45H-81135-43557
1 vaccination
5 coded responses
10 check-ins
5 free-text entries
0 call cases
- Sex
- Female
- Age at first dose
- 56-60
- ZIP prefix
- 481 / MI
- Registered
- 2021-04-19
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-04-19
Registered in v-safe
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2021-04-19
Dose 1 — Moderna
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2021-04-19
Survey response — day 0, dose 1MedDRA: Pain, Pre-existing disease — Feeling: GoodFree text: I do have pain. But I have a broken tail bone some herniated discs Ive had problems medically they have nothing to do with the shot their problems of a pre-existingMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-04-20
Survey response — days 1–6 daily, dose 1MedDRA: Cold sweat, Feeling abnormal, Pre-existing disease, Pyrexia — Feeling: Fair · Fever · Fatigue or tirednessFree text: I feel just a little feverish and clammy. I ache all over but thats an every day thing. I just feel off nothing I wouldnt take anything but a Motrin for. My injection site and arm are perfect youMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-04-21
Survey response — days 1–6 daily, dose 1MedDRA: Adverse reaction, Pre-existing disease — Feeling: FairFree text: I said several of the issues listed above. However there is residual effects from accidents and age. Nothing to do with CovidMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-04-22
Survey response — days 1–6 daily, dose 1MedDRA: Immunisation reaction, Pre-existing disease — Feeling: FairFree text: As Ive said before I had many of the symptoms but they are not at all related to the vaccine theyre related to pre-existing conditions I have.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-04-23
- 2021-04-24
- 2021-04-25
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2021-04-26
Survey response — day 7, dose 1MedDRA: Condition aggravated, Pre-existing disease — Feeling: FairFree text: As stated previously, I have many of the symptoms listed above but they are related to pre-existing conditionsMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-05-03
- 2021-05-10
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-04-19 | Moderna |
Free text
Release 7 — day 0, dose 1
Systemic reaction (other): I do have pain. But I have a broken tail bone some herniated discs Ive had problems medically they have nothing to do with the shot their problems of a pre-existing
Release 7 — days 1–6 daily, dose 1
Systemic reaction (other): I feel just a little feverish and clammy. I ache all over but thats an every day thing. I just feel off nothing I wouldnt take anything but a Motrin for. My injection site and arm are perfect you
Systemic reaction (other): I said several of the issues listed above. However there is residual effects from accidents and age. Nothing to do with Covid
Systemic reaction (other): As Ive said before I had many of the symptoms but they are not at all related to the vaccine theyre related to pre-existing conditions I have.
Release 8 — day 7, dose 1
Systemic reaction (other): As stated previously, I have many of the symptoms listed above but they are related to pre-existing conditions
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 |
|---|---|---|---|---|
| SRO | Adverse reaction | ✓ | ✓ | ✓ |
| SRO | Cold sweat | ✓ | ✓ | ✓ |
| SRO | Condition aggravated | ✓ | ✓ | ✓ |
| SRO | Feeling abnormal | ✓ | ✓ | ✓ |
| SRO | Immunisation reaction | ✓ | ✓ | ✓ |
| SRO | Pain | ✓ | ✓ | ✓ |
| SRO | Pre-existing disease | ✓ | ✓ | ✓ |
| SRO | Pyrexia | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release