3G5-63705-83641
3 vaccinations
6 coded responses
39 check-ins
6 free-text entries
0 call cases
- Sex
- Female
- Age at first dose
- 51-55
- ZIP prefix
- 497 / MI
- Registered
- 2021-03-01
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-03-01
Registered in v-safe
-
2021-03-01
Dose 1 — Moderna
- 2021-03-01
- 2021-03-03
- 2021-03-04
- 2021-03-05
- 2021-03-06
- 2021-03-07
- 2021-03-10
- 2021-03-18
- 2021-03-22
-
2021-03-29
Dose 2 — Moderna
- 2021-03-29
-
2021-03-30
Health check-in — days 1–6 daily, dose 2Feeling: Poor · Site: Pain · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to do your normal daily activitiesAdult check-in
-
2021-03-31
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Site: Pain · Headache, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to do your normal daily activitiesAdult check-in
-
2021-04-01
Survey response — days 1–6 daily, dose 2MedDRA: Rash — Feeling: Good · Diarrhea, Rash, not including the immediate area around the injection siteFree text: Rash on my thighs. But, its going awayMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-04-02
- 2021-04-03
- 2021-04-04
- 2021-04-05
- 2021-04-12
- 2021-04-19
- 2021-04-26
- 2021-05-04
- 2021-05-10
- 2021-06-28
- 2021-09-27
-
2021-11-04
Dose 3 — Moderna
-
2021-11-04
Health check-in — day 0, dose 3Feeling: Good · Site: Pain, Redness · Fatigue or tirednessAdult check-in
-
2021-11-05
Survey response — days 1–6 daily, dose 3MedDRA: Lethargy — Feeling: Fair · Site: Pain, Redness, Swelling · Fever · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activitiesFree text: Just LethargicMedDRA releases: 2024-11 · check-in free text available
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2021-11-06
Health check-in — days 1–6 daily, dose 3Feeling: Good · Site: Pain, Redness, Swelling · Headache, Joint pains, Muscle or body aches, Fatigue or tirednessAdult check-in
- 2021-11-07
- 2021-11-08
- 2021-11-09
- 2021-11-11
-
2021-11-18
Survey response — day 14, dose 3MedDRA: SARS-CoV-2 test negative, Sensitive skin — Feeling: FairFree text: Just feel off. Skin is really sensitive. I understand that it's normal. It just came on yesterday. I took a home kit for COVID came back negative.MedDRA releases: 2024-11 · check-in free text available
- 2021-11-26
- 2021-12-03
- 2021-12-09
- 2021-12-16
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2022-02-03
Survey response — 3 months, dose 3MedDRA: Herpes zoster — Feeling: GoodFree text: Shingles. I'm vaccinated. Seems break outs are worse than before. Also, it comes out in different spots.MedDRA releases: 2024-11 · check-in free text available
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2022-05-06
Survey response — 6 months, dose 3MedDRA: Abdominal pain upper, Body temperature decreased, Diarrhoea, Headache, Hypersomnia — Feeling: Good · Be unable to work or attend school, Be unable to do your normal daily activitiesFree text: Major headaches. Extreme stomach pain. Diarrhea. Lasted 24 hours. Slept majority of it. Woke next day and was fine. Plus a temp. I run 97.4 consistently and I had 97.8. Today I'm awesomeMedDRA releases: 2024-11 · check-in free text available
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2022-11-06
Survey response — 12 months, dose 3MedDRA: Herpes zoster, Medical counselling, Pain — Feeling: Good · Be unable to do your normal daily activitiesFree text: I'm vaccinated against shingles but I'm still breaking out and it's more painful than before. Spoke to pharmacist and was told that could be norma.MedDRA releases: 2024-11 · check-in free text available
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-03-01 | Moderna | |
| 2 | 2021-03-29 | Moderna | |
| 3 | 2021-11-04 | Moderna | No |
Free text
Release 6 — days 1–6 daily, dose 2
Systemic reaction (other): Rash on my thighs. But, its going away
Release 10 — days 1–6 daily, dose 3
Systemic reaction (other): Just Lethargic
Release 10 — day 14, dose 3
Symptoms: Just feel off. Skin is really sensitive. I understand that it's normal. It just came on yesterday. I took a home kit for COVID came back negative.
Release 11 — 3 months, dose 3
Symptoms: Shingles. I'm vaccinated. Seems break outs are worse than before. Also, it comes out in different spots.
Release 11 — 6 months, dose 3
Symptoms: Major headaches. Extreme stomach pain. Diarrhea. Lasted 24 hours. Slept majority of it. Woke next day and was fine. Plus a temp. I run 97.4 consistently and I had 97.8. Today I'm awesome
Release 12 — 12 months, dose 3
Symptoms: I'm vaccinated against shingles but I'm still breaking out and it's more painful than before. Spoke to pharmacist and was told that could be norma.
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 | Abdominal pain upper | · | · | ✓ |
| SD | Body temperature decreased | · | · | ✓ |
| SD | Diarrhoea | · | · | ✓ |
| SD | Headache | · | · | ✓ |
| SD | Herpes zoster | · | · | ✓ |
| SD | Hypersomnia | · | · | ✓ |
| SD | Medical counselling | · | · | ✓ |
| SD | Pain | · | · | ✓ |
| SD | SARS-CoV-2 test negative | · | · | ✓ |
| SD | Sensitive skin | · | · | ✓ |
| SRO | Lethargy | · | · | ✓ |
| SRO | Rash | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release