3K8-51614-76315
4 vaccinations
16 coded responses
38 check-ins
15 free-text entries
2 call cases
- Sex
- Female
- Age at first dose
- 51-55
- ZIP prefix
- 070 / NJ
- Registered
- 2021-03-12
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
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2021-03-12
Registered in v-safe
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2021-03-12
Dose 1 — Moderna
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2021-03-12
Survey response — day 0, dose 1MedDRA: Fatigue, Injection site pain, Limb discomfort, Pre-existing disease — Feeling: Good · Muscle or body aches, Fatigue or tirednessFree text: Tiredness could be from allergies acting ou. Not pain, but a heavy, slightly achy feeling at and around the injection siteMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-03-13
Health check-in — days 1–6 daily, dose 1Feeling: Good · Site: Pain, Swelling · Headache, Joint pains, Muscle or body aches, Fatigue or tirednessAdult check-in
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2021-03-14
Survey response — days 1–6 daily, dose 1MedDRA: Sinus congestion — Feeling: Good · Site: Pain, Swelling · Fatigue or tirednessFree text: Slight sinus congestion, but less than yesterday. Weather changes could be playing a part in that.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-03-15
Health check-in — days 1–6 daily, dose 1Feeling: Good · Joint pains, Fatigue or tirednessAdult check-in
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2021-03-16
Survey response — days 1–6 daily, dose 1MedDRA: Unevaluable event — Feeling: Good · Site: Itching · Joint pains, Fatigue or tirednessFree text: I think the time change and weather are factorsMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-03-17
Survey response — days 1–6 daily, dose 1MedDRA: Paranasal sinus discomfort, Throat irritation — Feeling: Good · Headache, Muscle or body aches, Fatigue or tirednessFree text: Scratchy throat, slight sinus pressure. Air quality alert today fir pollution, so I think that's the cause.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-03-18
- 2021-03-19
- 2021-03-26
- 2021-04-02
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2021-04-09
Dose 2 — Moderna
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2021-04-09
Survey response — day 0, dose 2MedDRA: Ear pruritus, Eye pruritus, Pre-existing disease, Throat irritation — Feeling: Fair · Site: Pain · Joint painsFree text: Pollen high, allergies active; itchy eyes, ears, scratchy throat, all very mild and normal for this time of yearMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-04-10
Survey response — days 1–6 daily, dose 2MedDRA: Oral pruritus, Paranasal sinus discomfort, Pre-existing disease, Seasonal allergy, Throat irritation, Tongue pruritus — Feeling: Fair · Site: Pain, Swelling · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activitiesFree text: Itchy throat, mouth, tongue; also happens when my allergies are bad, and pollen is very high right now. Sinus pressure, not severeMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-04-11
Survey response — days 1–6 daily, dose 2MedDRA: Arthralgia, Headache, Peripheral swelling — Feeling: Fair · Site: Pain, Swelling · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activitiesFree text: Very slight headache. Swelling in my arm spread, and is worse than yesterday. Also, there is more soreness than yesterday, swelling and soreness extending around to the bicep, and ache in my elbow.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-04-12
Survey response — days 1–6 daily, dose 2MedDRA: Arthralgia, Headache, Pain in extremity, Paranasal sinus discomfort, Peripheral swelling, Seasonal allergy — Feeling: Fair · Site: Pain, Swelling · Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activitiesFree text: Swelling over a large area of my arm. Still sore, but lessening. Had elbow pain, whuch is almost gone. Slight headache and sinus pressure, along with seasonal allergy symptoms.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-04-13
Survey response — days 1–6 daily, dose 2MedDRA: Arthralgia, Headache, Myalgia, Paranasal sinus discomfort, Pre-existing disease, Swelling — Feeling: Fair · Site: Pain, Redness, Swelling · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activitiesFree text: Muscle aches pretty much in arm around injection site, but still surprised at the large area of swelling. Joint pains mostly contained to elbow of injection site arm. Some pian in knees and ankle, but that was pre-existing. Allergy irritants are high, contributing to sinus pressure and headache, both slight.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-04-14
Survey response — days 1–6 daily, dose 2MedDRA: Erythema, Feeling hot, Peripheral swelling, Pre-existing disease, Pruritus, Self-medication, Sinus disorder — Feeling: Fair · Site: Pain, Redness, Swelling, Itching · Headache, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activitiesFree text: The redness on my arm is a small area, but only a couple of days old, and seems to have brought the itchiness with it. It's also slightly warmer than the rest of me. The swelling is going down a bit, but still more than expected. Pollen is high, and my sinuses could be reacting to that along with irritants from neighbors who started smoking recently, which I'm allergic to. I take Allegra D, and have taken Advil as well.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-04-15
Survey response — days 1–6 daily, dose 2MedDRA: Erythema, Headache, Pain, Paranasal sinus discomfort, Pruritus, Swelling — Feeling: Fair · Site: Pain, Redness, Swelling, Itching · Headache, Fatigue or tiredness · Be unable to do your normal daily activitiesFree text: Redness on my arm spread yesterday, and today is about the same. Itchiness is about the same, maybe slightly less. Swelling seems to have gone down a bit, and soreness has lessened. Sinuses are irritated, slight headache, but it's allergy season and pollen is high.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-04-16
