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5UY-52373-72439

5 vaccinations 4 coded responses 54 check-ins 4 free-text entries 0 call cases
Sex
Female
Age at first dose
66+
ZIP prefix
070 / NJ
Registered
2021-02-12
Relationship
Self
Race
White
Ethnicity
Not Hispanic or Latino

Timeline

  1. 2021-02-12
    Registered in v-safe
  2. 2021-02-12
    Dose 1 — Moderna
  3. 2021-02-12
    Health check-in — day 0, dose 1
    Feeling: Fair · Site: Pain · Chills, Fatigue or tiredness · Be unable to do your normal daily activities
    Adult check-in
  4. 2021-02-13
    Health check-in — days 1–6 daily, dose 1
    Feeling: Fair · Site: Pain, Itching · Joint pains, Fatigue or tiredness · Be unable to do your normal daily activities
    Adult check-in
  5. 2021-02-14
    Survey response — days 1–6 daily, dose 1
    MedDRA: Pain in extremity, Vaccination site pruritus — Feeling: Good · Site: Pain, Redness, Swelling, Itching
    Free text: Sore arm and itchy near vaccine site, but much improved today.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  6. 2021-02-15
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · Site: Redness · None
    Adult check-in
  7. 2021-02-17
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · None
    Adult check-in
  8. 2021-02-19
    Health check-in — day 7, dose 1
    Feeling: Good · Site: Itching · None
    Adult check-in
  9. 2021-02-26
    Health check-in — day 14, dose 1
    Feeling: Good
    Adult check-in
  10. 2021-03-05
    Health check-in — day 21, dose 1
    Feeling: Good
    Adult check-in
  11. 2021-03-12
    Dose 2 — Moderna
  12. 2021-03-12
    Health check-in — day 0, dose 2
    Feeling: Fair · Site: Pain · Chills, Fatigue or tiredness
    Adult check-in
  13. 2021-03-13
    Health check-in — days 1–6 daily, dose 2
    Feeling: Fair · Site: Pain · Fever · Chills, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to work, Be unable to do your normal daily activities
    Adult check-in
  14. 2021-03-14
    Survey response — days 1–6 daily, dose 2
    MedDRA: Pyrexia — Feeling: Fair · Site: Pain · Fatigue or tiredness · Be unable to do your normal daily activities
    Free text: My fever reached 101.7 as of 1 am today but around 10 am was back to normal.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  15. 2021-03-15
    Health check-in — days 1–6 daily, dose 2
    Feeling: Fair · Site: Pain · Chills, Fatigue or tiredness · Be unable to do your normal daily activities
    Adult check-in
  16. 2021-03-16
    Survey response — days 1–6 daily, dose 2
    MedDRA: Abnormal dreams — Feeling: Fair · Chills, Fatigue or tiredness · Be unable to do your normal daily activities
    Free text: Unusually vivid dreams ( but they are dreams, and are not nightmares).
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  17. 2021-03-17
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · Chills, Fatigue or tiredness
    Adult check-in
  18. 2021-03-18
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · None
    Adult check-in
  19. 2021-03-19
    Health check-in — day 7, dose 2
    Feeling: Good · None
    Adult check-in
  20. 2021-03-26
    Health check-in — day 14, dose 2
    Feeling: Good
    Adult check-in
  21. 2021-04-04
    Health check-in — day 21, dose 2
    Feeling: Good
    Adult check-in
  22. 2021-04-09
    Health check-in — day 28, dose 2
    Feeling: Good
    Adult check-in
  23. 2021-04-16
    Health check-in — day 35, dose 2
    Feeling: Good
    Adult check-in
  24. 2021-04-23
    Health check-in — day 42, dose 2
    Feeling: Good
    Adult check-in
  25. 2021-06-11
    Health check-in — 3 months, dose 2
    Feeling: Good
    Adult check-in
  26. 2021-09-10
    Health check-in — 6 months, dose 2
    Feeling: Good
    Adult check-in
  27. 2021-11-20
    Dose 3 — Moderna
  28. 2021-11-21
    Health check-in — days 1–6 daily, dose 3
    Feeling: Poor · Site: Pain · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to work or attend school, Be unable to do your normal daily activities
    Adult check-in
  29. 2021-11-22
    Health check-in — days 1–6 daily, dose 3
    Feeling: Fair · Site: Pain · Muscle or body aches, Fatigue or tiredness · Be unable to work or attend school, Be unable to do your normal daily activities
    Adult check-in
  30. 2021-11-23
    Health check-in — days 1–6 daily, dose 3
    Feeling: Good · Fatigue or tiredness · Be unable to work or attend school
    Adult check-in
  31. 2021-11-24
    Health check-in — days 1–6 daily, dose 3
    Feeling: Good · None
    Adult check-in
  32. 2021-11-25
    Health check-in — days 1–6 daily, dose 3
    Feeling: Good · None
    Adult check-in
  33. 2021-11-26
    Health check-in — days 1–6 daily, dose 3
    Feeling: Good · None
    Adult check-in
  34. 2021-11-27
    Health check-in — day 7, dose 3
    Feeling: Fair · Fatigue or tiredness
    Adult check-in
  35. 2021-12-04
    Health check-in — day 14, dose 3
    Feeling: Good
    Adult check-in
  36. 2021-12-11
    Health check-in — day 21, dose 3
    Feeling: Good
    Adult check-in
  37. 2021-12-19
    Health check-in — day 28, dose 3
    Feeling: Good
    Adult check-in
  38. 2021-12-26
    Health check-in — day 35, dose 3
    Feeling: Good
    Adult check-in
  39. 2022-01-01
    Health check-in — day 42, dose 3
    Feeling: Good
    Adult check-in
  40. 2022-02-19
    Health check-in — 3 months, dose 3
    Feeling: Good
    Adult check-in
  41. 2022-04-01
    Dose 4 — Moderna
  42. 2022-04-19
    Health check-in — day 14, dose 4
    Feeling: Good
    Adult check-in
  43. 2022-04-23
    Health check-in — day 21, dose 4
    Feeling: Good
    Adult check-in
  44. 2022-04-29
    Health check-in — day 28, dose 4
    Feeling: Good
    Adult check-in
  45. 2022-05-06
    Health check-in — day 35, dose 4
    Feeling: Good
    Adult check-in
  46. 2022-05-13
    Health check-in — day 42, dose 4
    Feeling: Good
    Adult check-in
  47. 2022-07-01
    Health check-in — 3 months, dose 4
    Feeling: Good
    Adult check-in
  48. 2022-09-30
    Dose 5 — Moderna
  49. 2022-09-30
    Health check-in — 6 months, dose 4
    Feeling: Fair
    Adult check-in
  50. 2022-10-02
    Survey response — days 1–6 daily, dose 5
    MedDRA: Fatigue, Injection site erythema, Injection site pain, Injection site pruritus, Malaise, Pain, Pyrexia, Somnolence — Feeling: Fair · Site: Pain, Redness, Swelling, Itching · Fatigue or tiredness · Be unable to work or attend school, Be unable to do your normal daily activities
    Free text: Shot 9-30. Yesterday felt too Ill to reply. Yesterday 10-1 I had 100.6 fever, overall body ache. Fatigue, sleepiness. Today fatigue, sleepiness, itchy, painful by shot site. Redness app 3 inches around shot.
    MedDRA releases: 2024-11 · check-in free text available
  51. 2022-10-03
    Health check-in — days 1–6 daily, dose 5
    Feeling: Fair · Site: Redness, Swelling, Itching · Chills, Fatigue or tiredness, Diarrhea, Abdominal pain · Be unable to work or attend school, Be unable to do your normal daily activities
    Adult check-in
  52. 2022-10-04
    Health check-in — days 1–6 daily, dose 5
    Feeling: Good · Site: Pain, Redness, Itching · None
    Adult check-in
  53. 2022-10-05
    Health check-in — days 1–6 daily, dose 5
    Feeling: Good · Site: Swelling, Itching · Abdominal pain
    Adult check-in
  54. 2022-10-06
    Health check-in — days 1–6 daily, dose 5
    Feeling: Good · None
    Adult check-in
  55. 2022-10-09
    Health check-in — day 7, dose 5
    Feeling: Good · None
    Adult check-in
  56. 2022-10-14
    Health check-in — day 14, dose 5
    Feeling: Good
    Adult check-in
  57. 2022-10-21
    Health check-in — day 21, dose 5
    Feeling: Good
    Adult check-in
  58. 2022-10-30
    Health check-in — day 28, dose 5
    Feeling: Good
    Adult check-in
  59. 2022-11-04
    Health check-in — day 35, dose 5
    Feeling: Good
    Adult check-in
  60. 2022-11-11
    Health check-in — day 42, dose 5
    Feeling: Good
    Adult check-in

