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5SS-89016-15828

5 vaccinations 6 coded responses 22 check-ins 6 free-text entries 1 call case
Sex
Female
Age at first dose
66+
ZIP prefix
085 / NJ
Registered
2021-03-28
Relationship
Self
Race
Asian
Ethnicity
Not Hispanic or Latino
Registered dependents
DLX-23287-40707 Other · Male · 2021-06-21

Timeline

  1. 2021-02-25
    Dose 1 — Moderna
  2. 2021-03-25
    Dose 2 — Moderna
  3. 2021-03-28
    Registered in v-safe
  4. 2021-03-28
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · Site: Itching · Fever · Chills, Fatigue or tiredness
    Adult check-in
  5. 2021-03-29
    Survey response — days 1–6 daily, dose 2
    MedDRA: Pain, Pyrexia, Self-medication — Feeling: Good · Fever · Muscle or body aches, Fatigue or tiredness
    Free text: Got 2nd shot 3/25, at night was aching all over. 3/26 AM took Advil, took long nap. After dinner, pain came back, took another Advil. 3/27 felt weak feverish, took Advil twice. 3/28 better. 3/29 almost back to normal.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  6. 2021-03-30
    Health check-in — days 1–6 daily, dose 2
    Feeling: Fair · Site: Itching · Fever · Fatigue or tiredness
    Adult check-in
  7. 2021-03-31
    Survey response — days 1–6 daily, dose 2
    MedDRA: Unevaluable event — Feeling: Good · Site: Itching · Fever · Fatigue or tiredness
    Free text: After a short nap is much better than yesterday
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  8. 2021-04-01
    Survey response — day 7, dose 2
    MedDRA: Dizziness — Feeling: Fair · Fever · Joint pains, Fatigue or tiredness
    Free text: Some dizziness
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  9. 2021-04-08
    Survey response — day 14, dose 2
    MedDRA: Chills, Pyrexia, Self-medication — Feeling: Fair
    Free text: Chill, iciness ,low grade fever, took Advil
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  10. 2021-04-15
    Health check-in — day 21, dose 2
    Feeling: Good
    Adult check-in
  11. 2021-04-22
    Health check-in — day 28, dose 2
    Feeling: Good
    Adult check-in
  12. 2021-04-29
    Health check-in — day 35, dose 2
    Feeling: Good
    Adult check-in
  13. 2021-05-06
    Survey response — day 42, dose 2
    MedDRA: Office visit, Sinusitis — Feeling: Good · Get care from a doctor or other healthcare professional
    Free text: Symptoms: Sinus infection, take antibiotics. This is the fifth day of taking medication.@ · Healthcare visit (other): During my check up with pulmonologist
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  14. 2021-05-06
    Report sent to call center — day 42, dose 2
    Get care from a doctor or other healthcare professional
    1 call case(s)
  15. 2021-06-24
    Health check-in — 3 months, dose 2
    Feeling: Good
    Adult check-in
  16. 2021-09-23
    Health check-in — 6 months, dose 2
    Feeling: Good
    Adult check-in
  17. 2021-10-23
    Dose 3 — Moderna
  18. 2021-10-30
    Survey response — day 7, dose 3
    MedDRA: Arthralgia, Discomfort, Myalgia, Pyrexia — Feeling: Fair · Fever · Muscle or body aches, Fatigue or tiredness
    Free text: It seems a bit late to receive these questionnaire. My booster shot was 10/23 . 10/24,25,26 were not comfortable. Fever, muscle and joints aching.
    MedDRA releases: 2024-11 · check-in free text available
  19. 2021-11-06
    Health check-in — day 14, dose 3
    Feeling: Good
    Adult check-in
  20. 2021-11-13
    Health check-in — day 21, dose 3
    Feeling: Good
    Adult check-in
  21. 2021-11-22
    Health check-in — day 28, dose 3
    Feeling: Good
    Adult check-in
  22. 2021-11-27
    Health check-in — day 35, dose 3
    Feeling: Good
    Adult check-in
  23. 2021-12-04
    Health check-in — day 42, dose 3
    Feeling: Good
    Adult check-in
  24. 2022-01-22
    Health check-in — 3 months, dose 3
    Feeling: Good
    Adult check-in
  25. 2022-04-18
    Dose 4 — Moderna
  26. 2022-04-23
    Health check-in — 6 months, dose 3
    Feeling: Good
    Adult check-in
  27. 2022-05-06
  28. 2022-05-18
    Health check-in — day 28, dose 4
    Feeling: Good
    Adult check-in
  29. 2022-09-19
    Dose 5 — Moderna
  30. 2023-04-20
    Health check-in — 12 months, dose 4
    Feeling: Good
    Adult check-in

Vaccinations

DoseDateManufacturerCo-administered
12021-02-25Moderna
22021-03-25Moderna
32021-10-23Moderna No
42022-04-18Moderna No
52022-09-19Moderna No

Call center

1 call center case

1 unsuccessful

1 wait over 3 months for a first call

See the call center timeline

Free text

Release 6 — days 1–6 daily, dose 2

2021-03-29

Systemic reaction (other): Got 2nd shot 3/25, at night was aching all over. 3/26 AM took Advil, took long nap. After dinner, pain came back, took another Advil. 3/27 felt weak feverish, took Advil twice. 3/28 better. 3/29 almost back to normal.

2021-03-31

Systemic reaction (other): After a short nap is much better than yesterday

Release 6 — day 7, dose 2

2021-04-01

Systemic reaction (other): Some dizziness

Release 7 — day 14, dose 2

2021-04-08

Symptoms: Chill, iciness ,low grade fever, took Advil

Release 8 — day 42, dose 2

2021-05-06

Symptoms: Sinus infection, take antibiotics. This is the fifth day of taking medication.@
Healthcare visit (other): During my check up with pulmonologist

Release 10 — day 7, dose 3

2021-10-30

Systemic reaction (other): It seems a bit late to receive these questionnaire. My booster shot was 10/23 . 10/24,25,26 were not comfortable. Fever, muscle and joints aching.

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

FieldPreferred term2021-092023-042024-11
HCVOOffice visit ✓ ✓ ✓
SDChills ✓ ✓ ✓
SDPyrexia ✓ ✓ ✓
SDSelf-medication ✓ ✓ ✓
SDSinusitis ✓ ✓ ✓
SROArthralgia · · ✓
SRODiscomfort · · ✓
SRODizziness ✓ ✓ ✓
SROMyalgia · · ✓
SROPain ✓ ✓ ✓
SROPyrexia ✓ ✓ ✓
SROSelf-medication ✓ ✓ ✓
SROUnevaluable event ✓ ✓ ✓

✓ active code · ○ coded but marked inactive · blank = not in that release