue or tiredness, NauseaAdult check-in
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2021-03-13
Health check-in — days 1–6 daily, dose 2Feeling: Poor · Site: Pain, Redness, Swelling, Itching · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to do your normal daily activitiesAdult check-in
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2021-03-14
Health check-in — days 1–6 daily, dose 2Feeling: Poor · Site: Pain, Redness, Swelling, Itching · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to do your normal daily activitiesAdult check-in
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2021-03-15
Survey response — days 1–6 daily, dose 2MedDRA: Cough — Feeling: Poor · Site: Redness · Chills, Headache, Fatigue or tiredness · Be unable to do your normal daily activitiesFree text: CoughMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-03-16
Survey response — days 1–6 daily, dose 2MedDRA: Cough — Feeling: Poor · Site: Swelling · Chills, Headache, Fatigue or tiredness · Be unable to do your normal daily activitiesFree text: CoughMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-03-17
Survey response — days 1–6 daily, dose 2MedDRA: Cough — Feeling: Fair · Headache, Fatigue or tiredness · Be unable to do your normal daily activitiesFree text: CoughMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-03-18
Survey response — days 1–6 daily, dose 2MedDRA: Cough — Feeling: Fair · Headache, Fatigue or tiredness · Be unable to do your normal daily activitiesFree text: CoughMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-03-19
Survey response — day 7, dose 2MedDRA: Cough — Feeling: Fair · HeadacheFree text: CoughMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-03-26
- 2021-04-02
- 2021-04-09
- 2021-04-16
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2021-04-23
Survey response — day 42, dose 2MedDRA: Cough — Feeling: Fair · Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultationFree text: CoughMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-04-23
Report sent to call center — day 42, dose 2Get care from a doctor or other healthcare professional1 call case(s)
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2021-06-11
Survey response — 3 months, dose 2MedDRA: Cough, Pre-existing disease — 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, Outpatient clinic or urgent care clinic visitFree text: Although Ive had asthmatic bronchitis in the past what I currently have is more of a spasmodic cough. Comes on totally unprovoked by any odor/scents or temperature changes. Is now use my rescue inhaler daily and have been prescribed a nebulizer.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-06-11
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)
- 2021-06-17
- 2021-09-10
- 2022-03-12
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-02-14 | Moderna | |
| 2 | 2021-03-12 | Moderna |
Call center
2 call center cases
2 unsuccessful
Free text
Release 4 — day 14, dose 1
Symptoms: 8 days after having my first vaccine I developed a significantly reddened area at injection site. Hot to touch with slight induration. Also had body aches and a headache. Seems to have been a delayed reaction.
Release 5 — days 1–6 daily, dose 2
Systemic reaction (other): Cough
Systemic reaction (other): Cough
Systemic reaction (other): Cough
Systemic reaction (other): Cough
Release 5 — day 7, dose 2
Systemic reaction (other): Cough
Release 7 — day 42, dose 2
Symptoms: Cough
Release 9 — 3 months, dose 2
Symptoms: Although Ive had asthmatic bronchitis in the past what I currently have is more of a spasmodic cough. Comes on totally unprovoked by any odor/scents or temperature changes. Is now use my rescue inhaler daily and have been prescribed a nebulizer.
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 | Headache | ✓ | ✓ | ✓ |
| SD | Injection site erythema | ✓ | ✓ | ✓ |
| SD | Injection site induration | ✓ | ✓ | ✓ |
| SD | Injection site warmth | ✓ | ✓ | ✓ |
| SD | Pain | ✓ | ✓ | ✓ |
| SD | Pre-existing disease | ✓ | ✓ | ✓ |
| SRO | Cough | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release