3SG-12206-18546
4 vaccinations
7 coded responses
46 check-ins
7 free-text entries
1 call case
- Sex
- Female
- Age at first dose
- 66+
- ZIP prefix
- 088 / NJ
- Registered
- 2021-03-02
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-03-01
Dose 1 — Moderna
-
2021-03-02
Registered in v-safe
- 2021-03-02
-
2021-03-03
Survey response — days 1–6 daily, dose 1MedDRA: Headache, Pain in extremity — Feeling: Good · Site: Pain · HeadacheFree text: Very slight arm soreness and very slight headache today. Improved since yesterday.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-03-04
Survey response — days 1–6 daily, dose 1MedDRA: Injection site pain — Feeling: GoodFree text: Slight soreness at injection siteMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-03-05
- 2021-03-06
- 2021-03-07
- 2021-03-08
- 2021-03-15
- 2021-03-23
-
2021-03-29
Dose 2 — Moderna
- 2021-03-29
-
2021-03-30
Survey response — days 1–6 daily, dose 2MedDRA: Decreased appetite, Pain — Feeling: Fair · Site: Pain · Chills, Fatigue or tiredness, Nausea · Be unable to work, Be unable to do your normal daily activitiesFree text: Stabbing pains. Poor appetite.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-04-01
Survey response — days 1–6 daily, dose 2MedDRA: Bronchial irritation, Cough — Feeling: Good · Site: PainFree text: Slight irritation of bronchials with some coughingMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-04-02
Survey response — days 1–6 daily, dose 2MedDRA: Bronchial irritation — Feeling: Good · Site: PainFree text: Slight irritation in bronchialsMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-04-03
-
2021-04-04
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Headache · Be unable to do your normal daily activitiesAdult check-in
- 2021-04-05
- 2021-04-12
- 2021-04-19
- 2021-04-26
- 2021-05-03
- 2021-05-10
- 2021-06-28
- 2021-09-27
-
2021-10-27
Dose 3 — Moderna
-
2021-10-29
Survey response — days 1–6 daily, dose 3MedDRA: Bronchial irritation, Chills, Feeling cold — Feeling: Good · Site: PainFree text: I had chills for awhile and felt very cold the night of vaccination. Bronchials feel irritated.MedDRA releases: 2024-11 · check-in free text available
-
2021-10-30
Health check-in — days 1–6 daily, dose 3Feeling: Good · Site: Pain, Redness, Swelling, Itching · NoneAdult check-in
-
2021-10-31
Health check-in — days 1–6 daily, dose 3Feeling: Good · Site: Pain, Redness, Swelling, Itching · HeadacheAdult check-in
-
2021-11-02
Health check-in — days 1–6 daily, dose 3Feeling: Good · Site: Redness, Itching · NoneAdult check-in
- 2021-11-03
- 2021-11-10
- 2021-11-17
- 2021-11-26
- 2021-12-01
- 2021-12-08
- 2022-01-26
-
2022-04-19
Dose 4 — Moderna
- 2022-04-19
- 2022-04-20
- 2022-04-22
- 2022-04-26
- 2022-05-04
-
2022-05-11
Survey response — day 21, dose 4MedDRA: Nasopharyngitis, SARS-CoV-2 test negative, Viral infection — 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 professional · Telehealth, virtual health, or email health consultationFree text: Symptoms: Cold or viral infection · Healthcare visit (other): Covid test on May 6 at doctor's office (outside) - NegativeMedDRA releases: 2024-11 · check-in free text available
-
2022-05-11
Report sent to call center — day 21, 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)
- 2022-05-12
- 2022-05-17
- 2022-05-17
- 2022-05-24
- 2022-05-31
- 2022-07-19
- 2022-10-18
- 2023-04-19
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-03-01 | Moderna | |
| 2 | 2021-03-29 | Moderna | |
| 3 | 2021-10-27 | Moderna | No |
| 4 | 2022-04-19 | Moderna | No |
Call center
1 call center case
1 unsuccessful
Free text
Release 4 — days 1–6 daily, dose 1
Systemic reaction (other): Very slight arm soreness and very slight headache today. Improved since yesterday.
Release 5 — days 1–6 daily, dose 1
Systemic reaction (other): Slight soreness at injection site
Release 6 — days 1–6 daily, dose 2
Systemic reaction (other): Stabbing pains. Poor appetite.
Systemic reaction (other): Slight irritation of bronchials with some coughing
Systemic reaction (other): Slight irritation in bronchials
Release 10 — days 1–6 daily, dose 3
Systemic reaction (other): I had chills for awhile and felt very cold the night of vaccination. Bronchials feel irritated.
Release 11 — day 21, dose 4
Symptoms: Cold or viral infection
Healthcare visit (other): Covid test on May 6 at doctor's office (outside) - Negative
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 | SARS-CoV-2 test negative | · | · | ✓ |
| SD | Nasopharyngitis | · | · | ✓ |
| SD | Viral infection | · | · | ✓ |
| SRO | Bronchial irritation | ✓ | ✓ | ✓ |
| SRO | Chills | · | · | ✓ |
| SRO | Cough | ✓ | ✓ | ✓ |
| SRO | Decreased appetite | ✓ | ✓ | ✓ |
| SRO | Feeling cold | · | · | ✓ |
| SRO | Headache | ✓ | ✓ | ✓ |
| SRO | Injection site pain | ✓ | ✓ | ✓ |
| SRO | Pain | ✓ | ✓ | ✓ |
| SRO | Pain in extremity | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release