4YM-16517-63994
4 vaccinations
3 coded responses
52 check-ins
3 free-text entries
0 call cases
- Sex
- Female
- Age at first dose
- 56-60
- ZIP prefix
- 085 / NJ
- Registered
- 2021-03-09
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-03-09
Registered in v-safe
-
2021-03-09
Dose 1 — Moderna
- 2021-03-09
-
2021-03-10
Survey response — days 1–6 daily, dose 1MedDRA: Myalgia, Pain — Feeling: Good · Site: Pain · Muscle or body achesFree text: Yesterdsy the day if the vaccine i did have muscle aches in my shoulder area (same side of the injection. I have that just a bit today as well. Mild pain/aches)MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-03-11
- 2021-03-12
- 2021-03-13
- 2021-03-14
- 2021-03-15
- 2021-03-16
- 2021-03-23
- 2021-03-30
- 2021-04-06
-
2021-04-09
Dose 2 — Moderna
-
2021-04-09
Survey response — day 0, dose 2MedDRA: Dizziness — Feeling: Fair · Site: Pain, Swelling · Fever · Fatigue or tiredness · Be unable to do your normal daily activitiesFree text: DizzyMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-04-10
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Site: Pain, Swelling · Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activitiesAdult check-in
-
2021-04-11
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Site: Swelling · Fatigue or tirednessAdult check-in
- 2021-04-12
- 2021-04-13
- 2021-04-14
- 2021-04-15
- 2021-04-16
- 2021-04-23
- 2021-04-30
- 2021-05-07
- 2021-05-14
- 2021-05-21
- 2021-07-09
-
2021-11-03
Dose 3 — Pfizer-BioNTech
- 2021-11-03
-
2021-11-04
Health check-in — days 1–6 daily, dose 3Feeling: Good · Site: Pain, Redness, Swelling · NoneAdult check-in
-
2021-11-05
Health check-in — days 1–6 daily, dose 3Feeling: Good · Site: Pain, Swelling, Itching · NoneAdult check-in
- 2021-11-06
- 2021-11-07
- 2021-11-08
- 2021-11-09
- 2021-11-11
- 2021-11-17
-
2021-11-24
Survey response — day 21, dose 3MedDRA: Body temperature increased, Fatigue, Pain, SARS-CoV-2 test negative — Feeling: Fair · Be unable to do your normal daily activitiesFree text: I have had a low grade fever and body aches starting last Saturday. Aches during the day, then fever at night, either 99 or 100. Today i am tired but no body aches, i am hoping fever wont return tonight. I had a covid test on November 23--- negativeMedDRA releases: 2024-11 · check-in free text available
- 2021-12-01
- 2021-12-08
- 2021-12-15
- 2022-02-02
-
2022-04-27
Dose 4 — Moderna
-
2022-04-28
Health check-in — days 1–6 daily, dose 4Feeling: Good · Site: Pain, Redness, Swelling · Fatigue or tirednessAdult check-in
- 2022-04-29
- 2022-04-30
- 2022-05-01
- 2022-05-02
- 2022-05-03
- 2022-05-04
- 2022-05-11
- 2022-05-18
- 2022-05-25
- 2022-07-27
- 2022-10-26
- 2023-04-27
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-03-09 | Moderna | |
| 2 | 2021-04-09 | Moderna | |
| 3 | 2021-11-03 | Pfizer-BioNTech | No |
| 4 | 2022-04-27 | Moderna | No |
Free text
Release 5 — days 1–6 daily, dose 1
Systemic reaction (other): Yesterdsy the day if the vaccine i did have muscle aches in my shoulder area (same side of the injection. I have that just a bit today as well. Mild pain/aches)
Release 7 — day 0, dose 2
Systemic reaction (other): Dizzy
Release 10 — day 21, dose 3
Symptoms: I have had a low grade fever and body aches starting last Saturday. Aches during the day, then fever at night, either 99 or 100. Today i am tired but no body aches, i am hoping fever wont return tonight. I had a covid test on November 23--- negative cut off by CDC
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 | Body temperature increased | · | · | ✓ |
| SD | Fatigue | · | · | ✓ |
| SD | Pain | · | · | ✓ |
| SD | SARS-CoV-2 test negative | · | · | ✓ |
| SRO | Dizziness | ✓ | ✓ | ✓ |
| SRO | Myalgia | ✓ | ✓ | ✓ |
| SRO | Pain | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release