4Z3-33930-68266
4 vaccinations
9 coded responses
46 check-ins
9 free-text entries
0 call cases
- Sex
- Female
- Age at first dose
- 41-45
- ZIP prefix
- 070 / NJ
- Registered
- 2021-02-04
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Registered dependents
QGE-20292-21911
Child or adolescent in my care · Male · 2021-11-07
5LD-27918-32707
Child or adolescent in my care · Male · 2021-11-07
Timeline
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2021-02-04
Registered in v-safe
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2021-02-04
Dose 1 — Moderna
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2021-02-04
Survey response — day 0, dose 1MedDRA: Dry mouth, Taste disorder — Feeling: Good · Site: Pain · Fatigue or tirednessFree text: Dry mouth and a weird taste in the back of my throatMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-02-05
Survey response — days 1–6 daily, dose 1MedDRA: Nasal congestion, Oropharyngeal pain — Feeling: Fair · Site: Pain · Headache, Muscle or body aches, Fatigue or tirednessFree text: Sore throat and stuffed up noseMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-02-06
- 2021-02-07
- 2021-02-08
- 2021-02-09
- 2021-02-10
- 2021-02-11
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2021-02-18
Survey response — day 14, dose 1MedDRA: Headache, Myalgia, Oropharyngeal pain, Pain, Rhinorrhoea — Feeling: GoodFree text: Headache, sore throat, body and muscle aches, runny noseMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-02-25
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2021-03-04
Dose 2 — Moderna
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2021-03-04
Survey response — day 0, dose 2MedDRA: Swelling face — Feeling: Fair · Site: Pain · Fatigue or tirednessFree text: Swelling on my face where I have dermafillersMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-03-05
Survey response — days 1–6 daily, dose 2MedDRA: Swelling — Feeling: Poor · Site: Pain, Swelling · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to work, Be unable to do your normal daily activitiesFree text: I had a mild swelling yesterday in the areas where I had derma fillers but it is mostly gone today. Still a little SwollenMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-03-06
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Site: Pain, Swelling · Headache, Joint pains, Fatigue or tiredness · Be unable to work, Be unable to do your normal daily activitiesAdult check-in
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2021-03-07
Survey response — days 1–6 daily, dose 2MedDRA: Respiratory tract congestion — Feeling: Fair · Site: Pain · Headache, Joint pains, Fatigue or tiredness · Be unable to workFree text: CongestionMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-03-08
Survey response — days 1–6 daily, dose 2MedDRA: Respiratory tract congestion, Sinusitis — Feeling: Fair · Site: Pain · Headache, Fatigue or tirednessFree text: Congestion that feels like a sinus infection.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-03-10
Survey response — days 1–6 daily, dose 2MedDRA: Respiratory tract congestion — Feeling: Fair · Site: Itching · HeadacheFree text: CongestionMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-03-11
Health check-in — day 7, dose 2Feeling: Good · Site: Itching · Headache, Muscle or body achesAdult check-in
- 2021-03-18
- 2021-03-25
- 2021-04-01
- 2021-04-09
- 2021-04-16
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2021-06-04
Survey response — 3 months, dose 2MedDRA: Migraine — Feeling: Good · Be unable to work, Be unable to do your normal daily activitiesFree text: Frequent Migraines. But likely completely unrelated to vaccine. Most likely due to crazy weather.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-09-02
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2021-11-07
Dose 3 — Moderna
- 2021-11-07
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2021-11-08
Health check-in — days 1–6 daily, dose 3Feeling: Fair · Site: Pain · Fever · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activitiesAdult check-in
- 2021-11-09
- 2021-11-11
- 2021-11-12
- 2021-11-13
- 2021-11-15
- 2021-11-21
- 2021-11-28
- 2021-12-14
- 2021-12-19
- 2022-02-08
- 2022-05-08
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2022-09-24
Dose 4 — ModernaCo-administered: Flu
- 2022-09-24
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2022-09-25
Health check-in — days 1–6 daily, dose 4Feeling: Fair · Site: Pain, Swelling · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea, Abdominal pain · Be unable to do your normal daily activitiesAdult check-in
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2022-09-27
Health check-in — days 1–6 daily, dose 4Feeling: Fair · Site: Swelling · Joint pains, Fatigue or tirednessAdult check-in
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2022-09-28
Health check-in — days 1–6 daily, dose 4Feeling: Fair · Site: Swelling · Fatigue or tirednessAdult check-in
- 2022-09-29
- 2022-10-11
- 2022-10-22
- 2022-11-05
- 2022-12-27
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-02-04 | Moderna | |
| 2 | 2021-03-04 | Moderna | |
| 3 | 2021-11-07 | Moderna | No |
| 4 | 2022-09-24 | Moderna | Flu |
Free text
Release 3 — day 0, dose 1
Systemic reaction (other): Dry mouth and a weird taste in the back of my throat
Release 3 — days 1–6 daily, dose 1
Systemic reaction (other): Sore throat and stuffed up nose
Release 4 — day 14, dose 1
Symptoms: Headache, sore throat, body and muscle aches, runny nose
Release 5 — day 0, dose 2
Systemic reaction (other): Swelling on my face where I have dermafillers
Release 5 — days 1–6 daily, dose 2
Systemic reaction (other): I had a mild swelling yesterday in the areas where I had derma fillers but it is mostly gone today. Still a little Swollen
Systemic reaction (other): Congestion
Systemic reaction (other): Congestion that feels like a sinus infection.
Systemic reaction (other): Congestion
Release 8 — 3 months, dose 2
Symptoms: Frequent Migraines. But likely completely unrelated to vaccine. Most likely due to crazy weather.
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 | Headache | ✓ | ✓ | ✓ |
| SD | Migraine | ✓ | ✓ | ✓ |
| SD | Myalgia | ✓ | ✓ | ✓ |
| SD | Oropharyngeal pain | ✓ | ✓ | ✓ |
| SD | Pain | ✓ | ✓ | ✓ |
| SD | Rhinorrhoea | ✓ | ✓ | ✓ |
| SRO | Dry mouth | ✓ | ✓ | ✓ |
| SRO | Nasal congestion | ✓ | ✓ | ✓ |
| SRO | Oropharyngeal pain | ✓ | ✓ | ✓ |
| SRO | Respiratory tract congestion | ✓ | ✓ | ✓ |
| SRO | Sinusitis | ✓ | ✓ | ✓ |
| SRO | Swelling | ✓ | ✓ | ✓ |
| SRO | Swelling face | ✓ | ✓ | ✓ |
| SRO | Taste disorder | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release