34X-76114-28658
4 vaccinations
12 coded responses
43 check-ins
12 free-text entries
0 call cases
- Sex
- Female
- Age at first dose
- 66+
- ZIP prefix
- 481 / MI
- Registered
- 2021-03-11
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-03-11
Registered in v-safe
-
2021-03-11
Dose 1 — Moderna
-
2021-03-11
Survey response — day 0, dose 1MedDRA: No adverse event — Feeling: GoodFree text: NoMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-03-12
Survey response — days 1–6 daily, dose 1MedDRA: Injection site pain — Feeling: Good · Site: PainFree text: Id call the pain at the injection site as a soreness in my arm. It started about 6 hours after my injection; it was much better when I woke up this morning.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-03-13
Survey response — days 1–6 daily, dose 1MedDRA: No adverse event — Feeling: GoodFree text: No: feeling goodMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-03-14
Survey response — days 1–6 daily, dose 1MedDRA: No adverse event — Feeling: GoodFree text: NoMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-03-15
Survey response — days 1–6 daily, dose 1MedDRA: No adverse event — Feeling: GoodFree text: NoMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-03-16
-
2021-03-17
Survey response — days 1–6 daily, dose 1MedDRA: Unevaluable event — Feeling: GoodFree text: OMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-03-18
Survey response — day 7, dose 1MedDRA: No adverse event — Feeling: GoodFree text: NoMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-03-25
- 2021-04-01
-
2021-04-08
Survey response — day 28, dose 1MedDRA: Nasopharyngitis, SARS-CoV-2 test negative — Feeling: Fair · Be unable to do your normal daily activitiesFree text: Head cold but some symptoms did concern me and I had a test for COVID that came back negative.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-04-09
Dose 2 — Moderna
- 2021-04-09
- 2021-04-10
-
2021-04-11
Survey response — days 1–6 daily, dose 2MedDRA: No adverse event — Feeling: Fair · Fatigue or tirednessFree text: NoMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-04-12
- 2021-04-13
- 2021-04-14
- 2021-04-15
- 2021-04-16
- 2021-04-23
- 2021-04-30
- 2021-05-07
-
2021-05-14
Survey response — day 35, dose 2MedDRA: Urticaria — Feeling: GoodFree text: Im breaking out in hives during the night; I wake up with them. This actually started several weeks back but I didnt associate them with the vaccine. Its as if my immune system is in heightened alert for my seasonal allergies. I am managingMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-05-21
Survey response — day 42, dose 2MedDRA: Urticaria — Feeling: GoodFree text: The daily hives. Im trying to manage them but this is something new for me and I have to wonder if my immune system is all whacky now.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-07-09
- 2021-10-10
-
2021-11-26
Dose 3 — Moderna
- 2022-04-09
- 2022-05-29
-
2022-11-23
Dose 4 — Moderna
- 2022-11-23
-
2022-11-24
Survey response — days 1–6 daily, dose 4MedDRA: Headache, Malaise — Feeling: Fair · HeadacheFree text: Very mild headache; a feeling of being out of sorts.MedDRA releases: 2024-11 · check-in free text available
- 2022-11-25
- 2022-11-26
- 2022-11-27
- 2022-11-28
- 2022-11-29
- 2022-12-02
- 2022-12-07
- 2022-12-14
- 2022-12-21
- 2022-12-28
- 2023-01-04
- 2023-02-24
- 2023-05-24
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-03-11 | Moderna | |
| 2 | 2021-04-09 | Moderna | |
| 3 | 2021-11-26 | Moderna | No |
| 4 | 2022-11-23 | Moderna | No |
Free text
Release 5 — day 0, dose 1
Systemic reaction (other): No
Release 5 — days 1–6 daily, dose 1
Systemic reaction (other): Id call the pain at the injection site as a soreness in my arm. It started about 6 hours after my injection; it was much better when I woke up this morning.
Systemic reaction (other): No: feeling good
Systemic reaction (other): No
Systemic reaction (other): No
Systemic reaction (other): O
Release 5 — day 7, dose 1
Systemic reaction (other): No
Release 7 — day 28, dose 1
Symptoms: Head cold but some symptoms did concern me and I had a test for COVID that came back negative.
Release 7 — days 1–6 daily, dose 2
Systemic reaction (other): No
Release 8 — day 35, dose 2
Symptoms: Im breaking out in hives during the night; I wake up with them. This actually started several weeks back but I didnt associate them with the vaccine. Its as if my immune system is in heightened alert for my seasonal allergies. I am managing
Release 8 — day 42, dose 2
Symptoms: The daily hives. Im trying to manage them but this is something new for me and I have to wonder if my immune system is all whacky now.
Release 12 — days 1–6 daily, dose 4
Systemic reaction (other): Very mild headache; a feeling of being out of sorts.
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 | Nasopharyngitis | ✓ | ✓ | ✓ |
| SD | SARS-CoV-2 test negative | ✓ | ✓ | ✓ |
| SD | Urticaria | ✓ | ✓ | ✓ |
| SRO | Headache | · | · | ✓ |
| SRO | Injection site pain | ✓ | ✓ | ✓ |
| SRO | Malaise | · | · | ✓ |
| SRO | No adverse event | ✓ | ✓ | ✓ |
| SRO | Unevaluable event | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release