ZGQ-10079-14788
4 vaccinations
10 coded responses
39 check-ins
9 free-text entries
0 call cases
- Sex
- Female
- Age at first dose
- 51-55
- ZIP prefix
- 080 / NJ
- Registered
- 2021-03-04
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-02-11
Dose 1 — Moderna
-
2021-03-04
Registered in v-safe
- 2021-03-04
-
2021-03-11
Dose 2 — Moderna
- 2021-03-11
-
2021-03-12
Survey response — days 1–6 daily, dose 2MedDRA: Nasal congestion — Feeling: Poor · Site: Pain · Fever · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to work, Be unable to do your normal daily activitiesFree text: Nasal congestionMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-03-13
Survey response — days 1–6 daily, dose 2MedDRA: Nasal congestion — Feeling: Fair · Site: Pain · Fatigue or tirednessFree text: Nasal congestionMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-03-14
- 2021-03-15
- 2021-03-16
- 2021-03-17
- 2021-03-18
- 2021-03-25
- 2021-04-01
- 2021-04-08
- 2021-04-15
- 2021-04-22
- 2021-06-10
- 2021-09-11
-
2021-10-29
Dose 3 — Moderna
- 2021-10-29
-
2021-10-30
Survey response — days 1–6 daily, dose 3MedDRA: Blood glucose increased, Skin warm, Urticaria — Feeling: Poor · Site: Pain, Redness, Swelling · Fever · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activitiesFree text: Welt is hot to the touch. Higher rise in morning blood sugar.MedDRA releases: 2024-11 · check-in free text available
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2021-10-31
Survey response — days 1–6 daily, dose 3MedDRA: Immunisation reaction, Injection site reaction, Injection site warmth, Rash erythematous — Feeling: Poor · Site: Pain, Redness, Swelling · Fever · Headache, Joint pains, Muscle or body aches, Fatigue or tirednessFree text: Covid Arm - red hot rash around injection site that is getting largerMedDRA releases: 2024-11 · check-in free text available
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2021-11-01
Survey response — days 1–6 daily, dose 3MedDRA: Immunisation reaction, Injection site erythema, Injection site pain, Injection site rash, Injection site swelling, Injection site warmth — Feeling: Fair · Site: Pain, Redness, Swelling, Itching · Fever · Chills, Fatigue or tiredness, Rash, not including the immediate area around the injection site · Be unable to work or attend school, Be unable to do your normal daily activitiesFree text: Covid Arm - rash around the site has spread further out with swelling, redness, pain and still hot to the touchMedDRA releases: 2024-11 · check-in free text available
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2021-11-02
Health check-in — days 1–6 daily, dose 3Feeling: Fair · Site: Pain, Redness, Swelling, Itching · Fatigue or tirednessAdult check-in
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2021-11-03
Health check-in — days 1–6 daily, dose 3Feeling: Fair · Site: Pain, Redness, Swelling · Headache, Fatigue or tirednessAdult check-in
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2021-11-04
Health check-in — days 1–6 daily, dose 3Feeling: Good · Site: Redness, Swelling, Itching · Fatigue or tirednessAdult check-in
- 2021-11-05
- 2021-11-12
- 2021-11-19
- 2021-11-26
- 2021-12-03
- 2021-12-12
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2022-01-30
Survey response — 3 months, dose 3MedDRA: COVID-19, Fatigue, Headache, Nasal disorder, Oropharyngeal pain, SARS-CoV-2 test negative — Feeling: FairFree text: After Christmas I believe that I contracted Covid. Symptoms: headache for 3 days, slight sore throat, nasal issues, fatigue. My PCR, when I was able to get it, came back negative.MedDRA releases: 2024-11 · check-in free text available
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2022-04-29
Survey response — 6 months, dose 3MedDRA: Cough, Fatigue, Headache, Respiratory tract congestion — Feeling: Good · Be unable to work or attend schoolFree text: Headache, cough, congestion, fatigue,MedDRA releases: 2024-11 · check-in free text available
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2022-05-06
Dose 4 — Moderna
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2022-05-21
Survey response — day 14, dose 4MedDRA: Diarrhoea, Fatigue, Headache, Injection site pain, Pyrexia — Feeling: GoodFree text: Fever, headache, fatigue, pain at injection site, diarrheaMedDRA releases: 2024-11 · check-in free text available
- 2022-05-27
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2022-06-03
Survey response — day 28, dose 4MedDRA: Fatigue, Headache, Nasal congestion — Feeling: FairFree text: Headache, fatigue, nasal congestionMedDRA releases: 2024-11 · check-in free text available
- 2022-06-10
- 2022-06-18
- 2022-08-05
- 2022-11-05
- 2023-05-06
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-02-11 | Moderna | |
| 2 | 2021-03-11 | Moderna | |
| 3 | 2021-10-29 | Moderna | No |
| 4 | 2022-05-06 | Moderna | No |
Free text
Release 5 — days 1–6 daily, dose 2
Systemic reaction (other): Nasal congestion
Systemic reaction (other): Nasal congestion
Release 10 — days 1–6 daily, dose 3
Systemic reaction (other): Welt is hot to the touch. Higher rise in morning blood sugar.
Systemic reaction (other): Covid Arm - red hot rash around injection site that is getting larger
Systemic reaction (other): Covid Arm - rash around the site has spread further out with swelling, redness, pain and still hot to the touch
Release 11 — 3 months, dose 3
Symptoms: After Christmas I believe that I contracted Covid. Symptoms: headache for 3 days, slight sore throat, nasal issues, fatigue. My PCR, when I was able to get it, came back negative.
Release 11 — 6 months, dose 3
Symptoms: Headache, cough, congestion, fatigue,
Release 11 — day 14, dose 4
Symptoms: Fever, headache, fatigue, pain at injection site, diarrhea
Release 11 — day 28, dose 4
Symptoms: Headache, fatigue, nasal congestion
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 | Cough | · | · | ✓ |
| SD | COVID-19 | · | · | ✓ |
| SD | Diarrhoea | · | · | ✓ |
| SD | Fatigue | · | · | ✓ |
| SD | Flank pain | · | · | ✓ |
| SD | Headache | · | · | ✓ |
| SD | Injection site pain | · | · | ✓ |
| SD | Nasal congestion | · | · | ✓ |
| SD | Nasal disorder | · | · | ✓ |
| SD | Oropharyngeal pain | · | · | ✓ |
| SD | Pyrexia | · | · | ✓ |
| SD | Respiratory tract congestion | · | · | ✓ |
| SD | SARS-CoV-2 test negative | · | · | ✓ |
| SRO | Blood glucose increased | · | · | ✓ |
| SRO | Immunisation reaction | · | · | ✓ |
| SRO | Injection site erythema | · | · | ✓ |
| SRO | Injection site pain | · | · | ✓ |
| SRO | Injection site rash | · | · | ✓ |
| SRO | Injection site reaction | · | · | ✓ |
| SRO | Injection site swelling | · | · | ✓ |
| SRO | Injection site warmth | · | · | ✓ |
| SRO | Nasal congestion | ✓ | ✓ | ✓ |
| SRO | Rash erythematous | · | · | ✓ |
| SRO | Skin warm | · | · | ✓ |
| SRO | Urticaria | · | · | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release