3WG-18091-36389
4 vaccinations
8 coded responses
51 check-ins
8 free-text entries
1 call case
- Sex
- Male
- Age at first dose
- 26-30
- ZIP prefix
- 489 / MI
- Registered
- 2021-01-08
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-01-08
Registered in v-safe
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2021-01-08
Dose 1 — Moderna
- 2021-01-08
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2021-01-09
Health check-in — days 1–6 daily, dose 1Feeling: Poor · Site: Pain · Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activitiesAdult check-in
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2021-01-09
Report sent to call center — days 1–6 daily, dose 1Be unable to do your normal daily activities1 call case(s)
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2021-01-10
Health check-in — days 1–6 daily, dose 1Feeling: Good · Site: Pain · Chills, Muscle or body aches, Fatigue or tirednessAdult check-in
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2021-01-11
Survey response — days 1–6 daily, dose 1MedDRA: Feeling hot, Pain, Self-medication — Feeling: Good · Site: Pain · Headache, Fatigue or tirednessFree text: Some time on Saturday 1/9 (around 36 hrs after injection) I felt the sensation that I sometimes get when I've had a fever and it breaks. I used ibuprofen and tylenol for pain on Saturday because the body aches were bad. I was not running a fever at all. When the ibuprofen/tylenol wore off is when I had the sensation of a fever breaking. I also used a heated blanket. This combination was sufficient to alleviate my symptoms.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-01-12
- 2021-01-15
- 2021-01-22
- 2021-01-29
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2021-02-05
Dose 2 — Moderna
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2021-02-05
Health check-in — day 0, dose 2Feeling: Fair · Site: Pain · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to work, Be unable to do your normal daily activitiesAdult check-in
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2021-02-06
Survey response — days 1–6 daily, dose 2MedDRA: Adverse reaction — Feeling: Fair · Site: Pain · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activitiesFree text: I am on high dose ibuprofen and tylenol due to a surgery but still have breakthrough symptoms from the vaccinationMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-02-07
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Site: Pain · Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activitiesAdult check-in
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2021-02-08
Health check-in — days 1–6 daily, dose 2Feeling: Good · Site: Pain · Fatigue or tirednessAdult check-in
- 2021-02-09
- 2021-02-10
- 2021-02-11
- 2021-02-12
- 2021-02-19
- 2021-02-26
- 2021-03-06
- 2021-03-12
- 2021-03-19
- 2021-05-07
- 2021-08-06
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2021-10-29
Dose 3 — Moderna
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2021-10-30
Health check-in — days 1–6 daily, dose 3Feeling: Poor · Site: Pain, Redness, Swelling, Itching · Fever · Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to work or attend school, Be unable to do your normal daily activitiesAdult check-in
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2021-10-31
Survey response — days 1–6 daily, dose 3MedDRA: Lymphadenopathy — Feeling: Fair · Site: Pain, Redness, Swelling · Fever · Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activitiesFree text: Severe swelling in lymph nodes in armpit, and mild swelling lymph nodes in neck, on side of injectionMedDRA releases: 2024-11 · check-in free text available
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2021-11-01
Survey response — days 1–6 daily, dose 3MedDRA: Lymphadenopathy — Feeling: Fair · Site: Pain, Swelling · Headache, Fatigue or tirednessFree text: Lymph nodes under arm on injection side are still the size of a baseballMedDRA releases: 2024-11 · check-in free text available
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2021-11-02
Survey response — days 1–6 daily, dose 3MedDRA: Induration, Lymph node pain, Lymphadenopathy — Feeling: Good · Site: Swelling · Fatigue or tirednessFree text: Lymph nodes under arm on side of injection still visibly swollen but less tender and firm on palpationMedDRA releases: 2024-11 · check-in free text available
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2021-11-03
Survey response — days 1–6 daily, dose 3MedDRA: Injection site reaction, Lymphadenopathy, Neuralgia — Feeling: GoodFree text: Lymph swelling has largely resolved under arm on injection site side. Some referred nerve pain wraps from injection site around front of arm down into armpit when lifting armMedDRA releases: 2024-11 · check-in free text available
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2021-11-04
Survey response — days 1–6 daily, dose 3MedDRA: Injection site reaction, Lymph node pain, Lymphadenopathy, Neuralgia — Feeling: GoodFree text: Lymph nodes under arm are still very slightly swollen but no longer tender, and referred nerve pain from injection site is goneMedDRA releases: 2024-11 · check-in free text available
- 2021-11-05
- 2021-11-12
- 2021-11-19
- 2021-11-27
- 2021-12-05
- 2021-12-10
- 2022-01-28
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2022-04-29
Survey response — 6 months, dose 3MedDRA: COVID-19 — Feeling: Fair · Be unable to work or attend school, Be unable to do your normal daily activitiesFree text: COVID positive on 4/25/2022MedDRA releases: 2024-11 · check-in free text available
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2022-09-14
Dose 4 — Moderna
- 2022-09-14
- 2022-09-16
- 2022-09-17
- 2022-09-18
- 2022-09-19
- 2022-09-20
- 2022-09-24
- 2022-09-28
- 2022-10-05
- 2022-10-12
- 2022-10-19
- 2022-10-26
- 2022-12-16
- 2023-03-17
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-01-08 | Moderna | |
| 2 | 2021-02-05 | Moderna | |
| 3 | 2021-10-29 | Moderna | No |
| 4 | 2022-09-14 | Moderna | No |
Call center
1 call center case
1 priority 2/3 (triaged and no follow up)
Free text
Release 1 — days 1–6 daily, dose 1
Systemic reaction (other): Some time on Saturday 1/9 (around 36 hrs after injection) I felt the sensation that I sometimes get when I've had a fever and it breaks. I used ibuprofen and tylenol for pain on Saturday because the body aches were bad. I was not running a fever at all. When the ibuprofen/tylenol wore off is when I had the sensation of a fever breaking. I also used a heated blanket. This combination was sufficient to alleviate my symptoms.
Release 3 — days 1–6 daily, dose 2
Systemic reaction (other): I am on high dose ibuprofen and tylenol due to a surgery but still have breakthrough symptoms from the vaccination
Release 10 — days 1–6 daily, dose 3
Systemic reaction (other): Severe swelling in lymph nodes in armpit, and mild swelling lymph nodes in neck, on side of injection
Systemic reaction (other): Lymph nodes under arm on injection side are still the size of a baseball
Systemic reaction (other): Lymph nodes under arm on side of injection still visibly swollen but less tender and firm on palpation
Systemic reaction (other): Lymph swelling has largely resolved under arm on injection site side. Some referred nerve pain wraps from injection site around front of arm down into armpit when lifting arm
Systemic reaction (other): Lymph nodes under arm are still very slightly swollen but no longer tender, and referred nerve pain from injection site is gone
Release 11 — 6 months, dose 3
Symptoms: COVID positive on 4/25/2022
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
| Field | Preferred term | 2021-09 | 2023-04 | 2024-11 |
|---|---|---|---|---|
| SD | COVID-19 | · | · | ✓ |
| SRO | Adverse reaction | ✓ | ✓ | ✓ |
| SRO | Feeling hot | ✓ | ✓ | ✓ |
| SRO | Induration | · | · | ✓ |
| SRO | Injection site reaction | · | · | ✓ |
| SRO | Lymph node pain | · | · | ✓ |
| SRO | Lymphadenopathy | · | · | ✓ |
| SRO | Neuralgia | · | · | ✓ |
| SRO | Pain | ✓ | ✓ | ✓ |
| SRO | Pyrexia | ○ | ○ | ○ |
| SRO | Self-medication | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release