29H-20289-50211
4 vaccinations
6 coded responses
38 check-ins
6 free-text entries
0 call cases
- Sex
- Female
- Age at first dose
- 66+
- ZIP prefix
- 490 / MI
- Registered
- 2021-02-24
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-02-24
Registered in v-safe
-
2021-02-24
Dose 1 — Moderna
- 2021-02-24
-
2021-02-25
Health check-in — days 1–6 daily, dose 1Feeling: Good · Site: Pain · Fatigue or tirednessAdult check-in
- 2021-02-26
- 2021-02-27
- 2021-02-28
-
2021-03-01
Survey response — days 1–6 daily, dose 1MedDRA: Fatigue, Pain — Feeling: Good · Muscle or body aches, Fatigue or tirednessFree text: I was achy and tired last night still a little tired today but feel a little betterMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-03-02
- 2021-03-03
- 2021-03-10
- 2021-03-17
-
2021-03-24
Dose 2 — Moderna
-
2021-03-31
Survey response — day 7, dose 2MedDRA: Dermatitis contact — Feeling: Good · Site: Swelling · Rash, not including the immediate area around the injection siteFree text: Not sure if this counts the Monday before I got my shot on Wednesday I was cleaning some brush and then Thursday after my shot I had what I believe is poison ivy all over my arm and it was pretty severe and don't normally get poison ivy so I don't know if it has anything to do with this or notMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-04-07
-
2021-04-15
Survey response — day 21, dose 2MedDRA: Rash — Feeling: GoodFree text: RashMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-04-21
- 2021-04-28
- 2021-05-05
- 2021-06-24
-
2021-09-22
Survey response — 6 months, dose 2MedDRA: Dizziness — Feeling: FairFree text: I get dizzy a lotMedDRA releases: 2024-11 · check-in free text available
-
2021-11-03
Dose 3 — Moderna
-
2021-11-03
Health check-in — day 0, dose 3Feeling: Fair · Site: Pain, Swelling · Muscle or body aches, Fatigue or tirednessAdult check-in
- 2021-11-04
-
2021-11-05
Health check-in — days 1–6 daily, dose 3Feeling: Good · Site: Pain · Muscle or body aches, Fatigue or tirednessAdult check-in
- 2021-11-06
- 2021-11-07
- 2021-11-08
- 2021-11-09
- 2021-11-11
- 2021-11-17
- 2021-11-24
-
2021-12-01
Survey response — day 28, dose 3MedDRA: Injection site ulcer — Feeling: GoodFree text: I had a small sore developed on my injection siteMedDRA releases: 2024-11 · check-in free text available
- 2021-12-08
- 2022-02-02
-
2022-04-19
Dose 4 — Moderna
- 2022-05-04
- 2022-05-19
- 2022-05-24
-
2022-05-31
Survey response — day 42, dose 4MedDRA: Headache, Oropharyngeal pain, Sinus congestion — Feeling: Poor · Be unable to do your normal daily activitiesFree text: Lots of sinus congestion and sore throat headacheMedDRA releases: 2024-11 · check-in free text available
- 2022-07-19
- 2022-10-18
- 2023-04-19
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-02-24 | Moderna | |
| 2 | 2021-03-24 | Moderna | |
| 3 | 2021-11-03 | Moderna | No |
| 4 | 2022-04-19 | Moderna | No |
Free text
Release 4 — days 1–6 daily, dose 1
Systemic reaction (other): I was achy and tired last night still a little tired today but feel a little better
Release 6 — day 7, dose 2
Systemic reaction (other): Not sure if this counts the Monday before I got my shot on Wednesday I was cleaning some brush and then Thursday after my shot I had what I believe is poison ivy all over my arm and it was pretty severe and don't normally get poison ivy so I don't know if it has anything to do with this or not
Release 7 — day 21, dose 2
Symptoms: Rash
Release 9 — 6 months, dose 2
Symptoms: I get dizzy a lot
Release 10 — day 28, dose 3
Symptoms: I had a small sore developed on my injection site
Release 11 — day 42, dose 4
Symptoms: Lots of sinus congestion and sore throat headache
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 | Dizziness | · | · | ✓ |
| SD | Headache | · | · | ✓ |
| SD | Injection site ulcer | · | · | ✓ |
| SD | Oropharyngeal pain | · | · | ✓ |
| SD | Rash | ✓ | ✓ | ✓ |
| SD | Sinus congestion | · | · | ✓ |
| SRO | Dermatitis contact | ✓ | ✓ | ✓ |
| SRO | Fatigue | ✓ | ✓ | ✓ |
| SRO | Pain | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release