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3TE-13799-79296

6 vaccinations 12 coded responses 35 check-ins 11 free-text entries 1 call case
Sex
Female
Age at first dose
66+
ZIP prefix
481 / MI
Registered
2021-02-12
Relationship
Self
Race
White
Ethnicity
Not Hispanic or Latino

Timeline

  1. 2021-02-12
    Registered in v-safe
  2. 2021-02-12
    Dose 1 — Moderna
  3. 2021-02-12
    Health check-in — day 0, dose 1
    Feeling: Good · None
    Adult check-in
  4. 2021-02-13
    Survey response — days 1–6 daily, dose 1
    MedDRA: Flatulence — Feeling: Good · Site: Pain
    Free text: Flatulence
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  5. 2021-02-14
    Survey response — days 1–6 daily, dose 1
    MedDRA: Respiratory tract congestion — Feeling: Good
    Free text: Mild congestion
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  6. 2021-02-15
    Survey response — days 1–6 daily, dose 1
    MedDRA: Dry mouth, Dry throat, Respiratory tract congestion — Feeling: Good
    Free text: Congestion and dry mouth/throat
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  7. 2021-02-16
    Survey response — days 1–6 daily, dose 1
    MedDRA: Dysphagia — Feeling: Good
    Free text: Occasional swallowing difficulty
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  8. 2021-02-18
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · None
    Adult check-in
  9. 2021-02-21
    Survey response — day 7, dose 1
    MedDRA: Respiratory tract congestion — Feeling: Good
    Free text: Congestion
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  10. 2021-02-26
    Health check-in — day 14, dose 1
    Feeling: Good
    Adult check-in
  11. 2021-03-07
    Health check-in — day 21, dose 1
    Feeling: Good
    Adult check-in
  12. 2021-03-12
    Dose 2 — Moderna
  13. 2021-03-12
    Health check-in — day 0, dose 2
    Feeling: Good · None
    Adult check-in
  14. 2021-03-16
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · None
    Adult check-in
  15. 2021-03-18
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · None
    Adult check-in
  16. 2021-03-19
    Health check-in — day 7, dose 2
    Feeling: Good · None
    Adult check-in
  17. 2021-03-26
    Health check-in — day 14, dose 2
    Feeling: Good
    Adult check-in
  18. 2021-04-02
    Survey response — day 21, dose 2
    MedDRA: Tension — Feeling: Good
    Free text: Tense feeling in shoulders
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  19. 2021-04-09
    Health check-in — day 28, dose 2
    Feeling: Good
    Adult check-in
  20. 2021-04-16
    Health check-in — day 35, dose 2
    Feeling: Good
    Adult check-in
  21. 2021-04-23
    Health check-in — day 42, dose 2
    Feeling: Good
    Adult check-in
  22. 2021-06-11
    Health check-in — 3 months, dose 2
    Feeling: Fair
    Adult check-in
  23. 2021-09-10
    Survey response — 6 months, dose 2
    MedDRA: Unevaluable event — Feeling: Fair
    Free text: Yesterday I had an ultrasound guided breast core biopsy and should have results sometime next week.
    MedDRA releases: 2024-11 · check-in free text available
  24. 2021-11-27
    Dose 3 — Moderna
  25. 2022-03-12
    Survey response — 12 months, dose 2
    MedDRA: Arthritis, Pre-existing disease, Self-medication — Feeling: Good
    Free text: I have been taking Anastrazole for about 5 weeks now and the arthritis in my fingers and lower back seems more painful. I will increase my acetaminophen frequency tonight to see if that helps.
    MedDRA releases: 2024-11 · check-in free text available
  26. 2022-04-12
    Dose 4 — Moderna
  27. 2022-04-20
    Survey response — day 7, dose 4
    MedDRA: Eyelid pain, Onychalgia, Pain, Pyrexia, Toothache — Feeling: Good · Be unable to do your normal daily activities
    Free text: Day after shot, I ached everywhere including teeth, eyelashes and fingernails. That night I had a fever 100.4. Next day much better, temp 97.7. No more aches.
    MedDRA releases: 2024-11 · check-in free text available
  28. 2022-04-26
    Health check-in — day 14, dose 4
    Feeling: Good
    Adult check-in
  29. 2022-05-03
    Survey response — day 21, dose 4
    MedDRA: Back pain, Musculoskeletal stiffness, Pain in extremity, Pre-existing disease — Feeling: Good
    Free text: Increased lower back and finger pain and stiffness, probably due to taking Anastrozole to prevent breast cancer recurrence (since 02/05/22).
    MedDRA releases: 2024-11 · check-in free text available
  30. 2022-05-10
    Health check-in — day 28, dose 4
    Feeling: Good
    Adult check-in
  31. 2022-05-17
    Health check-in — day 35, dose 4
    Feeling: Good
    Adult check-in
  32. 2022-05-24
    Health check-in — day 42, dose 4
    Feeling: Good
    Adult check-in
  33. 2022-07-14
    Health check-in — 3 months, dose 4
    Feeling: Good
    Adult check-in
  34. 2022-09-28
    Dose 5 — Moderna
    Co-administered: Flu
  35. 2022-10-11
    Survey response — 6 months, dose 4
    MedDRA: Office visit, SARS-CoV-2 test negative, Upper respiratory tract infection, Urinary tract infection — Feeling: Good · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit
    Free text: UTI and Upper Respiratory Tract infection that was difficult to get over, but I used at-home COVID tests 3 times and had a PCR test at Urgent Care -- all were NEGATIVE. That was from 06/17/22 - mid-August 2022.
    MedDRA releases: 2024-11 · check-in free text available
  36. 2022-10-11
    Report sent to call center — 6 months, dose 4
    Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional
    Outpatient clinic or urgent care clinic visit · 1 call case(s)
  37. 2022-10-12
    Call successful
    Not applicable - Accidental Reporting
  38. 2023-04-13
    Health check-in — 12 months, dose 4
    Feeling: Good
    Adult check-in
  39. 2023-04-22
    Dose 6 — Moderna
  40. 2023-05-08
    Health check-in — day 14, dose 6
    Feeling: Good
    Adult check-in
  41. 2023-05-13
    Survey response — day 21, dose 6
    MedDRA: Fatigue — Feeling: Fair
    MedDRA releases: 2024-11
  42. 2023-05-20
    Health check-in — day 28, dose 6
    Feeling: Good
    Adult check-in
  43. 2023-05-27
    Health check-in — day 35, dose 6
    Feeling: Good
    Adult check-in
  44. 2023-06-03
    Health check-in — day 42, dose 6
    Feeling: Good
    Adult check-in

