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
-
2021-03-30
Dose 1 — Moderna
-
2021-04-27
Dose 2 — Moderna
-
2021-04-29
Registered in v-safe
-
2021-04-29
Survey response — days 1–6 daily, dose 2MedDRA: Axillary pain, Lymph node pain — Feeling: Fair · Site: Pain, Redness, Swelling · Fatigue or tiredness · Be unable to do your normal daily activitiesFree text: Moderate Pain in armpit near lymph nodesMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-04-30
-
2021-05-01
Survey response — days 1–6 daily, dose 2MedDRA: Dizziness, Immediate post-injection reaction, Palpitations — Feeling: Good · Site: Pain, Redness, ItchingFree 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
- 2021-05-02
- 2021-05-03
- 2021-05-04
- 2021-05-11
- 2021-05-20
- 2021-05-27
- 2021-06-03
- 2021-06-08
-
2021-07-27
Survey response — 3 months, dose 2MedDRA: 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 activitiesFree 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 daysMedDRA releases: 2021-09,2024-11 · check-in free text available
- 2021-10-26
-
2021-11-23
Dose 3 — Moderna
-
2022-04-30
Survey response — 12 months, dose 2MedDRA: 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 visitFree text: More tired since having Covid. Occassional chest and lower leg pain.MedDRA releases: 2024-11 · check-in free text available
-
2022-04-30
Report sent to call center — 12 months, dose 2Get care from a doctor or other healthcare professionalOutpatient clinic or urgent care clinic visit · 1 call case(s)
- 2022-05-03
-
2022-11-23
Survey response — 12 months, dose 3MedDRA: 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 visitFree text: Had covid in March with cardiac symptoms.MedDRA releases: 2024-11 · check-in free text available
-
2022-11-23
Report sent to call center — 12 months, dose 3Be 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 · Outpatient clinic or urgent care clinic visit · Emergency room or emergency department visit · 1 call case(s)
- 2022-11-25
- 2022-11-25
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-03-30 | Moderna | |
| 2 | 2021-04-27 | Moderna | |
| 3 | 2021-11-23 | Moderna | No |
Call center
2 call center cases
2 unsuccessful
Free text
Release 8 — days 1–6 daily, dose 2
Systemic reaction (other): Moderate Pain in armpit near lymph nodes
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
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
Symptoms: More tired since having Covid. Occassional chest and lower leg pain.
Release 12 — 12 months, dose 3
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
| Field | Preferred term | 2021-09 | 2023-04 | 2024-11 |
|---|---|---|---|---|
| SD | Cardiovascular symptom | · | · | ✓ |
| SD | Chest pain | · | · | ✓ |
| SD | COVID-19 | · | · | ✓ |
| SD | Fatigue | ✓ | · | ✓ |
| SD | Myalgia | ✓ | · | ✓ |
| SD | Nasopharyngitis | ✓ | · | ✓ |
| SD | Pain | ✓ | · | ✓ |
| SD | Pain in extremity | · | · | ✓ |
| SD | Respiratory tract congestion | ✓ | · | ✓ |
| SD | SARS-CoV-2 test negative | ✓ | · | ✓ |
| SD | Sneezing | ✓ | · | ✓ |
| SRO | Axillary pain | ✓ | ✓ | ✓ |
| SRO | Dizziness | ✓ | ✓ | ✓ |
| SRO | Immediate post-injection reaction | ✓ | ✓ | ✓ |
| SRO | Lymph node pain | ✓ | ✓ | ✓ |
| SRO | Palpitations | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release