4X7-85756-01028
2 vaccinations
8 coded responses
17 check-ins
8 free-text entries
0 call cases
- Sex
- Female
- Age at first dose
- 51-55
- ZIP prefix
- 077 / NJ
- Registered
- 2021-01-30
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
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2021-01-22
Dose 1 — Moderna
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2021-01-30
Registered in v-safe
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2021-01-30
Survey response — day 7, dose 1MedDRA: Axillary pain, Injection site pain — Feeling: Poor · Site: Pain · Chills, Headache, Muscle or body aches, Fatigue or tirednessFree text: Pain in the armpit of the arm where injection was given.the injection site pain was almost totally gone and yesterday + today it's much worseMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-02-05
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2021-02-12
Survey response — day 21, dose 1MedDRA: Headache, Influenza like illness, Respiratory tract congestion — Feeling: FairFree text: Ongoing flu-like feeling, persistent headache, head congestion. A little worse as of yesterday, 1/20/21Note: currently on immunotherapy(keytruda)MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-02-19
Dose 2 — Moderna
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2021-02-19
Health check-in — day 0, dose 2Feeling: Poor · Site: Pain · Chills, Headache, Fatigue or tiredness, NauseaAdult check-in
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2021-02-20
Survey response — days 1–6 daily, dose 2MedDRA: Cough, Respiratory tract congestion — Feeling: Poor · Site: Pain · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea, Abdominal pain · Be unable to work, Be unable to do your normal daily activitiesFree text: Congeation and coughMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-02-21
Survey response — days 1–6 daily, dose 2MedDRA: Cough, Respiratory tract congestion — Feeling: Poor · Site: Pain · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Abdominal pain · Be unable to work, Be unable to do your normal daily activitiesFree text: Cough + congestionMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-02-22
Survey response — days 1–6 daily, dose 2MedDRA: Cough, Respiratory tract congestion — Feeling: Fair · Site: Pain · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea, Abdominal pain · Be unable to work, Be unable to do your normal daily activitiesFree text: Congestion + coughMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-02-23
Survey response — days 1–6 daily, dose 2MedDRA: Cough — Feeling: Poor · Site: Pain · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Abdominal pain · Be unable to work, Be unable to do your normal daily activitiesFree text: CoughMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-02-24
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Site: Pain · Headache, Muscle or body aches, Fatigue or tirednessAdult check-in
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2021-02-25
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Site: Pain · Headache, Muscle or body aches, Fatigue or tirednessAdult check-in
- 2021-02-26
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2021-03-05
Survey response — day 14, dose 2MedDRA: Fatigue, Headache, Pain — Feeling: Fair · Be unable to do your normal daily activitiesFree text: Was feeling better, then it kicked in again 3/3. Headache/bodyache/fatigue,low-grade temp. Note: I had immunotherapy infusion (Keytruda) on 3/2.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-03-12
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2021-03-30
Survey response — day 35, dose 2MedDRA: Cough, Fatigue, Headache, Respiratory tract congestion — Feeling: Fair · Be unable to do your normal daily activitiesFree text: Achy fatigued head/chest congestion, cough, headacheMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-04-02
- 2021-05-22
- 2021-08-22
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-01-22 | Moderna | |
| 2 | 2021-02-19 | Moderna |
Free text
Release 3 — day 7, dose 1
Systemic reaction (other): Pain in the armpit of the arm where injection was given.the injection site pain was almost totally gone and yesterday + today it's much worse
Release 4 — day 21, dose 1
Symptoms: Ongoing flu-like feeling, persistent headache, head congestion. A little worse as of yesterday, 1/20/21Note: currently on immunotherapy(keytruda)
Release 4 — days 1–6 daily, dose 2
Systemic reaction (other): Congeation and cough
Systemic reaction (other): Cough + congestion
Systemic reaction (other): Congestion + cough
Systemic reaction (other): Cough
Release 5 — day 14, dose 2
Symptoms: Was feeling better, then it kicked in again 3/3. Headache/bodyache/fatigue,low-grade temp. Note: I had immunotherapy infusion (Keytruda) on 3/2.
Release 6 — day 35, dose 2
Symptoms: Achy fatigued head/chest congestion, cough, headache
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 | Fatigue | ✓ | ✓ | ✓ |
| SD | Headache | ✓ | ✓ | ✓ |
| SD | Influenza like illness | ✓ | ✓ | ✓ |
| SD | Pain | ✓ | ✓ | ✓ |
| SD | Respiratory tract congestion | ✓ | ✓ | ✓ |
| SRO | Axillary pain | ✓ | ✓ | ✓ |
| SRO | Cough | ✓ | ✓ | ✓ |
| SRO | Injection site pain | ✓ | ✓ | ✓ |
| SRO | Respiratory tract congestion | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release