464-13266-35006
2 vaccinations
5 coded responses
25 check-ins
5 free-text entries
1 call case
- Sex
- Male
- Age at first dose
- 66+
- ZIP prefix
- 077 / NJ
- Registered
- 2021-01-13
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-01-13
Registered in v-safe
-
2021-01-13
Dose 1 — Moderna
-
2021-01-13
Health check-in — day 0, dose 1Feeling: Fair · Headache, Muscle or body aches, Fatigue or tirednessAdult check-in
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2021-01-14
Survey response — days 1–6 daily, dose 1MedDRA: Abdominal discomfort — Feeling: Fair · Site: Pain · Headache, Muscle or body achesFree text: Upset stomachMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-01-16
- 2021-01-17
- 2021-01-18
- 2021-01-19
-
2021-01-21
Survey response — day 7, dose 1MedDRA: Nausea — Feeling: Fair · NauseaFree text: Nausea can be from something I ate.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-01-27
Survey response — day 14, dose 1MedDRA: Asthenia, Headache, Malaise, Oropharyngeal pain — Feeling: FairFree text: I normally dont get sick with sore throats, headaches low energy. Lately since getting the first shot I constantly have a sore throat and the feeling of getting sick. Then, the feeling goes away as of the next day: just not like me. Is it the shotMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-02-03
-
2021-02-10
Dose 2 — Moderna
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2021-02-10
Survey response — day 0, dose 2MedDRA: Hyperhidrosis, Lip swelling — Feeling: Good · Fatigue or tirednessFree text: Within 10 mins of receiving the 2nd shot I felt sweaty and the feeling that my lips were swollen. Shortly after the sweating of the feeling of having swollen lips totally stopped.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-02-11
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Site: Pain · Muscle or body aches, Fatigue or tiredness, Abdominal painAdult check-in
-
2021-02-12
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Site: Pain, Swelling · Muscle or body aches, Fatigue or tirednessAdult check-in
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2021-02-13
Health check-in — days 1–6 daily, dose 2Feeling: Good · Site: Pain, Swelling · Muscle or body achesAdult check-in
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2021-02-14
Health check-in — days 1–6 daily, dose 2Feeling: Good · Site: Pain · Muscle or body achesAdult check-in
- 2021-02-15
-
2021-02-16
Health check-in — days 1–6 daily, dose 2Feeling: Good · Muscle or body aches, Fatigue or tirednessAdult check-in
- 2021-02-17
- 2021-02-24
- 2021-03-03
- 2021-03-10
- 2021-03-19
- 2021-03-24
- 2021-05-12
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2021-08-13
Survey response — 6 months, dose 2MedDRA: Office visit, Tinnitus — Feeling: Fair · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professionalFree text: Symptoms: Tinnitus · Healthcare visit (other): OtolaryngologyMedDRA releases: 2021-09,2024-11 · check-in free text available
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2021-08-13
Report sent to call center — 6 months, dose 2Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional1 call case(s)
- 2021-08-19
- 2022-02-10
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-01-13 | Moderna | |
| 2 | 2021-02-10 | Moderna |
Call center
1 call center case
1 unsuccessful
Free text
Release 2 — days 1–6 daily, dose 1
Systemic reaction (other): Upset stomach
Release 2 — day 7, dose 1
Systemic reaction (other): Nausea can be from something I ate.
Release 2 — day 14, dose 1
Symptoms: I normally dont get sick with sore throats, headaches low energy. Lately since getting the first shot I constantly have a sore throat and the feeling of getting sick. Then, the feeling goes away as of the next day: just not like me. Is it the shot
Release 4 — day 0, dose 2
Systemic reaction (other): Within 10 mins of receiving the 2nd shot I felt sweaty and the feeling that my lips were swollen. Shortly after the sweating of the feeling of having swollen lips totally stopped.
Release 9 — 6 months, dose 2
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 | Office visit | ✓ | · | ✓ |
| SD | Asthenia | ✓ | ✓ | ✓ |
| SD | Headache | ✓ | ✓ | ✓ |
| SD | Malaise | ✓ | ✓ | ✓ |
| SD | Oropharyngeal pain | ✓ | ✓ | ✓ |
| SD | Tinnitus | ✓ | · | ✓ |
| SRO | Abdominal discomfort | ✓ | ✓ | ✓ |
| SRO | Hyperhidrosis | ✓ | ✓ | ✓ |
| SRO | Lip swelling | ✓ | ✓ | ✓ |
| SRO | Nausea | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release