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6U5-88961-13649

2 vaccinations 2 coded responses 9 check-ins 2 free-text entries 0 call cases
Sex
Female
Age at first dose
51-55
ZIP prefix
082 / NJ
Registered
2021-03-03
Relationship
Self
Race
White
Ethnicity
Not Hispanic or Latino

Timeline

  1. 2021-01-22
    Dose 1 — Moderna
  2. 2021-02-19
    Dose 2 — Moderna
  3. 2021-03-03
    Registered in v-safe
  4. 2021-03-03
    Survey response — day 7, dose 2
    MedDRA: Arthralgia, Chills, Fatigue, Gout, Headache, Injection site pain, Injection site swelling, Joint swelling, Nausea, Pre-existing disease — Feeling: Good · Site: Pain, Swelling · Chills, Headache, Joint pains, Nausea · Be unable to do your normal daily activities
    Free text: 2/19 Pain and swelling at injection site was almost immediate. Chills but no fever about 6 hours post injection. 2/20 I had nausea, headache, fatigue, and continued with pain/swelling at site. 2/22-2/23 Gout flare up in left knee which caused painful, swollen left knee. 2/24-3/2 Gout symptoms began to subside and swelling lessened day by day until almost normal on 3/2.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  5. 2021-03-05
    Health check-in — day 14, dose 2
    Feeling: Good
    Adult check-in
  6. 2021-03-12
    Health check-in — day 21, dose 2
    Feeling: Good
    Adult check-in
  7. 2021-03-20
    Health check-in — day 28, dose 2
    Feeling: Good
    Adult check-in
  8. 2021-03-28
    Health check-in — day 35, dose 2
    Feeling: Good
    Adult check-in
  9. 2021-04-02
    Survey response — day 42, dose 2
    MedDRA: Headache, Pre-existing disease — Feeling: Good
    Free text: Seasonal allergies and headaches. I am fairly sure these are not from the vaccine.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  10. 2021-05-21
    Health check-in — 3 months, dose 2
    Feeling: Good
    Adult check-in
  11. 2021-08-20
    Health check-in — 6 months, dose 2
    Feeling: Good
    Adult check-in
  12. 2022-02-19
    Health check-in — 12 months, dose 2
    Feeling: Good
    Adult check-in

Vaccinations

DoseDateManufacturerCo-administered
12021-01-22Moderna
22021-02-19Moderna

Free text

Release 5 — day 7, dose 2

2021-03-03

Systemic reaction (other): 2/19 Pain and swelling at injection site was almost immediate. Chills but no fever about 6 hours post injection. 2/20 I had nausea, headache, fatigue, and continued with pain/swelling at site. 2/22-2/23 Gout flare up in left knee which caused painful, swollen left knee. 2/24-3/2 Gout symptoms began to subside and swelling lessened day by day until almost normal on 3/2.

Release 6 — day 42, dose 2

2021-04-02

Symptoms: Seasonal allergies and headaches. I am fairly sure these are not from the 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

FieldPreferred term2021-092023-042024-11
SDHeadache ✓ ✓ ✓
SDPre-existing disease ✓ ✓ ✓
SROArthralgia ✓ ✓ ✓
SROChills ✓ ✓ ✓
SROFatigue ✓ ✓ ✓
SROGout ✓ ✓ ✓
SROHeadache ✓ ✓ ✓
SROInjection site pain ✓ ✓ ✓
SROInjection site swelling ✓ ✓ ✓
SROJoint swelling ✓ ✓ ✓
SRONausea ✓ ✓ ✓
SROPre-existing disease ✓ ✓ ✓

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