374-57650-46876
5 vaccinations
3 coded responses
27 check-ins
3 free-text entries
0 call cases
- Sex
- Female
- Age at first dose
- 51-55
- ZIP prefix
- 488 / MI
- Registered
- 2021-04-07
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-03-12
Dose 1 — Moderna
-
2021-04-07
Registered in v-safe
- 2021-04-07
- 2021-04-11
-
2021-04-14
Dose 2 — Moderna
-
2021-04-17
Survey response — days 1–6 daily, dose 2MedDRA: Breast pain, Impaired work ability, Insomnia, Pain — Feeling: Good · Site: Pain, SwellingFree text: Underarm and side of breast pain same side as shot. Night of shot i could not sleep. Next day body aches so bad i missed work.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-04-19
Survey response — days 1–6 daily, dose 2MedDRA: Axillary pain, Diarrhoea — Feeling: GoodFree text: Yesterday I had diarrhea (missed my daily check-in yesterday). Continue to have pain with palpation down axillary lymph node chain on side of shot. Each day the pain moves lower down my side. Today it is at bra line. Yesterday pain was above bra line. Only painful when pressing on it.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-04-20
- 2021-04-21
- 2021-04-28
- 2021-05-06
- 2021-05-12
- 2021-05-19
- 2021-05-26
- 2021-07-14
- 2021-10-13
-
2021-11-13
Dose 3 — Moderna
-
2022-04-13
Dose 4 — Moderna
- 2022-04-14
-
2022-05-01
Survey response — day 14, dose 4MedDRA: Nasopharyngitis — Feeling: Fair · Be unable to work or attend schoolFree text: I have a common cold.MedDRA releases: 2024-11 · check-in free text available
- 2022-05-04
- 2022-05-11
- 2022-05-18
- 2022-05-27
- 2022-07-13
-
2022-10-01
Dose 5 — ModernaCo-administered: Flu
-
2022-10-04
Health check-in — days 1–6 daily, dose 5Feeling: Good · Site: Pain, Redness, Swelling, Itching · Headache, Joint painsAdult check-in
- 2022-10-05
- 2022-10-06
-
2022-10-07
Health check-in — days 1–6 daily, dose 5Feeling: Good · Muscle or body aches, Fatigue or tirednessAdult check-in
- 2022-10-08
- 2023-01-02
- 2023-04-01
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-03-12 | Moderna | |
| 2 | 2021-04-14 | Moderna | |
| 3 | 2021-11-13 | Moderna | No |
| 4 | 2022-04-13 | Moderna | No |
| 5 | 2022-10-01 | Moderna | Flu |
Free text
Release 7 — days 1–6 daily, dose 2
Systemic reaction (other): Underarm and side of breast pain same side as shot. Night of shot i could not sleep. Next day body aches so bad i missed work.
Systemic reaction (other): Yesterday I had diarrhea (missed my daily check-in yesterday). Continue to have pain with palpation down axillary lymph node chain on side of shot. Each day the pain moves lower down my side. Today it is at bra line. Yesterday pain was above bra line. Only painful when pressing on it.
Release 11 — day 14, dose 4
Symptoms: I have a common cold.
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 | · | · | ✓ |
| SRO | Axillary pain | ✓ | ✓ | ✓ |
| SRO | Breast pain | ✓ | ✓ | ✓ |
| SRO | Diarrhoea | ✓ | ✓ | ✓ |
| SRO | Impaired work ability | ✓ | ✓ | ✓ |
| SRO | Insomnia | ✓ | ✓ | ✓ |
| SRO | Pain | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release