46H-23328-49130
2 vaccinations
3 coded responses
25 check-ins
3 free-text entries
1 call case
- Sex
- Female
- Age at first dose
- 56-60
- ZIP prefix
- 070 / NJ
- Registered
- 2021-02-26
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-02-26
Registered in v-safe
-
2021-02-26
Dose 1 — Moderna
-
2021-02-26
Survey response — day 0, dose 1MedDRA: Bone pain, Headache — Feeling: Good · HeadacheFree text: Bone pain in 3 spots on my left side within an hour of the shot for a brief period. I dont have a full blown headache but have felt like one is coming for the last 2 hours.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-02-27
- 2021-02-28
- 2021-03-01
- 2021-03-02
- 2021-03-03
-
2021-03-04
Health check-in — days 1–6 daily, dose 1Feeling: Fair · Headache, Fatigue or tirednessAdult check-in
- 2021-03-05
- 2021-03-12
- 2021-03-19
-
2021-03-26
Dose 2 — Moderna
- 2021-03-26
- 2021-03-28
- 2021-03-29
- 2021-03-30
- 2021-03-31
- 2021-04-01
- 2021-04-02
-
2021-04-11
Survey response — day 14, dose 2MedDRA: Flatulence, Loss of personal independence in daily activities — Feeling: GoodFree text: Noticed I have not been able to ride my bike up to par. Before vaccine I could ride my indoor bike 9 miles in 30 minutes & outdoor bike 12 miles in 45 minutes. Seems I get winded faster & have not broken 7.5-8 miles in 1/2 hour. I ride 3-4 times/weekMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-04-16
- 2021-04-23
- 2021-04-30
- 2021-05-07
-
2021-06-25
Survey response — 3 months, dose 2MedDRA: Hypoaesthesia, Unevaluable event — Feeling: Fair · Get care from a doctor or other healthcare professionalFree text: Symptoms: Numbness in my fingers and hands · Healthcare visit (other): Have an appointment with a neurologistMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-06-25
Report sent to call center — 3 months, dose 2Get care from a doctor or other healthcare professional1 call case(s)
- 2021-06-30
- 2021-09-26
- 2022-03-28
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-02-26 | Moderna | |
| 2 | 2021-03-26 | Moderna |
Call center
1 call center case
1 unsuccessful
Free text
Release 4 — day 0, dose 1
Systemic reaction (other): Bone pain in 3 spots on my left side within an hour of the shot for a brief period. I dont have a full blown headache but have felt like one is coming for the last 2 hours.
Release 7 — day 14, dose 2
Symptoms: Noticed I have not been able to ride my bike up to par. Before vaccine I could ride my indoor bike 9 miles in 30 minutes & outdoor bike 12 miles in 45 minutes. Seems I get winded faster & have not broken 7.5-8 miles in 1/2 hour. I ride 3-4 times/week cut off by CDC
Release 9 — 3 months, dose 2
Symptoms: Numbness in my fingers and hands
Healthcare visit (other): Have an appointment with a neurologist
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 | Unevaluable event | ✓ | ✓ | ✓ |
| SD | Flatulence | ✓ | ✓ | ✓ |
| SD | Hypoaesthesia | ✓ | ✓ | ✓ |
| SD | Loss of personal independence in daily activities | ✓ | ✓ | ✓ |
| SRO | Bone pain | ✓ | ✓ | ✓ |
| SRO | Headache | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release