4Z5-21698-60542
4 vaccinations
1 coded response
28 check-ins
1 free-text entry
0 call cases
- Sex
- Female
- Age at first dose
- 56-60
- ZIP prefix
- 077 / NJ
- Registered
- 2021-01-25
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-01-25
Registered in v-safe
-
2021-01-25
Dose 1 — Moderna
- 2021-01-25
-
2021-01-26
Health check-in — days 1–6 daily, dose 1Feeling: Fair · Site: Pain · Headache, Joint pains, Muscle or body aches, Fatigue or tirednessAdult check-in
-
2021-01-27
Health check-in — days 1–6 daily, dose 1Feeling: Good · Site: Pain · Muscle or body achesAdult check-in
- 2021-01-28
- 2021-01-29
- 2021-01-30
-
2021-01-31
Health check-in — days 1–6 daily, dose 1Feeling: Good · Muscle or body aches, Fatigue or tirednessAdult check-in
- 2021-02-03
- 2021-02-08
- 2021-02-16
- 2021-02-22
-
2021-03-01
Dose 2 — Moderna
- 2021-03-01
-
2021-03-02
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Site: Pain, Itching · Fever · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to do your normal daily activitiesAdult check-in
-
2021-03-03
Survey response — days 1–6 daily, dose 2MedDRA: Arthralgia, Diarrhoea, Feeling abnormal, Malaise, Middle insomnia, Nausea, Pain — Feeling: Good · Site: Pain · Headache, Muscle or body achesFree text: After i reported yesterday morning, i came down with a fever theat hivered around 100+ a little until this morning. I felt terrible yesterday ..sever body aches, joint pains, nausea and general malaise. At 830 pm i had a horrendous bout of severe diarrhea and went to bed shortly thereafter. Woke up around 0430 this am fever was almost gone and went back to sleep. At 0800 got up and felt much better. No meds were taken during all this. I was unable to document the things that happened later in the day after having filled out the questionnaire earlier yesterday so i am providing the information from last night (3/2/21) todayMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-03-04
Health check-in — days 1–6 daily, dose 2Feeling: Good · Site: Pain · Headache, Muscle or body achesAdult check-in
- 2021-03-06
- 2021-03-08
- 2021-03-15
- 2021-03-22
- 2021-03-29
- 2021-04-07
- 2021-04-12
- 2021-05-31
- 2021-08-31
-
2021-10-02
Dose 3 — Moderna
- 2022-03-02
- 2022-04-04
-
2022-05-06
Dose 4 — ModernaCo-administered: Shingles
- 2022-10-03
- 2022-11-06
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-01-25 | Moderna | |
| 2 | 2021-03-01 | Moderna | |
| 3 | 2021-10-02 | Moderna | No |
| 4 | 2022-05-06 | Moderna | Shingles |
Free text
Release 5 — days 1–6 daily, dose 2
Systemic reaction (other): After i reported yesterday morning, i came down with a fever theat hivered around 100+ a little until this morning. I felt terrible yesterday ..sever body aches, joint pains, nausea and general malaise. At 830 pm i had a horrendous bout of severe diarrhea and went to bed shortly thereafter. Woke up around 0430 this am fever was almost gone and went back to sleep. At 0800 got up and felt much better. No meds were taken during all this. I was unable to document the things that happened later in the day after having filled out the questionnaire earlier yesterday so i am providing the information from last night (3/2/21) today
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 |
|---|---|---|---|---|
| SRO | Arthralgia | ✓ | ✓ | ✓ |
| SRO | Diarrhoea | ✓ | ✓ | ✓ |
| SRO | Feeling abnormal | ✓ | ✓ | ✓ |
| SRO | Malaise | ✓ | ✓ | ✓ |
| SRO | Middle insomnia | ✓ | ✓ | ✓ |
| SRO | Nausea | ✓ | ✓ | ✓ |
| SRO | Pain | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release