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3CY-13176-00825

5 vaccinations 4 coded responses 38 check-ins 4 free-text entries 0 call cases
Sex
Female
Age at first dose
51-55
ZIP prefix
076 / NJ
Registered
2021-01-09
Relationship
Self
Race
White
Ethnicity
Not Hispanic or Latino

Timeline

  1. 2020-12-31
    Dose 1 — Moderna
  2. 2021-01-09
    Registered in v-safe
  3. 2021-01-09
    Health check-in — day 7, dose 1
    Feeling: Good · Site: Pain · None
    Adult check-in
  4. 2021-01-14
    Health check-in — day 14, dose 1
    Feeling: Good
    Adult check-in
  5. 2021-01-21
    Survey response — day 21, dose 1
    MedDRA: Ear pain, Headache, Sinus pain — Feeling: Fair
    Free text: Headaches Earaches and sinus pain. Sinus and earaches have resolved but headaches persist
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  6. 2021-01-28
    Health check-in — day 28, dose 1
    Feeling: Good
    Adult check-in
  7. 2021-01-29
    Dose 2 — Moderna
  8. 2021-02-04
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · Site: Pain, Redness, Swelling · None
    Adult check-in
  9. 2021-02-05
    Health check-in — day 7, dose 2
    Feeling: Good · None
    Adult check-in
  10. 2021-02-12
    Survey response — day 14, dose 2
    MedDRA: Fatigue, Headache, Sinusitis — Feeling: Fair
    Free text: Just a little headachy feeling like a sinus infection is coming on though it has not progressed. Some fatigue earlier in the week too
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  11. 2021-02-19
    Health check-in — day 21, dose 2
    Feeling: Good
    Adult check-in
  12. 2021-02-26
    Health check-in — day 28, dose 2
    Feeling: Good
    Adult check-in
  13. 2021-03-05
    Health check-in — day 35, dose 2
    Feeling: Good
    Adult check-in
  14. 2021-03-12
    Health check-in — day 42, dose 2
    Feeling: Good
    Adult check-in
  15. 2021-05-01
    Health check-in — 3 months, dose 2
    Feeling: Good
    Adult check-in
  16. 2021-07-30
    Health check-in — 6 months, dose 2
    Feeling: Good
    Adult check-in
  17. 2021-11-30
    Dose 3 — Moderna
  18. 2022-01-29
    Health check-in — 12 months, dose 2
    Feeling: Good
    Adult check-in
  19. 2022-04-21
    Dose 4 — Moderna
  20. 2022-04-26
    Health check-in — days 1–6 daily, dose 4
    Feeling: Good · None
    Adult check-in
  21. 2022-04-27
    Health check-in — days 1–6 daily, dose 4
    Feeling: Good · None
    Adult check-in
  22. 2022-04-28
    Health check-in — day 7, dose 4
    Feeling: Good · None
    Adult check-in
  23. 2022-05-05
    Health check-in — day 14, dose 4
    Feeling: Good
    Adult check-in
  24. 2022-05-12
    Health check-in — day 21, dose 4
    Feeling: Good
    Adult check-in
  25. 2022-05-19
    Health check-in — day 28, dose 4
    Feeling: Good
    Adult check-in
  26. 2022-05-26
    Health check-in — day 35, dose 4
    Feeling: Good
    Adult check-in
  27. 2022-06-02
    Health check-in — day 42, dose 4
    Feeling: Good
    Adult check-in
  28. 2022-07-21
    Health check-in — 3 months, dose 4
    Feeling: Good
    Adult check-in
  29. 2022-09-21
    Dose 5 — Moderna
  30. 2022-09-21
    Health check-in — day 0, dose 5
    Feeling: Good · Site: Pain · None
    Adult check-in
  31. 2022-09-22
    Health check-in — days 1–6 daily, dose 5
    Feeling: Fair · Joint pains, Muscle or body aches, Fatigue or tiredness
    Adult check-in
  32. 2022-09-23
    Health check-in — days 1–6 daily, dose 5
    Feeling: Fair · Joint pains
    Adult check-in
  33. 2022-09-24
    Health check-in — days 1–6 daily, dose 5
    Feeling: Good · Fatigue or tiredness
    Adult check-in
  34. 2022-09-25
    Health check-in — days 1–6 daily, dose 5
    Feeling: Good · None
    Adult check-in
  35. 2022-09-26
    Health check-in — days 1–6 daily, dose 5
    Feeling: Good · None
    Adult check-in
  36. 2022-09-27
    Health check-in — days 1–6 daily, dose 5
    Feeling: Good · None
    Adult check-in
  37. 2022-09-28
    Health check-in — day 7, dose 5
    Feeling: Good · None
    Adult check-in
  38. 2022-10-05
    Survey response — day 14, dose 5
    MedDRA: Headache, Nasopharyngitis, Oropharyngeal pain, Pre-existing disease, SARS-CoV-2 test negative, Sneezing, Tinnitus — Feeling: Fair
    Free text: Since yesterday- Headache, a bit of a sore throat, sneezing, ears ringing a lot. Likely either sudden onset of allergies or a head cold (took a negative at home Covid test this morning)
    MedDRA releases: 2024-11 · check-in free text available
  39. 2022-10-12
    Health check-in — day 21, dose 5
    Feeling: Good
    Adult check-in
  40. 2022-10-19
    Health check-in — day 28, dose 5
    Feeling: Good
    Adult check-in
  41. 2022-10-26
    Health check-in — day 35, dose 5
    Feeling: Good
    Adult check-in
  42. 2022-11-02
    Health check-in — day 42, dose 5
    Feeling: Good
    Adult check-in
  43. 2022-12-21
    Survey response — 3 months, dose 5
    MedDRA: Fatigue, Headache, Myalgia, Oropharyngeal pain, Respiratory tract congestion, SARS-CoV-2 test negative, SARS-CoV-2 test positive, Sinus pain — Feeling: Good · Be unable to work or attend school, Be unable to do your normal daily activities
    Free text: Sore throat then sinus pain headache, congestion, fatigue, muscle aches. Moderately bad but resolved quickly- within a week. 4 days of neg home Covid tests while symptomatic. Pos test on day 5 of Sx's, was feeling better but tested as sister was +
    MedDRA releases: 2024-11 · check-in free text available
  44. 2023-03-22
    Health check-in — 6 months, dose 5
    Feeling: Good
    Adult check-in

