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ZQE-26469-53814

2 vaccinations 8 coded responses 25 check-ins 8 free-text entries 0 call cases
Sex
Female
Age at first dose
66+
ZIP prefix
071 / NJ
Registered
2021-08-06
Relationship
Self
Race
Black or African American
Ethnicity
Not Hispanic or Latino

Timeline

  1. 2021-08-06
    Registered in v-safe
  2. 2021-08-06
    Dose 1 — Moderna
  3. 2021-08-06
    Survey response — day 0, dose 1
    MedDRA: Immediate post-injection reaction, Palpitations, Rhinorrhoea — Feeling: Fair · Headache, Muscle or body aches, Fatigue or tiredness
    Free text: Runny nose immediately following injection. And chest palpitations minutes later. Both have since cleared up.
    MedDRA releases: 2021-09,2024-11 · check-in free text available
  4. 2021-08-07
    Survey response — days 1–6 daily, dose 1
    MedDRA: Self-medication — Feeling: Fair · Site: Pain · Muscle or body aches, Fatigue or tiredness
    Free text: Had to take Tylenol 6:00pm yesterday and 4:00am this morning.
    MedDRA releases: 2021-09,2024-11 · check-in free text available
  5. 2021-08-08
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · Site: Pain · None
    Adult check-in
  6. 2021-08-09
    Survey response — days 1–6 daily, dose 1
    MedDRA: Genital discomfort — Feeling: Fair · Fatigue or tiredness
    Free text: Genital irritation that started the day after the vaccination. Didnt think anything of it but it still exists today. And I didnt use new soap, oils, or ingest anything new.
    MedDRA releases: 2021-09,2024-11 · check-in free text available
  7. 2021-08-10
    Survey response — days 1–6 daily, dose 1
    MedDRA: Genital discomfort — Feeling: Good
    Free text: Genital irritation still present
    MedDRA releases: 2021-09,2024-11 · check-in free text available
  8. 2021-08-11
    Survey response — days 1–6 daily, dose 1
    MedDRA: Genital discomfort — Feeling: Good
    Free text: Genital irritation subsiding
    MedDRA releases: 2021-09,2024-11 · check-in free text available
  9. 2021-08-12
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · None
    Adult check-in
  10. 2021-08-13
    Health check-in — day 7, dose 1
    Feeling: Good · None
    Adult check-in
  11. 2021-08-20
    Health check-in — day 14, dose 1
    Feeling: Good
    Adult check-in
  12. 2021-08-27
    Health check-in — day 21, dose 1
    Feeling: Good
    Adult check-in
  13. 2021-09-03
    Dose 2 — Moderna
  14. 2021-09-03
    Health check-in — day 0, dose 2
    Feeling: Fair · Site: Pain · Headache, Fatigue or tiredness · Be unable to do your normal daily activities
    Adult check-in
  15. 2021-09-04
    Survey response — days 1–6 daily, dose 2
    MedDRA: Self-medication — Feeling: Fair · Site: Pain · Chills, Headache, Fatigue or tiredness · Be unable to do your normal daily activities
    Free text: Despite 4 doses of Tylenol between yesterday and today.
    MedDRA releases: 2021-09,2024-11 · check-in free text available
  16. 2021-09-05
    Survey response — days 1–6 daily, dose 2
    MedDRA: Erythema, Skin warm, Tenderness — Feeling: Fair · Site: Pain, Redness · Fatigue or tiredness
    Free text: This morning noticed large red area warm to the touch and hard. Painful when touched
    MedDRA releases: 2021-09,2024-11 · check-in free text available
  17. 2021-09-06
    Health check-in — days 1–6 daily, dose 2
    Feeling: Fair · Site: Pain, Redness · Fatigue or tiredness
    Adult check-in
  18. 2021-09-07
    Health check-in — days 1–6 daily, dose 2
    Feeling: Fair · Site: Redness · Fatigue or tiredness
    Adult check-in
  19. 2021-09-08
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · None
    Adult check-in
  20. 2021-09-09
    Health check-in — days 1–6 daily, dose 2
    Feeling: Fair · Fatigue or tiredness
    Adult check-in
  21. 2021-09-10
    Health check-in — day 7, dose 2
    Feeling: Good · None
    Adult check-in
  22. 2021-09-17
    Health check-in — day 14, dose 2
    Feeling: Good
    Adult check-in
  23. 2021-09-24
    Health check-in — day 21, dose 2
    Feeling: Fair
    Adult check-in
  24. 2021-10-01
    Health check-in — day 28, dose 2
    Feeling: Good
    Adult check-in
  25. 2021-10-08
    Health check-in — day 35, dose 2
    Feeling: Good
    Adult check-in
  26. 2021-10-15
    Health check-in — day 42, dose 2
    Feeling: Good
    Adult check-in
  27. 2021-12-05
    Health check-in — 3 months, dose 2
    Feeling: Good
    Adult check-in
  28. 2022-03-04
    Survey response — 6 months, dose 2
    MedDRA: Oedema peripheral, Pain, Pyrexia — Feeling: Fair
    Free text: Fever, pain, underarm swelling
    MedDRA releases: 2024-11 · check-in free text available

Vaccinations

DoseDateManufacturerCo-administered
12021-08-06Moderna No
22021-09-03Moderna No

Free text

Release 9 — day 0, dose 1

2021-08-06

Systemic reaction (other): Runny nose immediately following injection. And chest palpitations minutes later. Both have since cleared up.

Release 9 — days 1–6 daily, dose 1

2021-08-07

Systemic reaction (other): Had to take Tylenol 6:00pm yesterday and 4:00am this morning.

2021-08-09

Systemic reaction (other): Genital irritation that started the day after the vaccination. Didnt think anything of it but it still exists today. And I didnt use new soap, oils, or ingest anything new.

2021-08-10

Systemic reaction (other): Genital irritation still present

2021-08-11

Systemic reaction (other): Genital irritation subsiding

Release 9 — days 1–6 daily, dose 2

2021-09-04

Systemic reaction (other): Despite 4 doses of Tylenol between yesterday and today.

2021-09-05

Systemic reaction (other): This morning noticed large red area warm to the touch and hard. Painful when touched

Release 11 — 6 months, dose 2

2022-03-04

Symptoms: Fever, pain, underarm swelling

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
SDOedema peripheral · · ✓
SDPain · · ✓
SDPyrexia · · ✓
SROErythema ✓ · ✓
SROGenital discomfort ✓ · ✓
SROImmediate post-injection reaction ✓ · ✓
SROPalpitations ✓ · ✓
SRORhinorrhoea ✓ · ✓
SROSelf-medication ✓ · ✓
SROSkin warm ✓ · ✓
SROTenderness ✓ · ✓

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