2LR-19391-85124
4 vaccinations
8 coded responses
54 check-ins
7 free-text entries
1 call case
- Sex
- Female
- Age at first dose
- 56-60
- ZIP prefix
- 484 / MI
- Registered
- 2021-02-23
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-02-23
Registered in v-safe
-
2021-02-23
Dose 1 — Moderna
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2021-02-23
Survey response — day 0, dose 1MedDRA: Hypertension, Immediate post-injection reaction, Sensory disturbance — Feeling: Good · Site: Pain, RednessFree text: Just a slight weird sensation in my body about 10 minutes after. They took blood pressure and it was a little high but nothing to worry about. Oxygen level was fine. As I say there and talked with police officer the sensation subsided. I stayed an extra 10 minutes and felt fine. I normally have low blood pressure so I think that could have caused the unusual feeling in my body. Not sure if the vaccine or adrenaline rush from the excitement of getting the vaccine could have caused the blood pressure elevation. All in all it was mild and did not last past 15 minutes.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-02-24
- 2021-02-25
- 2021-02-26
-
2021-02-27
Health check-in — days 1–6 daily, dose 1Feeling: Good · Site: Redness · Muscle or body achesAdult check-in
- 2021-02-28
-
2021-03-01
Survey response — days 1–6 daily, dose 1MedDRA: Injection site bruising, Injection site erythema — Feeling: Good · Site: RednessFree text: The redness at injection site is actually a bruise yesterday and today but you dont list that as a choiceMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-03-02
Survey response — day 7, dose 1MedDRA: Injection site bruising, Injection site erythema, Injection site pain — Feeling: Good · Site: Pain, RednessFree text: The red spot from injection was a bruise the last 2 days. Now it is red again and sore to the touch againMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-03-09
- 2021-03-16
-
2021-03-23
Dose 2 — Moderna
- 2021-03-23
-
2021-03-24
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Site: Pain, Redness · Fever · Chills, Fatigue or tiredness · Be unable to workAdult check-in
-
2021-03-25
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Site: Pain, Redness, Swelling · Fever · Fatigue or tiredness · Be unable to workAdult check-in
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2021-03-26
Health check-in — days 1–6 daily, dose 2Feeling: Good · Site: Pain, Redness, Swelling · NoneAdult check-in
- 2021-03-27
- 2021-03-28
- 2021-03-29
- 2021-03-31
- 2021-04-06
- 2021-04-13
- 2021-04-22
- 2021-04-27
- 2021-05-04
- 2021-06-22
- 2021-09-21
-
2021-12-01
Dose 3 — Moderna
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2021-12-02
Survey response — days 1–6 daily, dose 3MedDRA: Unevaluable event — Feeling: Poor · Site: Pain · Fever · Chills, Fatigue or tiredness · Be unable to work or attend school, Be unable to do your normal daily activitiesFree text: This was booster not 3rd dose but there wasn't a choice to put thatMedDRA releases: 2024-11 · check-in free text available
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2021-12-03
Health check-in — days 1–6 daily, dose 3Feeling: Fair · Site: Pain · Fever · Fatigue or tiredness · Be unable to work or attend schoolAdult check-in
- 2021-12-04
- 2021-12-05
- 2021-12-06
- 2021-12-07
- 2021-12-08
- 2021-12-15
- 2021-12-22
- 2021-12-29
- 2022-01-05
- 2022-01-12
- 2022-03-02
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2022-06-01
Survey response — 6 months, dose 3MedDRA: Cough, Oropharyngeal pain, Paranasal sinus hypersecretion — Feeling: Good · Be unable to work or attend school, Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultationFree text: Cough, sore throat, sinus drainageMedDRA releases: 2024-11 · check-in free text available
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2022-06-01
Report sent to call center — 6 months, dose 3Be unable to work or attend school · Be unable to do your normal daily activities · Get care from a doctor or other healthcare prTelehealth, virtual health, or email health consultation · 1 call case(s)
- 2022-06-02
-
2022-06-03
Call successfulNot applicable - Accidental Reporting
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2022-10-19
Dose 4 — Moderna
- 2022-10-19
-
2022-10-20
Survey response — days 1–6 daily, dose 4MedDRA: COVID-19 — Feeling: Poor · Site: Pain · Fever · Fatigue or tiredness · Be unable to work or attend schoolFree text: Question- you have recorded all my symptoms from the vaccinations. I don't recall getting asked about when I had Covid in July.MedDRA releases: 2024-11 · check-in free text available
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2022-10-21
Survey response — days 1–6 daily, dose 4MedDRA: Pyrexia — Feeling: Fair · Site: Pain · Fever · Fatigue or tirednessFree text: Last evening fever went to 101MedDRA releases: 2024-11 · check-in free text available
- 2022-10-22
- 2022-10-23
- 2022-10-24
- 2022-10-25
- 2022-10-26
- 2022-11-02
- 2022-11-09
- 2022-11-16
- 2022-11-23
- 2022-11-30
- 2023-01-18
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2023-04-19
Survey response — 6 months, dose 4MedDRA: Abdominal pain upper — Feeling: Good · Be unable to work or attend schoolMedDRA releases: 2024-11
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-02-23 | Moderna | |
| 2 | 2021-03-23 | Moderna | |
| 3 | 2021-12-01 | Moderna | No |
| 4 | 2022-10-19 | Moderna | No |
Call center
1 call center case
1 successful
Free text
Release 4 — day 0, dose 1
Systemic reaction (other): Just a slight weird sensation in my body about 10 minutes after. They took blood pressure and it was a little high but nothing to worry about. Oxygen level was fine. As I say there and talked with police officer the sensation subsided. I stayed an extra 10 minutes and felt fine. I normally have low blood pressure so I think that could have caused the unusual feeling in my body. Not sure if the vaccine or adrenaline rush from the excitement of getting the vaccine could have caused the blood pressure elevation. All in all it was mild and did not last past 15 minutes.
Release 4 — days 1–6 daily, dose 1
Systemic reaction (other): The redness at injection site is actually a bruise yesterday and today but you dont list that as a choice
Release 4 — day 7, dose 1
Systemic reaction (other): The red spot from injection was a bruise the last 2 days. Now it is red again and sore to the touch again
Release 10 — days 1–6 daily, dose 3
Systemic reaction (other): This was booster not 3rd dose but there wasn't a choice to put that
Release 11 — 6 months, dose 3
Symptoms: Cough, sore throat, sinus drainage
Release 12 — days 1–6 daily, dose 4
Systemic reaction (other): Question- you have recorded all my symptoms from the vaccinations. I don't recall getting asked about when I had Covid in July.
Systemic reaction (other): Last evening fever went to 101
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 | Abdominal pain upper | · | · | ✓ |
| SD | Cough | · | · | ✓ |
| SD | Oropharyngeal pain | · | · | ✓ |
| SD | Paranasal sinus hypersecretion | · | · | ✓ |
| SRO | COVID-19 | · | · | ✓ |
| SRO | Hypertension | ✓ | ✓ | ✓ |
| SRO | Immediate post-injection reaction | ✓ | ✓ | ✓ |
| SRO | Injection site bruising | ✓ | ✓ | ✓ |
| SRO | Injection site erythema | ✓ | ✓ | ✓ |
| SRO | Injection site pain | ✓ | ✓ | ✓ |
| SRO | Pyrexia | · | · | ✓ |
| SRO | Sensory disturbance | ✓ | ✓ | ✓ |
| SRO | Unevaluable event | · | · | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release