2NJ-31073-60843
3 vaccinations
4 coded responses
15 check-ins
4 free-text entries
0 call cases
- Sex
- Female
- Age at first dose
- 36-40
- ZIP prefix
- 616 / IL
- Registered
- 2021-03-10
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-02-08
Dose 1 — Moderna
-
2021-03-10
Registered in v-safe
-
2021-03-10
Dose 2 — Moderna
- 2021-03-10
-
2021-03-11
Health check-in — days 1–6 daily, dose 2Feeling: Poor · Site: Pain · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to workAdult check-in
- 2021-03-12
- 2021-03-13
- 2021-03-14
- 2021-03-15
-
2021-03-19
Survey response — day 7, dose 2MedDRA: Hypersensitivity, Nasal congestion, Pre-existing disease — Feeling: GoodFree text: Stuffy nose although it could be related to allergiesMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-03-26
- 2021-03-31
- 2021-04-07
-
2021-04-14
Survey response — day 35, dose 2MedDRA: Eczema, Pruritus, Swelling — Feeling: FairFree text: I have had persistent, swollen and itchy eczema on my eye lids. This has happened to me in the past (probably 5 times in 37 years), but there is typically a trigger. I have no idea if this could have been a potential trigger, but wanted to mention.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-04-23
- 2021-06-12
-
2021-09-12
Survey response — 6 months, dose 2MedDRA: Diarrhoea — Feeling: GoodFree text: DiarrheaMedDRA releases: 2024-11 · check-in free text available
-
2021-11-03
Dose 3 — Moderna
-
2022-11-03
Survey response — 12 months, dose 3MedDRA: Cough, Dyspnoea, Headache, Respiratory tract congestion, SARS-CoV-2 test positive — Feeling: Fair · Be unable to work or attend school, Be unable to do your normal daily activitiesFree text: Tested positive for Covid again on 10/25 with symptoms of shortness of breath, cough, congestion and headache.MedDRA releases: 2024-11 · check-in free text available
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-02-08 | Moderna | |
| 2 | 2021-03-10 | Moderna | |
| 3 | 2021-11-03 | Moderna | No |
Free text
Release 5 — day 7, dose 2
Systemic reaction (other): Stuffy nose although it could be related to allergies
Release 7 — day 35, dose 2
Symptoms: I have had persistent, swollen and itchy eczema on my eye lids. This has happened to me in the past (probably 5 times in 37 years), but there is typically a trigger. I have no idea if this could have been a potential trigger, but wanted to mention. cut off by CDC
Release 9 — 6 months, dose 2
Symptoms: Diarrhea
Release 12 — 12 months, dose 3
Symptoms: Tested positive for Covid again on 10/25 with symptoms of shortness of breath, cough, congestion and headache.
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 | Diarrhoea | · | · | ✓ |
| SD | Dyspnoea | · | · | ✓ |
| SD | Eczema | ✓ | ✓ | ✓ |
| SD | Headache | · | · | ✓ |
| SD | Pruritus | ✓ | ✓ | ✓ |
| SD | Respiratory tract congestion | · | · | ✓ |
| SD | SARS-CoV-2 test positive | · | · | ✓ |
| SD | Swelling | ✓ | ✓ | ✓ |
| SRO | Hypersensitivity | ✓ | ✓ | ○ |
| SRO | Nasal congestion | ✓ | ✓ | ✓ |
| SRO | Pre-existing disease | · | · | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release