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ZHS-11258-66914

5 vaccinations 5 coded responses 48 check-ins 5 free-text entries 0 call cases
Sex
Female
Age at first dose
61-65
ZIP prefix
070 / NJ
Registered
2021-03-16
Relationship
Self
Race
White
Ethnicity
Not Hispanic or Latino

Timeline

  1. 2021-03-16
    Registered in v-safe
  2. 2021-03-16
    Dose 1 — Moderna
  3. 2021-03-16
    Health check-in — day 0, dose 1
    Feeling: Good · None
    Adult check-in
  4. 2021-03-17
    Survey response — days 1–6 daily, dose 1
    MedDRA: Injected limb mobility decreased, Muscle spasms — Feeling: Good
    Free text: Slightest Charlie horse feeling when I raise the arm that received the vaccine.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  5. 2021-03-18
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · None
    Adult check-in
  6. 2021-03-19
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · None
    Adult check-in
  7. 2021-03-20
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · None
    Adult check-in
  8. 2021-03-21
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · None
    Adult check-in
  9. 2021-03-22
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · None
    Adult check-in
  10. 2021-03-23
    Health check-in — day 7, dose 1
    Feeling: Good · None
    Adult check-in
  11. 2021-03-30
    Health check-in — day 14, dose 1
    Feeling: Good
    Adult check-in
  12. 2021-04-06
    Health check-in — day 21, dose 1
    Feeling: Good
    Adult check-in
  13. 2021-04-13
    Dose 2 — Moderna
  14. 2021-04-13
    Health check-in — day 0, dose 2
    Feeling: Good · None
    Adult check-in
  15. 2021-04-14
    Health check-in — days 1–6 daily, dose 2
    Feeling: Fair · Site: Pain · Fever · Chills, Headache, Fatigue or tiredness
    Adult check-in
  16. 2021-04-15
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · Site: Pain, Itching · None
    Adult check-in
  17. 2021-04-16
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · None
    Adult check-in
  18. 2021-04-17
    Survey response — days 1–6 daily, dose 2
    MedDRA: Condition aggravated, Headache, Occipital neuralgia, Pre-existing disease, Shock — Feeling: Good
    Free text: I have a condition called occipital neuralgia. My second Moderna vaccine triggered an episode which included sharp shocking pain in my head. I had a similar reaction to my second shingles vaccine. My symptoms have subsided Now that I am feeling better, I wanted to be sure this was reported.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  19. 2021-04-18
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · None
    Adult check-in
  20. 2021-04-19
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · None
    Adult check-in
  21. 2021-04-22
    Health check-in — day 7, dose 2
    Feeling: Good · None
    Adult check-in
  22. 2021-04-27
    Health check-in — day 14, dose 2
    Feeling: Good
    Adult check-in
  23. 2021-05-04
    Health check-in — day 21, dose 2
    Feeling: Good
    Adult check-in
  24. 2021-05-11
    Survey response — day 28, dose 2
    MedDRA: Seasonal allergy — Feeling: Good
    Free text: Seasonal allergies are bad.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  25. 2021-05-18
    Survey response — day 35, dose 2
    MedDRA: Pre-existing disease, Seasonal allergy — Feeling: Good
    Free text: Bad seasonal allergies.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  26. 2021-05-25
    Health check-in — day 42, dose 2
    Feeling: Good
    Adult check-in
  27. 2021-07-13
    Survey response — 3 months, dose 2
    MedDRA: Pre-existing disease — Feeling: Good
    Free text: Arthritis in hand
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  28. 2021-10-12
    Health check-in — 6 months, dose 2
    Feeling: Good
    Adult check-in
  29. 2021-10-27
    Dose 3 — Moderna
  30. 2021-10-30
    Health check-in — days 1–6 daily, dose 3
    Feeling: Good · Site: Pain · None
    Adult check-in
  31. 2021-11-01
    Health check-in — days 1–6 daily, dose 3
    Feeling: Good · None
    Adult check-in
  32. 2021-11-02
    Health check-in — days 1–6 daily, dose 3
    Feeling: Good · None
    Adult check-in
  33. 2021-11-03
    Health check-in — day 7, dose 3
    Feeling: Good · None
    Adult check-in
  34. 2021-11-11
    Health check-in — day 14, dose 3
    Feeling: Good
    Adult check-in
  35. 2021-11-17
    Health check-in — day 21, dose 3
    Feeling: Good
    Adult check-in
  36. 2021-11-24
    Health check-in — day 28, dose 3
    Feeling: Good
    Adult check-in
  37. 2021-12-01
    Health check-in — day 35, dose 3
    Feeling: Good
    Adult check-in
  38. 2021-12-08
    Health check-in — day 42, dose 3
    Feeling: Good
    Adult check-in
  39. 2022-01-26
    Health check-in — 3 months, dose 3
    Feeling: Good
    Adult check-in
  40. 2022-04-01
    Dose 4 — Moderna
  41. 2022-04-19
    Health check-in — day 14, dose 4
    Feeling: Good
    Adult check-in
  42. 2022-04-22
    Health check-in — day 21, dose 4
    Feeling: Good
    Adult check-in
  43. 2022-04-29
    Health check-in — day 28, dose 4
    Feeling: Good
    Adult check-in
  44. 2022-05-06
    Health check-in — day 35, dose 4
    Feeling: Good
    Adult check-in
  45. 2022-05-13
    Health check-in — day 42, dose 4
    Feeling: Good
    Adult check-in
  46. 2022-07-01
    Health check-in — 3 months, dose 4
    Feeling: Good
    Adult check-in
  47. 2022-09-15
    Dose 5 — Moderna
  48. 2022-09-30
    Health check-in — 6 months, dose 4
    Feeling: Good
    Adult check-in
  49. 2022-10-06
    Health check-in — day 21, dose 5
    Feeling: Good
    Adult check-in
  50. 2022-10-13
    Health check-in — day 28, dose 5
    Feeling: Good
    Adult check-in
  51. 2022-10-20
    Health check-in — day 35, dose 5
    Feeling: Good
    Adult check-in
  52. 2022-10-27
    Health check-in — day 42, dose 5
    Feeling: Good
    Adult check-in
  53. 2022-12-15
    Health check-in — 3 months, dose 5
    Feeling: Good
    Adult check-in
  54. 2023-03-16
    Health check-in — 6 months, dose 5
    Feeling: Good
    Adult check-in

