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3D9-24756-32469

5 vaccinations 7 coded responses 45 check-ins 6 free-text entries 2 call cases
Sex
Female
Age at first dose
51-55
ZIP prefix
480 / MI
Registered
2021-04-04
Relationship
Self
Race
White
Ethnicity
Not Hispanic or Latino

Timeline

  1. 2021-03-12
    Dose 1 — Moderna
  2. 2021-04-04
    Registered in v-safe
  3. 2021-04-04
    Health check-in — day 21, dose 1
    Feeling: Good
    Adult check-in
  4. 2021-04-09
    Dose 2 — Moderna
  5. 2021-04-09
    Survey response — day 0, dose 2
    MedDRA: Unevaluable event — Feeling: Good
    Free text: I just received the shot 30 minutes ago. Too soon for a reaction, I think.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  6. 2021-04-10
    Health check-in — days 1–6 daily, dose 2
    Feeling: Poor · Site: Redness, Itching · Fever · Chills, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to work, Be unable to do your normal daily activities
    Adult check-in
  7. 2021-04-11
    Survey response — days 1–6 daily, dose 2
    MedDRA: Decreased appetite, Injection site erythema, Injection site mass, Injection site pain, Injection site pruritus, Night sweats, Pyrexia, Self-medication — Feeling: Fair · Site: Pain, Redness, Swelling, Itching · Fatigue or tiredness
    Free text: Had a fever late last night of 102.4. Took 1000mg Tylenol and was down to 98.1 this morning. Soaking sweats on and off most of last night. No appetite yesterday. Lump at site is tender, itchy, and red. Otherwise, ok.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  8. 2021-04-12
    Health check-in — days 1–6 daily, dose 2
    Feeling: Fair · Site: Pain, Redness, Swelling, Itching · Fatigue or tiredness
    Adult check-in
  9. 2021-04-13
    Health check-in — days 1–6 daily, dose 2
    Feeling: Fair · Site: Pain, Redness, Swelling, Itching · Fatigue or tiredness
    Adult check-in
  10. 2021-04-14
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · Site: Swelling, Itching · Fatigue or tiredness
    Adult check-in
  11. 2021-04-15
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · Site: Swelling · None
    Adult check-in
  12. 2021-04-16
    Health check-in — day 7, dose 2
    Feeling: Good · Site: Pain, Swelling · None
    Adult check-in
  13. 2021-04-23
    Health check-in — day 14, dose 2
    Feeling: Good
    Adult check-in
  14. 2021-04-30
    Health check-in — day 21, dose 2
    Feeling: Good
    Adult check-in
  15. 2021-05-07
    Health check-in — day 28, dose 2
    Feeling: Good
    Adult check-in
  16. 2021-05-14
    Health check-in — day 35, dose 2
    Feeling: Good
    Adult check-in
  17. 2021-05-21
    Health check-in — day 42, dose 2
    Feeling: Good
    Adult check-in
  18. 2021-07-09
    Health check-in — 3 months, dose 2
    Feeling: Fair
    Adult check-in
  19. 2021-10-08
    Health check-in — 6 months, dose 2
    Feeling: Good
    Adult check-in
  20. 2021-11-05
    Dose 3 — Moderna
  21. 2021-11-05
    Health check-in — day 0, dose 3
    Feeling: Good · None
    Adult check-in
  22. 2021-11-06
    Health check-in — days 1–6 daily, dose 3
    Feeling: Poor · Site: Pain, Redness, Swelling · Headache, Muscle or body aches, Fatigue or tiredness · Be unable to work or attend school, Be unable to do your normal daily activities
    Adult check-in
  23. 2021-11-07
    Health check-in — days 1–6 daily, dose 3
    Feeling: Fair · Site: Pain, Redness, Swelling, Itching · Headache, Fatigue or tiredness · Be unable to work or attend school, Be unable to do your normal daily activities
    Adult check-in
  24. 2021-11-08
    Health check-in — days 1–6 daily, dose 3
    Feeling: Fair · Site: Pain, Redness, Swelling, Itching · Fatigue or tiredness
    Adult check-in
  25. 2021-11-09
    Health check-in — days 1–6 daily, dose 3
    Feeling: Fair · Site: Pain, Redness, Swelling, Itching · Fatigue or tiredness
    Adult check-in
  26. 2021-11-11
    Health check-in — days 1–6 daily, dose 3
    Feeling: Good · Site: Redness, Swelling, Itching · None
    Adult check-in
  27. 2021-11-12
    Health check-in — day 7, dose 3
    Feeling: Good · Site: Redness, Swelling, Itching · None
    Adult check-in
  28. 2021-11-19
    Health check-in — day 14, dose 3
    Feeling: Good
    Adult check-in
