D8N-49751-70479
3 vaccinations
7 coded responses
41 check-ins
7 free-text entries
1 call case
- Sex
- Female
- Age at first dose
- 36-40
- ZIP prefix
- 077 / NJ
- Registered
- 2020-12-29
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2020-12-29
Registered in v-safe
-
2020-12-29
Dose 1 — Moderna
- 2020-12-29
-
2020-12-30
Survey response — days 1–6 daily, dose 1MedDRA: Lymphadenopathy — Feeling: Good · Site: Pain · Fatigue or tirednessFree text: Mildly swollen cervical lymph nodesMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2020-12-31
-
2021-01-01
Survey response — days 1–6 daily, dose 1MedDRA: Fatigue, Headache, Social alcohol drinker — Feeling: Fair · Headache, Fatigue or tirednessFree text: I drank alcohol last night and believe that to be the reason for my headache and fatigueMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-01-02
- 2021-01-03
- 2021-01-04
- 2021-01-05
- 2021-01-12
- 2021-01-19
-
2021-01-26
Dose 2 — Moderna
- 2021-01-26
-
2021-01-27
Health check-in — days 1–6 daily, dose 2Feeling: Poor · Site: Pain · Fever · Chills, Headache, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to do your normal daily activitiesAdult check-in
-
2021-01-28
Health check-in — days 1–6 daily, dose 2Feeling: Good · Site: Pain · Fatigue or tirednessAdult check-in
-
2021-01-29
Survey response — days 1–6 daily, dose 2MedDRA: Erythema, Injection site swelling — Feeling: Good · Site: Pain · Rash, not including the immediate area around the injection siteFree text: Small area of redness and swelling 3-4 inches below injection site began yesterday evening, already improvingMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-01-30
- 2021-01-31
-
2021-02-01
Survey response — days 1–6 daily, dose 2MedDRA: Dizziness — Feeling: GoodFree text: Ive noticed a brief spell or two of mild dizziness for several days. Not sure if its related.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-02-02
- 2021-02-09
- 2021-02-16
- 2021-02-23
- 2021-03-02
- 2021-03-09
-
2021-04-27
Survey response — 3 months, dose 2MedDRA: Unevaluable event — Feeling: Good · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visitFree text: Breast biopsy following abnormal mammogramMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-04-27
Report sent to call center — 3 months, dose 2Get care from a doctor or other healthcare professional1 call case(s)
- 2021-07-27
-
2021-11-17
Dose 3 — Moderna
- 2021-11-17
-
2021-11-18
Survey response — days 1–6 daily, dose 3MedDRA: Flushing — Feeling: Good · Site: Pain · HeadacheFree text: Felt flushed last nightMedDRA releases: 2024-11 · check-in free text available
- 2021-11-19
- 2021-11-20
- 2021-11-21
- 2021-11-22
- 2021-11-23
- 2021-11-24
- 2021-12-01
-
2021-12-08
Survey response — day 21, dose 3MedDRA: Cough, Fatigue, Nasopharyngitis, Oropharyngeal pain, Pregnancy, Respiratory tract congestion, SARS-CoV-2 test negative — Feeling: Poor · Be unable to do your normal daily activitiesFree text: Cold symptoms-sore throat, congestion, cough, fatigue since Sunday. Negative Covid antigen test taken Monday. I am 6 mos pregnant.MedDRA releases: 2024-11 · check-in free text available
- 2021-12-15
- 2021-12-22
- 2021-12-29
- 2022-02-16
-
2022-04-08
Call successfulNot applicable (accidental reporting or does not believe symptoms are related to vaccine)
- 2022-05-18
- 2022-11-17
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2020-12-29 | Moderna | |
| 2 | 2021-01-26 | Moderna | |
| 3 | 2021-11-17 | Moderna | No |
Call center
1 call center case
1 successful
Free text
Release 1 — days 1–6 daily, dose 1
Systemic reaction (other): Mildly swollen cervical lymph nodes
Systemic reaction (other): I drank alcohol last night and believe that to be the reason for my headache and fatigue
Release 3 — days 1–6 daily, dose 2
Systemic reaction (other): Small area of redness and swelling 3-4 inches below injection site began yesterday evening, already improving
Systemic reaction (other): Ive noticed a brief spell or two of mild dizziness for several days. Not sure if its related.
Release 8 — 3 months, dose 2
Symptoms: Breast biopsy following abnormal mammogram
Release 10 — days 1–6 daily, dose 3
Systemic reaction (other): Felt flushed last night
Release 10 — day 21, dose 3
Symptoms: Cold symptoms-sore throat, congestion, cough, fatigue since Sunday. Negative Covid antigen test taken Monday. I am 6 mos pregnant.
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 | Cough | · | · | ✓ |
| SD | Fatigue | · | · | ✓ |
| SD | Nasopharyngitis | · | · | ✓ |
| SD | Oropharyngeal pain | · | · | ✓ |
| SD | Pregnancy | · | · | ✓ |
| SD | Respiratory tract congestion | · | · | ✓ |
| SD | SARS-CoV-2 test negative | · | · | ✓ |
| SD | Unevaluable event | ✓ | ✓ | ✓ |
| SRO | Dizziness | ✓ | ✓ | ✓ |
| SRO | Erythema | ✓ | ✓ | ✓ |
| SRO | Fatigue | ✓ | ✓ | ✓ |
| SRO | Flushing | · | · | ✓ |
| SRO | Headache | ✓ | ✓ | ✓ |
| SRO | Injection site swelling | ✓ | ✓ | ✓ |
| SRO | Lymphadenopathy | ✓ | ✓ | ✓ |
| SRO | Social alcohol drinker | ○ | ✓ | ○ |
| SRO | Unevaluable event | ○ | ○ | ○ |
✓ active code · ○ coded but marked inactive · blank = not in that release