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3WU-13292-68253

4 vaccinations 4 coded responses 16 check-ins 4 free-text entries 0 call cases
Sex
Female
Age at first dose
21-25
ZIP prefix
484 / MI
Registered
2021-03-12
Relationship
Self
Race
White
Ethnicity
Not Hispanic or Latino

Timeline

  1. 2021-03-12
    Registered in v-safe
  2. 2021-03-12
    Dose 1 — Moderna
  3. 2021-03-12
    Health check-in — day 0, dose 1
    Feeling: Good · Site: Pain · Joint pains, Muscle or body aches
    Adult check-in
  4. 2021-03-14
    Health check-in — days 1–6 daily, dose 1
    Feeling: Fair · Site: Pain · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness
    Adult check-in
  5. 2021-03-15
    Health check-in — days 1–6 daily, dose 1
    Feeling: Fair · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea, Abdominal pain
    Adult check-in
  6. 2021-03-16
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · Headache, Muscle or body aches, Fatigue or tiredness
    Adult check-in
  7. 2021-03-17
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · Headache, Fatigue or tiredness
    Adult check-in
  8. 2021-03-18
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · Headache, Muscle or body aches, Fatigue or tiredness
    Adult check-in
  9. 2021-03-19
    Health check-in — day 7, dose 1
    Feeling: Good · Muscle or body aches, Fatigue or tiredness
    Adult check-in
  10. 2021-03-28
    Health check-in — day 14, dose 1
    Feeling: Fair
    Adult check-in
  11. 2021-04-02
    Health check-in — day 21, dose 1
    Feeling: Good
    Adult check-in
  12. 2021-04-07
    Dose 2 — Moderna
  13. 2021-04-07
    Health check-in — day 0, dose 2
    Feeling: Poor · Site: Pain · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to work, Be unable to do your normal daily activities
    Adult check-in
  14. 2021-04-08
    Survey response — days 1–6 daily, dose 2
    MedDRA: Arthralgia, Condition aggravated, Neck pain, Pre-existing disease, Tooth extraction — Feeling: Poor · Site: Pain, Swelling · Fever · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to work or attend school, Be unable to do your normal daily activities
    Free text: I had a horrible wisdom tooth extraction a couple years ago, and it messed up my trigeminal nerve - now I have permanent damage and control the pain with medication. My trigeminal nerve pain is currently horrific. It feels like the day after my tooth extraction. My neck and shoulders are also in incredible pain (I've had multiple injuries to my shoulders).
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  15. 2021-04-09
    Survey response — days 1–6 daily, dose 2
    MedDRA: Neuralgia, Pain in jaw — Feeling: Poor · Site: Pain · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea, Abdominal pain · Be unable to work, Be unable to do your normal daily activities
    Free text: Trigeminal nerve pain in jaw - moderate
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  16. 2021-04-10
    Survey response — days 1–6 daily, dose 2
    MedDRA: Neuralgia — Feeling: Fair · Site: Pain, Redness, Swelling · Fever · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness
    Free text: Trigeminal nerve pain
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  17. 2021-04-13
    Health check-in — days 1–6 daily, dose 2
    Feeling: Fair · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness
    Adult check-in
  18. 2021-04-16
    Health check-in — day 7, dose 2
    Feeling: Poor · Site: Redness · Fever · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea
    Adult check-in
  19. 2021-04-23
    Survey response — day 14, dose 2
    MedDRA: Injection site erythema, Injection site pruritus — Feeling: Poor
    Free text: Itching at injection site (where it was previously red)
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  20. 2021-08-17
    Dose 3 — Moderna
  21. 2022-04-20
    Dose 4 — Pfizer-BioNTech

Vaccinations

DoseDateManufacturerCo-administered
12021-03-12Moderna
22021-04-07Moderna
32021-08-17Moderna No
42022-04-20Pfizer-BioNTech No

Free text

Release 7 — days 1–6 daily, dose 2

2021-04-08

Systemic reaction (other): I had a horrible wisdom tooth extraction a couple years ago, and it messed up my trigeminal nerve - now I have permanent damage and control the pain with medication. My trigeminal nerve pain is currently horrific. It feels like the day after my tooth extraction. My neck and shoulders are also in incredible pain (I've had multiple injuries to my shoulders).

2021-04-09

Systemic reaction (other): Trigeminal nerve pain in jaw - moderate

2021-04-10

Systemic reaction (other): Trigeminal nerve pain

Release 7 — day 14, dose 2

2021-04-23

Symptoms: Itching at injection site (where it was previously red)

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
SDInjection site erythema ✓ ✓ ✓
SDInjection site pruritus ✓ ✓ ✓
SROArthralgia ✓ ✓ ✓
SROCondition aggravated ✓ ✓ ✓
SRONeck pain ✓ ✓ ✓
SRONeuralgia ✓ ✓ ✓
SROPain in jaw ✓ ✓ ✓
SROPre-existing disease ✓ ✓ ✓
SROTooth extraction ✓ ✓ ✓

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