2P3-10653-12819
4 vaccinations
5 coded responses
46 check-ins
5 free-text entries
0 call cases
- Sex
- Female
- Age at first dose
- 61-65
- ZIP prefix
- 077 / NJ
- Registered
- 2021-01-20
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-01-20
Registered in v-safe
-
2021-01-20
Dose 1 — Moderna
-
2021-01-22
Health check-in — days 1–6 daily, dose 1Feeling: Good · Site: Pain, Swelling, Itching · NoneAdult check-in
- 2021-01-23
- 2021-01-24
- 2021-01-25
-
2021-01-26
Survey response — days 1–6 daily, dose 1MedDRA: Injection site rash, Pruritus — Feeling: Good · Rash, not including the immediate area around the injection siteFree text: I thought the rash was at the vaccine site but it is actually a couple of inches below. I only felt the itch after the shot so I thought they were connected. The rash is mild, a few raised pimples. The itch stopped with the application of Cort-Aid cream and I felt fine today since the creamll.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-01-27
- 2021-02-03
- 2021-02-10
-
2021-02-16
Dose 2 — Moderna
-
2021-02-17
Survey response — days 1–6 daily, dose 2MedDRA: Feeling cold — Feeling: Poor · Site: Swelling · Muscle or body aches, Fatigue or tirednessFree text: I felt very cold without chills or feverMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-02-18
Survey response — days 1–6 daily, dose 2MedDRA: No adverse event — Feeling: Fair · Site: Pain, Swelling · Fatigue or tirednessFree text: My feeling of intense cold has abatedMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-02-19
- 2021-02-20
- 2021-02-21
- 2021-02-22
- 2021-02-23
- 2021-03-02
- 2021-03-09
- 2021-03-16
- 2021-03-23
- 2021-03-30
- 2021-05-18
- 2021-08-17
-
2021-10-28
Dose 3 — Moderna
- 2021-10-28
-
2021-10-29
Survey response — days 1–6 daily, dose 3MedDRA: Chills, Feeling cold — Feeling: Fair · Site: Pain, Swelling · Chills, Fatigue or tirednessFree text: Last night the shivering was acute. I am still cold but not shiveringMedDRA releases: 2024-11 · check-in free text available
-
2021-10-31
Survey response — days 1–6 daily, dose 3MedDRA: Adverse reaction — Feeling: GoodFree text: Side effects all gone by nowMedDRA releases: 2024-11 · check-in free text available
- 2021-11-01
- 2021-11-02
- 2021-11-03
- 2021-11-04
- 2021-11-11
- 2021-11-18
- 2021-11-25
- 2021-12-02
- 2021-12-09
- 2022-01-27
-
2022-04-14
Dose 4 — Moderna
- 2022-04-19
- 2022-04-20
- 2022-04-21
- 2022-04-28
- 2022-05-05
- 2022-05-12
- 2022-05-19
- 2022-05-26
- 2022-07-14
- 2022-10-13
- 2023-04-14
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-01-20 | Moderna | |
| 2 | 2021-02-16 | Moderna | |
| 3 | 2021-10-28 | Moderna | No |
| 4 | 2022-04-14 | Moderna | No |
Free text
Release 2 — days 1–6 daily, dose 1
Systemic reaction (other): I thought the rash was at the vaccine site but it is actually a couple of inches below. I only felt the itch after the shot so I thought they were connected. The rash is mild, a few raised pimples. The itch stopped with the application of Cort-Aid cream and I felt fine today since the creamll.
Release 4 — days 1–6 daily, dose 2
Systemic reaction (other): I felt very cold without chills or fever
Systemic reaction (other): My feeling of intense cold has abated
Release 10 — days 1–6 daily, dose 3
Systemic reaction (other): Last night the shivering was acute. I am still cold but not shivering
Systemic reaction (other): Side effects all gone by now
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 |
|---|---|---|---|---|
| SRO | Adverse reaction | · | · | ✓ |
| SRO | Chills | · | · | ✓ |
| SRO | Feeling cold | ✓ | ✓ | ✓ |
| SRO | Injection site rash | ✓ | ✓ | ✓ |
| SRO | No adverse event | ✓ | ✓ | ✓ |
| SRO | Pruritus | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release