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3LK-32021-33773

2 vaccinations 5 coded responses 18 check-ins 5 free-text entries 0 call cases
Sex
Female
Age at first dose
46-50
ZIP prefix
088 / NJ
Registered
2020-12-24
Relationship
Self
Race
White
Ethnicity
Not Hispanic or Latino

Timeline

  1. 2020-12-23
    Dose 1 — Moderna
  2. 2020-12-24
    Registered in v-safe
  3. 2020-12-25
    Survey response — days 1–6 daily, dose 1
    MedDRA: Nasal congestion, Sneezing — Feeling: Good · Site: Pain · Headache
    Free text: Sneezing and mild nasal congestion (not sure if related to vaccine)
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  4. 2020-12-27
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · Joint pains
    Adult check-in
  5. 2020-12-28
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · None
    Adult check-in
  6. 2020-12-29
    Health check-in — days 1–6 daily, dose 1
    Feeling: Fair · Muscle or body aches, Nausea
    Adult check-in
  7. 2020-12-30
    Health check-in — day 7, dose 1
    Feeling: Fair · Headache, Fatigue or tiredness, Nausea
    Adult check-in
  8. 2021-01-06
    Health check-in — day 14, dose 1
    Feeling: Good
    Adult check-in
  9. 2021-01-13
    Survey response — day 21, dose 1
    MedDRA: Injection site pain — Feeling: Good
    Free text: Injection site previously had no pain after a couple of day. Late last week had new sore was at the Injection site. Self limiting and wasn't intolerable
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  10. 2021-01-20
    Dose 2 — Moderna
  11. 2021-01-21
    Survey response — days 1–6 daily, dose 2
    MedDRA: Asthenia, Back pain, Dizziness, Ear pain, Eye pain, Hypotension, Malaise, Vertigo — Feeling: Poor · Site: Pain, Redness, Swelling · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to work, Be unable to do your normal daily activities
    Free text: Dizziness/vertigo. Low blood pressure ear pain eyes pain back pain general malaise and weakness
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  12. 2021-01-22
    Survey response — days 1–6 daily, dose 2
    MedDRA: Body temperature increased, Headache, Lymphadenopathy, Pain, Pain in extremity — Feeling: Fair · Site: Pain, Swelling · Headache, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to work, Be unable to do your normal daily activities
    Free text: Had T max 100.8 during night than woke up with T- 96. Swollen lymph nodes. Stabbing Pain in the opposite arm of the injection site Was sitting in bed last night and had different sharp stabbing pains in a different area of head (not same as previous headache ) and shooting pain in opposite arm
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  13. 2021-01-24
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · None
    Adult check-in
  14. 2021-01-25
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · None
    Adult check-in
  15. 2021-01-26
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · None
    Adult check-in
  16. 2021-01-29
    Health check-in — day 7, dose 2
    Feeling: Good · Fatigue or tiredness
    Adult check-in
  17. 2021-02-03
    Survey response — day 14, dose 2
    MedDRA: Condition aggravated, Fatigue, Pre-existing disease — Feeling: Fair · Be unable to do your normal daily activities
    Free text: Fatigue and exacerbation of auto immune disease (ulcerative colitis )
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  18. 2021-02-10
    Health check-in — day 21, dose 2
    Feeling: Good
    Adult check-in
  19. 2021-02-18
    Health check-in — day 28, dose 2
    Feeling: Good
    Adult check-in
  20. 2021-03-03
    Health check-in — day 42, dose 2
    Feeling: Good
    Adult check-in
  21. 2021-07-23
    Health check-in — 6 months, dose 2
    Feeling: Good
    Adult check-in

Vaccinations

DoseDateManufacturerCo-administered
12020-12-23Moderna
22021-01-20Moderna

Free text

Release 1 — days 1–6 daily, dose 1

2020-12-25

Systemic reaction (other): Sneezing and mild nasal congestion (not sure if related to vaccine)

Release 1 — day 21, dose 1

2021-01-13

Symptoms: Injection site previously had no pain after a couple of day. Late last week had new sore was at the Injection site. Self limiting and wasn't intolerable

Release 2 — days 1–6 daily, dose 2

2021-01-21

Systemic reaction (other): Dizziness/vertigo. Low blood pressure ear pain eyes pain back pain general malaise and weakness

2021-01-22

Systemic reaction (other): Had T max 100.8 during night than woke up with T- 96. Swollen lymph nodes. Stabbing Pain in the opposite arm of the injection site Was sitting in bed last night and had different sharp stabbing pains in a different area of head (not same as previous headache ) and shooting pain in opposite arm

Release 3 — day 14, dose 2

2021-02-03

Symptoms: Fatigue and exacerbation of auto immune disease (ulcerative colitis )

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
SDCondition aggravated ✓ ✓ ✓
SDFatigue ✓ ✓ ✓
SDInjection site pain ✓ ✓ ✓
SDPre-existing disease ✓ ✓ ✓
SROAsthenia ✓ ✓ ✓
SROBack pain ✓ ✓ ✓
SROBody temperature increased ✓ ✓ ✓
SRODizziness ✓ ✓ ✓
SROEar pain ✓ ✓ ✓
SROEye pain ✓ ✓ ✓
SROHeadache ✓ ✓ ✓
SROHypotension ✓ ✓ ✓
SROLymphadenopathy ✓ ✓ ✓
SROMalaise ✓ ✓ ✓
SRONasal congestion ✓ ✓ ✓
SROPain ✓ ✓ ✓
SROPain in extremity ✓ ✓ ✓
SROSneezing ✓ ✓ ✓
SROVertigo ✓ ✓ ✓

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