2HQ-17826-50639
5 vaccinations
9 coded responses
69 check-ins
9 free-text entries
0 call cases
- Sex
- Female
- Age at first dose
- 61-65
- ZIP prefix
- 076 / NJ
- Registered
- 2021-02-08
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-02-08
Registered in v-safe
-
2021-02-08
Dose 1 — Moderna
-
2021-02-08
Health check-in — day 0, dose 1Feeling: Fair · Site: Pain · Headache · Be unable to do your normal daily activitiesAdult check-in
- 2021-02-09
- 2021-02-10
- 2021-02-11
- 2021-02-12
- 2021-02-13
- 2021-02-14
- 2021-02-15
- 2021-02-23
- 2021-03-01
-
2021-03-08
Dose 2 — Moderna
-
2021-03-08
Health check-in — day 0, dose 2Feeling: Fair · Site: Pain, Redness · Fatigue or tiredness · Be unable to do your normal daily activitiesAdult check-in
-
2021-03-09
Survey response — days 1–6 daily, dose 2MedDRA: Fatigue, Feeling abnormal, Injection site discomfort — Feeling: Fair · Fatigue or tirednessFree text: Soreness but not pain at injection site - but less than yesterday. Yesterday I also had some brain fog along with the fatigue. Tired today also although less than yesterdayMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-03-10
Survey response — days 1–6 daily, dose 2MedDRA: Fatigue — Feeling: Fair · Fatigue or tirednessFree text: Not sure if the fatigue is due to vaccine or not as I have experienced this kind of fatigue in the pastMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-03-11
Survey response — days 1–6 daily, dose 2MedDRA: Injection site discolouration — Feeling: Good · Fatigue or tirednessFree text: I am black & blue at the injection site since the injectionMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-03-12
Survey response — days 1–6 daily, dose 2MedDRA: Injection site bruising — Feeling: Good · Fatigue or tirednessFree text: I dont have redness at injection site but I do have a good sized black & blue mark;MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-03-13
-
2021-03-14
Survey response — days 1–6 daily, dose 2MedDRA: Injection site bruising — Feeling: GoodFree text: Black & blue at injection site.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-03-15
Survey response — day 7, dose 2MedDRA: Injection site discolouration — Feeling: GoodFree text: Black & blue at injection site; slowly resolvingMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-03-22
Survey response — day 14, dose 2MedDRA: Lymphadenopathy — Feeling: GoodFree text: Not sure about this symptom and whether its related to vaccine. It feels like the area where my underarm lymph node on vaccinated arm might be bothering me a little. But not sure its lymph or muscle ???? Unsure about thisMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-03-29
- 2021-04-05
- 2021-04-12
- 2021-04-19
-
2021-06-07
Survey response — 3 months, dose 2MedDRA: Headache — Feeling: GoodFree text: Daily headaches for last 3 weeks but dont know if its related to vaccine, allergies or something elseMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-09-06
-
2021-10-28
Dose 3 — Moderna
- 2021-10-28
- 2021-10-29
- 2021-10-30
- 2021-10-31
- 2021-11-01
- 2021-11-02
- 2021-11-03
-
2021-11-04
Survey response — day 7, dose 3MedDRA: Unevaluable event — Feeling: Fair · Headache · Be unable to do your normal daily activitiesFree text: Don't think it's related to vaccine; possibly allergies or change in weather/temperaturesMedDRA releases: 2024-11 · check-in free text available
- 2021-11-11
- 2021-11-18
- 2021-11-25
- 2021-12-02
- 2021-12-09
- 2022-01-27
- 2022-04-28
-
2022-05-04
Dose 4 — Moderna
- 2022-05-04
-
2022-05-05
Health check-in — days 1–6 daily, dose 4Feeling: Good · Site: Pain · Muscle or body achesAdult check-in
- 2022-05-06
- 2022-05-07
- 2022-05-08
- 2022-05-09
- 2022-05-10
- 2022-05-11
- 2022-05-18
- 2022-05-25
- 2022-06-01
- 2022-06-08
- 2022-06-15
- 2022-08-03
-
2022-09-15
Dose 5 — Moderna
- 2022-09-15
- 2022-09-16
- 2022-09-17
- 2022-09-18
- 2022-09-19
- 2022-09-20
- 2022-09-21
- 2022-09-24
- 2022-09-29
- 2022-10-06
- 2022-10-13
- 2022-10-20
- 2022-10-27
- 2022-12-15
- 2023-03-16
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-02-08 | Moderna | |
| 2 | 2021-03-08 | Moderna | |
| 3 | 2021-10-28 | Moderna | No |
| 4 | 2022-05-04 | Moderna | No |
| 5 | 2022-09-15 | Moderna | No |
Free text
Release 5 — days 1–6 daily, dose 2
Systemic reaction (other): Soreness but not pain at injection site - but less than yesterday. Yesterday I also had some brain fog along with the fatigue. Tired today also although less than yesterday
Systemic reaction (other): Not sure if the fatigue is due to vaccine or not as I have experienced this kind of fatigue in the past
Systemic reaction (other): I am black & blue at the injection site since the injection
Systemic reaction (other): I dont have redness at injection site but I do have a good sized black & blue mark;
Systemic reaction (other): Black & blue at injection site.
Release 5 — day 7, dose 2
Systemic reaction (other): Black & blue at injection site; slowly resolving
Release 6 — day 14, dose 2
Symptoms: Not sure about this symptom and whether its related to vaccine. It feels like the area where my underarm lymph node on vaccinated arm might be bothering me a little. But not sure its lymph or muscle ???? Unsure about this
Release 8 — 3 months, dose 2
Symptoms: Daily headaches for last 3 weeks but dont know if its related to vaccine, allergies or something else
Release 10 — day 7, dose 3
Systemic reaction (other): Don't think it's related to vaccine; possibly allergies or change in weather/temperatures
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 | Headache | ✓ | ✓ | ✓ |
| SD | Lymphadenopathy | ✓ | ✓ | ✓ |
| SRO | Fatigue | ✓ | ✓ | ✓ |
| SRO | Feeling abnormal | ✓ | ✓ | ✓ |
| SRO | Injection site bruising | ✓ | ✓ | ✓ |
| SRO | Injection site discolouration | ✓ | ✓ | ✓ |
| SRO | Injection site discomfort | ✓ | ✓ | ✓ |
| SRO | Unevaluable event | · | · | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release