5JQ-29815-90805
5 vaccinations
11 coded responses
40 check-ins
11 free-text entries
3 call cases
- Sex
- Female
- Age at first dose
- 66+
- ZIP prefix
- 087 / NJ
- Registered
- 2021-02-09
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-02-09
Registered in v-safe
-
2021-02-09
Dose 1 — Moderna
- 2021-02-09
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2021-02-10
Health check-in — days 1–6 daily, dose 1Feeling: Good · Site: Pain, Itching · Headache, Fatigue or tirednessAdult check-in
-
2021-02-11
Health check-in — days 1–6 daily, dose 1Feeling: Good · Site: Pain · Fatigue or tirednessAdult check-in
- 2021-02-12
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2021-02-13
Survey response — days 1–6 daily, dose 1MedDRA: Cough, Nasal congestion, Rhinorrhoea — Feeling: GoodFree text: Stuffy, runny nose slight coughMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-02-14
Survey response — days 1–6 daily, dose 1MedDRA: Cough — Feeling: GoodFree text: CoughingMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-02-15
Survey response — days 1–6 daily, dose 1MedDRA: Cough, Rhinorrhoea — Feeling: GoodFree text: Slight cough runny noseMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-02-16
- 2021-02-23
- 2021-03-02
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2021-03-09
Dose 2 — Moderna
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2021-03-09
Survey response — day 0, dose 2MedDRA: Unevaluable event — Feeling: GoodFree text: Just got shot 15 minutes agoMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-03-10
Survey response — days 1–6 daily, dose 2MedDRA: Dizziness — Feeling: Poor · Site: Pain · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tirednessFree text: DizzyMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-03-11
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Site: Pain · Fatigue or tirednessAdult check-in
- 2021-03-12
- 2021-03-13
-
2021-03-14
Survey response — days 1–6 daily, dose 2MedDRA: Cough — Feeling: GoodFree text: More frequent cough than usualMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-03-15
- 2021-03-16
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2021-03-23
Survey response — day 14, dose 2MedDRA: Dyspnoea — Feeling: GoodFree text: More short of breathMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-03-30
- 2021-04-06
- 2021-04-13
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2021-04-22
Survey response — day 42, dose 2MedDRA: Rash, Unevaluable event — Feeling: Good · Get care from a doctor or other healthcare professionalFree text: Symptoms: Large rash all around hip area · Healthcare visit (other): Telehealth or urgent care tomorrowMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-04-22
Report sent to call center — day 42, dose 2Get care from a doctor or other healthcare professional1 call case(s)
- 2021-06-08
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2021-09-07
Survey response — 6 months, dose 2MedDRA: Unevaluable event — Feeling: Good · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visitFree text: Sinus and earsMedDRA releases: 2024-11 · check-in free text available
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2021-09-07
Report sent to call center — 6 months, dose 2Get care from a doctor or other healthcare professional1 call case(s)
- 2021-09-08
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2021-12-27
Dose 3 — Moderna
- 2022-03-09
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2022-04-26
Dose 4 — Moderna
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2022-04-29
Survey response — days 1–6 daily, dose 4MedDRA: Adverse reaction — Feeling: Good · Site: Pain · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activitiesFree text: From my fourth shot for about 12 hoursMedDRA releases: 2024-11 · check-in free text available
- 2022-04-30
- 2022-05-01
- 2022-05-02
- 2022-05-03
- 2022-05-10
- 2022-05-17
- 2022-05-24
- 2022-05-31
- 2022-06-07
- 2022-07-26
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2022-10-25
Survey response — 6 months, dose 4MedDRA: Chills, Cough, Laboratory test abnormal, Pain, Pyrexia, Self-medication, Unevaluable event, Upper-airway cough syndrome — Feeling: Fair · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultationFree text: Symptoms: Tested positive 10/5 fever chills body aches sinus and cough. Cough is lingering and post nasal drip · Healthcare visit (other): Paxlovid prescribed and high dose Mucinex,MedDRA releases: 2024-11 · check-in free text available
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2022-10-25
Report sent to call center — 6 months, dose 4Be unable to do your normal daily activities · Get care from a doctor or other healthcare professionalTelehealth, virtual health, or email health consultation · 1 call case(s)
- 2022-10-26
- 2022-10-26
- 2022-10-26
- 2022-10-31
- 2022-10-31
- 2022-10-31
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2022-10-31
Callback requested for10:00AM ET
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2022-11-22
Dose 5 — Moderna
- 2023-04-26
- 2023-05-23
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-02-09 | Moderna | |
| 2 | 2021-03-09 | Moderna | |
| 3 | 2021-12-27 | Moderna | No |
| 4 | 2022-04-26 | Moderna | No |
| 5 | 2022-11-22 | Moderna | No |
Call center
3 call center cases
3 unsuccessful
1 wait over 3 months for a first call
Free text
Release 4 — days 1–6 daily, dose 1
Systemic reaction (other): Stuffy, runny nose slight cough
Systemic reaction (other): Coughing
Systemic reaction (other): Slight cough runny nose
Release 5 — day 0, dose 2
Systemic reaction (other): Just got shot 15 minutes ago
Release 5 — days 1–6 daily, dose 2
Systemic reaction (other): Dizzy
Systemic reaction (other): More frequent cough than usual
Release 6 — day 14, dose 2
Symptoms: More short of breath
Release 7 — day 42, dose 2
Symptoms: Large rash all around hip area
Healthcare visit (other): Telehealth or urgent care tomorrow
Release 9 — 6 months, dose 2
Symptoms: Sinus and ears
Release 11 — days 1–6 daily, dose 4
Systemic reaction (other): From my fourth shot for about 12 hours
Release 12 — 6 months, dose 4
Symptoms: Tested positive 10/5 fever chills body aches sinus and cough. Cough is lingering and post nasal drip
Healthcare visit (other): Paxlovid prescribed and high dose Mucinex,
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 |
|---|---|---|---|---|
| HCVO | Self-medication | · | · | ✓ |
| HCVO | Unevaluable event | ✓ | ✓ | ✓ |
| SD | Chills | · | · | ✓ |
| SD | Cough | · | · | ✓ |
| SD | Dyspnoea | ✓ | ✓ | ✓ |
| SD | Laboratory test abnormal | · | · | ✓ |
| SD | Pain | · | · | ✓ |
| SD | Pyrexia | · | · | ✓ |
| SD | Rash | ✓ | ✓ | ✓ |
| SD | Unevaluable event | · | · | ✓ |
| SD | Upper-airway cough syndrome | · | · | ✓ |
| SRO | Adverse reaction | · | · | ✓ |
| SRO | Cough | ✓ | ✓ | ✓ |
| SRO | Dizziness | ✓ | ✓ | ✓ |
| SRO | Nasal congestion | ✓ | ✓ | ✓ |
| SRO | Rhinorrhoea | ✓ | ✓ | ✓ |
| SRO | Unevaluable event | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release