  29. 2021-11-26
    Survey response — day 21, dose 3
    MedDRA: Injection site erythema, Injection site reaction, Injection site swelling — Feeling: Good
    Free text: Feel like a needle poke once in a while at the injection site. Swelling gone but can still see slight redness at the site.
    MedDRA releases: 2024-11 · check-in free text available
  30. 2021-12-03
    Health check-in — day 28, dose 3
    Feeling: Good
    Adult check-in
  31. 2021-12-10
    Health check-in — day 35, dose 3
    Feeling: Good
    Adult check-in
  32. 2021-12-17
    Health check-in — day 42, dose 3
    Feeling: Good
    Adult check-in
  33. 2022-02-04
    Health check-in — 3 months, dose 3
    Feeling: Good
    Adult check-in
  34. 2022-04-12
    Dose 4 — Moderna
  35. 2022-05-06
    Survey response — 6 months, dose 3
    MedDRA: Cervical dysplasia, Colposcopy, Glycosylated haemoglobin increased, Smear cervix abnormal — Feeling: Good · Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultation
    Free text: I had an abnormal PAP smearLSIL. Had colposcopy and no lesions or areas of concern were found. A1C also increased to 5.7, and I have never been higher than 5.4.
    MedDRA releases: 2024-11 · check-in free text available
  36. 2022-05-06
    Report sent to call center — 6 months, dose 3
    Get care from a doctor or other healthcare professional
    Telehealth, virtual health, or email health consultation · 1 call case(s)
  37. 2022-05-09
  38. 2022-05-09
    Call successful
    Not applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill
  39. 2022-10-20
    Dose 5 — Moderna
  40. 2022-10-20
    Health check-in — day 0, dose 5
    Feeling: Good · None
    Adult check-in
  41. 2022-10-21
    Health check-in — days 1–6 daily, dose 5
    Feeling: Fair · Site: Redness, Swelling, Itching · Fever · Chills, Fatigue or tiredness
    Adult check-in
  42. 2022-10-22
    Survey response — days 1–6 daily, dose 5
    MedDRA: Injection site erythema, Injection site swelling, Vaccine positive rechallenge — Feeling: Good · Site: Redness, Swelling, Itching · Headache
    Free text: Redness and swelling at injection site about the size of a quarter. Very similar to my reactions to mosquito bites. Same reaction with the 4 prior COVID shots. All other reactions significantly less with #5 than the previous.
    MedDRA releases: 2024-11 · check-in free text available
  43. 2022-10-23
    Health check-in — days 1–6 daily, dose 5
    Feeling: Fair · Site: Pain, Redness, Swelling, Itching · Fatigue or tiredness
    Adult check-in
  44. 2022-10-24
    Survey response — days 1–6 daily, dose 5
    MedDRA: Immunisation reaction, Paraesthesia — Feeling: Good · Site: Pain, Redness, Swelling, Itching
    Free text: "COVID Arm" is significantly better today. Feels a little picky, but I think that is the swelling going down.
    MedDRA releases: 2024-11 · check-in free text available
  45. 2022-10-25
    Health check-in — days 1–6 daily, dose 5
    Feeling: Good · Site: Redness, Itching · None
    Adult check-in
  46. 2022-10-26
    Health check-in — days 1–6 daily, dose 5
    Feeling: Good · Site: Redness · None
    Adult check-in
  47. 2022-10-27
    Health check-in — day 7, dose 5
    Feeling: Good · Site: Redness · None
    Adult check-in
  48. 2022-11-03
    Health check-in — day 14, dose 5
    Feeling: Good
    Adult check-in
  49. 2022-11-10
    Health check-in — day 21, dose 5
    Feeling: Good
    Adult check-in
  50. 2022-11-17
    Health check-in — day 28, dose 5
    Feeling: Good
    Adult check-in
  51. 2022-11-24
    Health check-in — day 35, dose 5
    Feeling: Good
    Adult check-in
  52. 2022-12-01
    Health check-in — day 42, dose 5
    Feeling: Good
    Adult check-in
  53. 2023-01-19
    Health check-in — 3 months, dose 5
    Feeling: Good
    Adult check-in
  54. 2023-04-20
    Survey response — 6 months, dose 5
    MedDRA: Office visit, Pre-existing disease, Smear cervix abnormal — Feeling: Good · Get care from a doctor or other healthcare professional
    MedDRA releases: 2024-11
  55. 2023-04-20
    Report sent to call center — 6 months, dose 5
    Get care from a doctor or other healthcare professional
    1 call case(s)
  56. 2023-04-21
    Call successful
    Does not wish to fill out VAERS report

