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562-10857-71605

3 vaccinations 8 coded responses 41 check-ins 8 free-text entries 0 call cases
Sex
Female
Age at first dose
61-65
ZIP prefix
080 / NJ
Registered
2021-02-22
Relationship
Self
Race
White
Ethnicity
Not Hispanic or Latino

Timeline

  1. 2021-02-22
    Registered in v-safe
  2. 2021-02-22
    Dose 1 — Moderna
  3. 2021-02-22
    Survey response — day 0, dose 1
    MedDRA: Injection site warmth — Feeling: Good · Site: Pain
    Free text: Vaccine site is a tad warm
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  4. 2021-02-23
    Survey response — days 1–6 daily, dose 1
    MedDRA: Unevaluable event — Feeling: Good · Site: Pain
    Free text: Felt a little droopy yesterday, much improved today
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  5. 2021-02-24
    Survey response — days 1–6 daily, dose 1
    MedDRA: Pain in extremity — Feeling: Good
    Free text: Soreness in arm 100% improved
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  6. 2021-02-25
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · None
    Adult check-in
  7. 2021-02-26
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · None
    Adult check-in
  8. 2021-02-27
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · None
    Adult check-in
  9. 2021-02-28
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · None
    Adult check-in
  10. 2021-03-01
    Health check-in — day 7, dose 1
    Feeling: Good · None
    Adult check-in
  11. 2021-03-08
    Health check-in — day 14, dose 1
    Feeling: Good
    Adult check-in
  12. 2021-03-15
    Health check-in — day 21, dose 1
    Feeling: Good
    Adult check-in
  13. 2021-03-22
    Dose 2 — Moderna
  14. 2021-03-22
    Survey response — day 0, dose 2
    MedDRA: Pain in extremity — Feeling: Good · Site: Pain
    Free text: Just had shot at noon, and was able to practice yoga at 2.... now resting, arm is sore but not enough yet to inhibit activities
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  15. 2021-03-23
    Survey response — days 1–6 daily, dose 2
    MedDRA: No adverse event — Feeling: Fair · Site: Pain · Fever · Headache, Muscle or body aches · Be unable to work
    Free text: Feel pretty
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  16. 2021-03-24
    Survey response — days 1–6 daily, dose 2
    MedDRA: Headache, Pain, Pain in extremity, Pyrexia, Self-medication — Feeling: Good
    Free text: Much better, arm hardly sore, headache lasted longer than other symptoms. Waited until aches and fever passed before I ended up taking a couple Advil for headache
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  17. 2021-03-25
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · None
    Adult check-in
  18. 2021-03-26
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · None
    Adult check-in
  19. 2021-03-27
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · None
    Adult check-in
  20. 2021-03-28
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · None
    Adult check-in
  21. 2021-03-29
    Health check-in — day 7, dose 2
    Feeling: Good · None
    Adult check-in
  22. 2021-04-05
    Health check-in — day 14, dose 2
    Feeling: Good
    Adult check-in
  23. 2021-04-12
    Health check-in — day 21, dose 2
    Feeling: Good
    Adult check-in
  24. 2021-04-19
    Health check-in — day 28, dose 2
    Feeling: Good
    Adult check-in
  25. 2021-04-26
    Health check-in — day 35, dose 2
    Feeling: Good
    Adult check-in
  26. 2021-05-03
    Health check-in — day 42, dose 2
    Feeling: Good
    Adult check-in
  27. 2021-06-21
    Health check-in — 3 months, dose 2
    Feeling: Good
    Adult check-in
  28. 2021-09-20
    Health check-in — 6 months, dose 2
    Feeling: Good
    Adult check-in
  29. 2021-10-29
    Dose 3 — Moderna
  30. 2021-10-29
    Survey response — day 0, dose 3
    MedDRA: Lethargy — Feeling: Fair · Site: Pain · Fatigue or tiredness
    Free text: Lethargic
    MedDRA releases: 2024-11 · check-in free text available
  31. 2021-10-30
    Health check-in — days 1–6 daily, dose 3
    Feeling: Fair · Site: Pain · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities
    Adult check-in
  32. 2021-10-31
    Survey response — days 1–6 daily, dose 3
    MedDRA: Malaise — Feeling: Fair · Muscle or body aches, Fatigue or tiredness
    Free text: Just general malaise,
    MedDRA releases: 2024-11 · check-in free text available
  33. 2021-11-01
    Health check-in — days 1–6 daily, dose 3
    Feeling: Good · None
    Adult check-in
  34. 2021-11-02
    Health check-in — days 1–6 daily, dose 3
    Feeling: Good · None
    Adult check-in
  35. 2021-11-03
    Health check-in — days 1–6 daily, dose 3
    Feeling: Good · None
    Adult check-in
  36. 2021-11-04
    Health check-in — days 1–6 daily, dose 3
    Feeling: Good · None
    Adult check-in
  37. 2021-11-05
    Health check-in — day 7, dose 3
    Feeling: Good · None
    Adult check-in
  38. 2021-11-12
    Health check-in — day 14, dose 3
    Feeling: Good
    Adult check-in
  39. 2021-11-19
    Health check-in — day 21, dose 3
    Feeling: Fair
    Adult check-in
  40. 2021-11-26
    Health check-in — day 28, dose 3
    Feeling: Good
    Adult check-in
  41. 2021-12-03
    Health check-in — day 35, dose 3
    Feeling: Good
    Adult check-in
  42. 2021-12-10
    Health check-in — day 42, dose 3
    Feeling: Good
    Adult check-in
  43. 2022-01-28
    Health check-in — 3 months, dose 3
    Feeling: Good
    Adult check-in
  44. 2022-04-29
    Health check-in — 6 months, dose 3
    Feeling: Good
    Adult check-in
  45. 2022-10-29
    Health check-in — 12 months, dose 3
    Feeling: Good
    Adult check-in

Vaccinations

DoseDateManufacturerCo-administered
12021-02-22Moderna
22021-03-22Moderna
32021-10-29Moderna No

Free text

Release 4 — day 0, dose 1

2021-02-22

Systemic reaction (other): Vaccine site is a tad warm

Release 4 — days 1–6 daily, dose 1

2021-02-23

Systemic reaction (other): Felt a little droopy yesterday, much improved today

2021-02-24

Systemic reaction (other): Soreness in arm 100% improved

Release 6 — day 0, dose 2

2021-03-22

Systemic reaction (other): Just had shot at noon, and was able to practice yoga at 2.... now resting, arm is sore but not enough yet to inhibit activities

Release 6 — days 1–6 daily, dose 2

2021-03-23

Systemic reaction (other): Feel pretty

2021-03-24

Systemic reaction (other): Much better, arm hardly sore, headache lasted longer than other symptoms. Waited until aches and fever passed before I ended up taking a couple Advil for headache

Release 10 — day 0, dose 3

2021-10-29

Systemic reaction (other): Lethargic

Release 10 — days 1–6 daily, dose 3

2021-10-31

Systemic reaction (other): Just general malaise,

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

FieldPreferred term2021-092023-042024-11
SROHeadache ✓ ✓ ✓
SROInjection site warmth ✓ ✓ ✓
SROLethargy · · ✓
SROMalaise · · ✓
SRONo adverse event ✓ ✓ ✓
SROPain ✓ ✓ ✓
SROPain in extremity ✓ ✓ ✓
SROPyrexia ✓ ✓ ✓
SROSelf-medication ✓ ✓ ✓
SROUnevaluable event ✓ ✓ ✓

✓ active code · ○ coded but marked inactive · blank = not in that release

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