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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

  1. 2021-04-08
    Registered in v-safe
  2. 2021-04-08
    Dose 1 — Moderna
  3. 2021-04-08
    Survey response — day 0, dose 1
    MedDRA: Back pain, Breast pain, Neck pain — Feeling: Fair · Site: Pain · Fever · Muscle or body aches · Be unable to do your normal daily activities
    Free 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
  4. 2021-04-09
    Survey response — days 1–6 daily, dose 1
    MedDRA: Breast pain, Musculoskeletal stiffness — Feeling: Fair · Site: Pain · Chills, Headache, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities
    Free text: Pain on the left side of breast and under the breast (along my bra), stiff neck
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  5. 2021-04-10
    Survey response — days 1–6 daily, dose 1
    MedDRA: Breast pain, Chest pain, Musculoskeletal stiffness, Pain — Feeling: Fair · Site: Pain · Headache, Muscle or body aches
    Free text: Stiff neck, achy all over, left side pain by breast and under chest along bra strap
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  6. 2021-04-12
    Health check-in — days 1–6 daily, dose 1
    Feeling: Fair · Headache, Muscle or body aches
    Adult check-in
  7. 2021-04-14
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · None
    Adult check-in
  8. 2021-04-17
    Health check-in — day 7, dose 1
    Feeling: Good · None
    Adult check-in
  9. 2021-04-22
    Health check-in — day 14, dose 1
    Feeling: Good
    Adult check-in
  10. 2021-04-29
    Health check-in — day 21, dose 1
    Feeling: Good
    Adult check-in
  11. 2021-05-06
    Dose 2 — Moderna
  12. 2021-05-06
    Health check-in — day 0, dose 2
    Feeling: Fair · Site: Pain, Swelling · Fever · Headache, Muscle or body aches, Fatigue or tiredness, Diarrhea · Be unable to do your normal daily activities
    Adult check-in
  13. 2021-05-07
    Health check-in — days 1–6 daily, dose 2
    Feeling: Fair · Site: Pain · Headache, Muscle or body aches
    Adult check-in
  14. 2021-05-08
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · Site: Pain, Itching · Muscle or body aches
    Adult check-in
  15. 2021-05-09
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · None
    Adult check-in
  16. 2021-05-10
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · None
    Adult check-in
  17. 2021-05-11
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · None
    Adult check-in
  18. 2021-05-12
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · None
    Adult check-in
  19. 2021-05-13
    Health check-in — day 7, dose 2
    Feeling: Good · None
    Adult check-in
  20. 2021-05-20
    Health check-in — day 14, dose 2
    Feeling: Good
    Adult check-in
  21. 2021-05-27
    Health check-in — day 21, dose 2
    Feeling: Good
    Adult check-in
  22. 2021-06-03
    Health check-in — day 28, dose 2
    Feeling: Good
    Adult check-in
  23. 2021-06-10
    Health check-in — day 35, dose 2
    Feeling: Good
    Adult check-in
  24. 2021-06-17
    Health check-in — day 42, dose 2
    Feeling: Good
    Adult check-in
  25. 2021-08-05
    Survey response — 3 months, dose 2
    MedDRA: Cough, Nasopharyngitis — Feeling: Good · Be unable to do your normal daily activities
    Free 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
  26. 2021-11-04
    Survey response — 6 months, dose 2
    MedDRA: Cough, Nasopharyngitis — Feeling: Fair · Be unable to do your normal daily activities
    Free 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
  27. 2022-05-06
    Health check-in — 12 months, dose 2
    Feeling: Good
    Adult check-in

Vaccinations

DoseDateManufacturerCo-administered
12021-04-08Moderna
22021-05-06Moderna

Free text

Release 7 — day 0, dose 1

2021-04-08

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

2021-04-09

Systemic reaction (other): Pain on the left side of breast and under the breast (along my bra), stiff neck

2021-04-10

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

2021-08-05

Symptoms: I had a cold and cough last week which lasted 4-5 days.

Release 10 — 6 months, dose 2

2021-11-04

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

FieldPreferred term2021-092023-042024-11
SDCough ✓ · ✓
SDNasopharyngitis ✓ · ✓
SROBack pain ✓ ✓ ✓
SROBreast pain ✓ ✓ ✓
SROChest pain ✓ ✓ ✓
SROMusculoskeletal stiffness ✓ ✓ ✓
SRONeck pain ✓ ✓ ✓
SROPain ✓ ✓ ✓

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