3DR-22272-46906
1 vaccination
4 coded responses
12 check-ins
4 free-text entries
1 call case
- Sex
- Female
- Age at first dose
- 66+
- ZIP prefix
- 087 / NJ
- Registered
- 2021-03-04
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-03-02
Dose 1 — Moderna
-
2021-03-04
Registered in v-safe
-
2021-03-04
Health check-in — days 1–6 daily, dose 1Feeling: Good · Site: Pain · Headache, Joint pains, Fatigue or tirednessAdult check-in
- 2021-03-05
- 2021-03-06
- 2021-03-07
-
2021-03-08
Survey response — days 1–6 daily, dose 1MedDRA: Rash macular — Feeling: Poor · Site: Pain, Redness · Headache, Joint pains, Fatigue or tiredness, Rash, not including the immediate area around the injection site · Be unable to do your normal daily activitiesFree text: Rash is more of blotch but very uncomfortableMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-03-09
Survey response — day 7, dose 1MedDRA: Arthralgia, Pain in extremity, Rash — Feeling: Fair · Site: Pain · Joint pains, Muscle or body aches, Rash, not including the immediate area around the injection site · Be unable to do your normal daily activitiesFree text: Not sure its a rash my hip joints were hurting and then I thought I had a rash on top of my thighs and my vaginal area. Today the painful area is moving down my legMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-03-16
Survey response — day 14, dose 1MedDRA: Herpes zoster — Feeling: Poor · Be unable to do your normal daily activitiesFree text: ShinglesMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-03-23
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2021-03-30
Survey response — day 28, dose 1MedDRA: Herpes zoster, Self-medication, Vaginal infection — Feeling: Poor · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultation, Outpatient clinic or urgent care clinic visitFree text: My shingles which are in my groin area are still hurting and I seem to have a vaginal infection of some kind. All very very uncomfortable plus I take Tylenol for pain and now I have an antibioticMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-03-30
Report sent to call center — day 28, dose 1Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional1 call case(s)
- 2021-04-06
- 2021-04-13
- 2021-06-01
- 2022-03-15
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-03-02 | Moderna |
Call center
1 call center case
1 unsuccessful
1 wait over 3 months for a first call
Free text
Release 5 — days 1–6 daily, dose 1
Systemic reaction (other): Rash is more of blotch but very uncomfortable
Release 5 — day 7, dose 1
Systemic reaction (other): Not sure its a rash my hip joints were hurting and then I thought I had a rash on top of my thighs and my vaginal area. Today the painful area is moving down my leg
Release 5 — day 14, dose 1
Symptoms: Shingles
Release 6 — day 28, dose 1
Symptoms: My shingles which are in my groin area are still hurting and I seem to have a vaginal infection of some kind. All very very uncomfortable plus I take Tylenol for pain and now I have an antibiotic
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 | Herpes zoster | ✓ | ✓ | ✓ |
| SD | Self-medication | ✓ | ✓ | ✓ |
| SD | Vaginal infection | ✓ | ✓ | ✓ |
| SRO | Arthralgia | ✓ | ✓ | ✓ |
| SRO | Pain in extremity | ✓ | ✓ | ✓ |
| SRO | Rash | ✓ | ✓ | ✓ |
| SRO | Rash macular | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release