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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

  1. 2021-04-03
    Registered in v-safe
  2. 2021-04-03
    Dose 1 — Moderna
  3. 2021-04-03
    Health check-in — day 0, dose 1
    Feeling: Good · Fatigue or tiredness
    Adult check-in
  4. 2021-04-05
    Survey response — days 1–6 daily, dose 1
    MedDRA: No adverse event — Feeling: Good · Site: Pain, Swelling · Fatigue or tiredness
    Free text: No
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  5. 2021-04-06
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · None
    Adult check-in
  6. 2021-04-08
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · None
    Adult check-in
  7. 2021-04-09
    Health check-in — days 1–6 daily, dose 1
    Feeling: Fair · None · Be unable to do your normal daily activities
    Adult check-in
  8. 2021-04-10
    Health check-in — day 7, dose 1
    Feeling: Good · Fatigue or tiredness
    Adult check-in
  9. 2021-04-17
    Health check-in — day 14, dose 1
    Feeling: Fair
    Adult check-in
  10. 2021-04-24
    Health check-in — day 21, dose 1
    Feeling: Good
    Adult check-in
  11. 2021-05-02
    Dose 2 — Moderna
  12. 2021-05-02
    Health check-in — day 0, dose 2
    Feeling: 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 activities
    Adult check-in
  13. 2021-05-03
    Health check-in — days 1–6 daily, dose 2
    Feeling: Fair · Site: Pain, Redness, Swelling · Fever · Headache, Muscle or body aches, Fatigue or tiredness, Diarrhea · Be unable to do your normal daily activities
    Adult check-in
  14. 2021-05-05
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · Site: Pain, Redness, Swelling, Itching · Fatigue or tiredness
    Adult check-in
  15. 2021-05-06
    Survey response — days 1–6 daily, dose 2
    MedDRA: Diarrhoea — Feeling: Good · Site: Redness, Itching · Headache, Fatigue or tiredness
    Free 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
  16. 2021-05-07
    Survey response — days 1–6 daily, dose 2
    MedDRA: Oral herpes — Feeling: Good · Site: Redness, Itching · Joint pains, Muscle or body aches
    Free text: I broke out in a fever blister on my lip which has happened in a couple of years
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  17. 2021-05-10
    Health check-in — day 7, dose 2
    Feeling: Good · Site: Itching · Muscle or body aches
    Adult check-in
  18. 2021-05-18
    Survey response — day 14, dose 2
    MedDRA: Fatigue, Musculoskeletal stiffness, Pain — Feeling: Fair · Be unable to do your normal daily activities
    Free text: Very very tired, feeling stiff and achy as well.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  19. 2021-05-23
    Survey response — day 21, dose 2
    MedDRA: Ear pain, Fatigue, Malaise, Pain — Feeling: Fair · Be unable to do your normal daily activities
    Free 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
  20. 2021-05-30
    Health check-in — day 28, dose 2
    Feeling: Good
    Adult check-in
  21. 2021-06-06
    Survey response — day 35, dose 2
    MedDRA: Fatigue — Feeling: Good · Be unable to do your normal daily activities
    Free text: Several days of unusual tiredness.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  22. 2021-06-13
    Survey response — day 42, dose 2
    MedDRA: Ear pain — Feeling: Good
    Free 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
  23. 2021-08-01
    Health check-in — 3 months, dose 2
    Feeling: Good
    Adult check-in

Vaccinations

DoseDateManufacturerCo-administered
12021-04-03Moderna
22021-05-02Moderna

Free text

Release 6 — days 1–6 daily, dose 1

2021-04-05

Systemic reaction (other): No

Release 8 — days 1–6 daily, dose 2

2021-05-06

Systemic reaction (other): Yesterday I had diarrhea after I had already submitted the survey.

2021-05-07

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

2021-05-18

Symptoms: Very very tired, feeling stiff and achy as well.

Release 8 — day 21, dose 2

2021-05-23

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

2021-06-06

Symptoms: Several days of unusual tiredness.

Release 9 — day 42, dose 2

2021-06-13

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

FieldPreferred term2021-092023-042024-11
SDEar pain ✓ ✓ ✓
SDFatigue ✓ ✓ ✓
SDMalaise ✓ ✓ ✓
SDMusculoskeletal stiffness ✓ ✓ ✓
SDPain ✓ ✓ ✓
SRODiarrhoea ✓ ✓ ✓
SRONo adverse event ✓ ✓ ✓
SROOral herpes ✓ ✓ ✓

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