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3W2-21398-21519

3 vaccinations 8 coded responses 40 check-ins 7 free-text entries 2 call cases
Sex
Female
Age at first dose
51-55
ZIP prefix
481 / MI
Registered
2021-03-14
Relationship
Self
Race
White
Ethnicity
Not Hispanic or Latino

Timeline

  1. 2021-03-14
    Registered in v-safe
  2. 2021-03-14
    Dose 1 — Moderna
  3. 2021-03-14
    Health check-in — day 0, dose 1
    Feeling: Good · None
    Adult check-in
  4. 2021-03-15
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · Site: Pain · None
    Adult check-in
  5. 2021-03-16
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · Headache
    Adult check-in
  6. 2021-03-17
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · None
    Adult check-in
  7. 2021-03-18
    Survey response — days 1–6 daily, dose 1
    MedDRA: Burning sensation, Chest discomfort, Muscle tightness — Feeling: Good · Muscle or body aches
    Free text: Slight burning sensation in tight breast muscle not bad, just very different and new
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  8. 2021-03-19
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · None
    Adult check-in
  9. 2021-03-20
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · None
    Adult check-in
  10. 2021-03-21
    Health check-in — day 7, dose 1
    Feeling: Good · Headache
    Adult check-in
  11. 2021-03-28
    Survey response — day 14, dose 1
    MedDRA: Injection site pain, Injection site rash, Rash, Urticaria — Feeling: Fair · Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultation
    Free text: Rash 3 inches below injection site, size of a tomatoe, soreness has returnedFirst experienced it on day 8, lasted 3 days, then a developed random hives across my body. Those faded and now the rash on my arm has returned on day 14.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  12. 2021-03-28
    Report sent to call center — day 14, dose 1
    Get care from a doctor or other healthcare professional
    1 call case(s)
  13. 2021-04-04
    Survey response — day 21, dose 1
    MedDRA: Immunisation reaction, Limb discomfort, Urticaria — Feeling: Good
    Free text: Covid arm got worse, and the discomfort in my arm returned. Several hives returned as well. All is fading back now so hopefully wont return again
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  14. 2021-04-11
    Health check-in — day 28, dose 1
    Feeling: Good
    Adult check-in
  15. 2021-04-17
    Dose 2 — Moderna
  16. 2021-04-18
    Health check-in — days 1–6 daily, dose 2
    Feeling: Poor · Site: Pain · Fever · Chills, Headache, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities
    Adult check-in
  17. 2021-04-19
    Health check-in — days 1–6 daily, dose 2
    Feeling: Fair · Site: Pain, Redness, Swelling, Itching · Headache, Fatigue or tiredness
    Adult check-in
  18. 2021-04-21
    Survey response — days 1–6 daily, dose 2
    MedDRA: Discomfort — Feeling: Fair · Site: Redness, Swelling, Itching · Headache
    Free text: Occasionally I feel a heaviness/tightness in my airways. Nothing major and not all the time.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  19. 2021-04-22
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · Site: Pain, Redness · None
    Adult check-in
  20. 2021-04-23
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · Site: Redness · None
    Adult check-in
  21. 2021-04-24
    Health check-in — day 7, dose 2
    Feeling: Good · Site: Redness · None
    Adult check-in
  22. 2021-05-01
    Survey response — day 14, dose 2
    MedDRA: Bronchial irritation, Cough — Feeling: Good
    Free text: Bronchial irritation, feel like I have to cough. But could be allergies
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  23. 2021-05-08
    Health check-in — day 21, dose 2
    Feeling: Good
    Adult check-in
  24. 2021-05-15
    Health check-in — day 28, dose 2
    Feeling: Good
    Adult check-in
  25. 2021-05-22
    Health check-in — day 35, dose 2
    Feeling: Good
    Adult check-in
  26. 2021-05-29
    Health check-in — day 42, dose 2
    Feeling: Good
    Adult check-in
  27. 2021-07-19
    Health check-in — 3 months, dose 2
    Feeling: Good
    Adult check-in
  28. 2021-10-16
    Survey response — 6 months, dose 2
    MedDRA: Drug eruption — Feeling: Good
    Free text: Random fixed drug eruption on arms legs chest upper back and lower legs, in the exact same locations. lasts about 24 hours probably 2 dozen spots overall. Has happened twice with no apparent cause.
    MedDRA releases: 2024-11 · check-in free text available
  29. 2022-01-10
    Dose 3 — Pfizer-BioNTech
  30. 2022-01-10
    Health check-in — day 0, dose 3
    Feeling: Good · Site: Pain · None
    Adult check-in
  31. 2022-01-11
    Health check-in — days 1–6 daily, dose 3
    Feeling: Poor · Site: Pain · Fever · Chills, Headache, Fatigue or tiredness
    Adult check-in
  32. 2022-01-12
    Health check-in — days 1–6 daily, dose 3
    Feeling: Fair · Fatigue or tiredness
    Adult check-in
  33. 2022-01-13
    Health check-in — days 1–6 daily, dose 3
    Feeling: Good · None
    Adult check-in
  34. 2022-01-14
    Health check-in — days 1–6 daily, dose 3
    Feeling: Good · None
    Adult check-in
  35. 2022-01-15
    Health check-in — days 1–6 daily, dose 3
    Feeling: Good · None
    Adult check-in
  36. 2022-01-16
    Health check-in — days 1–6 daily, dose 3
    Feeling: Good · None
    Adult check-in
  37. 2022-01-17
    Health check-in — day 7, dose 3
    Feeling: Good · None
    Adult check-in
  38. 2022-01-19
    Call successful
    Not applicable (accidental reporting or does not believe symptoms are related to vaccine)
  39. 2022-01-26
    Health check-in — day 14, dose 3
    Feeling: Good
    Adult check-in
  40. 2022-01-31
    Health check-in — day 21, dose 3
    Feeling: Good
    Adult check-in
  41. 2022-02-07
    Health check-in — day 28, dose 3
    Feeling: Good
    Adult check-in
  42. 2022-02-14
    Health check-in — day 35, dose 3
    Feeling: Good
    Adult check-in
  43. 2022-02-21
    Health check-in — day 42, dose 3
    Feeling: Good
    Adult check-in
  44. 2022-04-11
    Survey response — 3 months, dose 3
    MedDRA: Bronchitis, Sinusitis — Feeling: Good · Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultation, Outpatient clinic or urgent care clinic visit
    Free text: Sinus infection/bronchitis symptoms
    MedDRA releases: 2024-11 · check-in free text available
  45. 2022-04-11
    Report sent to call center — 3 months, dose 3
    Get care from a doctor or other healthcare professional
    Telehealth, virtual health, or email health consultation · Outpatient clinic or urgent care clinic visit · 1 call case(s)
  46. 2022-04-12
    Call successful
    Not applicable (accidental reporting or does not believe symptoms are related to vaccine)
  47. 2022-07-11
    Health check-in — 6 months, dose 3
    Feeling: Good
    Adult check-in
  48. 2023-01-10
    Survey response — 12 months, dose 3
    MedDRA: Nasopharyngitis — Feeling: Good
    MedDRA releases: 2024-11

