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
-
2021-03-25
Dose 1 — Moderna
-
2021-04-10
Registered in v-safe
-
2021-04-10
Survey response — day 14, dose 1MedDRA: Diarrhoea — Feeling: GoodFree 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
- 2021-04-15
-
2021-04-18
Dose 2 — Moderna
- 2021-04-18
- 2021-04-19
-
2021-04-21
Survey response — days 1–6 daily, dose 2MedDRA: Condition aggravated, Pre-existing disease — Feeling: Fair · Fatigue or tirednessFree 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
- 2021-04-22
- 2021-04-23
- 2021-04-24
-
2021-04-27
Survey response — day 7, dose 2MedDRA: Hypersensitivity, Pulmonary congestion, Rhinorrhoea — Feeling: Fair · Joint pains, Muscle or body aches, Fatigue or tirednessFree text: allergy symptoms. running nose, sligbt lung congestionMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-05-02
-
2021-05-24
Survey response — day 35, dose 2MedDRA: Lymph node pain, Lymphadenopathy — Feeling: FairFree 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
- 2021-05-30
-
2021-10-17
Survey response — 6 months, dose 2MedDRA: 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 visitFree text: Symptoms: Non-covid 19 related · Healthcare visit (other): SurgeryMedDRA releases: 2024-11 · check-in free text available
-
2021-10-17
Report sent to call center — 6 months, dose 2Get care from a doctor or other healthcare professionalTelehealth, virtual health, or email health consultation · Emergency room or emergency department visit · 1 call case(s)
-
2021-10-19
Call successfulNot applicable (accidental reporting or does not believe symptoms are related to vaccine)
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-03-25 | Moderna | |
| 2 | 2021-04-18 | Moderna |
Call center
1 call center case
1 successful
Free text
Release 7 — day 14, dose 1
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
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
Systemic reaction (other): allergy symptoms. running nose, sligbt lung congestion
Release 8 — day 35, dose 2
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
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 | Surgery | · | · | ✓ |
| SD | Adverse reaction | · | · | ✓ |
| SD | Diarrhoea | ✓ | ✓ | ✓ |
| SD | Lymph node pain | ✓ | ✓ | ✓ |
| SD | Lymphadenopathy | ✓ | ✓ | ✓ |
| SRO | Condition aggravated | ✓ | ✓ | ✓ |
| SRO | Hypersensitivity | ✓ | ✓ | ✓ |
| SRO | Pre-existing disease | ✓ | ✓ | ✓ |
| SRO | Pulmonary congestion | ✓ | ✓ | ✓ |
| SRO | Rhinorrhoea | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release