335-11816-28107
4 vaccinations
10 coded responses
43 check-ins
10 free-text entries
1 call case
- Sex
- Female
- Age at first dose
- 66+
- ZIP prefix
- 076 / NJ
- Registered
- 2021-01-05
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-01-05
Registered in v-safe
-
2021-01-05
Dose 1 — Moderna
- 2021-01-06
- 2021-01-07
- 2021-01-08
- 2021-01-09
- 2021-01-10
- 2021-01-11
- 2021-01-12
- 2021-01-20
- 2021-01-26
-
2021-01-30
Dose 2 — Moderna
-
2021-02-02
Survey response — days 1–6 daily, dose 2MedDRA: Pyrexia — Feeling: GoodFree text: Fever of 101 day after dose 2.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-02-03
-
2021-02-04
Survey response — days 1–6 daily, dose 2MedDRA: Lymphadenopathy — Feeling: Fair · Site: Pain, Redness, Swelling · Fever · Joint pains, Muscle or body aches · Be unable to do your normal daily activitiesFree text: Swelling of lymph nodes under arm where got shotMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-02-06
Survey response — day 7, dose 2MedDRA: Lymphadenopathy — Feeling: Fair · Site: Pain, Redness, SwellingFree text: Enlarged lymph nodes under armMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-02-13
Survey response — day 14, dose 2MedDRA: Lymphadenopathy — Feeling: GoodFree text: Lymph nodes swollen under arm of shotMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-02-20
- 2021-02-27
- 2021-03-08
- 2021-03-13
- 2021-05-01
- 2021-07-31
-
2021-08-19
Dose 3 — Moderna
- 2021-08-19
-
2021-08-20
Health check-in — days 1–6 daily, dose 3Feeling: Poor · Fever · Chills, Muscle or body aches, Fatigue or tiredness · Be unable to work or attend school, Be unable to do your normal daily activitiesAdult check-in
-
2021-08-21
Health check-in — days 1–6 daily, dose 3Feeling: Fair · Site: Pain · Fever · Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to work or attend schoolAdult check-in
-
2021-08-22
Survey response — days 1–6 daily, dose 3MedDRA: Hyperhidrosis, Pyrexia — Feeling: Good · Site: Pain, Redness, Swelling · Be unable to do your normal daily activitiesFree text: Fever broke overnight. 2 nights of very severe drenching sweats.MedDRA releases: 2021-09,2024-11 · check-in free text available
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2021-08-23
Survey response — days 1–6 daily, dose 3MedDRA: Night sweats — Feeling: Good · Site: Pain, Redness, Swelling, Itching · Fatigue or tiredness · Be unable to do your normal daily activitiesFree text: Night sweatsMedDRA releases: 2021-09,2024-11 · check-in free text available
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2021-08-24
Health check-in — days 1–6 daily, dose 3Feeling: Good · Site: Pain, Redness, Swelling, Itching · NoneAdult check-in
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2021-08-25
Survey response — days 1–6 daily, dose 3MedDRA: Lymphadenopathy — Feeling: Good · Site: Pain, Redness, Swelling, ItchingFree text: Swollen lymph nodes under arm where got shotMedDRA releases: 2021-09,2024-11 · check-in free text available
-
2021-08-26
Survey response — day 7, dose 3MedDRA: Lymphadenopathy — Feeling: Good · Site: Pain, Redness, Swelling, ItchingFree text: Swollen lymph node under arm near breast got shot inMedDRA releases: 2021-09,2024-11 · check-in free text available
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2021-09-02
Survey response — day 14, dose 3MedDRA: Unevaluable event — Feeling: GoodFree text: Lymph node under arm on side of shotMedDRA releases: 2021-09,2024-11 · check-in free text available
- 2021-09-09
- 2021-09-16
- 2021-09-23
- 2021-09-30
- 2021-11-18
- 2022-02-17
-
2022-03-31
Dose 4 — Moderna
- 2022-04-14
- 2022-04-21
- 2022-04-28
- 2022-05-05
- 2022-05-12
- 2022-06-30
-
2022-09-29
Survey response — 6 months, dose 4MedDRA: COVID-19, COVID-19 pneumonia, Scan abnormal — Feeling: Fair · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professionalFree text: Symptoms: Got Covid and rebound from paxlovid · Healthcare visit (other): Chest scan. Had Covid pneumonia.MedDRA releases: 2024-11 · check-in free text available
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2022-09-29
Report sent to call center — 6 months, dose 4Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional1 call case(s)
- 2022-09-30
- 2023-03-31
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-01-05 | Moderna | |
| 2 | 2021-01-30 | Moderna | |
| 3 | 2021-08-19 | Moderna | No |
| 4 | 2022-03-31 | Moderna | No |
Call center
1 call center case
1 unsuccessful
Free text
Release 3 — days 1–6 daily, dose 2
Systemic reaction (other): Fever of 101 day after dose 2.
Systemic reaction (other): Swelling of lymph nodes under arm where got shot
Release 3 — day 7, dose 2
Systemic reaction (other): Enlarged lymph nodes under arm
Release 4 — day 14, dose 2
Symptoms: Lymph nodes swollen under arm of shot
Release 9 — days 1–6 daily, dose 3
Systemic reaction (other): Fever broke overnight. 2 nights of very severe drenching sweats.
Systemic reaction (other): Night sweats
Systemic reaction (other): Swollen lymph nodes under arm where got shot
Release 9 — day 7, dose 3
Systemic reaction (other): Swollen lymph node under arm near breast got shot in
Release 9 — day 14, dose 3
Symptoms: Lymph node under arm on side of shot
Release 12 — 6 months, dose 4
Symptoms: Got Covid and rebound from paxlovid
Healthcare visit (other): Chest scan. Had Covid pneumonia.
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 |
|---|---|---|---|---|
| HCVO | COVID-19 pneumonia | · | · | ✓ |
| HCVO | Scan abnormal | · | · | ✓ |
| SD | COVID-19 | · | · | ✓ |
| SD | Lymphadenopathy | ✓ | ✓ | ✓ |
| SD | Unevaluable event | ✓ | · | ✓ |
| SRO | Hyperhidrosis | ✓ | · | ✓ |
| SRO | Lymphadenopathy | ✓ | ✓ | ✓ |
| SRO | Night sweats | ✓ | · | ✓ |
| SRO | Pyrexia | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release