3M7-21646-70662
5 vaccinations
13 coded responses
65 check-ins
13 free-text entries
3 call cases
- Sex
- Female
- Age at first dose
- 66+
- ZIP prefix
- 484 / MI
- Registered
- 2021-03-04
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-03-02
Dose 1 — Moderna
-
2021-03-04
Registered in v-safe
- 2021-03-04
- 2021-03-05
- 2021-03-06
- 2021-03-07
- 2021-03-08
- 2021-03-09
- 2021-03-18
- 2021-03-23
-
2021-03-30
Dose 2 — Moderna
- 2021-03-30
-
2021-03-31
Health check-in — days 1–6 daily, dose 2Feeling: Good · Site: Pain, Swelling · Fatigue or tirednessAdult check-in
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2021-04-01
Survey response — days 1–6 daily, dose 2MedDRA: Sinus pain — Feeling: GoodFree text: Sinuses are a bit painful. Dont know if its just the weather or related to the shot. If I make Tylenol now, 53 hours after the shot, will it effect the efficacy of the vaccine?MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-04-02
- 2021-04-03
- 2021-04-04
- 2021-04-05
- 2021-04-06
- 2021-04-13
- 2021-04-20
- 2021-04-27
- 2021-05-04
- 2021-05-11
- 2021-06-29
- 2021-09-28
-
2021-10-27
Dose 3 — Moderna
- 2021-10-27
-
2021-10-28
Health check-in — days 1–6 daily, dose 3Feeling: Fair · Site: Pain, Redness · Chills, Headache, Joint pains, Fatigue or tiredness · Be unable to do your normal daily activitiesAdult check-in
-
2021-10-29
Survey response — days 1–6 daily, dose 3MedDRA: Gait disturbance, Sinus congestion — Feeling: Fair · Site: Pain · HeadacheFree text: Sinuses were swollen, and I felt unstable when walking.MedDRA releases: 2024-11 · check-in free text available
- 2021-10-30
- 2021-10-31
-
2021-11-01
Survey response — days 1–6 daily, dose 3MedDRA: Fatigue, Sinus pain — Feeling: Good · Fatigue or tirednessFree text: Some fatigue along with a bit more of sinus pain, which might not be related.MedDRA releases: 2024-11 · check-in free text available
- 2021-11-03
- 2021-11-10
- 2021-11-17
- 2021-11-24
- 2021-12-01
- 2021-12-08
-
2022-01-26
Survey response — 3 months, dose 3MedDRA: Fall, Gait disturbance, Pain — Feeling: Fair · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visitFree text: No CoVid symptoms or omicron symptoms, but I did trip snd fall last Sunday. Nothing is broken, but I am really sore.MedDRA releases: 2024-11 · check-in free text available
-
2022-01-26
Report sent to call center — 3 months, dose 3Be unable to do your normal daily activities · Get care from a doctor or other healthcare professionalOutpatient clinic or urgent care clinic visit · 1 call case(s)
- 2022-01-31
-
2022-04-06
Dose 4 — Moderna
- 2022-04-06
-
2022-04-07
Survey response — days 1–6 daily, dose 4MedDRA: Cough, Paranasal sinus hypersecretion — Feeling: Fair · Site: Pain, Redness · Headache, Joint pains, Muscle or body aches, Fatigue or tirednessFree text: Severe sinus drainage last night, kept me awake coughing.MedDRA releases: 2024-11 · check-in free text available
- 2022-04-08
- 2022-04-09
- 2022-04-10
- 2022-04-11
- 2022-04-12
- 2022-04-13
- 2022-04-20
- 2022-04-27
- 2022-05-04
- 2022-05-11
- 2022-05-18
- 2022-07-06
-
2022-09-30
Dose 5 — ModernaCo-administered: Flu
- 2022-09-30
- 2022-10-01
-
2022-10-02
Survey response — days 1–6 daily, dose 5MedDRA: Sinus pain — Feeling: Fair · Fatigue or tirednessFree text: Sinus pain starting the day that I received the shot. I thought it was a fluke, but I still have it. It could be allergies from the west here here too.MedDRA releases: 2024-11 · check-in free text available
-
2022-10-03
Survey response — days 1–6 daily, dose 5MedDRA: Sinus pain — Feeling: Good · HeadacheFree text: Sinus pain.MedDRA releases: 2024-11 · check-in free text available
- 2022-10-04
-
2022-10-05
Survey response — days 1–6 daily, dose 5MedDRA: Sinus pain — Feeling: GoodFree text: Sinuses still hurt a bit.MedDRA releases: 2024-11 · check-in free text available
- 2022-10-06
- 2022-10-07
- 2022-10-14
-
2022-10-21
Survey response — day 21, dose 5MedDRA: Sinusitis — Feeling: PoorFree text: I have a sinus infection that started yesterday evening.MedDRA releases: 2024-11 · check-in free text available
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2022-10-28
Survey response — day 28, dose 5MedDRA: Decreased appetite, Diarrhoea, Fatigue, Sinus pain, Sinusitis — Feeling: FairFree text: Sinus infection; sinus pain, poor appetite, tiredness, loose stools.MedDRA releases: 2024-11 · check-in free text available