Vaccinations

DoseDateManufacturerCo-administered
12021-03-12Moderna
22021-04-09Moderna
32021-11-05Moderna No
42022-04-12Moderna No
52022-10-20Moderna No

Call center

2 call center cases

2 successful

See the call center timeline

Free text

Release 7 — day 0, dose 2

2021-04-09

Systemic reaction (other): I just received the shot 30 minutes ago. Too soon for a reaction, I think.

Release 7 — days 1–6 daily, dose 2

2021-04-11

Systemic reaction (other): Had a fever late last night of 102.4. Took 1000mg Tylenol and was down to 98.1 this morning. Soaking sweats on and off most of last night. No appetite yesterday. Lump at site is tender, itchy, and red. Otherwise, ok.

Release 10 — day 21, dose 3

2021-11-26

Symptoms: Feel like a needle poke once in a while at the injection site. Swelling gone but can still see slight redness at the site.

Release 11 — 6 months, dose 3

2022-05-06

Symptoms: I had an abnormal PAP smearLSIL. Had colposcopy and no lesions or areas of concern were found. A1C also increased to 5.7, and I have never been higher than 5.4.

Release 12 — days 1–6 daily, dose 5

2022-10-22

Systemic reaction (other): Redness and swelling at injection site about the size of a quarter. Very similar to my reactions to mosquito bites. Same reaction with the 4 prior COVID shots. All other reactions significantly less with #5 than the previous.

2022-10-24

Systemic reaction (other): "COVID Arm" is significantly better today. Feels a little picky, but I think that is the swelling going down.

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

FieldPreferred term2021-092023-042024-11
HCVOOffice visit · · ✓
SDCervical dysplasia · · ✓
SDColposcopy · · ✓
SDGlycosylated haemoglobin increased · · ✓
SDInjection site erythema · · ✓
SDInjection site reaction · · ✓
SDInjection site swelling · · ✓
SDPre-existing disease · · ✓
SDSmear cervix abnormal · · ✓
SRODecreased appetite ✓ ✓ ✓
SROImmunisation reaction · · ✓
SROInjection site erythema ✓ ✓ ✓
SROInjection site mass ✓ ✓ ✓
SROInjection site pain ✓ ✓ ✓
SROInjection site pruritus ✓ ✓ ✓
SROInjection site swelling · · ✓
SRONight sweats ✓ ✓ ✓
SROParaesthesia · · ✓
SROPyrexia ✓ ✓ ✓
SROSelf-medication ✓ ✓ ✓
SROUnevaluable event ✓ ✓ ✓
SROVaccine positive rechallenge · · ✓

✓ active code · ○ coded but marked inactive · blank = not in that release

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