3YV-22674-78557
2 vaccinations
4 coded responses
18 check-ins
4 free-text entries
0 call cases
- Sex
- Female
- Age at first dose
- 66+
- ZIP prefix
- 089 / NJ
- Registered
- 2021-02-19
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-02-05
Dose 1 — Moderna
-
2021-02-19
Registered in v-safe
-
2021-02-19
Survey response — day 14, dose 1MedDRA: Erythema, Headache, Malaise, Myalgia, Pain in extremity — Feeling: GoodFree text: On day 13 (Feb 18), I had muscle achiness in my legs through the night, and headache and general unwell feeling. Went away after a few hours. On day 14 I noticed big red blotchiness on my upper arm. I had not noticed this before.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-02-26
-
2021-03-05
Dose 2 — Moderna
- 2021-03-05
- 2021-03-06
- 2021-03-07
- 2021-03-08
-
2021-03-09
Survey response — days 1–6 daily, dose 2MedDRA: Sneezing — Feeling: Good · Site: Pain, Swelling · HeadacheFree text: Sneezing, runny noseMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-03-10
- 2021-03-11
-
2021-03-12
Survey response — day 7, dose 2MedDRA: Unevaluable event — Feeling: Good · Headache, Muscle or body achesFree text: Not sure if related to vaccine.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-03-19
-
2021-03-26
Survey response — day 21, dose 2MedDRA: Extrasystoles — Feeling: GoodFree text: Felt like my heart was skipping a beat yesterday for about 10 hours. Today fine. I have no idea if this could be related to the shot three weeks after receiving it.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-04-02
- 2021-04-09
- 2021-04-16
- 2021-06-04
- 2021-09-03
- 2022-03-05
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-02-05 | Moderna | |
| 2 | 2021-03-05 | Moderna |
Free text
Release 4 — day 14, dose 1
Symptoms: On day 13 (Feb 18), I had muscle achiness in my legs through the night, and headache and general unwell feeling. Went away after a few hours. On day 14 I noticed big red blotchiness on my upper arm. I had not noticed this before.
Release 5 — days 1–6 daily, dose 2
Systemic reaction (other): Sneezing, runny nose
Release 5 — day 7, dose 2
Systemic reaction (other): Not sure if related to vaccine.
Release 6 — day 21, dose 2
Symptoms: Felt like my heart was skipping a beat yesterday for about 10 hours. Today fine. I have no idea if this could be related to the shot three weeks after receiving it.
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 | Erythema | ✓ | ✓ | ✓ |
| SD | Extrasystoles | ✓ | ✓ | ✓ |
| SD | Headache | ✓ | ✓ | ✓ |
| SD | Malaise | ✓ | ✓ | ✓ |
| SD | Myalgia | ✓ | ✓ | ✓ |
| SD | Pain in extremity | ✓ | ✓ | ✓ |
| SRO | Sneezing | ✓ | ✓ | ✓ |
| SRO | Unevaluable event | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release