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VM5-22961-92828

3 vaccinations 11 coded responses 39 check-ins 11 free-text entries 0 call cases
Sex
Female
Age at first dose
31-35
ZIP prefix
070 / NJ
Registered
2021-04-14
Relationship
Self
Race
White
Ethnicity
Not Hispanic or Latino

Timeline

  1. 2021-04-14
    Registered in v-safe
  2. 2021-04-14
    Dose 1 — Moderna
  3. 2021-04-14
    Health check-in — day 0, dose 1
    Feeling: Fair · Site: Pain · Fatigue or tiredness
    Adult check-in
  4. 2021-04-15
    Health check-in — days 1–6 daily, dose 1
    Feeling: Fair · Site: Pain · Headache, Fatigue or tiredness
    Adult check-in
  5. 2021-04-17
    Survey response — days 1–6 daily, dose 1
    MedDRA: Throat irritation, Throat tightness — Feeling: Good · Site: Pain
    Free text: Tightness/tickle in throat, like when you need to cough (but not coughing). 3rd day
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  6. 2021-04-18
    Survey response — days 1–6 daily, dose 1
    MedDRA: Chest discomfort, Pruritus — Feeling: Good
    Free text: Itchiness/tightness in chest. Could be environmental allergies, but started day after vaccine so mentioning
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  7. 2021-04-19
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · None
    Adult check-in
  8. 2021-04-20
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · None
    Adult check-in
  9. 2021-04-21
    Health check-in — day 7, dose 1
    Feeling: Fair · Fatigue or tiredness
    Adult check-in
  10. 2021-04-28
    Health check-in — day 14, dose 1
    Feeling: Good
    Adult check-in
  11. 2021-05-05
    Survey response — day 21, dose 1
    MedDRA: Fatigue — Feeling: Fair · Be unable to do your normal daily activities
    Free text: I've had my period this week and have been unusually exhausted to the point of having to go to bed earlier than usual, which is not normal for me during my cycle.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  12. 2021-05-12
    Dose 2 — Moderna
  13. 2021-05-12
    Health check-in — day 0, dose 2
    Feeling: Fair · Site: Pain · Fatigue or tiredness
    Adult check-in
  14. 2021-05-13
    Health check-in — days 1–6 daily, dose 2
    Feeling: Poor · Site: Pain, Swelling · Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to work
    Adult check-in
  15. 2021-05-14
    Health check-in — days 1–6 daily, dose 2
    Feeling: Fair · Site: Pain, Redness, Itching · Headache
    Adult check-in
  16. 2021-05-15
    Survey response — days 1–6 daily, dose 2
    MedDRA: Dysmenorrhoea — Feeling: Good · Site: Pain, Redness, Itching
    Free text: Cramps, like during my period, but it's not that time of the month. They started 2 days ago and have happened on and off
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  17. 2021-05-16
    Survey response — days 1–6 daily, dose 2
    MedDRA: Dysmenorrhoea, Muscular weakness, Pain in extremity — Feeling: Good
    Free text: Feminine cramps, but I do not have my period and it isn't due soon. Also, random pain or fatigue in the arm that I got the shot in.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  18. 2021-05-17
    Survey response — days 1–6 daily, dose 2
    MedDRA: Asthenia, Fatigue — Feeling: Good
    Free text: I still feel weakness or fatigue in the arm that I got the shot in, and that hand. Like it gets tired more easily or takes more effort to use it
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  19. 2021-05-18
    Survey response — days 1–6 daily, dose 2
    MedDRA: Fatigue, Muscle fatigue — Feeling: Good
    Free text: My arm and hand in the arm I got the shot in still get tired/fatigued.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  20. 2021-05-19
    Health check-in — day 7, dose 2
    Feeling: Good · None
    Adult check-in
  21. 2021-05-26
    Health check-in — day 14, dose 2
    Feeling: Good
    Adult check-in
  22. 2021-06-02
    Health check-in — day 21, dose 2
    Feeling: Good
    Adult check-in
  23. 2021-06-09
    Health check-in — day 28, dose 2
    Feeling: Good
    Adult check-in
  24. 2021-06-18
    Health check-in — day 35, dose 2
    Feeling: Good
    Adult check-in
  25. 2021-06-25
    Health check-in — day 42, dose 2
    Feeling: Good
    Adult check-in
  26. 2021-08-11
    Survey response — 3 months, dose 2
    MedDRA: Ear pruritus, Paranasal sinus hypersecretion, Throat irritation — Feeling: Fair
    Free text: My ears and throat have been itchy/draining the past few days.
    MedDRA releases: 2021-09,2024-11 · check-in free text available
  27. 2021-11-11
    Health check-in — 6 months, dose 2
    Feeling: Good
    Adult check-in
  28. 2021-12-09
    Dose 3 — Moderna
  29. 2021-12-10
    Survey response — days 1–6 daily, dose 3
    MedDRA: Dizziness, Rhinorrhoea — Feeling: Fair · Site: Pain · Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities
    Free text: Runny nose, dizziness
    MedDRA releases: 2024-11 · check-in free text available
  30. 2021-12-11
    Survey response — days 1–6 daily, dose 3
    MedDRA: Rhinorrhoea — Feeling: Good · Site: Pain · Fatigue or tiredness
    Free text: Runny nose
    MedDRA releases: 2024-11 · check-in free text available
  31. 2021-12-12
    Health check-in — days 1–6 daily, dose 3
    Feeling: Good · Site: Pain · None
    Adult check-in
  32. 2021-12-13
    Health check-in — days 1–6 daily, dose 3
    Feeling: Good · Site: Itching · None
    Adult check-in
  33. 2021-12-14
    Health check-in — days 1–6 daily, dose 3
    Feeling: Good · None
    Adult check-in
  34. 2021-12-15
    Health check-in — days 1–6 daily, dose 3
    Feeling: Good · Fatigue or tiredness
    Adult check-in
  35. 2021-12-16
    Health check-in — day 7, dose 3
    Feeling: Good · None
    Adult check-in
  36. 2021-12-23
    Health check-in — day 14, dose 3
    Feeling: Good
    Adult check-in
  37. 2021-12-30
    Health check-in — day 21, dose 3
    Feeling: Good
    Adult check-in
  38. 2022-01-06
    Health check-in — day 28, dose 3
    Feeling: Good
    Adult check-in
  39. 2022-01-13
    Health check-in — day 35, dose 3
    Feeling: Good
    Adult check-in
  40. 2022-01-20
    Health check-in — day 42, dose 3
    Feeling: Good
    Adult check-in
  41. 2022-03-10
    Survey response — 3 months, dose 3
    MedDRA: Muscular weakness — Feeling: Good · Be unable to do your normal daily activities
    Free text: Weakness/fatigue in my left arm (arm that I got the vaccine in).
    MedDRA releases: 2024-11 · check-in free text available
  42. 2022-06-09
    Health check-in — 6 months, dose 3
    Feeling: Fair
    Adult check-in
  43. 2022-12-09
    Health check-in — 12 months, dose 3
    Feeling: Good
    Adult check-in

