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6KB-20990-55068

3 vaccinations 8 coded responses 40 check-ins 8 free-text entries 2 call cases
Sex
Female
Age at first dose
56-60
ZIP prefix
079 / NJ
Registered
2021-01-30
Relationship
Self
Race
White
Ethnicity
Not Hispanic or Latino

Timeline

  1. 2021-01-30
    Registered in v-safe
  2. 2021-01-30
    Dose 1 — Moderna
  3. 2021-01-30
    Health check-in — day 0, dose 1
    Feeling: Good · Site: Pain · None
    Adult check-in
  4. 2021-01-31
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · Site: Pain · None
    Adult check-in
  5. 2021-02-01
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · Site: Pain · None
    Adult check-in
  6. 2021-02-02
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · Site: Pain · None
    Adult check-in
  7. 2021-02-03
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · Site: Pain · None
    Adult check-in
  8. 2021-02-04
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · None
    Adult check-in
  9. 2021-02-05
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · None
    Adult check-in
  10. 2021-02-06
    Health check-in — day 7, dose 1
    Feeling: Good · None
    Adult check-in
  11. 2021-02-13
    Survey response — day 14, dose 1
    MedDRA: Mobility decreased, Pain in extremity — Feeling: Good
    Free text: The arm pain came back at day 8-9 after shot. It eased last night. In hindsight I should have noted moderate pain causing disruption to normal arm movement in daily activities. I wasnt unable but had to accommodate due to pain with daily movements
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  12. 2021-02-20
    Health check-in — day 21, dose 1
    Feeling: Good
    Adult check-in
  13. 2021-02-27
    Health check-in — day 28, dose 1
    Feeling: Good
    Adult check-in
  14. 2021-03-06
    Health check-in — day 35, dose 1
    Feeling: Good
    Adult check-in
  15. 2021-03-10
    Dose 2 — Moderna
  16. 2021-03-10
    Survey response — day 0, dose 2
    MedDRA: No adverse event — Feeling: Good · Site: Pain
    Free text: No
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  17. 2021-03-11
    Survey response — days 1–6 daily, dose 2
    MedDRA: Skin warm — Feeling: Poor · Site: Pain · Chills, Headache, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to do your normal daily activities
    Free text: Skin is hot to touch but no fever per temp check
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  18. 2021-03-12
    Health check-in — days 1–6 daily, dose 2
    Feeling: Fair · Site: Pain · Chills, Headache, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to work
    Adult check-in
  19. 2021-03-13
    Survey response — days 1–6 daily, dose 2
    MedDRA: Night sweats, Poor quality sleep — Feeling: Fair · Headache, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to work
    Free text: Night sweats past 2 nights, restless sleep past 3 nights but improving
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  20. 2021-03-14
    Survey response — days 1–6 daily, dose 2
    MedDRA: Gastric disorder — Feeling: Good · Fatigue or tiredness, Nausea
    Free text: A few minor gastric symptoms today-not really to diarrhea level
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  21. 2021-03-15
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · None
    Adult check-in
  22. 2021-03-16
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · None
    Adult check-in
  23. 2021-03-26
    Health check-in — day 14, dose 2
    Feeling: Good
    Adult check-in
  24. 2021-03-31
    Health check-in — day 21, dose 2
    Feeling: Good
    Adult check-in
  25. 2021-04-07
    Health check-in — day 28, dose 2
    Feeling: Good
    Adult check-in
  26. 2021-04-14
    Health check-in — day 35, dose 2
    Feeling: Good
    Adult check-in
  27. 2021-04-21
    Survey response — day 42, dose 2
    MedDRA: Back pain, Myalgia, Neuralgia, Sleep disorder, Unevaluable event — Feeling: Fair · Get care from a doctor or other healthcare professional
    Free text: Symptoms: Middle Back and side muscle and/or nerve aches-pains. Persistent and worse at night causing sleep interruptions. · Healthcare visit (other): Im calling my doctor tomorrow as it still persists
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  28. 2021-04-21
    Report sent to call center — day 42, dose 2
    Get care from a doctor or other healthcare professional
    1 call case(s)
  29. 2021-06-11
    Survey response — 3 months, dose 2
    MedDRA: Herpes zoster, Office visit — Feeling: Good · Be unable to work or attend school, Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional
    Free text: Symptoms: Shingles · Healthcare visit (other): Went to my Regular doctor.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  30. 2021-06-11
    Report sent to call center — 3 months, dose 2
    Be unable to work or attend school · Be unable to do your normal daily activities · Get care from a doctor or other healthcare pr
    1 call case(s)
  31. 2021-06-22
  32. 2021-09-09
    Health check-in — 6 months, dose 2
    Feeling: Good
    Adult check-in
  33. 2021-11-22
    Dose 3 — Moderna
  34. 2021-11-22
    Health check-in — day 0, dose 3
    Feeling: Good · Site: Pain · None
    Adult check-in
  35. 2021-11-23
    Survey response — days 1–6 daily, dose 3
    MedDRA: Brain fog — Feeling: Fair · Site: Pain · Fever · Chills, Headache, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to do your normal daily activities
    Free text: head fog along with above symptoms that came in waves of different degrees; had to push through given work
    MedDRA releases: 2024-11 · check-in free text available
  36. 2021-11-24
    Health check-in — days 1–6 daily, dose 3
    Feeling: Good · Site: Pain · Muscle or body aches, Nausea
    Adult check-in
  37. 2021-11-25
    Health check-in — days 1–6 daily, dose 3
    Feeling: Good · Site: Pain · None
    Adult check-in
  38. 2021-11-26
    Health check-in — days 1–6 daily, dose 3
    Feeling: Good · None
    Adult check-in
  39. 2021-11-27
    Health check-in — days 1–6 daily, dose 3
    Feeling: Good · None
    Adult check-in
  40. 2021-11-28
    Health check-in — days 1–6 daily, dose 3
    Feeling: Good · None
    Adult check-in
  41. 2021-11-29
    Health check-in — day 7, dose 3
    Feeling: Good · None
    Adult check-in
  42. 2021-12-06
    Health check-in — day 14, dose 3
    Feeling: Good
    Adult check-in
  43. 2021-12-13
    Health check-in — day 21, dose 3
    Feeling: Good
    Adult check-in
  44. 2021-12-20
    Health check-in — day 28, dose 3
    Feeling: Good
    Adult check-in
  45. 2021-12-27
    Health check-in — day 35, dose 3
    Feeling: Good
    Adult check-in
  46. 2022-01-03
    Health check-in — day 42, dose 3
    Feeling: Good
    Adult check-in
  47. 2022-02-21
    Health check-in — 3 months, dose 3
    Feeling: Good
    Adult check-in

