3M4-12011-80425
3 vaccinations
4 coded responses
34 check-ins
4 free-text entries
0 call cases
- Sex
- Female
- Age at first dose
- 66+
- ZIP prefix
- 074 / NJ
- Registered
- 2021-01-14
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-01-13
Dose 1 — Moderna
-
2021-01-14
Registered in v-safe
- 2021-01-14
- 2021-01-15
- 2021-01-17
- 2021-01-18
- 2021-01-19
-
2021-01-22
Health check-in — day 7, dose 1Feeling: Good · Site: Pain, Redness, Swelling, Itching · NoneAdult check-in
- 2021-01-27
- 2021-02-03
-
2021-02-08
Dose 2 — Moderna
-
2021-02-09
Survey response — days 1–6 daily, dose 2MedDRA: Injection site erythema, Injection site induration, Injection site mass, Injection site pruritus, Injection site warmth — Feeling: Good · Site: PainFree text: On day 8 after my first immunization I developed an itchy , hard , red , warm to touch, 3 inch in diameter area at the injection site. This lasted for about 3 days then gradually disappeared. No other symptoms.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-02-10
- 2021-02-11
- 2021-02-12
- 2021-02-13
- 2021-02-14
- 2021-02-15
- 2021-02-22
- 2021-03-01
- 2021-03-08
- 2021-03-15
- 2021-03-22
- 2021-05-10
- 2021-08-09
-
2021-10-26
Dose 3 — Moderna
-
2021-10-30
Survey response — days 1–6 daily, dose 3MedDRA: Diarrhoea, Fatigue, Headache, Heart rate increased, Hypersomnia — Feeling: GoodFree text: 15 hours after injection awoke with rapid heart beat and pounding headache. Lasted a few hours but left me with fatigue, headache and diarrhea. Slept for 4 hour nap and back to bed early. Awoke feeling MUCH better.MedDRA releases: 2024-11 · check-in free text available
- 2021-10-31
- 2021-11-01
-
2021-11-02
Survey response — day 7, dose 3MedDRA: Headache, Heart rate increased — Feeling: Fair · HeadacheFree text: Rapid heart rate. Wake up with splitting headache and a heart rate of 100-110. I know this because I wear an Apple WatchMedDRA releases: 2024-11 · check-in free text available
- 2021-11-09
- 2021-11-16
- 2021-11-23
- 2021-11-30
- 2021-12-07
- 2022-01-25
- 2022-04-26
-
2022-10-26
Survey response — 12 months, dose 3MedDRA: Nasopharyngitis, SARS-CoV-2 test negative, Supraventricular tachycardia — Feeling: GoodFree text: Developed SVT now treated with atenolol. Also had a bad cold most of July 2022. Home test negative for CovidMedDRA releases: 2024-11 · check-in free text available
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-01-13 | Moderna | |
| 2 | 2021-02-08 | Moderna | |
| 3 | 2021-10-26 | Moderna | No |
Free text
Release 3 — days 1–6 daily, dose 2
Systemic reaction (other): On day 8 after my first immunization I developed an itchy , hard , red , warm to touch, 3 inch in diameter area at the injection site. This lasted for about 3 days then gradually disappeared. No other symptoms.
Release 10 — days 1–6 daily, dose 3
Systemic reaction (other): 15 hours after injection awoke with rapid heart beat and pounding headache. Lasted a few hours but left me with fatigue, headache and diarrhea. Slept for 4 hour nap and back to bed early. Awoke feeling MUCH better.
Release 10 — day 7, dose 3
Systemic reaction (other): Rapid heart rate. Wake up with splitting headache and a heart rate of 100-110. I know this because I wear an Apple Watch
Release 12 — 12 months, dose 3
Symptoms: Developed SVT now treated with atenolol. Also had a bad cold most of July 2022. Home test negative for Covid
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 | Nasopharyngitis | · | · | ✓ |
| SD | SARS-CoV-2 test negative | · | · | ✓ |
| SD | Supraventricular tachycardia | · | · | ✓ |
| SRO | Diarrhoea | · | · | ✓ |
| SRO | Fatigue | · | · | ✓ |
| SRO | Headache | · | · | ✓ |
| SRO | Heart rate increased | · | · | ✓ |
| SRO | Hypersomnia | · | · | ✓ |
| SRO | Injection site erythema | ✓ | ✓ | ✓ |
| SRO | Injection site induration | · | · | ✓ |
| SRO | Injection site mass | ✓ | ✓ | ○ |
| SRO | Injection site pruritus | ✓ | ✓ | ✓ |
| SRO | Injection site warmth | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release