Vaccinations

DoseDateManufacturerCo-administered
12021-04-14Moderna
22021-05-12Moderna
32021-12-09Moderna No

Free text

Release 7 — days 1–6 daily, dose 1

2021-04-17

Systemic reaction (other): Tightness/tickle in throat, like when you need to cough (but not coughing). 3rd day

2021-04-18

Systemic reaction (other): Itchiness/tightness in chest. Could be environmental allergies, but started day after vaccine so mentioning

Release 8 — day 21, dose 1

2021-05-05

Symptoms: I've had my period this week and have been unusually exhausted to the point of having to go to bed earlier than usual, which is not normal for me during my cycle.

Release 8 — days 1–6 daily, dose 2

2021-05-15

Systemic reaction (other): Cramps, like during my period, but it's not that time of the month. They started 2 days ago and have happened on and off

2021-05-16

Systemic reaction (other): Feminine cramps, but I do not have my period and it isn't due soon. Also, random pain or fatigue in the arm that I got the shot in.

2021-05-17

Systemic reaction (other): I still feel weakness or fatigue in the arm that I got the shot in, and that hand. Like it gets tired more easily or takes more effort to use it

2021-05-18

Systemic reaction (other): My arm and hand in the arm I got the shot in still get tired/fatigued.

Release 9 — 3 months, dose 2

2021-08-11

Symptoms: My ears and throat have been itchy/draining the past few days.

Release 10 — days 1–6 daily, dose 3

2021-12-10

Systemic reaction (other): Runny nose, dizziness

2021-12-11

Systemic reaction (other): Runny nose

Release 11 — 3 months, dose 3

2022-03-10

Symptoms: Weakness/fatigue in my left arm (arm that I got the vaccine in).

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
SDEar pruritus ✓ · ✓
SDFatigue ✓ ✓ ✓
SDMuscular weakness · · ✓
SDParanasal sinus hypersecretion ✓ · ✓
SDThroat irritation ✓ · ✓
SROAsthenia ✓ ✓ ✓
SROChest discomfort ✓ ✓ ✓
SRODizziness · · ✓
SRODysmenorrhoea ✓ ✓ ✓
SROFatigue ✓ ✓ ✓
SROMuscle fatigue ✓ ✓ ✓
SROMuscular weakness ✓ ✓ ✓
SROPain in extremity ✓ ✓ ✓
SROPruritus ✓ ✓ ✓
SRORhinorrhoea · · ✓
SROThroat irritation ✓ ✓ ✓
SROThroat tightness ✓ ✓ ✓

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

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