Vaccinations

DoseDateManufacturerCo-administered
12021-02-12Moderna
22021-03-12Moderna
32021-11-20Moderna No
42022-04-01Moderna No
52022-09-30Moderna No

Free text

Release 4 — days 1–6 daily, dose 1

2021-02-14

Systemic reaction (other): Sore arm and itchy near vaccine site, but much improved today.

Release 5 — days 1–6 daily, dose 2

2021-03-14

Systemic reaction (other): My fever reached 101.7 as of 1 am today but around 10 am was back to normal.

2021-03-16

Systemic reaction (other): Unusually vivid dreams ( but they are dreams, and are not nightmares).

Release 12 — days 1–6 daily, dose 5

2022-10-02

Systemic reaction (other): Shot 9-30. Yesterday felt too Ill to reply. Yesterday 10-1 I had 100.6 fever, overall body ache. Fatigue, sleepiness. Today fatigue, sleepiness, itchy, painful by shot site. Redness app 3 inches around shot.

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
SROAbnormal dreams ✓ ✓ ✓
SROFatigue · · ✓
SROInjection site erythema · · ✓
SROInjection site pain · · ✓
SROInjection site pruritus · · ✓
SROMalaise · · ✓
SROPain · · ✓
SROPain in extremity ✓ ✓ ✓
SROPyrexia ✓ ✓ ✓
SROSomnolence · · ✓
SROVaccination site pruritus ✓ ✓ ✓

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