56C-24372-20675
5 vaccinations
5 coded responses
46 check-ins
5 free-text entries
0 call cases
- Sex
- Female
- Age at first dose
- 56-60
- ZIP prefix
- 070 / NJ
- Registered
- 2021-01-27
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-01-27
Registered in v-safe
-
2021-01-27
Dose 1 — Moderna
- 2021-01-27
- 2021-01-28
- 2021-01-29
- 2021-01-30
- 2021-01-31
- 2021-02-01
- 2021-02-02
- 2021-02-03
- 2021-02-10
- 2021-02-19
-
2021-02-24
Dose 2 — Moderna
- 2021-02-24
-
2021-02-25
Health check-in — days 1–6 daily, dose 2Feeling: Good · Site: Pain, Swelling, Itching · Fever · NoneAdult check-in
-
2021-02-26
Survey response — days 1–6 daily, dose 2MedDRA: Unevaluable event — Feeling: Good · Site: Pain, Swelling, Itching · Fever · Chills, Muscle or body aches, Diarrhea, Abdominal painFree text: I would just like to report that these symptoms came on between 8:00 and 9:30 p.m. last night February 25th after my last check-in and didn't last long.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-02-27
Health check-in — days 1–6 daily, dose 2Feeling: Good · Site: Swelling, Itching · NoneAdult check-in
- 2021-02-28
-
2021-03-01
Survey response — days 1–6 daily, dose 2MedDRA: Chills — Feeling: Good · Site: Itching · ChillsFree text: Very short bought of chills last nightMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-03-02
Survey response — days 1–6 daily, dose 2MedDRA: Abdominal discomfort, Chills — Feeling: Good · ChillsFree text: Just a short bout of chills once today and during that time my stomach didn't feel quite right but I wouldn't call it painMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-03-03
- 2021-03-10
- 2021-03-17
- 2021-03-24
- 2021-03-31
- 2021-04-07
- 2021-05-26
- 2021-08-25
-
2021-11-09
Dose 3 — Moderna
- 2021-11-25
- 2021-11-30
- 2021-12-07
- 2021-12-14
- 2021-12-21
- 2022-02-08
-
2022-04-13
Dose 4 — Moderna
-
2022-04-19
Survey response — days 1–6 daily, dose 4MedDRA: Injection site swelling — Feeling: GoodFree text: only had some injection site swelling for a day or two after this second booster. no other symptomsMedDRA releases: 2024-11 · check-in free text available
- 2022-04-22
- 2022-04-27
- 2022-05-04
- 2022-05-13
- 2022-05-18
- 2022-05-25
-
2022-07-13
Survey response — 3 months, dose 4MedDRA: Allergic respiratory symptom, Eye pruritus, Rhinorrhoea, Sneezing — Feeling: GoodFree text: allergy symptoms. itchy eyes. runny nose sneezingMedDRA releases: 2024-11 · check-in free text available
-
2022-09-23
Dose 5 — Moderna
- 2022-10-14
- 2022-10-15
- 2022-10-23
- 2022-10-28
- 2022-11-04
- 2022-12-23
- 2023-03-26
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-01-27 | Moderna | |
| 2 | 2021-02-24 | Moderna | |
| 3 | 2021-11-09 | Moderna | No |
| 4 | 2022-04-13 | Moderna | No |
| 5 | 2022-09-23 | Moderna | No |
Free text
Release 4 — days 1–6 daily, dose 2
Systemic reaction (other): I would just like to report that these symptoms came on between 8:00 and 9:30 p.m. last night February 25th after my last check-in and didn't last long.
Systemic reaction (other): Very short bought of chills last night
Systemic reaction (other): Just a short bout of chills once today and during that time my stomach didn't feel quite right but I wouldn't call it pain
Release 11 — days 1–6 daily, dose 4
Systemic reaction (other): only had some injection site swelling for a day or two after this second booster. no other symptoms
Release 12 — 3 months, dose 4
Symptoms: allergy symptoms. itchy eyes. runny nose sneezing
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 | Allergic respiratory symptom | · | · | ✓ |
| SD | Eye pruritus | · | · | ✓ |
| SD | Rhinorrhoea | · | · | ✓ |
| SD | Sneezing | · | · | ✓ |
| SRO | Abdominal discomfort | ✓ | ✓ | ✓ |
| SRO | Chills | ✓ | ✓ | ✓ |
| SRO | Injection site swelling | · | · | ✓ |
| SRO | Unevaluable event | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release