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3FE-16201-89167

4 vaccinations 6 coded responses 23 check-ins 6 free-text entries 4 call cases
Sex
Female
Age at first dose
66+
ZIP prefix
077 / NJ
Registered
2021-03-24
Relationship
Self
Race
White
Ethnicity
Not Hispanic or Latino

Timeline

  1. 2021-03-24
    Registered in v-safe
  2. 2021-03-24
    Dose 1 — Moderna
  3. 2021-03-24
    Survey response — day 0, dose 1
    MedDRA: No adverse event — Feeling: Good
    Free text: No
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  4. 2021-03-25
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · Site: Pain · Chills
    Adult check-in
  5. 2021-03-26
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · None
    Adult check-in
  6. 2021-03-28
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · None
    Adult check-in
  7. 2021-03-30
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · None
    Adult check-in
  8. 2021-03-31
    Health check-in — day 7, dose 1
    Feeling: Good · None
    Adult check-in
  9. 2021-04-07
    Health check-in — day 14, dose 1
    Feeling: Good
    Adult check-in
  10. 2021-04-14
    Health check-in — day 21, dose 1
    Feeling: Good
    Adult check-in
  11. 2021-04-21
    Dose 2 — Moderna
  12. 2021-04-28
    Health check-in — day 7, dose 2
    Feeling: Fair · Site: Pain · Chills, Headache, Fatigue or tiredness, Diarrhea · Be unable to do your normal daily activities
    Adult check-in
  13. 2021-05-05
    Health check-in — day 14, dose 2
    Feeling: Good
    Adult check-in
  14. 2021-05-12
    Health check-in — day 21, dose 2
    Feeling: Good
    Adult check-in
  15. 2021-05-19
    Health check-in — day 28, dose 2
    Feeling: Good
    Adult check-in
  16. 2021-05-26
    Survey response — day 35, dose 2
    MedDRA: Dyspnoea, Fatigue, Interstitial lung disease, Office visit — Feeling: Fair · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional
    Free text: Symptoms: Shortness of breath, fatigue · Healthcare visit (other): Rheumatologist- I have interstitial lung disease/ crest syndrome. Lots of bloodwork
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  17. 2021-05-26
    Report sent to call center — day 35, dose 2
    Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional
    1 call case(s)
  18. 2021-06-02
    Health check-in — day 42, dose 2
    Feeling: Fair
    Adult check-in
  19. 2021-07-21
    Survey response — 3 months, dose 2
    MedDRA: CREST syndrome, Office visit, Scleroderma — Feeling: Fair · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional
    Free text: Symptoms: Diagnosed with scleroderma/ crest syndromeGetting infusions · Healthcare visit (other): Rheumatologist
    MedDRA releases: 2024-11 · check-in free text available
  20. 2021-07-21
    Report sent to call center — 3 months, dose 2
    Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional
    1 call case(s)
  21. 2021-07-24
  22. 2021-09-16
    Dose 3 — Moderna
  23. 2021-10-20
    Survey response — 6 months, dose 2
    MedDRA: COVID-19 — Feeling: Fair · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit, Emergency room or emergency department visit
    Free text: Diagnosed with COVID
    MedDRA releases: 2024-11 · check-in free text available
  24. 2021-10-20
    Report sent to call center — 6 months, dose 2
    Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional
    Outpatient clinic or urgent care clinic visit · Emergency room or emergency department visit · 1 call case(s)
  25. 2021-10-22
  26. 2022-04-09
    Dose 4 — Moderna
  27. 2022-04-22
    Health check-in — 12 months, dose 2
    Feeling: Good
    Adult check-in
  28. 2022-05-06
    Survey response — day 21, dose 4
    MedDRA: Chills, Cough, Dyspnoea, Fatigue, Office visit, SARS-CoV-2 test — Feeling: Poor · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit
    Free text: Just went today for COVID test. Awaiting results. I have chills, persists dry cough. Tired, slight shortness of breath. Doctor prescribed a cough medication for now.
    MedDRA releases: 2024-11 · check-in free text available
  29. 2022-05-06
    Report sent to call center — day 21, dose 4
    Get care from a doctor or other healthcare professional
    Outpatient clinic or urgent care clinic visit · 1 call case(s)
  30. 2022-05-09
    Health check-in — day 28, dose 4
    Feeling: Fair
    Adult check-in
  31. 2022-05-09
    Call successful
    Not applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill
  32. 2022-05-09
    Call successful
    Not applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill
  33. 2022-05-09
    Call successful
    Not applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill
  34. 2022-05-09
    Call successful
    Not applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill
  35. 2022-05-15
    Health check-in — day 35, dose 4
    Feeling: Fair
    Adult check-in
  36. 2022-05-23
    Health check-in — day 42, dose 4
    Feeling: Fair
    Adult check-in
  37. 2022-07-10
    Health check-in — 3 months, dose 4
    Feeling: Good
    Adult check-in
  38. 2022-10-08
    Survey response — 6 months, dose 4
    MedDRA: Chills, Cough, Diarrhoea, Fatigue, Hyperhidrosis, SARS-CoV-2 test negative, Self-medication — Feeling: Poor · Be unable to do your normal daily activities
    Free text: Since last night- coughing and sweating. This morning diarrhea, chills, fatigue. Took COVID rapid test- negative. Using ibuprofen and cough syrup -resting.
    MedDRA releases: 2024-11 · check-in free text available

Vaccinations

DoseDateManufacturerCo-administered
12021-03-24Moderna
22021-04-21Moderna
32021-09-16Moderna No
42022-04-09Moderna No

Call center

4 call center cases

4 successful

See the call center timeline

Free text

Release 6 — day 0, dose 1

2021-03-24

Systemic reaction (other): No

Release 8 — day 35, dose 2

2021-05-26

Symptoms: Shortness of breath, fatigue
Healthcare visit (other): Rheumatologist- I have interstitial lung disease/ crest syndrome. Lots of bloodwork

Release 9 — 3 months, dose 2

2021-07-21

Symptoms: Diagnosed with scleroderma/ crest syndromeGetting infusions
Healthcare visit (other): Rheumatologist

Release 10 — 6 months, dose 2

2021-10-20

Symptoms: Diagnosed with COVID

Release 11 — day 21, dose 4

2022-05-06

Symptoms: Just went today for COVID test. Awaiting results. I have chills, persists dry cough. Tired, slight shortness of breath. Doctor prescribed a cough medication for now.

Release 12 — 6 months, dose 4

2022-10-08

Symptoms: Since last night- coughing and sweating. This morning diarrhea, chills, fatigue. Took COVID rapid test- negative. Using ibuprofen and cough syrup -resting.

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
HCVOInterstitial lung disease ✓ ✓ ✓
HCVOOffice visit ✓ ✓ ✓
SDChills · · ✓
SDCough · · ✓
SDCOVID-19 · · ✓
SDCREST syndrome · · ✓
SDDiarrhoea · · ✓
SDDyspnoea ✓ ✓ ✓
SDFatigue ✓ ✓ ✓
SDHyperhidrosis · · ✓
SDOffice visit · · ✓
SDSARS-CoV-2 test · · ✓
SDSARS-CoV-2 test negative · · ✓
SDScleroderma · · ✓
SDSelf-medication · · ✓
SRONo adverse event ✓ ✓ ✓

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

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