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43U-17246-31146

3 vaccinations 5 coded responses 15 check-ins 5 free-text entries 2 call cases
Sex
Female
Age at first dose
46-50
ZIP prefix
073 / NJ
Registered
2021-04-29
Relationship
Self
Race
White
Ethnicity
Not Hispanic or Latino

Timeline

  1. 2021-03-30
    Dose 1 — Moderna
  2. 2021-04-27
    Dose 2 — Moderna
  3. 2021-04-29
    Registered in v-safe
  4. 2021-04-29
    Survey response — days 1–6 daily, dose 2
    MedDRA: Axillary pain, Lymph node pain — Feeling: Fair · Site: Pain, Redness, Swelling · Fatigue or tiredness · Be unable to do your normal daily activities
    Free text: Moderate Pain in armpit near lymph nodes
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  5. 2021-04-30
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · Site: Pain · None
    Adult check-in
  6. 2021-05-01
    Survey response — days 1–6 daily, dose 2
    MedDRA: Dizziness, Immediate post-injection reaction, Palpitations — Feeling: Good · Site: Pain, Redness, Itching
    Free text: I forgot to report- 5 min after the 2nd shot I felt faint with a racing heartbeat. Lasted about an hour.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  7. 2021-05-02
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · Site: Itching · None
    Adult check-in
  8. 2021-05-03
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · None
    Adult check-in
  9. 2021-05-04
    Health check-in — day 7, dose 2
    Feeling: Good · None
    Adult check-in
  10. 2021-05-11
    Health check-in — day 14, dose 2
    Feeling: Good
    Adult check-in
  11. 2021-05-20
    Health check-in — day 21, dose 2
    Feeling: Good
    Adult check-in
  12. 2021-05-27
    Health check-in — day 28, dose 2
    Feeling: Good
    Adult check-in
  13. 2021-06-03
    Health check-in — day 35, dose 2
    Feeling: Good
    Adult check-in
  14. 2021-06-08
    Health check-in — day 42, dose 2
    Feeling: Good
    Adult check-in
  15. 2021-07-27
    Survey response — 3 months, dose 2
    MedDRA: Fatigue, Myalgia, Nasopharyngitis, Pain, Respiratory tract congestion, SARS-CoV-2 test negative, Sneezing — Feeling: Good · Be unable to work or attend school, Be unable to do your normal daily activities
    Free text: I had a cold 2 weeks ago- sneezing, congestion, fatigue, muscle and body aches. I took an over the counter Covid test and it was negative. I felt better after about 10 days
    MedDRA releases: 2021-09,2024-11 · check-in free text available
  16. 2021-10-26
    Health check-in — 6 months, dose 2
    Feeling: Good
    Adult check-in
  17. 2021-11-23
    Dose 3 — Moderna
  18. 2022-04-30
    Survey response — 12 months, dose 2
    MedDRA: COVID-19, Chest pain, Fatigue, Pain in extremity — Feeling: Fair · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit
    Free text: More tired since having Covid. Occassional chest and lower leg pain.
    MedDRA releases: 2024-11 · check-in free text available
  19. 2022-04-30
    Report sent to call center — 12 months, dose 2
    Get care from a doctor or other healthcare professional
    Outpatient clinic or urgent care clinic visit · 1 call case(s)
  20. 2022-05-03
  21. 2022-11-23
    Survey response — 12 months, dose 3
    MedDRA: COVID-19, Cardiovascular symptom — 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 consultation, Outpatient clinic or urgent care clinic visit, Emergency room or emergency department visit
    Free text: Had covid in March with cardiac symptoms.
    MedDRA releases: 2024-11 · check-in free text available
  22. 2022-11-23
    Report sent to call center — 12 months, dose 3
    Be unable to work or attend school · Be unable to do your normal daily activities · Get care from a doctor or other healthcare pr
    Telehealth, virtual health, or email health consultation · Outpatient clinic or urgent care clinic visit · Emergency room or emergency department visit · 1 call case(s)
  23. 2022-11-25
  24. 2022-11-25

Vaccinations

DoseDateManufacturerCo-administered
12021-03-30Moderna
22021-04-27Moderna
32021-11-23Moderna No

Call center

2 call center cases

2 unsuccessful

See the call center timeline

Free text

Release 8 — days 1–6 daily, dose 2

2021-04-29

Systemic reaction (other): Moderate Pain in armpit near lymph nodes

2021-05-01

Systemic reaction (other): I forgot to report- 5 min after the 2nd shot I felt faint with a racing heartbeat. Lasted about an hour.

Release 9 — 3 months, dose 2

2021-07-27

Symptoms: I had a cold 2 weeks ago- sneezing, congestion, fatigue, muscle and body aches. I took an over the counter Covid test and it was negative. I felt better after about 10 days

Release 11 — 12 months, dose 2

2022-04-30

Symptoms: More tired since having Covid. Occassional chest and lower leg pain.

Release 12 — 12 months, dose 3

2022-11-23

Symptoms: Had covid in March with cardiac symptoms.

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
SDCardiovascular symptom · · ✓
SDChest pain · · ✓
SDCOVID-19 · · ✓
SDFatigue ✓ · ✓
SDMyalgia ✓ · ✓
SDNasopharyngitis ✓ · ✓
SDPain ✓ · ✓
SDPain in extremity · · ✓
SDRespiratory tract congestion ✓ · ✓
SDSARS-CoV-2 test negative ✓ · ✓
SDSneezing ✓ · ✓
SROAxillary pain ✓ ✓ ✓
SRODizziness ✓ ✓ ✓
SROImmediate post-injection reaction ✓ ✓ ✓
SROLymph node pain ✓ ✓ ✓
SROPalpitations ✓ ✓ ✓

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