Vaccinations

DoseDateManufacturerCo-administered
12021-03-16Moderna
22021-04-13Moderna
32021-10-27Moderna No
42022-04-01Moderna No
52022-09-15Moderna No

Free text

Release 5 — days 1–6 daily, dose 1

2021-03-17

Systemic reaction (other): Slightest Charlie horse feeling when I raise the arm that received the vaccine.

Release 7 — days 1–6 daily, dose 2

2021-04-17

Systemic reaction (other): I have a condition called occipital neuralgia. My second Moderna vaccine triggered an episode which included sharp shocking pain in my head. I had a similar reaction to my second shingles vaccine. My symptoms have subsided Now that I am feeling better, I wanted to be sure this was reported.

Release 8 — day 28, dose 2

2021-05-11

Symptoms: Seasonal allergies are bad.

Release 8 — day 35, dose 2

2021-05-18

Symptoms: Bad seasonal allergies.

Release 9 — 3 months, dose 2

2021-07-13

Symptoms: Arthritis in hand

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
SDPre-existing disease ✓ ✓ ✓
SDSeasonal allergy ✓ ✓ ✓
SROCondition aggravated ✓ ✓ ✓
SROHeadache ✓ ✓ ✓
SROInjected limb mobility decreased ✓ ✓ ✓
SROMuscle spasms ✓ ✓ ✓
SROOccipital neuralgia ✓ ✓ ✓
SROPre-existing disease ✓ ✓ ✓
SROShock ✓ ✓ ✓

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

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