Survey response — day 7, dose 2MedDRA: Erythema, Fatigue, Peripheral swelling, Pruritus — Feeling: Fair · Site: Redness, Swelling, Itching · Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activitiesFree text: Swelling of my arm has gone down to slightly swollen, redness and itchiness are also slight. Pollen is up, my throat is scratchy and I'm slighty congested, but there are a lot of irritants in the area. I'm still fatigued.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-04-23
- 2021-04-30
- 2021-05-07
- 2021-05-14
- 2021-05-21
- 2021-07-11
- 2021-10-08
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2021-12-03
Dose 3 — Moderna
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2022-04-11
Survey response — 12 months, dose 2MedDRA: Arthralgia, Arthropathy, Back pain, Dyspnoea, Eye pruritus, Injury, Mobility decreased, Office visit, Pre-existing disease, Sinus headache, Sneezing, Throat irritation — Feeling: Fair · Be unable to work or attend school, Be unable to do your normal daily activities, Get care from a doctor or other healthcare professionalFree text: Symptoms: Allergies: have had most of my life. Pollen is high now, causing some sneezing, itchy eyes, sometimes sinus headache, scratchy throat &/or difficult breathing. Knee issues/pain from work injury acting up, also causing back pain & limiting mobility · Healthcare visit (other): Office visitMedDRA releases: 2024-11 · check-in free text available
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2022-04-11
Report sent to call center — 12 months, dose 2Be unable to work or attend school · Be unable to do your normal daily activities · Get care from a doctor or other healthcare pr1 call case(s)
- 2022-04-22
- 2022-06-05
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2022-10-21
Dose 4 — Moderna
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2022-10-25
Health check-in — days 1–6 daily, dose 4Feeling: Fair · Site: Pain, Redness, Swelling · Headache, Muscle or body aches, Fatigue or tiredness · Be unable to work or attend school, Be unable to do your normal daily activitiesAdult check-in
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2022-10-26
Health check-in — days 1–6 daily, dose 4Feeling: Fair · Site: Pain, Swelling · Headache, Muscle or body aches, Fatigue or tiredness · Be unable to work or attend schoolAdult check-in
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2022-10-27
Health check-in — days 1–6 daily, dose 4Feeling: Fair · Site: Pain, Swelling · Headache, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activitiesAdult check-in
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2022-10-28
Health check-in — day 7, dose 4Feeling: Fair · Headache, Muscle or body aches, Fatigue or tirednessAdult check-in
- 2022-11-06
- 2022-11-11
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2022-11-18
Survey response — day 28, dose 4MedDRA: Flatulence, Sinus congestion, Toothache — Feeling: Fair · Be unable to work or attend schoolFree text: Sinus congestion. Tooth ache. Gas pains.MedDRA releases: 2024-11 · check-in free text available
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2022-11-25
Survey response — day 35, dose 4MedDRA: Cough, Dyspnoea exertional, Respiratory tract congestion, Upper-airway cough syndrome — Feeling: Fair · Be unable to work or attend schoolFree text: Slight congestion, some post nasal drip, occasional coughing from the post nasal drip, some shortness of breath when walking (which would be typical for me if i have an upper respiratory infection).MedDRA releases: 2024-11 · check-in free text available
- 2022-12-03
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2023-01-20
Survey response — 3 months, dose 4MedDRA: Muscle strain, Office visit, Unevaluable event — Feeling: Good · Be unable to work or attend school, Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultationMedDRA releases: 2024-11
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2023-01-20
Report sent to call center — 3 months, dose 4Be unable to work or attend school · Be unable to do your normal daily activities · Get care from a doctor or other healthcare prTelehealth, virtual health, or email health consultation · 1 call case(s)
- 2023-01-23
- 2023-01-23
- 2023-04-21
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-03-12 | Moderna | |
| 2 | 2021-04-09 | Moderna | |
| 3 | 2021-12-03 | Moderna | No |
| 4 | 2022-10-21 | Moderna | No |
Call center
2 call center cases
2 unsuccessful
Free text
Release 5 — day 0, dose 1
Systemic reaction (other): Tiredness could be from allergies acting ou. Not pain, but a heavy, slightly achy feeling at and around the injection site
Release 5 — days 1–6 daily, dose 1
Systemic reaction (other): Slight sinus congestion, but less than yesterday. Weather changes could be playing a part in that.
Systemic reaction (other): I think the time change and weather are factors
Systemic reaction (other): Scratchy throat, slight sinus pressure. Air quality alert today fir pollution, so I think that's the cause.
Release 7 — day 0, dose 2
Systemic reaction (other): Pollen high, allergies active; itchy eyes, ears, scratchy throat, all very mild and normal for this time of year
Release 7 — days 1–6 daily, dose 2
Systemic reaction (other): Itchy throat, mouth, tongue; also happens when my allergies are bad, and pollen is very high right now. Sinus pressure, not severe
Systemic reaction (other): Very slight headache. Swelling in my arm spread, and is worse than yesterday. Also, there is more soreness than yesterday, swelling and soreness extending around to the bicep, and ache in my elbow.
