4N5-11934-39299
4 vaccinations
6 coded responses
39 check-ins
6 free-text entries
0 call cases
- Sex
- Female
- Age at first dose
- 61-65
- ZIP prefix
- 070 / NJ
- Registered
- 2021-03-26
- Relationship
- Self
- Race
- Black or African American
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-03-26
Registered in v-safe
-
2021-03-26
Dose 1 — Moderna
-
2021-03-26
Survey response — day 0, dose 1MedDRA: Injection site pain, Nasopharyngitis — Feeling: FairFree text: My arm where l got the vaccine a little sore but l wouldnt call it being in pain and l feel just a little like if l ready get a cold but so far l feel okayMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-03-27
Survey response — days 1–6 daily, dose 1MedDRA: Decreased appetite — Feeling: Fair · Site: Pain · Chills, HeadacheFree text: My appetite gone dont wanna eat making myself eat take blood pressure pillsMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-03-28
Survey response — days 1–6 daily, dose 1MedDRA: Decreased appetite, Hunger — Feeling: GoodFree text: I woke up hungry l have my appetite back l feel normal again Thank GodMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-03-29
Survey response — days 1–6 daily, dose 1MedDRA: Condition aggravated, Hypoaesthesia, Muscle spasms, Nerve injury, Pre-existing disease, Spinal cord injury — Feeling: GoodFree text: I having muscle spasms in my right hand, something l had before but not as frequently as l am having them now throughout the day. Before maybe once if l use my hand to grip something to tight l have a spinal cord injury and nerve damage. Also had a stroke on January 21,2020 which left my left side of my body with numbness. I dont know if the spasms have anything to to with the shot. Other than the spasms l feel great.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-03-30
-
2021-03-31
Survey response — days 1–6 daily, dose 1MedDRA: Unevaluable event — Feeling: GoodFree text: I feel Great thankful to GodMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-04-01
- 2021-04-02
-
2021-04-09
Survey response — day 14, dose 1MedDRA: Arthralgia, Pain in extremity, Pre-existing disease — Feeling: Good · Be unable to do your normal daily activitiesFree text: My right leg and hip bothering me but its something l felt before the shot. I hadnt felt this in a long timeMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-04-16
-
2021-04-23
Dose 2 — Moderna
- 2021-04-23
-
2021-04-24
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Muscle or body aches, Fatigue or tirednessAdult check-in
- 2021-04-25
- 2021-04-26
- 2021-04-27
- 2021-04-28
- 2021-04-29
- 2021-04-30
- 2021-05-07
- 2021-05-14
- 2021-05-21
- 2021-05-28
- 2021-06-04
- 2021-07-23
- 2021-10-23
-
2022-04-22
Dose 3 — Moderna
- 2022-04-23
-
2022-05-01
Dose 4 — Moderna
- 2022-05-02
- 2022-05-04
- 2022-05-05
- 2022-05-06
- 2022-05-07
- 2022-05-08
- 2022-05-15
- 2022-05-22
- 2022-05-29
- 2022-06-05
- 2022-06-12
- 2022-07-31
- 2022-10-30
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-03-26 | Moderna | |
| 2 | 2021-04-23 | Moderna | |
| 3 | 2022-04-22 | Moderna | No |
| 4 | 2022-05-01 | Moderna | No |
Free text
Release 6 — day 0, dose 1
Systemic reaction (other): My arm where l got the vaccine a little sore but l wouldnt call it being in pain and l feel just a little like if l ready get a cold but so far l feel okay
Release 6 — days 1–6 daily, dose 1
Systemic reaction (other): My appetite gone dont wanna eat making myself eat take blood pressure pills
Systemic reaction (other): I woke up hungry l have my appetite back l feel normal again Thank God
Systemic reaction (other): I having muscle spasms in my right hand, something l had before but not as frequently as l am having them now throughout the day. Before maybe once if l use my hand to grip something to tight l have a spinal cord injury and nerve damage. Also had a stroke on January 21,2020 which left my left side of my body with numbness. I dont know if the spasms have anything to to with the shot. Other than the spasms l feel great.
Systemic reaction (other): I feel Great thankful to God
Release 7 — day 14, dose 1
Symptoms: My right leg and hip bothering me but its something l felt before the shot. I hadnt felt this in a long time
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 | Arthralgia | ✓ | ✓ | ✓ |
| SD | Pain in extremity | ✓ | ✓ | ✓ |
| SD | Pre-existing disease | ✓ | ✓ | ✓ |
| SRO | Condition aggravated | ✓ | ✓ | ✓ |
| SRO | Decreased appetite | ✓ | ✓ | ✓ |
| SRO | Hunger | ✓ | ✓ | ✓ |
| SRO | Hypoaesthesia | ○ | ✓ | ○ |
| SRO | Injection site pain | ✓ | ✓ | ✓ |
| SRO | Muscle spasms | ○ | ✓ | ○ |
| SRO | Nasopharyngitis | ✓ | ✓ | ✓ |
| SRO | Nerve injury | ○ | ✓ | ○ |
| SRO | Pre-existing disease | ✓ | ✓ | ✓ |
| SRO | Spinal cord injury | ○ | ✓ | ○ |
| SRO | Unevaluable event | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release