ZA8-15218-95105
3 vaccinations
5 coded responses
12 check-ins
5 free-text entries
0 call cases
- Sex
- Female
- Age at first dose
- 31-35
- ZIP prefix
- 074 / NJ
- Registered
- 2021-01-19
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-01-19
Registered in v-safe
-
2021-01-19
Dose 1 — Moderna
- 2021-01-23
-
2021-01-26
Survey response — day 7, dose 1MedDRA: Chest discomfort, Dyspnoea — Feeling: Fair · Site: PainFree text: heaviness on chest both in the front and back and a little short of breathMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-02-02
Survey response — day 14, dose 1MedDRA: Chest discomfort, Dyspnoea — Feeling: Good · Be unable to work, Be unable to do your normal daily activitiesFree text: I had consecutive days last week where it was hard to breathe/felt like heaviness on my chest and upper back. Had to lay down mid afternoon 2 days in a row.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-02-17
Dose 2 — Moderna
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2021-02-19
Survey response — days 1–6 daily, dose 2MedDRA: Chills, Fatigue, Headache, Hyperhidrosis, Nausea, Pain, Pyrexia — Feeling: Fair · Site: Pain, Itching · Fatigue or tiredness · Be unable to work, Be unable to do your normal daily activitiesFree text: The night of 2/17 through this morning 2/19 I had severe nausea, headache, body pain/aches, chills, sweats, low grade fever and fatigue.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-02-26
- 2021-03-10
- 2021-03-17
- 2021-03-24
- 2021-03-31
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2021-05-19
Survey response — 3 months, dose 2MedDRA: Injection site pruritus — Feeling: GoodFree text: Every night my arm gets itchy for about 5 minutes near the area that I received the vaccinationsMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-08-20
-
2021-11-04
Dose 3 — Moderna
-
2021-11-04
Survey response — day 0, dose 3MedDRA: Feeling hot — Feeling: Good · Site: Pain, Itching · Fever · Chills, Fatigue or tirednessFree text: Feeling hotMedDRA releases: 2024-11 · check-in free text available
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-01-19 | Moderna | |
| 2 | 2021-02-17 | Moderna | |
| 3 | 2021-11-04 | Moderna | No |
Free text
Release 2 — day 7, dose 1
Systemic reaction (other): heaviness on chest both in the front and back and a little short of breath
Release 3 — day 14, dose 1
Symptoms: I had consecutive days last week where it was hard to breathe/felt like heaviness on my chest and upper back. Had to lay down mid afternoon 2 days in a row.
Release 4 — days 1–6 daily, dose 2
Systemic reaction (other): The night of 2/17 through this morning 2/19 I had severe nausea, headache, body pain/aches, chills, sweats, low grade fever and fatigue.
Release 8 — 3 months, dose 2
Symptoms: Every night my arm gets itchy for about 5 minutes near the area that I received the vaccinations
Release 10 — day 0, dose 3
Systemic reaction (other): Feeling hot
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 discomfort | ✓ | ✓ | ✓ |
| SD | Dyspnoea | ✓ | ✓ | ✓ |
| SD | Injection site pruritus | ✓ | ✓ | ✓ |
| SRO | Chest discomfort | ✓ | ✓ | ✓ |
| SRO | Chills | ✓ | ✓ | ✓ |
| SRO | Dyspnoea | ✓ | ✓ | ✓ |
| SRO | Fatigue | ✓ | ✓ | ✓ |
| SRO | Feeling hot | · | · | ✓ |
| SRO | Headache | ✓ | ✓ | ✓ |
| SRO | Hyperhidrosis | ✓ | ✓ | ✓ |
| SRO | Nausea | ✓ | ✓ | ✓ |
| SRO | Pain | ✓ | ✓ | ✓ |
| SRO | Pyrexia | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release