376-32511-47539
4 vaccinations
7 coded responses
29 check-ins
6 free-text entries
0 call cases
- Sex
- Female
- Age at first dose
- 61-65
- ZIP prefix
- 088 / NJ
- Registered
- 2021-01-26
- Relationship
- Self
- Race
- Asian
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-01-18
Dose 1 — Moderna
-
2021-01-26
Registered in v-safe
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2021-01-26
Survey response — day 7, dose 1MedDRA: Diarrhoea — Feeling: Good · Site: Pain, Swelling, Itching · DiarrheaFree text: Diarrhea was yesterdayMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-02-01
- 2021-02-08
-
2021-02-15
Dose 2 — Moderna
-
2021-02-15
Health check-in — day 0, dose 2Feeling: Fair · Site: Pain · Muscle or body aches, Fatigue or tirednessAdult check-in
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2021-02-16
Health check-in — days 1–6 daily, dose 2Feeling: Poor · Site: Pain · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activitiesAdult check-in
-
2021-02-17
Health check-in — days 1–6 daily, dose 2Feeling: Good · Site: Pain · Muscle or body achesAdult check-in
- 2021-02-18
- 2021-02-19
- 2021-02-20
- 2021-02-21
- 2021-02-22
- 2021-03-01
- 2021-03-08
-
2021-03-15
Survey response — day 28, dose 2MedDRA: Urinary tract infection — Feeling: GoodFree text: Urinary tract infectionMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-03-22
- 2021-03-29
- 2021-05-17
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2021-08-16
Survey response — 6 months, dose 2MedDRA: Chills, Fatigue, Pain, Self-medication — Feeling: Good · Be unable to do your normal daily activitiesFree text: About 3 weeks ago, had aches and chills and fatigue for about 36 hours. Took ibuprofen and got better.MedDRA releases: 2021-09,2024-11 · check-in free text available
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2021-09-08
Dose 3 — Moderna
- 2021-10-26
-
2021-12-08
Survey response — 3 months, dose 3MedDRA: Diarrhoea, Vomiting — Feeling: Good · Be unable to do your normal daily activitiesFree text: Day after Thanksgiving, full spent in bed due to diarrhea and vomiting. Not sure if food poisoning or a stomach bug.MedDRA releases: 2024-11 · check-in free text available
- 2022-03-09
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2022-03-27
Dose 4 — Moderna
- 2022-04-14
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2022-04-17
Survey response — day 21, dose 4MedDRA: Abdominal pain upper, Diarrhoea — Feeling: FairFree text: Stomach ache and diarrheaMedDRA releases: 2024-11 · check-in free text available
- 2022-04-24
- 2022-05-01
- 2022-05-08
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2022-06-26
Survey response — 3 months, dose 4MedDRA: Oropharyngeal pain, Pain — Feeling: GoodFree text: I had 10 days straight of a sore throat and some body achiness. Tested twice, second one a PCR, both tested negative.MedDRA releases: 2024-11 · check-in free text available
- 2022-09-25
-
2023-03-27
Survey response — 12 months, dose 4MedDRA: Laryngitis, Nasopharyngitis — Feeling: GoodMedDRA releases: 2024-11
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-01-18 | Moderna | |
| 2 | 2021-02-15 | Moderna | |
| 3 | 2021-09-08 | Moderna | No |
| 4 | 2022-03-27 | Moderna | No |
Free text
Release 2 — day 7, dose 1
Systemic reaction (other): Diarrhea was yesterday
Release 5 — day 28, dose 2
Symptoms: Urinary tract infection
Release 9 — 6 months, dose 2
Symptoms: About 3 weeks ago, had aches and chills and fatigue for about 36 hours. Took ibuprofen and got better.
Release 10 — 3 months, dose 3
Symptoms: Day after Thanksgiving, full spent in bed due to diarrhea and vomiting. Not sure if food poisoning or a stomach bug.
Release 11 — day 21, dose 4
Symptoms: Stomach ache and diarrhea
Release 12 — 3 months, dose 4
Symptoms: I had 10 days straight of a sore throat and some body achiness. Tested twice, second one a PCR, both tested negative.
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 | Abdominal pain upper | · | · | ✓ |
| SD | Chills | ✓ | · | ✓ |
| SD | Diarrhoea | · | · | ✓ |
| SD | Fatigue | ✓ | · | ✓ |
| SD | Laryngitis | · | · | ✓ |
| SD | Nasopharyngitis | · | · | ✓ |
| SD | Oropharyngeal pain | · | · | ✓ |
| SD | Pain | ✓ | · | ✓ |
| SD | Self-medication | ✓ | · | ✓ |
| SD | Urinary tract infection | ✓ | ✓ | ✓ |
| SD | Vomiting | · | · | ✓ |
| SRO | Diarrhoea | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release