33V-31589-92462
3 vaccinations
6 coded responses
33 check-ins
6 free-text entries
1 call case
- Sex
- Female
- Age at first dose
- 66+
- ZIP prefix
- 491 / MI
- Registered
- 2021-01-26
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-01-26
Registered in v-safe
-
2021-01-26
Dose 1 — Moderna
- 2021-01-26
- 2021-01-27
- 2021-01-28
- 2021-01-29
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2021-01-30
Survey response — days 1–6 daily, dose 1MedDRA: Arthralgia, Pain — Feeling: Fair · Site: Pain, Swelling · Muscle or body aches, Fatigue or tirednessFree text: injection shoulder area gets sharp pain if I move arm wrong way, so am trying to be careful., also using Assisi Loop tPEMFMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-01-31
Health check-in — days 1–6 daily, dose 1Feeling: Fair · Fever · Headache, Fatigue or tiredness · Be unable to do your normal daily activitiesAdult check-in
-
2021-02-01
Health check-in — days 1–6 daily, dose 1Feeling: Fair · Site: Pain · Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activitiesAdult check-in
- 2021-02-02
- 2021-02-09
- 2021-02-16
- 2021-02-23
-
2021-03-01
Dose 2 — Moderna
- 2021-03-01
- 2021-03-02
-
2021-03-03
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Site: Pain · Fatigue or tirednessAdult check-in
-
2021-03-04
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Chills, Headache, Fatigue or tiredness · Be unable to do your normal daily activitiesAdult check-in
- 2021-03-05
- 2021-03-07
- 2021-03-08
- 2021-03-15
- 2021-03-22
- 2021-03-29
- 2021-04-05
- 2021-04-12
- 2021-06-01
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2021-08-31
Survey response — 6 months, dose 2MedDRA: Fatigue, Headache, Hypersomnia, Nasal congestion, Office visit, Oropharyngeal pain — Feeling: Poor · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visitFree text: Symptoms: Extreme fatigue, sleeping 10 hours, sore throat, stuffy nose, headache. · Healthcare visit (other): Family doctor visit following dayg dayMedDRA releases: 2021-09,2024-11 · check-in free text available
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2021-08-31
Report sent to call center — 6 months, dose 2Get care from a doctor or other healthcare professional1 call case(s)
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2021-09-02
Call successfulNot applicable (accidental reporting or does not believe symptoms are related to vaccine)
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2021-10-25
Dose 3 — Moderna
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2021-10-30
Health check-in — days 1–6 daily, dose 3Feeling: Fair · Site: Pain · Headache, Joint pains, Fatigue or tirednessAdult check-in
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2021-11-01
Survey response — day 7, dose 3MedDRA: Dizziness, Hypersomnia, Neck pain — Feeling: Poor · Fever · Chills, Headache, Muscle or body aches, Nausea · Be unable to do your normal daily activitiesFree text: Dizzyyness, sleeping 10 hours, neck painMedDRA releases: 2024-11 · check-in free text available
- 2021-11-09
- 2021-11-17
- 2021-11-22
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2021-11-29
Survey response — day 35, dose 3MedDRA: Body temperature increased, Chills, Fatigue, Rhinorrhoea, Sneezing, Throat irritation — Feeling: PoorFree text: Very tired, runny nose, sneezing, scratchy throat, chills, 99 degree temperature. Eating okay and drinking ample fluids.MedDRA releases: 2024-11 · check-in free text available
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2021-12-07
Survey response — day 42, dose 3MedDRA: Fatigue, Hypersomnia, Pyrexia, Respiratory tract congestion, Rhinorrhoea — Feeling: Fair · Be unable to do your normal daily activitiesFree text: Fatigue, congestion, nasal drainage, Low grade fever off and on, sleeping 9 hours or more off and on.MedDRA releases: 2024-11 · check-in free text available
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2022-01-26
Survey response — 3 months, dose 3MedDRA: Fatigue, Somnolence — Feeling: Fair · Be unable to do your normal daily activitiesFree text: Fatigue, sleeping 9 or more hours at night.MedDRA releases: 2024-11 · check-in free text available
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-01-26 | Moderna | |
| 2 | 2021-03-01 | Moderna | |
| 3 | 2021-10-25 | Moderna | No |
Call center
1 call center case
1 successful
Free text
Release 3 — days 1–6 daily, dose 1
Systemic reaction (other): injection shoulder area gets sharp pain if I move arm wrong way, so am trying to be careful., also using Assisi Loop tPEMF
Release 9 — 6 months, dose 2
Symptoms: Extreme fatigue, sleeping 10 hours, sore throat, stuffy nose, headache.
Healthcare visit (other): Family doctor visit following dayg day
Release 10 — day 7, dose 3
Systemic reaction (other): Dizzyyness, sleeping 10 hours, neck pain
Release 10 — day 35, dose 3
Symptoms: Very tired, runny nose, sneezing, scratchy throat, chills, 99 degree temperature. Eating okay and drinking ample fluids.
Release 10 — day 42, dose 3
Symptoms: Fatigue, congestion, nasal drainage, Low grade fever off and on, sleeping 9 hours or more off and on.
Release 11 — 3 months, dose 3
Symptoms: Fatigue, sleeping 9 or more hours at night.
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 | Office visit | ✓ | · | ✓ |
| SD | Body temperature increased | · | · | ✓ |
| SD | Chills | · | · | ✓ |
| SD | Fatigue | ✓ | · | ✓ |
| SD | Headache | ✓ | · | ✓ |
| SD | Hypersomnia | ✓ | · | ✓ |
| SD | Nasal congestion | ✓ | · | ✓ |
| SD | Oropharyngeal pain | ✓ | · | ✓ |
| SD | Pyrexia | · | · | ✓ |
| SD | Respiratory tract congestion | · | · | ✓ |
| SD | Rhinorrhoea | · | · | ✓ |
| SD | Sneezing | · | · | ✓ |
| SD | Somnolence | · | · | ✓ |
| SD | Throat irritation | · | · | ✓ |
| SRO | Arthralgia | ✓ | ✓ | ✓ |
| SRO | Dizziness | · | · | ✓ |
| SRO | Hypersomnia | · | · | ✓ |
| SRO | Neck pain | · | · | ✓ |
| SRO | Pain | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release