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2022-11-04
Survey response — day 35, dose 5MedDRA: Cough, Sinusitis — Feeling: Fair · Be unable to work or attend schoolFree text: Sinus infection, lingering cough,MedDRA releases: 2024-11 · check-in free text available
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2022-11-11
Survey response — day 42, dose 5MedDRA: Sinusitis — Feeling: Fair · Be unable to work or attend school, Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultationFree text: I have a sinus infection. It is better than it was and being treated with antibiotics.MedDRA releases: 2024-11 · check-in free text available
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2022-11-11
Report sent to call center — day 42, dose 5Be unable to work or attend school · Be unable to do your normal daily activities · Get care from a doctor or other healthcare prTelehealth, virtual health, or email health consultation · 1 call case(s)
- 2022-11-14
- 2022-11-14
-
2022-12-30
Survey response — 3 months, dose 5MedDRA: Cough, Fatigue, Headache, Sinus congestion — Feeling: Fair · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultationFree text: Sinus congestion, coughing, tired, headacheMedDRA releases: 2024-11 · check-in free text available
-
2022-12-30
Report sent to call center — 3 months, dose 5Be unable to do your normal daily activities · Get care from a doctor or other healthcare professionalTelehealth, virtual health, or email health consultation · 1 call case(s)
-
2023-01-03
Call successfulNot applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill
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2023-01-03
Call successfulNot applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill
-
2023-01-03
Call successfulNot applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill
- 2023-03-31
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-03-02 | Moderna | |
| 2 | 2021-03-30 | Moderna | |
| 3 | 2021-10-27 | Moderna | No |
| 4 | 2022-04-06 | Moderna | No |
| 5 | 2022-09-30 | Moderna | Flu |
Call center
3 call center cases
3 successful
Free text
Release 6 — days 1–6 daily, dose 2
Systemic reaction (other): Sinuses are a bit painful. Dont know if its just the weather or related to the shot. If I make Tylenol now, 53 hours after the shot, will it effect the efficacy of the vaccine?
Release 10 — days 1–6 daily, dose 3
Systemic reaction (other): Sinuses were swollen, and I felt unstable when walking.
Systemic reaction (other): Some fatigue along with a bit more of sinus pain, which might not be related.
Release 11 — 3 months, dose 3
Symptoms: No CoVid symptoms or omicron symptoms, but I did trip snd fall last Sunday. Nothing is broken, but I am really sore.
Release 11 — days 1–6 daily, dose 4
Systemic reaction (other): Severe sinus drainage last night, kept me awake coughing.
Release 12 — days 1–6 daily, dose 5
Systemic reaction (other): Sinus pain starting the day that I received the shot. I thought it was a fluke, but I still have it. It could be allergies from the west here here too.
Systemic reaction (other): Sinus pain.
Systemic reaction (other): Sinuses still hurt a bit.
Release 12 — day 21, dose 5
Symptoms: I have a sinus infection that started yesterday evening.
Release 12 — day 28, dose 5
Symptoms: Sinus infection; sinus pain, poor appetite, tiredness, loose stools.
Release 12 — day 35, dose 5
Symptoms: Sinus infection, lingering cough,
Release 12 — day 42, dose 5
Symptoms: I have a sinus infection. It is better than it was and being treated with antibiotics.
Release 12 — 3 months, dose 5
Symptoms: Sinus congestion, coughing, tired, headache
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 | Cough | · | · | ✓ |
| SD | Decreased appetite | · | · | ✓ |
| SD | Diarrhoea | · | · | ✓ |
| SD | Fall | · | · | ✓ |
| SD | Fatigue | · | · | ✓ |
| SD | Gait disturbance | · | · | ✓ |
| SD | Headache | · | · | ✓ |
| SD | Pain | · | · | ✓ |
| SD | Sinus congestion | · | · | ✓ |
| SD | Sinus pain | · | · | ✓ |
| SD | Sinusitis | · | · | ✓ |
| SRO | Cough | · | · | ✓ |
| SRO | Fatigue | · | · | ✓ |
| SRO | Gait disturbance | · | · | ✓ |
| SRO | Paranasal sinus hypersecretion | · | · | ✓ |
| SRO | Sinus congestion | · | · | ✓ |
| SRO | Sinus pain | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release