Systemic reaction (other): Swelling over a large area of my arm. Still sore, but lessening. Had elbow pain, whuch is almost gone. Slight headache and sinus pressure, along with seasonal allergy symptoms.
Systemic reaction (other): Muscle aches pretty much in arm around injection site, but still surprised at the large area of swelling. Joint pains mostly contained to elbow of injection site arm. Some pian in knees and ankle, but that was pre-existing. Allergy irritants are high, contributing to sinus pressure and headache, both slight.
Systemic reaction (other): The redness on my arm is a small area, but only a couple of days old, and seems to have brought the itchiness with it. It's also slightly warmer than the rest of me. The swelling is going down a bit, but still more than expected. Pollen is high, and my sinuses could be reacting to that along with irritants from neighbors who started smoking recently, which I'm allergic to. I take Allegra D, and have taken Advil as well.
Systemic reaction (other): Redness on my arm spread yesterday, and today is about the same. Itchiness is about the same, maybe slightly less. Swelling seems to have gone down a bit, and soreness has lessened. Sinuses are irritated, slight headache, but it's allergy season and pollen is high.
Release 7 — day 7, dose 2
Systemic reaction (other): Swelling of my arm has gone down to slightly swollen, redness and itchiness are also slight. Pollen is up, my throat is scratchy and I'm slighty congested, but there are a lot of irritants in the area. I'm still fatigued.
Release 11 — 12 months, dose 2
Symptoms: Allergies: have had most of my life. Pollen is high now, causing some sneezing, itchy eyes, sometimes sinus headache, scratchy throat &/or difficult breathing. Knee issues/pain from work injury acting up, also causing back pain & limiting mobility
Healthcare visit (other): Office visit
Release 12 — day 28, dose 4
Symptoms: Sinus congestion. Tooth ache. Gas pains.
Release 12 — day 35, dose 4
Symptoms: Slight congestion, some post nasal drip, occasional coughing from the post nasal drip, some shortness of breath when walking (which would be typical for me if i have an upper respiratory infection).
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 |
|---|---|---|---|---|
| HCVO | Office visit | · | · | ✓ |
| SD | Arthralgia | · | · | ✓ |
| SD | Arthropathy | · | · | ✓ |
| SD | Back pain | · | · | ✓ |
| SD | Cough | · | · | ✓ |
| SD | Dyspnoea | · | · | ✓ |
| SD | Dyspnoea exertional | · | · | ✓ |
| SD | Eye pruritus | · | · | ✓ |
| SD | Flatulence | · | · | ✓ |
| SD | Injury | · | · | ✓ |
| SD | Mobility decreased | · | · | ✓ |
| SD | Muscle strain | · | · | ✓ |
| SD | Pre-existing disease | · | · | ✓ |
| SD | Respiratory tract congestion | · | · | ✓ |
| SD | Sinus congestion | · | · | ✓ |
| SD | Sinus headache | · | · | ✓ |
| SD | Sneezing | · | · | ✓ |
| SD | Throat irritation | · | · | ✓ |
| SD | Toothache | · | · | ✓ |
| SD | Unevaluable event | · | · | ✓ |
| SD | Upper-airway cough syndrome | · | · | ✓ |
| SRO | Arthralgia | ✓ | ✓ | ✓ |
| SRO | Ear pruritus | ✓ | ✓ | ✓ |
| SRO | Erythema | ✓ | ✓ | ✓ |
| SRO | Eye pruritus | ✓ | ✓ | ✓ |
| SRO | Fatigue | ✓ | ✓ | ✓ |
| SRO | Feeling hot | ✓ | ✓ | ✓ |
| SRO | Headache | ✓ | ✓ | ✓ |
| SRO | Injection site pain | ✓ | ✓ | ✓ |
| SRO | Limb discomfort | ✓ | ✓ | ✓ |
| SRO | Myalgia | ✓ | ✓ | ✓ |
| SRO | Oral pruritus | ✓ | ✓ | ✓ |
| SRO | Pain | ✓ | ✓ | ✓ |
| SRO | Pain in extremity | ✓ | ✓ | ✓ |
| SRO | Paranasal sinus discomfort | ✓ | ✓ | ✓ |
| SRO | Peripheral swelling | ✓ | ✓ | ✓ |
| SRO | Pre-existing disease | ✓ | ✓ | ✓ |
| SRO | Pruritus | ✓ | ✓ | ✓ |
| SRO | Seasonal allergy | ✓ | ✓ | ✓ |
| SRO | Self-medication | ✓ | ✓ | ✓ |
| SRO | Sinus congestion | ✓ | ✓ | ✓ |
| SRO | Sinus disorder | ✓ | ✓ | ✓ |
| SRO | Swelling | ✓ | ✓ | ✓ |
| SRO | Throat irritation | ✓ | ✓ | ✓ |
| SRO | Tongue pruritus | ✓ | ✓ | ✓ |
| SRO | Unevaluable event | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release