6H5-89462-09719
2 vaccinations
5 coded responses
18 check-ins
5 free-text entries
0 call cases
- Sex
- Female
- Age at first dose
- 31-35
- ZIP prefix
- 070 / NJ
- Registered
- 2021-03-05
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-03-05
Registered in v-safe
-
2021-03-05
Dose 1 — Moderna
- 2021-03-05
-
2021-03-06
Health check-in — days 1–6 daily, dose 1Feeling: Fair · Site: Pain · Fever · Fatigue or tiredness · Be unable to do your normal daily activitiesAdult check-in
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2021-03-07
Survey response — days 1–6 daily, dose 1MedDRA: Fatigue, Pain in extremity, Pyrexia — Feeling: Fair · Site: Pain · Fatigue or tirednessFree text: first two nights following vaccine i had fever and moderate pain in arm. day three only mild pain in arm and fatigueMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-03-08
Survey response — days 1–6 daily, dose 1MedDRA: Fatigue, Headache, Pyrexia — Feeling: Poor · Site: Pain · Fever · Headache, Fatigue or tiredness · Be unable to work, Be unable to do your normal daily activitiesFree text: pounding headache feverish fatigueMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-03-10
- 2021-03-11
- 2021-03-12
- 2021-03-19
- 2021-03-26
-
2021-04-02
Dose 2 — Moderna
-
2021-04-04
Health check-in — days 1–6 daily, dose 2Feeling: Good · Site: Pain, Swelling · NauseaAdult check-in
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2021-04-05
Survey response — days 1–6 daily, dose 2MedDRA: Fatigue, Pyrexia — Feeling: Fair · Site: Pain · Fever · Headache, Fatigue or tiredness · Be unable to do your normal daily activitiesFree text: with the second dose i had moderate fever on second day after second vaccine only, wherease with the 1st vaccine moderna i had fever for three days post vaccine. monday fatigueMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-04-06
- 2021-04-07
-
2021-04-10
Survey response — day 7, dose 2MedDRA: Cough, Oropharyngeal pain — Feeling: Fair · Be unable to workFree text: sore throat and coughMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-04-18
- 2021-04-23
- 2021-04-30
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2022-04-04
Survey response — 12 months, dose 2MedDRA: Gastroenteritis viral, SARS-CoV-2 test negative — Feeling: GoodFree text: stomach flu lasted 3 days was negative on covid 19 antigen testing. not related to vaccine.MedDRA releases: 2024-11 · check-in free text available
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-03-05 | Moderna | |
| 2 | 2021-04-02 | Moderna |
Free text
Release 5 — days 1–6 daily, dose 1
Systemic reaction (other): first two nights following vaccine i had fever and moderate pain in arm. day three only mild pain in arm and fatigue
Systemic reaction (other): pounding headache feverish fatigue
Release 6 — days 1–6 daily, dose 2
Systemic reaction (other): with the second dose i had moderate fever on second day after second vaccine only, wherease with the 1st vaccine moderna i had fever for three days post vaccine. monday fatigue
Release 7 — day 7, dose 2
Systemic reaction (other): sore throat and cough
Release 11 — 12 months, dose 2
Symptoms: stomach flu lasted 3 days was negative on covid 19 antigen testing. not related to 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 | Gastroenteritis viral | · | · | ✓ |
| SD | SARS-CoV-2 test negative | · | · | ✓ |
| SRO | Cough | ✓ | ✓ | ✓ |
| SRO | Fatigue | ✓ | ✓ | ✓ |
| SRO | Headache | ✓ | ✓ | ✓ |
| SRO | Oropharyngeal pain | ✓ | ✓ | ✓ |
| SRO | Pain in extremity | ✓ | ✓ | ✓ |
| SRO | Pyrexia | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release