EXN-23033-33230
2 vaccinations
5 coded responses
16 check-ins
5 free-text entries
1 call case
- Sex
- —
- Age at first dose
- 36-40
- ZIP prefix
- 073 / NJ
- Registered
- 2021-02-04
- Relationship
- Self
- Race
- Asian
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-02-04
Registered in v-safe
-
2021-02-04
Dose 1 — Moderna
- 2021-02-04
-
2021-02-05
Health check-in — days 1–6 daily, dose 1Feeling: Fair · Site: Pain · Fatigue or tirednessAdult check-in
- 2021-02-06
-
2021-02-07
Survey response — days 1–6 daily, dose 1MedDRA: Oropharyngeal pain — Feeling: Fair · Site: Pain · Fatigue or tirednessFree text: Sore throatMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-02-08
- 2021-02-09
-
2021-02-10
Survey response — days 1–6 daily, dose 1MedDRA: Nodule, Skin induration, Skin mass — Feeling: GoodFree text: Painful, hard, pea-size nodule on left side of neckMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-02-11
Survey response — day 7, dose 1MedDRA: Induration, Lymphadenopathy, Nodule, Oropharyngeal pain — Feeling: FairFree text: Hard, painful nodule in neck, swollen lymph glands and sore throatMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-02-20
-
2021-03-05
Dose 2 — Moderna
-
2021-03-06
Health check-in — days 1–6 daily, dose 2Feeling: Poor · Site: Pain · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to work, Be unable to do your normal daily activitiesAdult check-in
-
2021-03-07
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Site: Pain · Fatigue or tiredness · Be unable to work, Be unable to do your normal daily activitiesAdult check-in
-
2021-03-08
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Site: Pain · Headache, Joint pains, Muscle or body achesAdult check-in
- 2021-03-10
- 2021-03-21
-
2021-04-09
Survey response — day 35, dose 2MedDRA: Cough — Feeling: FairFree text: CoughMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-09-03
Survey response — 6 months, dose 2MedDRA: Chest pain, Pregnancy — Feeling: Poor · Be unable to work or attend school, Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultation, Outpatient clinic or urgent care clinic visitFree text: Pregnant and chest painsMedDRA releases: 2021-09,2024-11 · check-in free text available
-
2021-09-03
Report sent to call center — 6 months, dose 2Be unable to work or attend school · Be unable to do your normal daily activities · Get care from a doctor or other healthcare pr1 call case(s)
- 2021-09-07
-
2021-09-13
Call successfulDoes not wish to fill out VAERS report
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-02-04 | Moderna | |
| 2 | 2021-03-05 | Moderna |
Call center
1 call center case
1 successful
Free text
Release 3 — days 1–6 daily, dose 1
Systemic reaction (other): Sore throat
Release 4 — days 1–6 daily, dose 1
Systemic reaction (other): Painful, hard, pea-size nodule on left side of neck
Release 4 — day 7, dose 1
Systemic reaction (other): Hard, painful nodule in neck, swollen lymph glands and sore throat
Release 7 — day 35, dose 2
Symptoms: Cough
Release 9 — 6 months, dose 2
Symptoms: Pregnant and chest pains
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 | Chest pain | ✓ | · | ✓ |
| SD | Cough | ✓ | ✓ | ✓ |
| SD | Pregnancy | ✓ | · | ✓ |
| SRO | Induration | ✓ | ✓ | ✓ |
| SRO | Lymphadenopathy | ✓ | ✓ | ✓ |
| SRO | Nodule | ✓ | ✓ | ✓ |
| SRO | Oropharyngeal pain | ✓ | ✓ | ✓ |
| SRO | Skin induration | ✓ | ✓ | ✓ |
| SRO | Skin mass | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release