275-28219-47858
4 vaccinations
5 coded responses
37 check-ins
5 free-text entries
3 call cases
- Sex
- Female
- Age at first dose
- 66+
- ZIP prefix
- 488 / MI
- Registered
- 2021-03-16
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-02-16
Dose 1 — Moderna
-
2021-03-16
Registered in v-safe
-
2021-03-16
Dose 2 — Moderna
- 2021-03-16
-
2021-03-17
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Site: Pain · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to workAdult check-in
-
2021-03-18
Health check-in — days 1–6 daily, dose 2Feeling: Good · Site: Pain, Redness, Swelling · Muscle or body aches, Fatigue or tirednessAdult check-in
-
2021-03-19
Health check-in — days 1–6 daily, dose 2Feeling: Good · Site: Pain, Redness · Muscle or body achesAdult check-in
-
2021-03-20
Survey response — days 1–6 daily, dose 2MedDRA: Axillary pain — Feeling: Good · Site: Pain, Redness · Muscle or body achesFree text: Fullness, mild pain in armpit on same suites as vaccination site. May or may not be related to the vaccination.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-03-21
- 2021-03-22
- 2021-03-23
-
2021-03-30
Survey response — day 14, dose 2MedDRA: Axillary pain, Neck pain, Oedema peripheral, Unevaluable event — Feeling: Good · Get care from a doctor or other healthcare professionalFree text: Symptoms: Moderate pain and sense of fullness in left armpit.Moderate pain along right side of neck. · Healthcare visit (other): Should have made appt sooner. Plan to do it today.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-03-30
Report sent to call center — day 14, dose 2Get care from a doctor or other healthcare professional1 call case(s)
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2021-04-06
Survey response — day 21, dose 2MedDRA: Axillary pain, Oedema peripheral — Feeling: Good · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visitFree text: Occasional sharp pains and constant thickness in left axilla.From 3/14 to present.Now doing imaging to rule out cancer.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-04-06
Report sent to call center — day 21, dose 2Get care from a doctor or other healthcare professional1 call case(s)
- 2021-04-13
- 2021-04-20
- 2021-04-27
- 2021-06-15
-
2021-06-17
Call successfulNot applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill
- 2021-09-14
-
2021-10-25
Dose 3 — Moderna
- 2021-10-29
- 2021-10-30
- 2021-10-31
- 2021-11-01
- 2021-11-08
- 2021-11-15
- 2021-11-22
- 2021-11-29
- 2021-12-06
- 2022-01-24
- 2022-04-25
-
2022-04-27
Dose 4 — Pfizer-BioNTech
-
2022-05-01
Survey response — days 1–6 daily, dose 4MedDRA: Injection site pain — Feeling: Good · Site: PainFree text: Pain at site was pretty bad, but only once in a while, not all day.MedDRA releases: 2024-11 · check-in free text available
- 2022-05-02
- 2022-05-04
- 2022-05-11
- 2022-05-20
- 2022-05-27
- 2022-06-01
- 2022-06-08
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2022-07-27
Survey response — 3 months, dose 4MedDRA: Eye operation, Macular hole, Office visit, Surgery — Feeling: Good · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professionalFree text: Symptoms: Surgery for macular hole. · Healthcare visit (other): Office visit, then eye surgery at outpatient surgical center.MedDRA releases: 2024-11 · check-in free text available
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2022-07-27
Report sent to call center — 3 months, dose 4Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional1 call case(s)
-
2022-07-28
Call successfulNot applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill
- 2022-10-26
- 2023-04-27
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-02-16 | Moderna | |
| 2 | 2021-03-16 | Moderna | |
| 3 | 2021-10-25 | Moderna | No |
| 4 | 2022-04-27 | Pfizer-BioNTech | No |
Call center
3 call center cases
3 successful
Free text
Release 6 — days 1–6 daily, dose 2
Systemic reaction (other): Fullness, mild pain in armpit on same suites as vaccination site. May or may not be related to the vaccination.
Release 6 — day 14, dose 2
Symptoms: Moderate pain and sense of fullness in left armpit.Moderate pain along right side of neck.
Healthcare visit (other): Should have made appt sooner. Plan to do it today.
Release 7 — day 21, dose 2
Symptoms: Occasional sharp pains and constant thickness in left axilla.From 3/14 to present.Now doing imaging to rule out cancer.
Release 11 — days 1–6 daily, dose 4
Systemic reaction (other): Pain at site was pretty bad, but only once in a while, not all day.
Release 12 — 3 months, dose 4
Symptoms: Surgery for macular hole.
Healthcare visit (other): Office visit, then eye surgery at outpatient surgical center.
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 |
|---|---|---|---|---|
| HCVO | Eye operation | · | · | ✓ |
| HCVO | Office visit | · | · | ✓ |
| HCVO | Unevaluable event | ✓ | ✓ | ✓ |
| SD | Axillary pain | ✓ | ✓ | ✓ |
| SD | Macular hole | · | · | ✓ |
| SD | Neck pain | ✓ | ✓ | ✓ |
| SD | Oedema peripheral | ✓ | ✓ | ✓ |
| SD | Surgery | · | · | ✓ |
| SRO | Axillary pain | ✓ | ✓ | ✓ |
| SRO | Injection site pain | · | · | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release