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
-
2021-01-22
Dose 1 — Moderna
-
2021-02-19
Dose 2 — Moderna
-
2021-03-03
Registered in v-safe
-
2021-03-03
Survey response — day 7, dose 2MedDRA: 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 activitiesFree 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
- 2021-03-05
- 2021-03-12
- 2021-03-20
- 2021-03-28
-
2021-04-02
Survey response — day 42, dose 2MedDRA: Headache, Pre-existing disease — Feeling: GoodFree 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
- 2021-05-21
- 2021-08-20
- 2022-02-19
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-01-22 | Moderna | |
| 2 | 2021-02-19 | Moderna |
Free text
Release 5 — day 7, dose 2
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
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
| Field | Preferred term | 2021-09 | 2023-04 | 2024-11 |
|---|---|---|---|---|
| SD | Headache | ✓ | ✓ | ✓ |
| SD | Pre-existing disease | ✓ | ✓ | ✓ |
| SRO | Arthralgia | ✓ | ✓ | ✓ |
| SRO | Chills | ✓ | ✓ | ✓ |
| SRO | Fatigue | ✓ | ✓ | ✓ |
| SRO | Gout | ✓ | ✓ | ✓ |
| SRO | Headache | ✓ | ✓ | ✓ |
| SRO | Injection site pain | ✓ | ✓ | ✓ |
| SRO | Injection site swelling | ✓ | ✓ | ✓ |
| SRO | Joint swelling | ✓ | ✓ | ✓ |
| SRO | Nausea | ✓ | ✓ | ✓ |
| SRO | Pre-existing disease | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release