55N-13619-82225
3 vaccinations
8 coded responses
32 check-ins
8 free-text entries
0 call cases
- Sex
- Female
- Age at first dose
- 56-60
- ZIP prefix
- 070 / NJ
- Registered
- 2021-01-25
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
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2021-01-25
Registered in v-safe
-
2021-01-25
Dose 1 — Moderna
- 2021-01-25
- 2021-01-27
- 2021-01-28
- 2021-01-29
- 2021-01-30
- 2021-01-31
- 2021-02-01
- 2021-02-08
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2021-02-15
Survey response — day 21, dose 1MedDRA: Fatigue, Headache — Feeling: GoodFree text: I don't know if it's related but for the past couple of days I have been more tired than usual and have experienced some headaches.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-02-21
Dose 2 — Moderna
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2021-02-22
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Site: Pain, Redness, Swelling · Headache, Nausea, DiarrheaAdult check-in
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2021-02-23
Health check-in — days 1–6 daily, dose 2Feeling: Good · Site: Pain, Redness, Swelling · HeadacheAdult check-in
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2021-02-24
Survey response — days 1–6 daily, dose 2MedDRA: Injection site erythema, Sleep disorder — Feeling: Good · Site: Pain, Redness, Swelling, Itching · Headache, Fatigue or tirednessFree text: The red area on my arm is about 3" around and it is not at the injection site but about 1"-2" below where I got the vaccine. Also I have had some sleep issues.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-02-25
Health check-in — days 1–6 daily, dose 2Feeling: Good · Site: Pain, Redness, Swelling, Itching · HeadacheAdult check-in
- 2021-02-26
- 2021-02-27
- 2021-02-28
- 2021-03-07
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2021-03-14
Survey response — day 21, dose 2MedDRA: Headache — Feeling: GoodFree text: For the past two days I have had a headache. It is mild but my husband also mentioned that he had headache for the past two days. It's just three weeks since our second vaccineMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-03-21
Survey response — day 28, dose 2MedDRA: Rhinorrhoea — Feeling: GoodFree text: Last week for a day or two I had a persistently running nose.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-03-30
- 2021-05-23
- 2021-08-24
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2021-10-22
Dose 3 — Moderna
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2021-10-27
Survey response — days 1–6 daily, dose 3MedDRA: Office visit, Rash, Urticaria — Feeling: Good · Rash, not including the immediate area around the injection siteFree text: yesterday I broke out in hives at the doctor's office and had to get a steroid shot. I have had hives / rash since the morning after the vaccine.MedDRA releases: 2024-11 · check-in free text available
- 2021-10-28
- 2021-10-29
- 2021-11-05
- 2021-11-13
- 2021-11-19
- 2021-11-26
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2021-12-03
Survey response — day 42, dose 3MedDRA: Office visit, Pruritus, Rash, Rhinorrhoea, Urticaria — Feeling: FairFree text: I had rash/hives. The first time was at my doctor's office on my left arm. She witnessed it and gave me a cortizone injection. Last week hives on arm, later really itchy ankles. Today itchy/hives on ankles. Also non-stop sniffles (since 2nd dose)MedDRA releases: 2024-11 · check-in free text available
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2022-01-23
Survey response — 3 months, dose 3MedDRA: Pruritus, Rash, Self-medication — Feeling: GoodFree text: I get a periodic rash. It started a couple days after my booster. I've had it happen every couple of weeks. Usually a half a Zyrtec will take care of the itchiness.MedDRA releases: 2024-11 · check-in free text available
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2022-04-24
Survey response — 6 months, dose 3MedDRA: Rash, Self-medication — Feeling: GoodFree text: Every few weeks I get a rash. This is happen since shortly after I got the booster. I take a Zyrtec and it goes away.MedDRA releases: 2024-11 · check-in free text available
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-01-25 | Moderna | |
| 2 | 2021-02-21 | Moderna | |
| 3 | 2021-10-22 | Moderna | No |
Free text
Release 4 — day 21, dose 1
Symptoms: I don't know if it's related but for the past couple of days I have been more tired than usual and have experienced some headaches.
Release 4 — days 1–6 daily, dose 2
Systemic reaction (other): The red area on my arm is about 3" around and it is not at the injection site but about 1"-2" below where I got the vaccine. Also I have had some sleep issues.
Release 5 — day 21, dose 2
Symptoms: For the past two days I have had a headache. It is mild but my husband also mentioned that he had headache for the past two days. It's just three weeks since our second vaccine
Release 6 — day 28, dose 2
Symptoms: Last week for a day or two I had a persistently running nose.
Release 10 — days 1–6 daily, dose 3
Systemic reaction (other): yesterday I broke out in hives at the doctor's office and had to get a steroid shot. I have had hives / rash since the morning after the vaccine.
Release 10 — day 42, dose 3
Symptoms: I had rash/hives. The first time was at my doctor's office on my left arm. She witnessed it and gave me a cortizone injection. Last week hives on arm, later really itchy ankles. Today itchy/hives on ankles. Also non-stop sniffles (since 2nd dose)
Release 11 — 3 months, dose 3
Symptoms: I get a periodic rash. It started a couple days after my booster. I've had it happen every couple of weeks. Usually a half a Zyrtec will take care of the itchiness.
Release 11 — 6 months, dose 3
Symptoms: Every few weeks I get a rash. This is happen since shortly after I got the booster. I take a Zyrtec and it goes away.
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 | Fatigue | ✓ | ✓ | ✓ |
| SD | Headache | ✓ | ✓ | ✓ |
| SD | Office visit | · | · | ✓ |
| SD | Pruritus | · | · | ✓ |
| SD | Rash | · | · | ✓ |
| SD | Rhinorrhoea | ✓ | ✓ | ✓ |
| SD | Self-medication | · | · | ✓ |
| SD | Urticaria | · | · | ✓ |
| SRO | Injection site erythema | ✓ | ✓ | ✓ |
| SRO | Office visit | · | · | ✓ |
| SRO | Rash | · | · | ✓ |
| SRO | Sleep disorder | ✓ | ✓ | ✓ |
| SRO | Urticaria | · | · | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release