34L-93272-88347
4 vaccinations
5 coded responses
38 check-ins
5 free-text entries
0 call cases
- Sex
- Female
- Age at first dose
- 66+
- ZIP prefix
- 494 / MI
- Registered
- 2021-03-12
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-02-06
Dose 1 — Moderna
-
2021-03-06
Dose 2 — Moderna
-
2021-03-12
Registered in v-safe
-
2021-03-12
Survey response — days 1–6 daily, dose 2MedDRA: Adverse reaction, Arthralgia, Chills, Headache, Injection site erythema, Injection site pain, Injection site warmth, Insomnia, Pain, Pyrexia, Tremor — Feeling: GoodFree text: Had symptoms after 1st vaccine ... 10 days later had burning hot, red 6 inch spot by injection lasted a week. After second vaccine, had fever, chills, shakes, headache, body aches & joint aches for 36 hours & couldnt sleep. Fourth day was back to normal.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-03-13
- 2021-03-20
- 2021-03-27
- 2021-04-03
- 2021-04-10
- 2021-04-17
- 2021-06-05
- 2021-09-04
-
2021-11-03
Dose 3 — Pfizer-BioNTech
-
2021-11-03
Survey response — day 0, dose 3MedDRA: Brain fog — Feeling: Fair · Fatigue or tirednessFree text: A little brain fogMedDRA releases: 2024-11 · check-in free text available
-
2021-11-04
Health check-in — days 1–6 daily, dose 3Feeling: Good · Site: Pain, Redness, Swelling · Fatigue or tirednessAdult check-in
-
2021-11-05
Health check-in — days 1–6 daily, dose 3Feeling: Good · Site: Pain, Redness, Swelling · Fatigue or tirednessAdult check-in
-
2021-11-06
Survey response — days 1–6 daily, dose 3MedDRA: Fatigue, Injection site erythema — Feeling: Good · Site: Redness, SwellingFree text: My arm has a about 2 inch red spot around inject area. The last two days I was very tired around 4:30/5 pm & needed a nap. Not my normal.MedDRA releases: 2024-11 · check-in free text available
-
2021-11-07
Health check-in — days 1–6 daily, dose 3Feeling: Good · Site: Redness, Swelling · NoneAdult check-in
- 2021-11-08
- 2021-11-09
-
2021-11-11
Survey response — day 7, dose 3MedDRA: Injection site pruritus, Injection site rash — Feeling: Good · Site: RednessFree text: Rash by injection site & itchyMedDRA releases: 2024-11 · check-in free text available
- 2021-11-17
- 2021-11-24
- 2021-12-01
- 2021-12-08
- 2021-12-15
- 2022-02-02
- 2022-05-04
-
2022-05-12
Dose 4 — Pfizer-BioNTech
- 2022-05-14
- 2022-05-15
- 2022-05-16
- 2022-05-17
- 2022-05-18
- 2022-05-19
- 2022-05-26
- 2022-06-02
-
2022-06-09
Survey response — day 28, dose 4MedDRA: COVID-19, Discharge, Fatigue, Headache, Increased upper airway secretion, Respiratory tract congestion, SARS-CoV-2 test positive — Feeling: Poor · Be unable to do your normal daily activitiesFree text: I have tested positive for Covid. First symptoms started with drainage in throat on Friday, June 3. I am on day 6. I feel worst today than day 3. Congested, drainage, headache & get tired easily.MedDRA releases: 2024-11 · check-in free text available
- 2022-06-16
- 2022-06-23
- 2022-08-11
- 2022-11-10
- 2023-05-12
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-02-06 | Moderna | |
| 2 | 2021-03-06 | Moderna | |
| 3 | 2021-11-03 | Pfizer-BioNTech | No |
| 4 | 2022-05-12 | Pfizer-BioNTech | No |
Free text
Release 5 — days 1–6 daily, dose 2
Systemic reaction (other): Had symptoms after 1st vaccine ... 10 days later had burning hot, red 6 inch spot by injection lasted a week. After second vaccine, had fever, chills, shakes, headache, body aches & joint aches for 36 hours & couldnt sleep. Fourth day was back to normal.
Release 10 — day 0, dose 3
Systemic reaction (other): A little brain fog
Release 10 — days 1–6 daily, dose 3
Systemic reaction (other): My arm has a about 2 inch red spot around inject area. The last two days I was very tired around 4:30/5 pm & needed a nap. Not my normal.
Release 10 — day 7, dose 3
Systemic reaction (other): Rash by injection site & itchy
Release 12 — day 28, dose 4
Symptoms: I have tested positive for Covid. First symptoms started with drainage in throat on Friday, June 3. I am on day 6. I feel worst today than day 3. Congested, drainage, headache & get tired easily.
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 | COVID-19 | · | · | ✓ |
| SD | Discharge | · | · | ✓ |
| SD | Fatigue | · | · | ✓ |
| SD | Headache | · | · | ✓ |
| SD | Increased upper airway secretion | · | · | ✓ |
| SD | Respiratory tract congestion | · | · | ✓ |
| SD | SARS-CoV-2 test positive | · | · | ✓ |
| SRO | Adverse reaction | ✓ | ✓ | ✓ |
| SRO | Arthralgia | ✓ | ✓ | ✓ |
| SRO | Brain fog | · | · | ✓ |
| SRO | Chills | ✓ | ✓ | ✓ |
| SRO | Fatigue | · | · | ✓ |
| SRO | Headache | ✓ | ✓ | ✓ |
| SRO | Injection site erythema | ✓ | ✓ | ✓ |
| SRO | Injection site pain | ✓ | ✓ | ✓ |
| SRO | Injection site pruritus | · | · | ✓ |
| SRO | Injection site rash | · | · | ✓ |
| SRO | Injection site warmth | ✓ | ✓ | ✓ |
| SRO | Insomnia | ✓ | ✓ | ✓ |
| SRO | Pain | ✓ | ✓ | ✓ |
| SRO | Pyrexia | ✓ | ✓ | ✓ |
| SRO | Tremor | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release