Z4E-92861-31526
5 vaccinations
2 coded responses
29 check-ins
2 free-text entries
0 call cases
- Sex
- Female
- Age at first dose
- 66+
- ZIP prefix
- 082 / NJ
- Registered
- 2021-03-02
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-03-01
Dose 1 — Moderna
-
2021-03-02
Registered in v-safe
-
2021-03-02
Survey response — days 1–6 daily, dose 1MedDRA: Arthralgia, Pain, Pain in extremity — Feeling: Good · Site: Pain · Joint painsFree text: Around 2:30 am I was awakened with burning pain in right hip ( currently do PT for hip) and left ring finger that had surgery (bone graft & fusion) on Feb 5. Have never experienced burning pain like this previously.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-03-03
Health check-in — days 1–6 daily, dose 1Feeling: Fair · Joint pains, Muscle or body achesAdult check-in
- 2021-03-04
-
2021-03-05
Health check-in — days 1–6 daily, dose 1Feeling: Good · Joint pains, Fatigue or tirednessAdult check-in
- 2021-03-06
- 2021-03-07
- 2021-03-08
- 2021-03-15
- 2021-03-22
- 2021-03-29
-
2021-03-30
Dose 2 — Moderna
-
2021-04-05
Survey response — days 1–6 daily, dose 2MedDRA: Pain, Pyrexia — Feeling: GoodFree text: No symptoms now but reacted strongly 8 hours after the vaccine with fever and body aches which lasted for 24 hours. Was in bed for that 24 hours. After that I have not had any fever or body aches.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-04-06
- 2021-04-13
- 2021-04-20
- 2021-04-27
- 2021-05-04
- 2021-05-11
- 2021-06-29
-
2021-09-09
Dose 3 — Moderna
- 2021-09-28
- 2021-12-09
-
2022-02-12
Dose 4 — Moderna
- 2022-03-10
- 2022-05-14
- 2022-08-14
-
2022-09-06
Dose 5 — Moderna
- 2022-09-30
- 2022-10-04
- 2022-10-11
- 2022-10-18
- 2022-12-06
- 2023-03-07
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-03-01 | Moderna | |
| 2 | 2021-03-30 | Moderna | |
| 3 | 2021-09-09 | Moderna | No |
| 4 | 2022-02-12 | Moderna | No |
| 5 | 2022-09-06 | Moderna | No |
Free text
Release 4 — days 1–6 daily, dose 1
Systemic reaction (other): Around 2:30 am I was awakened with burning pain in right hip ( currently do PT for hip) and left ring finger that had surgery (bone graft & fusion) on Feb 5. Have never experienced burning pain like this previously.
Release 6 — days 1–6 daily, dose 2
Systemic reaction (other): No symptoms now but reacted strongly 8 hours after the vaccine with fever and body aches which lasted for 24 hours. Was in bed for that 24 hours. After that I have not had any fever or body aches.
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 |
|---|---|---|---|---|
| SRO | Arthralgia | ✓ | ✓ | ✓ |
| SRO | Hiatus hernia | ○ | ○ | ○ |
| SRO | Pain | ✓ | ✓ | ✓ |
| SRO | Pain in extremity | ✓ | ✓ | ✓ |
| SRO | Pyrexia | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release