5JP-19891-18703
5 vaccinations
7 coded responses
47 check-ins
7 free-text entries
0 call cases
- Sex
- Female
- Age at first dose
- 61-65
- ZIP prefix
- 547 / WI
- Registered
- 2021-03-08
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-03-05
Dose 1 — Moderna
-
2021-03-08
Registered in v-safe
- 2021-03-08
- 2021-03-09
- 2021-03-11
- 2021-03-12
-
2021-03-19
Survey response — day 14, dose 1MedDRA: Injection site erythema, Injection site pruritus — Feeling: GoodFree text: Redness around the injection site and real intense itching.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-03-26
-
2021-04-02
Dose 2 — Moderna
- 2021-04-02
-
2021-04-03
Health check-in — days 1–6 daily, dose 2Feeling: Good · Site: Pain, Swelling · Fever · Chills, Muscle or body aches, Fatigue or tirednessAdult check-in
-
2021-04-04
Survey response — days 1–6 daily, dose 2MedDRA: No adverse event — Feeling: Fair · Site: Pain, Swelling · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Diarrhea · Be unable to do your normal daily activitiesFree text: NoneMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-04-05
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Site: Pain · Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activitiesAdult check-in
-
2021-04-06
Health check-in — days 1–6 daily, dose 2Feeling: Good · Site: Pain, Swelling · Fatigue or tirednessAdult check-in
- 2021-04-07
- 2021-04-08
- 2021-04-09
-
2021-04-16
Survey response — day 14, dose 2MedDRA: Chills, Pyrexia — Feeling: Poor · Be unable to work, Be unable to do your normal daily activitiesFree text: Fever and chillsMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-04-23
- 2021-04-30
-
2021-05-07
Survey response — day 35, dose 2MedDRA: Rhinorrhoea, Sneezing — Feeling: FairFree text: Just today I have been sneezing like crazy. After that let up some, I had and still have a runny nose. I believe it has to do with my sinuses and pollens.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-05-14
- 2021-07-02
-
2021-10-03
Survey response — 6 months, dose 2MedDRA: Irritable bowel syndrome — Feeling: Fair · Be unable to do your normal daily activitiesFree text: Irritable bowel symptoms but have not been diagnosed.MedDRA releases: 2024-11 · check-in free text available
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2021-11-01
Dose 3 — ModernaCo-administered: Flu
- 2021-11-01
-
2021-11-04
Health check-in — days 1–6 daily, dose 3Feeling: Good · Site: Swelling · Fatigue or tirednessAdult check-in
- 2021-11-05
- 2021-11-06
- 2021-11-08
- 2021-11-15
- 2021-11-22
- 2021-11-29
-
2021-12-06
Survey response — day 35, dose 3MedDRA: Apathy, Feeling of body temperature change, Hyperhidrosis, Insomnia, SARS-CoV-2 test, Somnolence — Feeling: Fair · Be unable to do your normal daily activitiesFree text: Hot sweating spells and then cold spells. I slept a lot, usually during the day and then couldn't sleep at night. No desire to do anything. Did get covid tested yesterday.MedDRA releases: 2024-11 · check-in free text available
- 2021-12-13
-
2022-01-31
Survey response — 3 months, dose 3MedDRA: Chills, Feeling cold, Influenza like illness — Feeling: Good · Be unable to do your normal daily activitiesFree text: Flu like symptoms. Was chilled for a few days, couldn't get warm.MedDRA releases: 2024-11 · check-in free text available
- 2022-05-02
-
2022-05-16
Dose 4 — Moderna
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2022-05-18
Health check-in — days 1–6 daily, dose 4Feeling: Good · Site: Pain, Swelling · Fatigue or tirednessAdult check-in
- 2022-05-19
- 2022-05-20
- 2022-05-21
- 2022-05-22
- 2022-05-23
- 2022-05-30
- 2022-06-06
- 2022-06-13
- 2022-06-20
- 2022-06-27
- 2022-08-15
- 2022-11-14
-
2023-03-03
Dose 5 — Pfizer-BioNTech
- 2023-06-02
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-03-05 | Moderna | |
| 2 | 2021-04-02 | Moderna | |
| 3 | 2021-11-01 | Moderna | Flu |
| 4 | 2022-05-16 | Moderna | No |
| 5 | 2023-03-03 | Pfizer-BioNTech | No |
Free text
Release 5 — day 14, dose 1
Symptoms: Redness around the injection site and real intense itching.
Release 6 — days 1–6 daily, dose 2
Systemic reaction (other): None
Release 7 — day 14, dose 2
Symptoms: Fever and chills
Release 8 — day 35, dose 2
Symptoms: Just today I have been sneezing like crazy. After that let up some, I had and still have a runny nose. I believe it has to do with my sinuses and pollens.
Release 9 — 6 months, dose 2
Symptoms: Irritable bowel symptoms but have not been diagnosed.
Release 10 — day 35, dose 3
Symptoms: Hot sweating spells and then cold spells. I slept a lot, usually during the day and then couldn't sleep at night. No desire to do anything. Did get covid tested yesterday.
Release 11 — 3 months, dose 3
Symptoms: Flu like symptoms. Was chilled for a few days, couldn't get warm.
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 | Apathy | · | · | ✓ |
| SD | Chills | ✓ | ✓ | ✓ |
| SD | Feeling cold | · | · | ✓ |
| SD | Feeling of body temperature change | · | · | ✓ |
| SD | Hyperhidrosis | · | · | ✓ |
| SD | Influenza like illness | · | · | ✓ |
| SD | Injection site erythema | ✓ | ✓ | ✓ |
| SD | Injection site pruritus | ✓ | ✓ | ✓ |
| SD | Insomnia | · | · | ✓ |
| SD | Irritable bowel syndrome | · | · | ✓ |
| SD | Pyrexia | ✓ | ✓ | ✓ |
| SD | Rhinorrhoea | ✓ | ✓ | ✓ |
| SD | SARS-CoV-2 test | · | · | ✓ |
| SD | Sneezing | ✓ | ✓ | ✓ |
| SD | Somnolence | · | · | ✓ |
| SRO | No adverse event | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release