3A6-29930-58850
2 vaccinations
10 coded responses
24 check-ins
10 free-text entries
0 call cases
- Sex
- Female
- Age at first dose
- 66+
- ZIP prefix
- 481 / MI
- Registered
- 2021-03-27
- Relationship
- Self
- Race
- Black or African American
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-03-27
Registered in v-safe
-
2021-03-27
Dose 1 — Moderna
-
2021-03-27
Survey response — day 0, dose 1MedDRA: No adverse event — Feeling: GoodFree text: None just restingMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-03-28
Survey response — days 1–6 daily, dose 1MedDRA: Tinnitus — Feeling: Good · Site: PainFree text: Just a little ringing this morning but it gone nowMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-03-29
Survey response — days 1–6 daily, dose 1MedDRA: No adverse event — Feeling: Good · Site: Swelling · HeadacheFree text: MoMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-03-30
Survey response — days 1–6 daily, dose 1MedDRA: Dyspnoea, Office visit — Feeling: Good · Site: ItchingFree text: Yes on 3/29 when walking to the doctors office I experienced a little shortened of breath which lasted about three to four hrs then it went away. Feeling fine after that little experienceMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-04-01
Survey response — days 1–6 daily, dose 1MedDRA: Dyspnoea — Feeling: Good · Site: SwellingFree text: On 3/31/2021 Experience mild shortened of breath for about three to four hrs Today no shortened of breath.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-04-03
Survey response — day 7, dose 1MedDRA: Injection site pain — Feeling: Good · Site: SwellingFree text: Lille soreness around injection Its mildMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-04-12
Survey response — day 14, dose 1MedDRA: Wheezing — Feeling: GoodFree text: A little wheezing with my breathing I used my inhaler that I had when I had cov 19 in Dec 2020. Symptom only lasted a few hrs then it went away breathing is getting much better 99 percent normal now. Thanks for checking on meMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-04-17
-
2021-04-24
Dose 2 — Moderna
-
2021-04-24
Survey response — day 0, dose 2MedDRA: Fatigue — Feeling: Good · Site: PainFree text: Just a little tired thats allMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-04-25
Survey response — days 1–6 daily, dose 2MedDRA: No adverse event — Feeling: Good · Site: SwellingFree text: No problems to reportMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-04-26
-
2021-04-27
Survey response — days 1–6 daily, dose 2MedDRA: No adverse event — Feeling: Good · Site: PainFree text: NoMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-04-28
- 2021-04-29
- 2021-04-30
- 2021-05-01
- 2021-05-08
- 2021-05-17
- 2021-05-22
- 2021-05-29
- 2021-06-05
- 2021-07-24
- 2021-10-25
- 2022-04-26
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-03-27 | Moderna | |
| 2 | 2021-04-24 | Moderna |
Free text
Release 6 — day 0, dose 1
Systemic reaction (other): None just resting
Release 6 — days 1–6 daily, dose 1
Systemic reaction (other): Just a little ringing this morning but it gone now
Systemic reaction (other): Mo
Systemic reaction (other): Yes on 3/29 when walking to the doctors office I experienced a little shortened of breath which lasted about three to four hrs then it went away. Feeling fine after that little experience
Systemic reaction (other): On 3/31/2021 Experience mild shortened of breath for about three to four hrs Today no shortened of breath.
Release 6 — day 7, dose 1
Systemic reaction (other): Lille soreness around injection Its mild
Release 7 — day 14, dose 1
Symptoms: A little wheezing with my breathing I used my inhaler that I had when I had cov 19 in Dec 2020. Symptom only lasted a few hrs then it went away breathing is getting much better 99 percent normal now. Thanks for checking on me
Release 7 — day 0, dose 2
Systemic reaction (other): Just a little tired thats all
Release 7 — days 1–6 daily, dose 2
Systemic reaction (other): No problems to report
Release 8 — days 1–6 daily, dose 2
Systemic reaction (other): No
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 | Wheezing | ✓ | ✓ | ✓ |
| SRO | Dyspnoea | ✓ | ✓ | ✓ |
| SRO | Fatigue | ✓ | ✓ | ✓ |
| SRO | Injection site pain | ✓ | ✓ | ✓ |
| SRO | No adverse event | ✓ | ✓ | ✓ |
| SRO | Office visit | ✓ | ✓ | ✓ |
| SRO | Tinnitus | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release