KKH-14157-70982
3 vaccinations
6 coded responses
41 check-ins
5 free-text entries
0 call cases
- Sex
- Female
- Age at first dose
- 31-35
- ZIP prefix
- 087 / NJ
- Registered
- 2021-02-04
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-02-04
Registered in v-safe
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2021-02-04
Dose 1 — Moderna
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2021-02-04
Survey response — day 0, dose 1MedDRA: Injection site pain, Pain in extremity — Feeling: GoodFree text: Injection site is tender to touch. Arm beginning to feel sore 3 hours after vaccineMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-02-05
Health check-in — days 1–6 daily, dose 1Feeling: Good · Site: Pain · Fatigue or tirednessAdult check-in
- 2021-02-06
- 2021-02-07
- 2021-02-08
- 2021-02-09
- 2021-02-10
- 2021-02-11
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2021-02-18
Survey response — day 14, dose 1MedDRA: Injection site erythema, Injection site paraesthesia, Injection site pruritus, Injection site rash, Injection site reaction, Injection site warmth, Rash erythematous, Rash papular, Rash pruritic, Therapeutic response unexpected — Feeling: GoodFree text: Raised, red rash that was tingly, warm to the touch, and slightly itchy developed around injection site exactly one week following 1st dose. Improved daily until going away one week after developing.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-02-25
-
2021-03-04
Dose 2 — Moderna
- 2021-03-04
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2021-03-05
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Site: Pain, Redness, Swelling · Chills, Headache, Fatigue or tiredness · Be unable to workAdult check-in
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2021-03-06
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Site: Pain, Redness, Swelling · Fever · Headache, Fatigue or tirednessAdult check-in
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2021-03-07
Health check-in — days 1–6 daily, dose 2Feeling: Good · Site: Pain, Redness, Swelling · NoneAdult check-in
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2021-03-08
Health check-in — days 1–6 daily, dose 2Feeling: Good · Site: Redness, Swelling · NoneAdult check-in
-
2021-03-09
Health check-in — days 1–6 daily, dose 2Feeling: Good · Site: Redness, Itching · NoneAdult check-in
- 2021-03-10
- 2021-03-11
- 2021-03-18
- 2021-03-25
- 2021-04-01
- 2021-04-08
- 2021-04-15
- 2021-06-03
- 2021-09-02
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2022-01-07
Dose 3 — Moderna
- 2022-01-07
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2022-01-08
Health check-in — days 1–6 daily, dose 3Feeling: Poor · Site: Pain · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activitiesAdult check-in
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2022-01-09
Health check-in — days 1–6 daily, dose 3Feeling: Fair · Site: Pain, Swelling · HeadacheAdult check-in
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2022-01-10
Survey response — days 1–6 daily, dose 3MedDRA: Injection site reaction, Lymph node pain, Lymphadenopathy — Feeling: Good · Site: Pain, SwellingFree text: Swollen, painful lymph nodes near injection siteMedDRA releases: 2024-11 · check-in free text available
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2022-01-11
Survey response — days 1–6 daily, dose 3MedDRA: Lymph node pain, Lymphadenopathy — Feeling: Good · Site: PainFree text: Swollen/tender lymph nodes near injection siteMedDRA releases: 2024-11 · check-in free text available
- 2022-01-12
- 2022-01-13
- 2022-01-14
- 2022-01-21
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2022-01-28
Survey response — day 21, dose 3MedDRA: Lymphadenopathy, Oropharyngeal discolouration, Oropharyngeal pain, Tonsillar hypertrophy — Feeling: GoodFree text: Sore throat with one swollen tonsil, white spot, and swollen gland in neck.MedDRA releases: 2024-11 · check-in free text available
- 2022-02-04
- 2022-02-11
- 2022-02-18
- 2022-04-08
- 2022-07-08
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2023-01-07
Survey response — 12 months, dose 3MedDRA: COVID-19, Pregnancy — Feeling: Good · Be unable to work or attend schoolMedDRA releases: 2024-11
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-02-04 | Moderna | |
| 2 | 2021-03-04 | Moderna | |
| 3 | 2022-01-07 | Moderna | No |
Free text
Release 3 — day 0, dose 1
Systemic reaction (other): Injection site is tender to touch. Arm beginning to feel sore 3 hours after vaccine
Release 4 — day 14, dose 1
Symptoms: Raised, red rash that was tingly, warm to the touch, and slightly itchy developed around injection site exactly one week following 1st dose. Improved daily until going away one week after developing.
Release 10 — days 1–6 daily, dose 3
Systemic reaction (other): Swollen, painful lymph nodes near injection site
Systemic reaction (other): Swollen/tender lymph nodes near injection site
Release 11 — day 21, dose 3
Symptoms: Sore throat with one swollen tonsil, white spot, and swollen gland in neck.
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 | COVID-19 | · | · | ✓ |
| SD | Injection site erythema | ✓ | ✓ | ○ |
| SD | Injection site paraesthesia | · | · | ✓ |
| SD | Injection site pruritus | ✓ | ✓ | ○ |
| SD | Injection site rash | ✓ | ✓ | ○ |
| SD | Injection site reaction | · | · | ✓ |
| SD | Injection site warmth | ✓ | ✓ | ✓ |
| SD | Lymphadenopathy | · | · | ✓ |
| SD | Oropharyngeal discolouration | · | · | ✓ |
| SD | Oropharyngeal pain | · | · | ✓ |
| SD | Pregnancy | · | · | ✓ |
| SD | Rash erythematous | · | · | ✓ |
| SD | Rash papular | · | · | ✓ |
| SD | Rash pruritic | · | · | ✓ |
| SD | Therapeutic response unexpected | ✓ | ✓ | ○ |
| SD | Tonsillar hypertrophy | · | · | ✓ |
| SRO | Injection site pain | ✓ | ✓ | ✓ |
| SRO | Injection site reaction | · | · | ✓ |
| SRO | Lymph node pain | · | · | ✓ |
| SRO | Lymphadenopathy | · | · | ✓ |
| SRO | Pain in extremity | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release