Vaccinations

DoseDateManufacturerCo-administered
12021-02-12Moderna
22021-03-12Moderna
32021-11-27Moderna No
42022-04-12Moderna No
52022-09-28Moderna Flu
62023-04-22Moderna No

Call center

1 call center case

1 successful

See the call center timeline

Free text

Release 4 — days 1–6 daily, dose 1

2021-02-13

Systemic reaction (other): Flatulence

2021-02-14

Systemic reaction (other): Mild congestion

2021-02-15

Systemic reaction (other): Congestion and dry mouth/throat

2021-02-16

Systemic reaction (other): Occasional swallowing difficulty

Release 4 — day 7, dose 1

2021-02-21

Systemic reaction (other): Congestion

Release 6 — day 21, dose 2

2021-04-02

Symptoms: Tense feeling in shoulders

Release 9 — 6 months, dose 2

2021-09-10

Symptoms: Yesterday I had an ultrasound guided breast core biopsy and should have results sometime next week.

Release 11 — 12 months, dose 2

2022-03-12

Symptoms: I have been taking Anastrazole for about 5 weeks now and the arthritis in my fingers and lower back seems more painful. I will increase my acetaminophen frequency tonight to see if that helps.

Release 11 — day 7, dose 4

2022-04-20

Systemic reaction (other): Day after shot, I ached everywhere including teeth, eyelashes and fingernails. That night I had a fever 100.4. Next day much better, temp 97.7. No more aches.

Release 11 — day 21, dose 4

2022-05-03

Symptoms: Increased lower back and finger pain and stiffness, probably due to taking Anastrozole to prevent breast cancer recurrence (since 02/05/22).

Release 12 — 6 months, dose 4

2022-10-11

Symptoms: UTI and Upper Respiratory Tract infection that was difficult to get over, but I used at-home COVID tests 3 times and had a PCR test at Urgent Care -- all were NEGATIVE. That was from 06/17/22 - mid-August 2022.

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
SDArthritis · · ✓
SDBack pain · · ✓
SDFatigue · · ✓
SDMusculoskeletal stiffness · · ✓
SDOffice visit · · ✓
SDPain in extremity · · ✓
SDPre-existing disease · · ✓
SDSARS-CoV-2 test negative · · ✓
SDSelf-medication · · ✓
SDTension ✓ ✓ ✓
SDUnevaluable event · · ✓
SDUpper respiratory tract infection · · ✓
SDUrinary tract infection · · ✓
SRODry mouth ✓ ✓ ✓
SRODry throat ✓ ✓ ✓
SRODysphagia ✓ ✓ ✓
SROEyelid pain · · ✓
SROFlatulence ✓ ✓ ✓
SROOnychalgia · · ✓
SROPain · · ✓
SROPyrexia · · ✓
SRORespiratory tract congestion ✓ ✓ ✓
SROToothache · · ✓

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

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