5Q3-17148-59490
4 vaccinations
4 coded responses
46 check-ins
3 free-text entries
2 call cases
- Sex
- Female
- Age at first dose
- 31-35
- ZIP prefix
- 088 / NJ
- Registered
- 2021-01-28
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-01-28
Registered in v-safe
-
2021-01-28
Dose 1 — Moderna
- 2021-01-28
-
2021-01-29
Health check-in — days 1–6 daily, dose 1Feeling: Good · Site: Pain · Fatigue or tirednessAdult check-in
- 2021-01-30
- 2021-01-31
- 2021-02-01
- 2021-02-02
- 2021-02-03
- 2021-02-04
-
2021-02-11
Survey response — day 14, dose 1MedDRA: Immunisation reaction, Injection site pain, Injection site rash, Injection site warmth, Self-medication — Feeling: GoodFree text: I experienced Covid arm. I had a rash around the injection site which was hot and sore but not itchy. I used Benadryl cream on it. It lasted about 24-48 hours.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-02-18
Survey response — day 21, dose 1MedDRA: Injection site pain, Injection site rash, Self-medication — Feeling: Good · Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultationFree text: Continued rash near injection site. The first rash 8 days after injection. Day 7 it was sore. On day 8 it was sore and had a rash. I treated it with Benadryl cream. It went away day 10-11. Day 12-present another rash. Stopped using cream dr order.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-02-18
Report sent to call center — day 21, dose 1Get care from a doctor or other healthcare professional1 call case(s)
-
2021-02-25
Dose 2 — Moderna
- 2021-02-25
-
2021-02-26
Health check-in — days 1–6 daily, dose 2Feeling: Poor · Site: Pain, Redness · Fever · Chills, Headache, Muscle or body aches, Fatigue or tiredness · Be unable to workAdult check-in
-
2021-02-27
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Site: Pain, Redness, Swelling · Headache, Muscle or body aches, Fatigue or tirednessAdult check-in
-
2021-02-28
Health check-in — days 1–6 daily, dose 2Feeling: Good · Site: Pain, Redness, Swelling · Headache, Muscle or body aches, Fatigue or tirednessAdult check-in
-
2021-03-01
Health check-in — days 1–6 daily, dose 2Feeling: Good · Site: Pain, Redness, Swelling · NoneAdult check-in
- 2021-03-02
- 2021-03-03
- 2021-03-04
- 2021-03-11
- 2021-03-18
- 2021-03-25
- 2021-04-01
- 2021-04-08
- 2021-05-27
- 2021-08-06
- 2021-08-26
-
2021-09-25
Dose 3 — Moderna
- 2021-10-27
- 2021-10-30
- 2021-11-06
- 2021-12-25
- 2022-03-26
- 2022-09-25
-
2022-10-14
Dose 4 — Moderna
- 2022-10-14
- 2022-10-15
-
2022-10-16
Health check-in — days 1–6 daily, dose 4Feeling: Fair · Site: Pain, Redness · Fever · Chills, Headache, Muscle or body aches, Fatigue or tirednessAdult check-in
- 2022-10-17
-
2022-10-18
Health check-in — days 1–6 daily, dose 4Feeling: Fair · Site: Pain, Redness · Muscle or body achesAdult check-in
- 2022-10-19
-
2022-10-20
Survey response — days 1–6 daily, dose 4MedDRA: Migraine, Pre-existing disease — Feeling: FairFree text: Start of ocular migraine but I suffered from these prior to the vaccineMedDRA releases: 2024-11 · check-in free text available
- 2022-10-21
- 2022-10-28
- 2022-11-04
- 2022-11-11
- 2022-11-18
- 2022-11-25
- 2023-01-13
-
2023-04-14
Survey response — 6 months, dose 4MedDRA: COVID-19, Glucose tolerance impaired — Feeling: Fair · Be unable to work or attend school, Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultation, Outpatient clinic or urgent care clinic visitMedDRA releases: 2024-11
-
2023-04-14
Report sent to call center — 6 months, dose 4Be unable to work or attend school · Be unable to do your normal daily activities · Get care from a doctor or other healthcare prTelehealth, virtual health, or email health consultation · Outpatient clinic or urgent care clinic visit · 1 call case(s)
- 2023-04-17
- 2023-04-17
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-01-28 | Moderna | |
| 2 | 2021-02-25 | Moderna | |
| 3 | 2021-09-25 | Moderna | No |
| 4 | 2022-10-14 | Moderna | No |
Call center
2 call center cases
2 unsuccessful
1 wait over 3 months for a first call
Free text
Release 4 — day 14, dose 1
Symptoms: I experienced Covid arm. I had a rash around the injection site which was hot and sore but not itchy. I used Benadryl cream on it. It lasted about 24-48 hours.
Release 4 — day 21, dose 1
Symptoms: Continued rash near injection site. The first rash 8 days after injection. Day 7 it was sore. On day 8 it was sore and had a rash. I treated it with Benadryl cream. It went away day 10-11. Day 12-present another rash. Stopped using cream dr order.
Release 12 — days 1–6 daily, dose 4
Systemic reaction (other): Start of ocular migraine but I suffered from these prior to the vaccine
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 | COVID-19 | · | · | ✓ |
| SD | Glucose tolerance impaired | · | · | ✓ |
| SD | Immunisation reaction | ✓ | ✓ | ✓ |
| SD | Injection site pain | ✓ | ✓ | ✓ |
| SD | Injection site rash | ✓ | ✓ | ✓ |
| SD | Injection site warmth | ✓ | ✓ | ✓ |
| SD | Self-medication | ✓ | ✓ | ✓ |
| SRO | Migraine | · | · | ✓ |
| SRO | Pre-existing disease | · | · | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release