5RZ-25968-72291
4 vaccinations
9 coded responses
37 check-ins
9 free-text entries
1 call case
- Sex
- Female
- Age at first dose
- 66+
- ZIP prefix
- 080 / NJ
- Registered
- 2021-01-31
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-01-29
Dose 1 — Moderna
-
2021-01-31
Registered in v-safe
- 2021-01-31
- 2021-02-01
-
2021-02-02
Survey response — days 1–6 daily, dose 1MedDRA: Dizziness — Feeling: Fair · NauseaFree text: Light headed. Symptoms lasting about 15 minutes this amMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-02-03
Survey response — days 1–6 daily, dose 1MedDRA: Eye pain, Rhinorrhoea — Feeling: Fair · Be unable to workFree text: Eyes stinging and clear nasal dischargeMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-02-04
- 2021-02-05
-
2021-02-12
Survey response — day 14, dose 1MedDRA: Injection site pruritus, Injection site rash — Feeling: GoodFree text: Rash and itching at injection site for 3daysMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-02-19
-
2021-02-26
Dose 2 — Moderna
- 2021-02-26
-
2021-02-27
Survey response — days 1–6 daily, dose 2MedDRA: Vertigo — Feeling: Poor · Site: Pain, Itching · Headache, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activitiesFree text: VertigoMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-02-28
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Site: Pain, Itching · Muscle or body aches, Fatigue or tirednessAdult check-in
-
2021-03-01
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Site: Pain, Itching · Headache, Muscle or body aches, Fatigue or tiredness, NauseaAdult check-in
- 2021-03-02
- 2021-03-03
-
2021-03-04
Survey response — days 1–6 daily, dose 2MedDRA: Eye pain, Rhinorrhoea — Feeling: GoodFree text: Eye stinging and clear nasal discharge on and off past 3 days. Rated- ModerateMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-03-05
- 2021-03-12
-
2021-03-19
Survey response — day 21, dose 2MedDRA: Nausea — Feeling: FairFree text: NauseaMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-03-27
Survey response — day 28, dose 2MedDRA: Fatigue, Headache, Nausea — Feeling: GoodFree text: Nausea, headaches, fatigue for 3 daysMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-04-03
- 2021-04-09
-
2021-05-29
Survey response — 3 months, dose 2MedDRA: Abdominal discomfort, Office visit, Specialist consultation, Thyroid disorder — Feeling: Fair · Get care from a doctor or other healthcare professionalFree text: Symptoms: Increased stomach discomfort Thyroid issues · Healthcare visit (other): PCP and GI specialistMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-05-29
Report sent to call center — 3 months, dose 2Get care from a doctor or other healthcare professional1 call case(s)
- 2021-08-30
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2021-11-15
Dose 3 — Moderna
- 2022-02-26
- 2022-05-12
- 2022-05-16
-
2022-10-15
Dose 4 — Moderna
- 2022-10-17
- 2022-10-18
- 2022-10-19
- 2022-10-20
- 2022-10-21
- 2022-10-22
- 2022-10-29
- 2022-11-05
- 2022-11-12
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2022-11-19
Survey response — day 35, dose 4MedDRA: Eye irritation, Malaise, Nasal discomfort, Ocular hyperaemia, Throat irritation — Feeling: GoodFree text: Nasal and throat irritation with increase eye redness and irritation. General malaiseMedDRA releases: 2024-11 · check-in free text available
- 2022-11-26
- 2023-01-14
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-01-29 | Moderna | |
| 2 | 2021-02-26 | Moderna | |
| 3 | 2021-11-15 | Moderna | No |
| 4 | 2022-10-15 | Moderna | No |
Call center
1 call center case
1 unsuccessful
1 wait over 3 months for a first call
Free text
Release 3 — days 1–6 daily, dose 1
Systemic reaction (other): Light headed. Symptoms lasting about 15 minutes this am
Systemic reaction (other): Eyes stinging and clear nasal discharge
Release 4 — day 14, dose 1
Symptoms: Rash and itching at injection site for 3days
Release 4 — days 1–6 daily, dose 2
Systemic reaction (other): Vertigo
Release 5 — days 1–6 daily, dose 2
Systemic reaction (other): Eye stinging and clear nasal discharge on and off past 3 days. Rated- Moderate
Release 6 — day 21, dose 2
Symptoms: Nausea
Release 6 — day 28, dose 2
Symptoms: Nausea, headaches, fatigue for 3 days
Release 8 — 3 months, dose 2
Symptoms: Increased stomach discomfort Thyroid issues
Healthcare visit (other): PCP and GI specialist
Release 12 — day 35, dose 4
Symptoms: Nasal and throat irritation with increase eye redness and irritation. General malaise
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 | Office visit | ✓ | ✓ | ✓ |
| HCVO | Specialist consultation | ✓ | ✓ | ✓ |
| SD | Abdominal discomfort | ✓ | ✓ | ✓ |
| SD | Eye irritation | · | · | ✓ |
| SD | Fatigue | ✓ | ✓ | ✓ |
| SD | Headache | ✓ | ✓ | ✓ |
| SD | Injection site pruritus | ✓ | ✓ | ✓ |
| SD | Injection site rash | ✓ | ✓ | ✓ |
| SD | Malaise | · | · | ✓ |
| SD | Nasal discomfort | · | · | ✓ |
| SD | Nausea | ✓ | ✓ | ✓ |
| SD | Ocular hyperaemia | · | · | ✓ |
| SD | Throat irritation | · | · | ✓ |
| SD | Thyroid disorder | ✓ | ✓ | ✓ |
| SRO | Dizziness | ✓ | ✓ | ✓ |
| SRO | Eye pain | ✓ | ✓ | ✓ |
| SRO | Rhinorrhoea | ✓ | ✓ | ✓ |
| SRO | Vertigo | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release