59F-16761-37102
5 vaccinations
6 coded responses
45 check-ins
6 free-text entries
0 call cases
- Sex
- Female
- Age at first dose
- 66+
- ZIP prefix
- 084 / NJ
- Registered
- 2021-03-10
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-02-08
Dose 1 — Moderna
-
2021-03-08
Dose 2 — Moderna
-
2021-03-10
Registered in v-safe
-
2021-03-10
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Site: Pain, Redness, Swelling · Chills, Muscle or body aches, Fatigue or tirednessAdult check-in
-
2021-03-11
Survey response — days 1–6 daily, dose 2MedDRA: Injection site pain, Injection site pruritus, Tenderness — Feeling: Fair · Site: Pain, Redness, Swelling, Itching · Be unable to do your normal daily activitiesFree text: The pain and itching at the injection site are difficult. I have to leave my arm bare as I can stand to have anything touch it.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-03-12
Survey response — days 1–6 daily, dose 2MedDRA: Injection site pain, Sensitive skin — Feeling: Good · Site: Pain, Redness, Swelling, ItchingFree text: Feeling better today. Injection area is tender to the touch but not nearly as ultra sensitive as it has been all week.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-03-13
- 2021-03-14
- 2021-03-15
- 2021-03-22
- 2021-03-29
- 2021-04-05
- 2021-04-12
- 2021-04-19
- 2021-06-07
- 2021-09-06
-
2021-10-25
Dose 3 — Moderna
- 2021-10-28
- 2021-10-29
- 2021-10-30
- 2021-10-31
- 2021-11-01
- 2021-11-08
- 2021-11-15
- 2021-11-22
- 2021-11-29
- 2021-12-06
- 2022-01-24
- 2022-04-25
-
2022-05-06
Dose 4 — Moderna
- 2022-05-18
- 2022-05-20
- 2022-05-27
- 2022-06-03
- 2022-06-10
- 2022-06-17
- 2022-08-05
-
2022-10-07
Dose 5 — Moderna
-
2022-10-09
Survey response — days 1–6 daily, dose 5MedDRA: Chills, Fatigue, Pain — Feeling: Fair · Site: Pain, Redness, Swelling, ItchingFree text: Not today but had chills, fatigue and was achy yesterdayMedDRA releases: 2024-11 · check-in free text available
-
2022-10-10
Survey response — days 1–6 daily, dose 5MedDRA: Injection site pain — Feeling: Fair · Site: Pain, Redness, Swelling, ItchingFree text: My arm at injection site is very tender and I can't tolerate clothing on the arm.MedDRA releases: 2024-11 · check-in free text available
-
2022-10-11
Survey response — days 1–6 daily, dose 5MedDRA: Erythema, Immunisation reaction, Paraesthesia, Pruritus — Feeling: Good · Site: Pain, Redness, Swelling, ItchingFree text: The COVID arm is itch and prickly. The area isn't quite as red but I think it's larger.MedDRA releases: 2024-11 · check-in free text available
-
2022-10-12
Survey response — days 1–6 daily, dose 5MedDRA: Erythema, Pruritus, Swelling — Feeling: Good · Site: Pain, Redness, Swelling, ItchingFree text: The swelling and redness and itchy has subsided quite a bit but it still bothers me with same.MedDRA releases: 2024-11 · check-in free text available
- 2022-10-13
- 2022-10-14
- 2022-10-21
- 2022-10-28
- 2022-11-04
- 2022-11-11
- 2022-11-18
- 2023-01-06
- 2023-04-07
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-02-08 | Moderna | |
| 2 | 2021-03-08 | Moderna | |
| 3 | 2021-10-25 | Moderna | No |
| 4 | 2022-05-06 | Moderna | No |
| 5 | 2022-10-07 | Moderna | No |
Free text
Release 5 — days 1–6 daily, dose 2
Systemic reaction (other): The pain and itching at the injection site are difficult. I have to leave my arm bare as I can stand to have anything touch it.
Systemic reaction (other): Feeling better today. Injection area is tender to the touch but not nearly as ultra sensitive as it has been all week.
Release 12 — days 1–6 daily, dose 5
Systemic reaction (other): Not today but had chills, fatigue and was achy yesterday
Systemic reaction (other): My arm at injection site is very tender and I can't tolerate clothing on the arm.
Systemic reaction (other): The COVID arm is itch and prickly. The area isn't quite as red but I think it's larger.
Systemic reaction (other): The swelling and redness and itchy has subsided quite a bit but it still bothers me with same.
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 | Chills | · | · | ✓ |
| SRO | Erythema | · | · | ✓ |
| SRO | Fatigue | · | · | ✓ |
| SRO | Immunisation reaction | · | · | ✓ |
| SRO | Injection site pain | ✓ | ✓ | ✓ |
| SRO | Injection site pruritus | ✓ | ✓ | ✓ |
| SRO | Pain | · | · | ✓ |
| SRO | Paraesthesia | · | · | ✓ |
| SRO | Pruritus | · | · | ✓ |
| SRO | Sensitive skin | ✓ | ✓ | ✓ |
| SRO | Swelling | · | · | ✓ |
| SRO | Tenderness | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release