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4RV-30580-37302

2 vaccinations 5 coded responses 13 check-ins 5 free-text entries 1 call case
Sex
Female
Age at first dose
56-60
ZIP prefix
070 / NJ
Registered
2021-04-10
Relationship
Self
Race
Asian
Ethnicity
Not Hispanic or Latino

Timeline

  1. 2021-03-25
    Dose 1 — Moderna
  2. 2021-04-10
    Registered in v-safe
  3. 2021-04-10
    Survey response — day 14, dose 1
    MedDRA: Diarrhoea — Feeling: Good
    Free text: After my first injection, I had diarrhea. I had my 2nd Moderna vaccine on April 8th. So far so good.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  4. 2021-04-15
    Health check-in — day 21, dose 1
    Feeling: Good
    Adult check-in
  5. 2021-04-18
    Dose 2 — Moderna
  6. 2021-04-18
    Health check-in — day 0, dose 2
    Feeling: Good · Site: Pain · Fatigue or tiredness
    Adult check-in
  7. 2021-04-19
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · Fatigue or tiredness
    Adult check-in
  8. 2021-04-21
    Survey response — days 1–6 daily, dose 2
    MedDRA: Condition aggravated, Pre-existing disease — Feeling: Fair · Fatigue or tiredness
    Free text: I have other health issues separate from the vaccine. So it is not easy to discern if what I am feeling is from the vaccine or from a different health issue. .
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  9. 2021-04-22
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · None
    Adult check-in
  10. 2021-04-23
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · None
    Adult check-in
  11. 2021-04-24
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · Fatigue or tiredness
    Adult check-in
  12. 2021-04-27
    Survey response — day 7, dose 2
    MedDRA: Hypersensitivity, Pulmonary congestion, Rhinorrhoea — Feeling: Fair · Joint pains, Muscle or body aches, Fatigue or tiredness
    Free text: allergy symptoms. running nose, sligbt lung congestion
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  13. 2021-05-02
    Health check-in — day 14, dose 2
    Feeling: Good
    Adult check-in
  14. 2021-05-24
    Survey response — day 35, dose 2
    MedDRA: Lymph node pain, Lymphadenopathy — Feeling: Fair
    Free text: Sometimes the lymphnodes in my neck are a little tender to the touch. They are a little swollen, but it comes and goes.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  15. 2021-05-30
    Health check-in — day 42, dose 2
    Feeling: Good
    Adult check-in
  16. 2021-10-17
    Survey response — 6 months, dose 2
    MedDRA: Adverse reaction, Surgery — Feeling: Good · Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultation, Emergency room or emergency department visit
    Free text: Symptoms: Non-covid 19 related · Healthcare visit (other): Surgery
    MedDRA releases: 2024-11 · check-in free text available
  17. 2021-10-17
    Report sent to call center — 6 months, dose 2
    Get care from a doctor or other healthcare professional
    Telehealth, virtual health, or email health consultation · Emergency room or emergency department visit · 1 call case(s)
  18. 2021-10-19
    Call successful
    Not applicable (accidental reporting or does not believe symptoms are related to vaccine)

Vaccinations

DoseDateManufacturerCo-administered
12021-03-25Moderna
22021-04-18Moderna

Call center

1 call center case

1 successful

See the call center timeline

Free text

Release 7 — day 14, dose 1

2021-04-10

Symptoms: After my first injection, I had diarrhea. I had my 2nd Moderna vaccine on April 8th. So far so good.

Release 7 — days 1–6 daily, dose 2

2021-04-21

Systemic reaction (other): I have other health issues separate from the vaccine. So it is not easy to discern if what I am feeling is from the vaccine or from a different health issue. .

Release 8 — day 7, dose 2

2021-04-27

Systemic reaction (other): allergy symptoms. running nose, sligbt lung congestion

Release 8 — day 35, dose 2

2021-05-24

Symptoms: Sometimes the lymphnodes in my neck are a little tender to the touch. They are a little swollen, but it comes and goes.

Release 10 — 6 months, dose 2

2021-10-17

Symptoms: Non-covid 19 related
Healthcare visit (other): Surgery

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
HCVOSurgery · · ✓
SDAdverse reaction · · ✓
SDDiarrhoea ✓ ✓ ✓
SDLymph node pain ✓ ✓ ✓
SDLymphadenopathy ✓ ✓ ✓
SROCondition aggravated ✓ ✓ ✓
SROHypersensitivity ✓ ✓ ✓
SROPre-existing disease ✓ ✓ ✓
SROPulmonary congestion ✓ ✓ ✓
SRORhinorrhoea ✓ ✓ ✓

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