6F8-27187-37756
4 vaccinations
10 coded responses
47 check-ins
10 free-text entries
0 call cases
- Sex
- Female
- Age at first dose
- 66+
- ZIP prefix
- 087 / NJ
- Registered
- 2021-02-05
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-02-04
Dose 1 — Moderna
-
2021-02-05
Registered in v-safe
-
2021-02-05
Survey response — days 1–6 daily, dose 1MedDRA: Injection site pain — Feeling: GoodFree text: Injection site is tender to touch but not really painful.ulMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-02-08
- 2021-02-09
- 2021-02-10
- 2021-02-11
- 2021-02-18
- 2021-02-26
-
2021-03-04
Dose 2 — Moderna
-
2021-03-04
Survey response — day 0, dose 2MedDRA: Injection site pain — Feeling: Good · Site: PainFree text: Pain is achiness at injection site.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-03-05
Survey response — days 1–6 daily, dose 2MedDRA: Pain in extremity — Feeling: Poor · Site: Pain · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to work, Be unable to do your normal daily activitiesFree text: Even my toes and fingers hurt. Never had that before.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-03-06
Health check-in — days 1–6 daily, dose 2Feeling: Poor · Site: Pain, Swelling · Fever · Chills, Headache, Muscle or body aches, Fatigue or tiredness, Nausea, Abdominal pain · Be unable to do your normal daily activitiesAdult check-in
-
2021-03-07
Survey response — days 1–6 daily, dose 2MedDRA: Incontinence — Feeling: Poor · Site: Pain, Swelling · Headache, Muscle or body aches, Fatigue or tiredness, Nausea, Diarrhea · Be unable to do your normal daily activitiesFree text: Incontinence which I never had before.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-03-08
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Site: Pain · Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activitiesAdult check-in
-
2021-03-09
Survey response — days 1–6 daily, dose 2MedDRA: Incontinence — Feeling: Good · Site: Pain · Muscle or body aches, Fatigue or tirednessFree text: Incontinemce has abated.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-03-10
- 2021-03-11
- 2021-03-19
- 2021-03-25
-
2021-04-01
Survey response — day 28, dose 2MedDRA: Injection site pain — Feeling: GoodFree text: Injection site occasionally sore after not hurting for several weeks.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-04-09
- 2021-04-16
- 2021-09-04
-
2021-10-27
Dose 3 — Moderna
-
2021-10-30
Survey response — days 1–6 daily, dose 3MedDRA: Axillary pain, Injection site pain, Oedema peripheral — Feeling: Good · Site: Pain, SwellingFree text: Pain at injection site; swelling and pain in armpit.nMedDRA releases: 2024-11 · check-in free text available
-
2021-10-31
Survey response — days 1–6 daily, dose 3MedDRA: Axillary pain, Oedema peripheral — Feeling: Good · Site: PainFree text: Armpit pain but less swelling than yesterdayyMedDRA releases: 2024-11 · check-in free text available
- 2021-11-01
- 2021-11-02
- 2021-11-03
- 2021-11-13
- 2021-11-18
- 2021-11-24
- 2021-12-01
- 2021-12-08
- 2022-01-26
-
2022-04-18
Dose 4 — Moderna
-
2022-04-19
Health check-in — days 1–6 daily, dose 4Feeling: Poor · Site: Pain · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activitiesAdult check-in
-
2022-04-20
Survey response — days 1–6 daily, dose 4MedDRA: Axillary pain, Oedema peripheral — Feeling: Fair · Site: Pain · Joint pains, Muscle or body achesFree text: Swelling and pain under my left armpit; I got vaccine in left arm.MedDRA releases: 2024-11 · check-in free text available
-
2022-04-21
Survey response — days 1–6 daily, dose 4MedDRA: Oedema peripheral — Feeling: Good · Site: Pain · Joint painsFree text: Swelling under arm where I got shotMedDRA releases: 2024-11 · check-in free text available
- 2022-04-22
- 2022-04-23
- 2022-04-24
- 2022-04-25
- 2022-05-03
- 2022-05-09
- 2022-05-16
- 2022-05-23
- 2022-05-31
- 2022-07-20
- 2022-10-17
- 2023-04-20
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-02-04 | Moderna | |
| 2 | 2021-03-04 | Moderna | |
| 3 | 2021-10-27 | Moderna | No |
| 4 | 2022-04-18 | Moderna | No |
Free text
Release 3 — days 1–6 daily, dose 1
Systemic reaction (other): Injection site is tender to touch but not really painful.ul
Release 5 — day 0, dose 2
Systemic reaction (other): Pain is achiness at injection site.
Release 5 — days 1–6 daily, dose 2
Systemic reaction (other): Even my toes and fingers hurt. Never had that before.
Systemic reaction (other): Incontinence which I never had before.
Systemic reaction (other): Incontinemce has abated.
Release 6 — day 28, dose 2
Symptoms: Injection site occasionally sore after not hurting for several weeks.
Release 10 — days 1–6 daily, dose 3
Systemic reaction (other): Pain at injection site; swelling and pain in armpit.n
Systemic reaction (other): Armpit pain but less swelling than yesterdayy
Release 11 — days 1–6 daily, dose 4
Systemic reaction (other): Swelling and pain under my left armpit; I got vaccine in left arm.
Systemic reaction (other): Swelling under arm where I got 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
| Field | Preferred term | 2021-09 | 2023-04 | 2024-11 |
|---|---|---|---|---|
| SD | Injection site pain | ✓ | ✓ | ✓ |
| SRO | Axillary pain | · | · | ✓ |
| SRO | Incontinence | ✓ | ✓ | ✓ |
| SRO | Injection site pain | ✓ | ✓ | ✓ |
| SRO | Oedema peripheral | · | · | ✓ |
| SRO | Pain in extremity | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release