ZHH-30809-04406
5 vaccinations
12 coded responses
57 check-ins
12 free-text entries
0 call cases
- Sex
- Female
- Age at first dose
- 66+
- ZIP prefix
- 085 / NJ
- Registered
- 2021-01-31
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-01-28
Dose 1 — Moderna
-
2021-01-31
Registered in v-safe
- 2021-02-01
- 2021-02-02
- 2021-02-03
-
2021-02-04
Survey response — day 7, dose 1MedDRA: Stomatitis — Feeling: GoodFree text: Mouth sores, mildMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-02-11
- 2021-02-18
-
2021-02-25
Dose 2 — Moderna
- 2021-02-25
-
2021-02-26
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Site: Pain · Headache, Muscle or body aches, Fatigue or tirednessAdult check-in
- 2021-02-27
-
2021-02-28
Survey response — days 1–6 daily, dose 2MedDRA: Stomatitis — Feeling: GoodFree text: Sores on tongueMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-03-01
Survey response — days 1–6 daily, dose 2MedDRA: Glossodynia, Oral pain — Feeling: GoodFree text: Sore inside mouth on tongueMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-03-02
Survey response — days 1–6 daily, dose 2MedDRA: Stomatitis — Feeling: GoodFree text: Sores in mouthMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-03-03
Survey response — days 1–6 daily, dose 2MedDRA: Oral pain — Feeling: GoodFree text: Mouth soresMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-03-04
- 2021-03-11
- 2021-03-18
- 2021-03-25
- 2021-04-01
- 2021-04-08
- 2021-05-27
- 2021-08-26
-
2021-11-01
Dose 3 — Moderna
- 2021-11-01
-
2021-11-02
Health check-in — days 1–6 daily, dose 3Feeling: Fair · Site: Pain, Redness, Swelling · Fever · Headache, Muscle or body achesAdult check-in
-
2021-11-03
Health check-in — days 1–6 daily, dose 3Feeling: Good · Site: Pain, Redness, Swelling, Itching · NoneAdult check-in
-
2021-11-05
Survey response — days 1–6 daily, dose 3MedDRA: Injection site pruritus — Feeling: Good · Site: Pain, Redness, Swelling, ItchingFree text: Husband is also experiencing the injection site reaction. We had a flew shot about three weeks ago and mine was itchy then too.MedDRA releases: 2024-11 · check-in free text available
- 2021-11-07
-
2021-11-08
Survey response — day 7, dose 3MedDRA: Injection site warmth — Feeling: Good · Site: RednessFree text: Injection site is still warm to the touchMedDRA releases: 2024-11 · check-in free text available
- 2021-11-15
- 2021-11-22
- 2021-11-29
- 2021-12-06
- 2021-12-13
- 2022-01-31
-
2022-04-19
Dose 4 — Moderna
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2022-04-20
Survey response — days 1–6 daily, dose 4MedDRA: Dysgeusia — Feeling: Fair · Site: Pain, Redness, Swelling · Fever · Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activitiesFree text: Metallic tasteMedDRA releases: 2024-11 · check-in free text available
- 2022-04-21
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2022-04-22
Survey response — days 1–6 daily, dose 4MedDRA: Injection site bruising — Feeling: Good · Site: PainFree text: Bruise at injection siteMedDRA releases: 2024-11 · check-in free text available
-
2022-04-25
Survey response — days 1–6 daily, dose 4MedDRA: Injection site bruising, Stomatitis — Feeling: Good · Site: PainFree text: Bruise at injection site and slight mouth soresMedDRA releases: 2024-11 · check-in free text available
-
2022-04-26
Survey response — day 7, dose 4MedDRA: Contusion — Feeling: GoodFree text: Fading bruiseMedDRA releases: 2024-11 · check-in free text available
- 2022-05-03
- 2022-05-10
- 2022-05-17
- 2022-05-24
- 2022-05-31
- 2022-07-19
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2022-09-23
Dose 5 — Pfizer-BioNTech
- 2022-09-25
- 2022-09-26
- 2022-09-27
- 2022-09-28
- 2022-09-29
- 2022-09-30
- 2022-10-07
- 2022-10-14
- 2022-10-21
- 2022-10-28
- 2022-11-04
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2022-12-23
Survey response — 3 months, dose 5MedDRA: Exposure to SARS-CoV-2, Respiratory disorder, SARS-CoV-2 test negative — Feeling: Good · Be unable to work or attend schoolFree text: I had a respiratory illness but was tested for Covid and did not have it. My husband just had Covid for the last 10 days, but so far I have no symptoms.MedDRA releases: 2024-11 · check-in free text available
- 2023-03-24
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-01-28 | Moderna | |
| 2 | 2021-02-25 | Moderna | |
| 3 | 2021-11-01 | Moderna | No |
| 4 | 2022-04-19 | Moderna | No |
| 5 | 2022-09-23 | Pfizer-BioNTech | No |
Free text
Release 3 — day 7, dose 1
Systemic reaction (other): Mouth sores, mild
Release 4 — days 1–6 daily, dose 2
Systemic reaction (other): Sores on tongue
Systemic reaction (other): Sore inside mouth on tongue
Systemic reaction (other): Sores in mouth
Release 5 — days 1–6 daily, dose 2
Systemic reaction (other): Mouth sores
Release 10 — days 1–6 daily, dose 3
Systemic reaction (other): Husband is also experiencing the injection site reaction. We had a flew shot about three weeks ago and mine was itchy then too.
Release 10 — day 7, dose 3
Systemic reaction (other): Injection site is still warm to the touch
Release 11 — days 1–6 daily, dose 4
Systemic reaction (other): Metallic taste
Systemic reaction (other): Bruise at injection site
Systemic reaction (other): Bruise at injection site and slight mouth sores
Release 11 — day 7, dose 4
Systemic reaction (other): Fading bruise
Release 12 — 3 months, dose 5
Symptoms: I had a respiratory illness but was tested for Covid and did not have it. My husband just had Covid for the last 10 days, but so far I have no symptoms.
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 | Exposure to SARS-CoV-2 | · | · | ✓ |
| SD | Respiratory disorder | · | · | ✓ |
| SD | SARS-CoV-2 test negative | · | · | ✓ |
| SRO | Contusion | · | · | ✓ |
| SRO | Dysgeusia | · | · | ✓ |
| SRO | Glossodynia | ✓ | ✓ | ✓ |
| SRO | Injection site bruising | · | · | ✓ |
| SRO | Injection site pruritus | · | · | ✓ |
| SRO | Injection site warmth | · | · | ✓ |
| SRO | Oral pain | ✓ | ✓ | ✓ |
| SRO | Stomatitis | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release