Vaccinations

DoseDateManufacturerCo-administered
12021-03-14Moderna
22021-04-17Moderna
32022-01-10Pfizer-BioNTech No

Call center

2 call center cases

2 successful

See the call center timeline

Free text

Release 5 — days 1–6 daily, dose 1

2021-03-18

Systemic reaction (other): Slight burning sensation in tight breast muscle not bad, just very different and new

Release 6 — day 14, dose 1

2021-03-28

Symptoms: Rash 3 inches below injection site, size of a tomatoe, soreness has returnedFirst experienced it on day 8, lasted 3 days, then a developed random hives across my body. Those faded and now the rash on my arm has returned on day 14.

Release 6 — day 21, dose 1

2021-04-04

Symptoms: Covid arm got worse, and the discomfort in my arm returned. Several hives returned as well. All is fading back now so hopefully wont return again

Release 7 — days 1–6 daily, dose 2

2021-04-21

Systemic reaction (other): Occasionally I feel a heaviness/tightness in my airways. Nothing major and not all the time.

Release 8 — day 14, dose 2

2021-05-01

Symptoms: Bronchial irritation, feel like I have to cough. But could be allergies

Release 10 — 6 months, dose 2

2021-10-16

Symptoms: Random fixed drug eruption on arms legs chest upper back and lower legs, in the exact same locations. lasts about 24 hours probably 2 dozen spots overall. Has happened twice with no apparent cause.

Release 11 — 3 months, dose 3

2022-04-11

Symptoms: Sinus infection/bronchitis symptoms

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
SDBronchial irritation ✓ ✓ ✓
SDBronchitis · · ✓
SDCough ✓ ✓ ✓
SDDrug eruption · · ✓
SDImmunisation reaction ✓ ✓ ✓
SDInjection site pain ✓ ✓ ✓
SDInjection site rash ✓ ✓ ✓
SDLimb discomfort ✓ ✓ ✓
SDNasopharyngitis · · ✓
SDRash ✓ ✓ ✓
SDSinusitis · · ✓
SDUrticaria ✓ ✓ ✓
SROBurning sensation ✓ ✓ ✓
SROChest discomfort ✓ ✓ ✓
SRODiscomfort ✓ ✓ ✓
SROMuscle tightness ✓ ✓ ✓

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

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