2VT-21951-75708
3 vaccinations
5 coded responses
26 check-ins
5 free-text entries
1 call case
- Sex
- Female
- Age at first dose
- 56-60
- ZIP prefix
- 070 / NJ
- Registered
- 2021-01-08
- Relationship
- Self
- Race
- Black or African American
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-01-08
Registered in v-safe
-
2021-01-08
Dose 1 — Moderna
- 2021-01-09
- 2021-01-10
- 2021-01-11
- 2021-01-12
- 2021-01-13
- 2021-01-14
- 2021-01-16
- 2021-01-22
- 2021-01-29
-
2021-02-05
Dose 2 — Moderna
- 2021-02-05
- 2021-02-06
-
2021-02-07
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Headache, Fatigue or tiredness, NauseaAdult check-in
-
2021-02-08
Survey response — days 1–6 daily, dose 2MedDRA: Axillary pain, Back pain, Oedema peripheral, Swelling — Feeling: Fair · Fatigue or tiredness, NauseaFree text: Pain and swelling in the armpit and area around the back behind the armpit of the arm I received the vaccinationMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-02-09
Survey response — days 1–6 daily, dose 2MedDRA: Oedema peripheral — Feeling: Fair · Site: Itching · NauseaFree text: Swelling and mild pain in my armpit and towards the back of the armpit area of the arm I was vaccinated inMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-02-10
Survey response — days 1–6 daily, dose 2MedDRA: Pain in extremity, Peripheral swelling — Feeling: Good · Fatigue or tiredness, NauseaFree text: Swelling and pain under the arm and behind the armpit area of the arm I was vaccinated inMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-02-11
Survey response — days 1–6 daily, dose 2MedDRA: Axillary pain, Oedema peripheral — Feeling: Good · Fatigue or tiredness, NauseaFree text: Pain and swelling around armpit and arm of vaccinated armMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-02-12
- 2021-02-19
- 2021-02-26
- 2021-03-05
- 2021-03-12
- 2021-03-19
- 2021-05-07
- 2021-08-06
-
2021-12-29
Dose 3 — Moderna
-
2022-02-05
Survey response — 12 months, dose 2MedDRA: COVID-19, Cough, Decreased appetite, Diarrhoea, Fatigue, Headache, Oropharyngeal pain, Respiratory tract congestion — Feeling: Good · Be unable to work or attend school, 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: I got Covid and had fatigue, cough, headache, sore throat, mucus congestion, loss of appetite and diarrheaMedDRA releases: 2024-11 · check-in free text available
-
2022-02-05
Report sent to call center — 12 months, dose 2Be unable to work or attend school · Be unable to do your normal daily activities · Get care from a doctor or other healthcare prTelehealth, virtual health, or email health consultation · 1 call case(s)
- 2022-03-30
- 2022-03-31
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-01-08 | Moderna | |
| 2 | 2021-02-05 | Moderna | |
| 3 | 2021-12-29 | Moderna | No |
Call center
1 call center case
1 unsuccessful
Free text
Release 3 — days 1–6 daily, dose 2
Systemic reaction (other): Pain and swelling in the armpit and area around the back behind the armpit of the arm I received the vaccination
Systemic reaction (other): Swelling and mild pain in my armpit and towards the back of the armpit area of the arm I was vaccinated in
Systemic reaction (other): Swelling and pain under the arm and behind the armpit area of the arm I was vaccinated in
Release 4 — days 1–6 daily, dose 2
Systemic reaction (other): Pain and swelling around armpit and arm of vaccinated arm
Release 11 — 12 months, dose 2
Symptoms: I got Covid and had fatigue, cough, headache, sore throat, mucus congestion, loss of appetite and diarrhea
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 | COVID-19 | · | · | ✓ |
| SD | Decreased appetite | · | · | ✓ |
| SD | Diarrhoea | · | · | ✓ |
| SD | Fatigue | · | · | ✓ |
| SD | Headache | · | · | ✓ |
| SD | Oropharyngeal pain | · | · | ✓ |
| SD | Respiratory tract congestion | · | · | ✓ |
| SRO | Axillary pain | ✓ | ✓ | ✓ |
| SRO | Back pain | ✓ | ✓ | ✓ |
| SRO | Oedema peripheral | ✓ | ✓ | ✓ |
| SRO | Pain in extremity | ✓ | ✓ | ✓ |
| SRO | Peripheral swelling | ✓ | ✓ | ✓ |
| SRO | Swelling | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release