6TQ-14838-33920
2 vaccinations
7 coded responses
20 check-ins
7 free-text entries
0 call cases
- Sex
- Female
- Age at first dose
- 66+
- ZIP prefix
- 070 / NJ
- Registered
- 2021-04-03
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-04-03
Registered in v-safe
-
2021-04-03
Dose 1 — Moderna
- 2021-04-03
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2021-04-05
Survey response — days 1–6 daily, dose 1MedDRA: No adverse event — Feeling: Good · Site: Pain, Swelling · Fatigue or tirednessFree text: NoMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-04-06
- 2021-04-08
-
2021-04-09
Health check-in — days 1–6 daily, dose 1Feeling: Fair · None · Be unable to do your normal daily activitiesAdult check-in
- 2021-04-10
- 2021-04-17
- 2021-04-24
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2021-05-02
Dose 2 — Moderna
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2021-05-02
Health check-in — day 0, dose 2Feeling: Poor · Site: Pain, Swelling · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea, Abdominal pain · Be unable to do your normal daily activitiesAdult check-in
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2021-05-03
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Site: Pain, Redness, Swelling · Fever · Headache, Muscle or body aches, Fatigue or tiredness, Diarrhea · Be unable to do your normal daily activitiesAdult check-in
-
2021-05-05
Health check-in — days 1–6 daily, dose 2Feeling: Good · Site: Pain, Redness, Swelling, Itching · Fatigue or tirednessAdult check-in
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2021-05-06
Survey response — days 1–6 daily, dose 2MedDRA: Diarrhoea — Feeling: Good · Site: Redness, Itching · Headache, Fatigue or tirednessFree text: Yesterday I had diarrhea after I had already submitted the survey.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-05-07
Survey response — days 1–6 daily, dose 2MedDRA: Oral herpes — Feeling: Good · Site: Redness, Itching · Joint pains, Muscle or body achesFree text: I broke out in a fever blister on my lip which has happened in a couple of yearsMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-05-10
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2021-05-18
Survey response — day 14, dose 2MedDRA: Fatigue, Musculoskeletal stiffness, Pain — Feeling: Fair · Be unable to do your normal daily activitiesFree text: Very very tired, feeling stiff and achy as well.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-05-23
Survey response — day 21, dose 2MedDRA: Ear pain, Fatigue, Malaise, Pain — Feeling: Fair · Be unable to do your normal daily activitiesFree text: Have days on and off when I am very tired. More achy some days than others. Sometimes my ear aches, forgot to mention that before. I have not felt myself since the second shot on May 01.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-05-30
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2021-06-06
Survey response — day 35, dose 2MedDRA: Fatigue — Feeling: Good · Be unable to do your normal daily activitiesFree text: Several days of unusual tiredness.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-06-13
Survey response — day 42, dose 2MedDRA: Ear pain — Feeling: GoodFree text: I get a very brief ear ache in my left ear occasionally. Never had that before.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-08-01
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-04-03 | Moderna | |
| 2 | 2021-05-02 | Moderna |
Free text
Release 6 — days 1–6 daily, dose 1
Systemic reaction (other): No
Release 8 — days 1–6 daily, dose 2
Systemic reaction (other): Yesterday I had diarrhea after I had already submitted the survey.
Systemic reaction (other): I broke out in a fever blister on my lip which has happened in a couple of years
Release 8 — day 14, dose 2
Symptoms: Very very tired, feeling stiff and achy as well.
Release 8 — day 21, dose 2
Symptoms: Have days on and off when I am very tired. More achy some days than others. Sometimes my ear aches, forgot to mention that before. I have not felt myself since the second shot on May 01.
Release 8 — day 35, dose 2
Symptoms: Several days of unusual tiredness.
Release 9 — day 42, dose 2
Symptoms: I get a very brief ear ache in my left ear occasionally. Never had that before.
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 | Ear pain | ✓ | ✓ | ✓ |
| SD | Fatigue | ✓ | ✓ | ✓ |
| SD | Malaise | ✓ | ✓ | ✓ |
| SD | Musculoskeletal stiffness | ✓ | ✓ | ✓ |
| SD | Pain | ✓ | ✓ | ✓ |
| SRO | Diarrhoea | ✓ | ✓ | ✓ |
| SRO | No adverse event | ✓ | ✓ | ✓ |
| SRO | Oral herpes | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release