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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

  1. 2021-01-19
    Registered in v-safe
  2. 2021-01-19
    Dose 1 — Moderna
  3. 2021-01-23
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · Site: Pain · None
    Adult check-in
  4. 2021-01-26
    Survey response — day 7, dose 1
    MedDRA: Chest discomfort, Dyspnoea — Feeling: Fair · Site: Pain
    Free text: heaviness on chest both in the front and back and a little short of breath
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  5. 2021-02-02
    Survey response — day 14, dose 1
    MedDRA: Chest discomfort, Dyspnoea — Feeling: Good · Be unable to work, Be unable to do your normal daily activities
    Free 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
  6. 2021-02-17
    Dose 2 — Moderna
  7. 2021-02-19
    Survey response — days 1–6 daily, dose 2
    MedDRA: 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 activities
    Free 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
  8. 2021-02-26
    Health check-in — day 7, dose 2
    Feeling: Good · None
    Adult check-in
  9. 2021-03-10
    Health check-in — day 21, dose 2
    Feeling: Good
    Adult check-in
  10. 2021-03-17
    Health check-in — day 28, dose 2
    Feeling: Good
    Adult check-in
  11. 2021-03-24
    Health check-in — day 35, dose 2
    Feeling: Good
    Adult check-in
  12. 2021-03-31
    Health check-in — day 42, dose 2
    Feeling: Good
    Adult check-in
  13. 2021-05-19
    Survey response — 3 months, dose 2
    MedDRA: Injection site pruritus — Feeling: Good
    Free text: Every night my arm gets itchy for about 5 minutes near the area that I received the vaccinations
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  14. 2021-08-20
    Health check-in — 6 months, dose 2
    Feeling: Good
    Adult check-in
  15. 2021-11-04
    Dose 3 — Moderna
  16. 2021-11-04
    Survey response — day 0, dose 3
    MedDRA: Feeling hot — Feeling: Good · Site: Pain, Itching · Fever · Chills, Fatigue or tiredness
    Free text: Feeling hot
    MedDRA releases: 2024-11 · check-in free text available

Vaccinations

DoseDateManufacturerCo-administered
12021-01-19Moderna
22021-02-17Moderna
32021-11-04Moderna No

Free text

Release 2 — day 7, dose 1

2021-01-26

Systemic reaction (other): heaviness on chest both in the front and back and a little short of breath

Release 3 — day 14, dose 1

2021-02-02

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

2021-02-19

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

2021-05-19

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

2021-11-04

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

FieldPreferred term2021-092023-042024-11
SDChest discomfort ✓ ✓ ✓
SDDyspnoea ✓ ✓ ✓
SDInjection site pruritus ✓ ✓ ✓
SROChest discomfort ✓ ✓ ✓
SROChills ✓ ✓ ✓
SRODyspnoea ✓ ✓ ✓
SROFatigue ✓ ✓ ✓
SROFeeling hot · · ✓
SROHeadache ✓ ✓ ✓
SROHyperhidrosis ✓ ✓ ✓
SRONausea ✓ ✓ ✓
SROPain ✓ ✓ ✓
SROPyrexia ✓ ✓ ✓

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