4K4-25398-06732
2 vaccinations
5 coded responses
24 check-ins
5 free-text entries
0 call cases
- Sex
- Female
- Age at first dose
- 56-60
- ZIP prefix
- 088 / NJ
- Registered
- 2021-04-08
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
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2021-04-08
Registered in v-safe
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2021-04-08
Dose 1 — Moderna
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2021-04-08
Survey response — day 0, dose 1MedDRA: Back pain, Breast pain, Neck pain — Feeling: Fair · Site: Pain · Fever · Muscle or body aches · Be unable to do your normal daily activitiesFree text: Sharp pain on the left side and below my left breast which generates pain to below my breasts (along my bra) and to my back (along the bra area) and some neck pain on the left side. I got the vaccine on my left arm.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-04-09
Survey response — days 1–6 daily, dose 1MedDRA: Breast pain, Musculoskeletal stiffness — Feeling: Fair · Site: Pain · Chills, Headache, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activitiesFree text: Pain on the left side of breast and under the breast (along my bra), stiff neckMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-04-10
Survey response — days 1–6 daily, dose 1MedDRA: Breast pain, Chest pain, Musculoskeletal stiffness, Pain — Feeling: Fair · Site: Pain · Headache, Muscle or body achesFree text: Stiff neck, achy all over, left side pain by breast and under chest along bra strapMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-04-12
Health check-in — days 1–6 daily, dose 1Feeling: Fair · Headache, Muscle or body achesAdult check-in
- 2021-04-14
- 2021-04-17
- 2021-04-22
- 2021-04-29
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2021-05-06
Dose 2 — Moderna
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2021-05-06
Health check-in — day 0, dose 2Feeling: Fair · Site: Pain, Swelling · Fever · Headache, Muscle or body aches, Fatigue or tiredness, Diarrhea · Be unable to do your normal daily activitiesAdult check-in
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2021-05-07
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Site: Pain · Headache, Muscle or body achesAdult check-in
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2021-05-08
Health check-in — days 1–6 daily, dose 2Feeling: Good · Site: Pain, Itching · Muscle or body achesAdult check-in
- 2021-05-09
- 2021-05-10
- 2021-05-11
- 2021-05-12
- 2021-05-13
- 2021-05-20
- 2021-05-27
- 2021-06-03
- 2021-06-10
- 2021-06-17
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2021-08-05
Survey response — 3 months, dose 2MedDRA: Cough, Nasopharyngitis — Feeling: Good · Be unable to do your normal daily activitiesFree text: I had a cold and cough last week which lasted 4-5 days.MedDRA releases: 2021-09,2024-11 · check-in free text available
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2021-11-04
Survey response — 6 months, dose 2MedDRA: Cough, Nasopharyngitis — Feeling: Fair · Be unable to do your normal daily activitiesFree text: On 2 separate occasions I have experienced cold and cough symptoms that have lasted 2-5 days.MedDRA releases: 2024-11 · check-in free text available
- 2022-05-06
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-04-08 | Moderna | |
| 2 | 2021-05-06 | Moderna |
Free text
Release 7 — day 0, dose 1
Systemic reaction (other): Sharp pain on the left side and below my left breast which generates pain to below my breasts (along my bra) and to my back (along the bra area) and some neck pain on the left side. I got the vaccine on my left arm.
Release 7 — days 1–6 daily, dose 1
Systemic reaction (other): Pain on the left side of breast and under the breast (along my bra), stiff neck
Systemic reaction (other): Stiff neck, achy all over, left side pain by breast and under chest along bra strap
Release 9 — 3 months, dose 2
Symptoms: I had a cold and cough last week which lasted 4-5 days.
Release 10 — 6 months, dose 2
Symptoms: On 2 separate occasions I have experienced cold and cough symptoms that have lasted 2-5 days.
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 | Cough | ✓ | · | ✓ |
| SD | Nasopharyngitis | ✓ | · | ✓ |
| SRO | Back pain | ✓ | ✓ | ✓ |
| SRO | Breast pain | ✓ | ✓ | ✓ |
| SRO | Chest pain | ✓ | ✓ | ✓ |
| SRO | Musculoskeletal stiffness | ✓ | ✓ | ✓ |
| SRO | Neck pain | ✓ | ✓ | ✓ |
| SRO | Pain | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release