Vaccinations

DoseDateManufacturerCo-administered
12020-12-31Moderna
22021-01-29Moderna
32021-11-30Moderna No
42022-04-21Moderna No
52022-09-21Moderna No

Free text

Release 2 — day 21, dose 1

2021-01-21

Symptoms: Headaches Earaches and sinus pain. Sinus and earaches have resolved but headaches persist

Release 4 — day 14, dose 2

2021-02-12

Symptoms: Just a little headachy feeling like a sinus infection is coming on though it has not progressed. Some fatigue earlier in the week too

Release 12 — day 14, dose 5

2022-10-05

Symptoms: Since yesterday- Headache, a bit of a sore throat, sneezing, ears ringing a lot. Likely either sudden onset of allergies or a head cold (took a negative at home Covid test this morning)

Release 12 — 3 months, dose 5

2022-12-21

Symptoms: Sore throat then sinus pain headache, congestion, fatigue, muscle aches. Moderately bad but resolved quickly- within a week. 4 days of neg home Covid tests while symptomatic. Pos test on day 5 of Sx's, was feeling better but tested as sister was + cut off by CDC

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
SDEar pain ✓ ✓ ✓
SDFatigue ✓ ✓ ✓
SDHeadache ✓ ✓ ✓
SDMyalgia · · ✓
SDNasopharyngitis · · ✓
SDOropharyngeal pain · · ✓
SDPre-existing disease · · ✓
SDRespiratory tract congestion · · ✓
SDSARS-CoV-2 test negative · · ✓
SDSARS-CoV-2 test positive · · ✓
SDSinus pain ✓ ✓ ✓
SDSinusitis ✓ ✓ ✓
SDSneezing · · ✓
SDTinnitus · · ✓

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