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35J-27565-85581

2 vaccinations 4 coded responses 24 check-ins 4 free-text entries 1 call case
Sex
Female
Age at first dose
41-45
ZIP prefix
070 / NJ
Registered
2021-03-23
Relationship
Self
Race
White
Ethnicity
Not Hispanic or Latino

Timeline

  1. 2021-03-23
    Registered in v-safe
  2. 2021-03-23
    Dose 1 — Moderna
  3. 2021-03-23
    Health check-in — day 0, dose 1
    Feeling: Good · None
    Adult check-in
  4. 2021-03-24
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · Site: Pain, Swelling · None
    Adult check-in
  5. 2021-03-26
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · None
    Adult check-in
  6. 2021-03-27
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · None
    Adult check-in
  7. 2021-03-28
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · None
    Adult check-in
  8. 2021-03-29
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · None
    Adult check-in
  9. 2021-03-30
    Health check-in — day 7, dose 1
    Feeling: Good · None
    Adult check-in
  10. 2021-04-06
    Health check-in — day 14, dose 1
    Feeling: Good
    Adult check-in
  11. 2021-04-13
    Survey response — day 21, dose 1
    MedDRA: Fatigue, Headache — Feeling: Fair
    Free text: Headaches dailyOverwhelming fatigue that lasted about three days. Now its just a daily headache.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  12. 2021-04-22
    Dose 2 — Moderna
  13. 2021-04-22
    Survey response — day 0, dose 2
    MedDRA: Unevaluable event — Feeling: Fair · Site: Pain · Headache
    Free text: Tickle in my ears!
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  14. 2021-04-23
    Health check-in — days 1–6 daily, dose 2
    Feeling: Poor · Site: Pain, Swelling · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to work, Be unable to do your normal daily activities
    Adult check-in
  15. 2021-04-24
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · Site: Pain, Swelling · None
    Adult check-in
  16. 2021-04-25
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · Site: Pain · Fatigue or tiredness
    Adult check-in
  17. 2021-04-26
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · Site: Pain · None
    Adult check-in
  18. 2021-04-27
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · None
    Adult check-in
  19. 2021-04-28
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · None
    Adult check-in
  20. 2021-04-29
    Health check-in — day 7, dose 2
    Feeling: Good · None
    Adult check-in
  21. 2021-05-06
    Health check-in — day 14, dose 2
    Feeling: Good
    Adult check-in
  22. 2021-05-13
    Health check-in — day 21, dose 2
    Feeling: Good
    Adult check-in
  23. 2021-05-20
    Survey response — day 28, dose 2
    MedDRA: Brain fog — Feeling: Good
    Free text: I can blame the vaccine and I would do it again but there have been some days of what I can only describe as brain fog
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  24. 2021-06-03
    Health check-in — day 42, dose 2
    Feeling: Good
    Adult check-in
  25. 2021-07-22
    Health check-in — 3 months, dose 2
    Feeling: Good
    Adult check-in
  26. 2021-10-21
    Health check-in — 6 months, dose 2
    Feeling: Good
    Adult check-in
  27. 2022-04-24
    Survey response — 12 months, dose 2
    MedDRA: Allergy to metals, Hypersensitivity, Office visit — Feeling: Good · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit
    Free text: Symptoms: I have developed an allergy to gold. I can't wear my wedding band and often experience allergic reactions on my eyelids. I've been two the eye doc, dermatologist and allergist. Identified an allergy to gold all three have said likely Covid related · Healthcare visit (other): Doctors office
    MedDRA releases: 2024-11 · check-in free text available
  28. 2022-04-24
    Report sent to call center — 12 months, dose 2
    Get care from a doctor or other healthcare professional
    Outpatient clinic or urgent care clinic visit · 1 call case(s)
  29. 2022-04-27
  30. 2022-05-06

Vaccinations

DoseDateManufacturerCo-administered
12021-03-23Moderna
22021-04-22Moderna

Call center

1 call center case

1 unsuccessful

See the call center timeline

Free text

Release 7 — day 21, dose 1

2021-04-13

Symptoms: Headaches dailyOverwhelming fatigue that lasted about three days. Now its just a daily headache.

Release 7 — day 0, dose 2

2021-04-22

Systemic reaction (other): Tickle in my ears!

Release 8 — day 28, dose 2

2021-05-20

Symptoms: I can blame the vaccine and I would do it again but there have been some days of what I can only describe as brain fog

Release 11 — 12 months, dose 2

2022-04-24

Symptoms: I have developed an allergy to gold. I can't wear my wedding band and often experience allergic reactions on my eyelids. I've been two the eye doc, dermatologist and allergist. Identified an allergy to gold all three have said likely Covid related
Healthcare visit (other): Doctors office

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

FieldPreferred term2021-092023-042024-11
HCVOOffice visit · · ✓
SDAllergy to metals · · ✓
SDBrain fog ✓ ✓ ✓
SDFatigue ✓ ✓ ✓
SDHeadache ✓ ✓ ✓
SDHypersensitivity · · ✓
SDOffice visit · · ✓
SROUnevaluable event ✓ ✓ ✓

✓ active code · ○ coded but marked inactive · blank = not in that release