Vaccinations

DoseDateManufacturerCo-administered
12021-01-30Moderna
22021-03-10Moderna
32021-11-22Moderna No

Call center

2 call center cases

2 unsuccessful

See the call center timeline

Free text

Release 4 — day 14, dose 1

2021-02-13

Symptoms: The arm pain came back at day 8-9 after shot. It eased last night. In hindsight I should have noted moderate pain causing disruption to normal arm movement in daily activities. I wasnt unable but had to accommodate due to pain with daily movements

Release 5 — day 0, dose 2

2021-03-10

Systemic reaction (other): No

Release 5 — days 1–6 daily, dose 2

2021-03-11

Systemic reaction (other): Skin is hot to touch but no fever per temp check

2021-03-13

Systemic reaction (other): Night sweats past 2 nights, restless sleep past 3 nights but improving

2021-03-14

Systemic reaction (other): A few minor gastric symptoms today-not really to diarrhea level

Release 7 — day 42, dose 2

2021-04-21

Symptoms: Middle Back and side muscle and/or nerve aches-pains. Persistent and worse at night causing sleep interruptions.
Healthcare visit (other): Im calling my doctor tomorrow as it still persists

Release 9 — 3 months, dose 2

2021-06-11

Symptoms: Shingles
Healthcare visit (other): Went to my Regular doctor.

Release 10 — days 1–6 daily, dose 3

2021-11-23

Systemic reaction (other): head fog along with above symptoms that came in waves of different degrees; had to push through given work

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 ✓ ✓ ✓
HCVOUnevaluable event ✓ ✓ ✓
SDBack pain ✓ ✓ ✓
SDHerpes zoster ✓ ✓ ✓
SDMobility decreased ✓ ✓ ✓
SDMyalgia ✓ ✓ ✓
SDNeuralgia ✓ ✓ ✓
SDPain in extremity ✓ ✓ ✓
SDSleep disorder ✓ ✓ ✓
SROBrain fog · · ✓
SROGastric disorder ✓ ✓ ✓
SRONight sweats ✓ ✓ ✓
SRONo adverse event ✓ ✓ ✓
SROPoor quality sleep ✓ ✓ ✓
SROSkin warm ✓ ✓ ✓

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

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