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M4N-69139-69241

3 vaccinations 4 coded responses 32 check-ins 4 free-text entries 2 call cases
Sex
Female
Age at first dose
36-40
ZIP prefix
089 / NJ
Registered
2021-04-22
Relationship
Self
Race
White
Ethnicity
Not Hispanic or Latino

Timeline

  1. 2021-04-15
    Dose 1 — Moderna
  2. 2021-04-22
    Registered in v-safe
  3. 2021-04-22
    Health check-in — day 7, dose 1
    Feeling: Good · None
    Adult check-in
  4. 2021-04-29
    Health check-in — day 14, dose 1
    Feeling: Good
    Adult check-in
  5. 2021-05-06
    Health check-in — day 21, dose 1
    Feeling: Good
    Adult check-in
  6. 2021-05-13
    Dose 2 — Moderna
  7. 2021-05-13
    Health check-in — day 0, dose 2
    Feeling: Good · Site: Pain · Fatigue or tiredness
    Adult check-in
  8. 2021-05-14
    Health check-in — days 1–6 daily, dose 2
    Feeling: Poor · Site: Pain · Fever · Chills, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to work, Be unable to do your normal daily activities
    Adult check-in
  9. 2021-05-15
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · Site: Pain · None
    Adult check-in
  10. 2021-05-16
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · Site: Pain · None
    Adult check-in
  11. 2021-05-17
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · Site: Pain · None
    Adult check-in
  12. 2021-05-18
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · Headache
    Adult check-in
  13. 2021-05-19
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · Headache
    Adult check-in
  14. 2021-05-20
    Health check-in — day 7, dose 2
    Feeling: Good · None
    Adult check-in
  15. 2021-05-27
    Health check-in — day 14, dose 2
    Feeling: Good
    Adult check-in
  16. 2021-06-03
    Health check-in — day 21, dose 2
    Feeling: Good
    Adult check-in
  17. 2021-06-10
    Health check-in — day 28, dose 2
    Feeling: Fair
    Adult check-in
  18. 2021-06-17
    Survey response — day 35, dose 2
    MedDRA: Palpitations — Feeling: Fair
    Free text: Heart palpitations
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  19. 2021-06-24
    Health check-in — day 42, dose 2
    Feeling: Good
    Adult check-in
  20. 2021-08-12
    Health check-in — 3 months, dose 2
    Feeling: Fair
    Adult check-in
  21. 2021-11-11
    Survey response — 6 months, dose 2
    MedDRA: Pregnancy — Feeling: Fair · Be unable to work or attend school, Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit
    Free text: I am currently pregnant (not sure if this is considered a "health condition" for this purpose).
    MedDRA releases: 2024-11 · check-in free text available
  22. 2021-11-11
    Report sent to call center — 6 months, dose 2
    Be unable to work or attend school · Be unable to do your normal daily activities · Get care from a doctor or other healthcare pr
    Outpatient clinic or urgent care clinic visit · 1 call case(s)
  23. 2021-11-12
  24. 2021-12-28
    Dose 3 — Pfizer-BioNTech
  25. 2021-12-29
    Health check-in — days 1–6 daily, dose 3
    Feeling: Poor · Site: Pain · Fever · Muscle or body aches, Fatigue or tiredness · Be unable to work or attend school, Be unable to do your normal daily activities
    Adult check-in
  26. 2021-12-31
    Health check-in — days 1–6 daily, dose 3
    Feeling: Good · None
    Adult check-in
  27. 2022-01-01
    Health check-in — days 1–6 daily, dose 3
    Feeling: Good · None
    Adult check-in
  28. 2022-01-02
    Health check-in — days 1–6 daily, dose 3
    Feeling: Good · None
    Adult check-in
  29. 2022-01-03
    Health check-in — days 1–6 daily, dose 3
    Feeling: Good · None
    Adult check-in
  30. 2022-01-04
    Health check-in — day 7, dose 3
    Feeling: Good · None
    Adult check-in
  31. 2022-01-11
    Survey response — day 14, dose 3
    MedDRA: Fall, Rib fracture — 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 · Emergency room or emergency department visit
    Free text: Fractured ribs from a fall
    MedDRA releases: 2024-11 · check-in free text available
  32. 2022-01-11
    Report sent to call center — day 14, dose 3
    Be unable to work or attend school · Be unable to do your normal daily activities · Get care from a doctor or other healthcare pr
    Emergency room or emergency department visit · 1 call case(s)
  33. 2022-01-12
    Call successful
    Not applicable (accidental reporting or does not believe symptoms are related to vaccine)
  34. 2022-01-18
    Health check-in — day 21, dose 3
    Feeling: Fair
    Adult check-in
  35. 2022-01-25
    Health check-in — day 28, dose 3
    Feeling: Fair
    Adult check-in
  36. 2022-02-01
    Health check-in — day 35, dose 3
    Feeling: Fair
    Adult check-in
  37. 2022-02-08
    Health check-in — day 42, dose 3
    Feeling: Fair
    Adult check-in
  38. 2022-03-29
    Health check-in — 3 months, dose 3
    Feeling: Good
    Adult check-in
  39. 2022-06-28
    Health check-in — 6 months, dose 3
    Feeling: Good
    Adult check-in
  40. 2022-12-28
    Survey response — 12 months, dose 3
    MedDRA: COVID-19 — Feeling: Poor · Be unable to work or attend school, Be unable to do your normal daily activities
    Free text: Covid
    MedDRA releases: 2024-11 · check-in free text available

Vaccinations

DoseDateManufacturerCo-administered
12021-04-15Moderna
22021-05-13Moderna
32021-12-28Pfizer-BioNTech No

Call center

2 call center cases

1 successful · 1 unsuccessful

See the call center timeline

Free text

Release 9 — day 35, dose 2

2021-06-17

Symptoms: Heart palpitations

Release 10 — 6 months, dose 2

2021-11-11

Symptoms: I am currently pregnant (not sure if this is considered a "health condition" for this purpose).

Release 10 — day 14, dose 3

2022-01-11

Symptoms: Fractured ribs from a fall

Release 12 — 12 months, dose 3

2022-12-28

Symptoms: Covid

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
SDCOVID-19 · · ✓
SDFall · · ✓
SDPalpitations ✓ ✓ ✓
SDPregnancy · · ✓
SDRib fracture · · ✓

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