5D3-10135-73387
4 vaccinations
8 coded responses
36 check-ins
8 free-text entries
0 call cases
- Sex
- Female
- Age at first dose
- 66+
- ZIP prefix
- 078 / NJ
- Registered
- 2021-02-24
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-01-21
Dose 1 — Moderna
-
2021-02-22
Dose 2 — Moderna
-
2021-02-24
Registered in v-safe
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2021-02-24
Survey response — days 1–6 daily, dose 2MedDRA: Adverse reaction — Feeling: Good · Site: Redness, Swelling · Fever · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activitiesFree text: These are from yesterdays day after shot effectsMedDRA 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: Redness · Joint pains, Muscle or body achesAdult check-in
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2021-02-26
Survey response — days 1–6 daily, dose 2MedDRA: Ageusia — Feeling: Good · Site: RednessFree text: On the second day after my vaccine, when I felt like eating, I noticed a slight loss of taste, but it it was back to normal the next day.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-02-27
Survey response — days 1–6 daily, dose 2MedDRA: Rash — Feeling: Good · Site: RednessFree text: Yesterday evening I noticed an irregular rash to the left and under the injection site in my left armMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-02-28
Survey response — days 1–6 daily, dose 2MedDRA: Injection site rash — Feeling: Good · Site: RednessFree text: Still have irregular rash below injection siteMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-03-01
- 2021-03-08
- 2021-03-15
- 2021-03-22
- 2021-03-29
- 2021-04-05
- 2021-05-24
- 2021-08-23
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2021-10-27
Dose 3 — Moderna
- 2021-10-27
-
2021-10-28
Survey response — days 1–6 daily, dose 3MedDRA: Injection site discolouration, Myalgia — Feeling: Fair · Site: Pain · Fever · Chills, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activitiesFree text: Just a tiny pink dot at injection site. Soreness seems to be underneath in muscle.MedDRA releases: 2024-11 · check-in free text available
- 2021-10-29
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2021-10-30
Survey response — days 1–6 daily, dose 3MedDRA: Myalgia — Feeling: Good · Site: RednessFree text: Arm muscle still slightly soreMedDRA releases: 2024-11 · check-in free text available
- 2021-10-31
-
2021-11-01
Survey response — days 1–6 daily, dose 3MedDRA: Erythema — Feeling: Good · Site: ItchingFree text: Redness is diminishingMedDRA releases: 2024-11 · check-in free text available
- 2021-11-02
- 2021-11-03
- 2021-11-11
- 2021-11-17
- 2021-11-24
- 2021-12-01
- 2021-12-08
- 2022-01-26
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2022-04-10
Dose 4 — Moderna
- 2022-04-19
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2022-04-24
Survey response — day 14, dose 4MedDRA: Joint stiffness, Pyrexia, Tremor — Feeling: Good · Be unable to do your normal daily activitiesFree text: After my 2nd booster, within 5-6 hours I developed stiff joints and a fever causing me to tremble. It was gone, however, within 24 hours, and I continue to feel fine.MedDRA releases: 2024-11 · check-in free text available
- 2022-05-01
- 2022-05-08
- 2022-05-15
- 2022-05-22
- 2022-07-10
- 2022-10-09
- 2023-04-10
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-01-21 | Moderna | |
| 2 | 2021-02-22 | Moderna | |
| 3 | 2021-10-27 | Moderna | No |
| 4 | 2022-04-10 | Moderna | No |
Free text
Release 4 — days 1–6 daily, dose 2
Systemic reaction (other): These are from yesterdays day after shot effects
Systemic reaction (other): On the second day after my vaccine, when I felt like eating, I noticed a slight loss of taste, but it it was back to normal the next day.
Systemic reaction (other): Yesterday evening I noticed an irregular rash to the left and under the injection site in my left arm
Systemic reaction (other): Still have irregular rash below injection site
Release 10 — days 1–6 daily, dose 3
Systemic reaction (other): Just a tiny pink dot at injection site. Soreness seems to be underneath in muscle.
Systemic reaction (other): Arm muscle still slightly sore
Systemic reaction (other): Redness is diminishing
Release 11 — day 14, dose 4
Symptoms: After my 2nd booster, within 5-6 hours I developed stiff joints and a fever causing me to tremble. It was gone, however, within 24 hours, and I continue to feel fine.
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 | Joint stiffness | · | · | ✓ |
| SD | Pyrexia | · | · | ✓ |
| SD | Tremor | · | · | ✓ |
| SRO | Adverse reaction | ✓ | ✓ | ✓ |
| SRO | Ageusia | ✓ | ✓ | ✓ |
| SRO | Erythema | · | · | ✓ |
| SRO | Injection site discolouration | · | · | ✓ |
| SRO | Injection site rash | ✓ | ✓ | ✓ |
| SRO | Myalgia | · | · | ✓ |
| SRO | Rash | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release