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2M6-18809-23193

2 vaccinations 4 coded responses 20 check-ins 4 free-text entries 1 call case
Sex
Female
Age at first dose
66+
ZIP prefix
486 / MI
Registered
2021-03-05
Relationship
Self
Race
White
Ethnicity
Not Hispanic or Latino

Timeline

  1. 2021-03-04
    Dose 1 — Moderna
  2. 2021-03-05
    Registered in v-safe
  3. 2021-03-05
    Health check-in — days 1–6 daily, dose 1
    Feeling: Fair · Site: Pain, Swelling · Chills, Fatigue or tiredness, Nausea · Be unable to do your normal daily activities
    Adult check-in
  4. 2021-03-06
    Survey response — days 1–6 daily, dose 1
    MedDRA: Unevaluable event — Feeling: Good
    Free text: Yesterday after I submitted how do I feel.Yesterday, late afternoon, I did have a fever of 100.1 for six hours.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  5. 2021-03-07
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · Site: Pain · None
    Adult check-in
  6. 2021-03-08
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · None
    Adult check-in
  7. 2021-03-11
    Health check-in — day 7, dose 1
    Feeling: Good · Fatigue or tiredness
    Adult check-in
  8. 2021-03-18
    Survey response — day 14, dose 1
    MedDRA: Breast disorder, COVID-19 — Feeling: Good · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit
    Free text: They found something in my breast and I now have to have a breast biopsy. Dont know if thats related to having COVID-19 and the vaccine. Just thought Id let you know
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  9. 2021-03-18
    Report sent to call center — day 14, dose 1
    Get care from a doctor or other healthcare professional
    1 call case(s)
  10. 2021-03-25
    Health check-in — day 21, dose 1
    Feeling: Good
    Adult check-in
  11. 2021-04-01
    Dose 2 — Moderna
  12. 2021-04-01
    Health check-in — day 0, dose 2
    Feeling: Good · None
    Adult check-in
  13. 2021-04-02
    Health check-in — days 1–6 daily, dose 2
    Feeling: Poor · Fever · Chills, Headache, Fatigue or tiredness, Nausea · Be unable to do your normal daily activities
    Adult check-in
  14. 2021-04-03
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · None
    Adult check-in
  15. 2021-04-04
    Survey response — days 1–6 daily, dose 2
    MedDRA: Diarrhoea — Feeling: Good · Diarrhea
    Free text: Its not necessary diarrhea but its definitely loose bowels and Ive had it ever since I got the vaccine. Its just like when I had covered its the same side effect.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  16. 2021-04-05
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · None
    Adult check-in
  17. 2021-04-06
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · None
    Adult check-in
  18. 2021-04-07
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · None
    Adult check-in
  19. 2021-04-08
    Health check-in — day 7, dose 2
    Feeling: Good · None
    Adult check-in
  20. 2021-04-15
    Health check-in — day 14, dose 2
    Feeling: Good
    Adult check-in
  21. 2021-04-22
    Survey response — day 21, dose 2
    MedDRA: Breast cancer, Breast operation, SARS-CoV-2 test negative — Feeling: Fair · Be unable to do your normal daily activities
    Free text: I had to have a COVID-19 test and it was negative the reason for the test was I had to have breast cancer surgery today. So thats why Im not feeling good.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  22. 2021-07-01
    Health check-in — 3 months, dose 2
    Feeling: Good
    Adult check-in
  23. 2021-10-02
    Health check-in — 6 months, dose 2
    Feeling: Good
    Adult check-in
  24. 2021-12-22
    Call successful
    Not applicable (accidental reporting or does not believe symptoms are related to vaccine)
  25. 2022-04-03
    Health check-in — 12 months, dose 2
    Feeling: Good
    Adult check-in

Vaccinations

DoseDateManufacturerCo-administered
12021-03-04Moderna
22021-04-01Moderna

Call center

1 call center case

1 successful

See the call center timeline

Free text

Release 5 — days 1–6 daily, dose 1

2021-03-06

Systemic reaction (other): Yesterday after I submitted how do I feel.Yesterday, late afternoon, I did have a fever of 100.1 for six hours.

Release 5 — day 14, dose 1

2021-03-18

Symptoms: They found something in my breast and I now have to have a breast biopsy. Dont know if thats related to having COVID-19 and the vaccine. Just thought Id let you know

Release 6 — days 1–6 daily, dose 2

2021-04-04

Systemic reaction (other): Its not necessary diarrhea but its definitely loose bowels and Ive had it ever since I got the vaccine. Its just like when I had covered its the same side effect.

Release 7 — day 21, dose 2

2021-04-22

Symptoms: I had to have a COVID-19 test and it was negative the reason for the test was I had to have breast cancer surgery today. So thats why Im not feeling good.

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
SDBreast cancer ✓ ✓ ✓
SDBreast disorder ✓ ✓ ✓
SDBreast operation ✓ ✓ ✓
SDCOVID-19 ✓ ✓ ✓
SDSARS-CoV-2 test negative ✓ ✓ ✓
SRODiarrhoea ✓ ✓ ✓
SROUnevaluable event ✓ ✓ ✓

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