477-29332-86561
5 vaccinations
7 coded responses
50 check-ins
7 free-text entries
0 call cases
- Sex
- Female
- Age at first dose
- 66+
- ZIP prefix
- 480 / MI
- Registered
- 2021-03-02
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-02-26
Dose 1 — Moderna
-
2021-03-02
Registered in v-safe
- 2021-03-02
- 2021-03-03
- 2021-03-04
- 2021-03-05
- 2021-03-12
- 2021-03-19
-
2021-03-26
Dose 2 — Moderna
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2021-03-30
Survey response — days 1–6 daily, dose 2MedDRA: Chills, Pain, Pyrexia — Feeling: Good · Site: Pain · Be unable to do your normal daily activitiesFree text: Did have fever, chills and body aches for two days after second dose.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-03-31
- 2021-04-01
- 2021-04-02
- 2021-04-09
- 2021-04-16
- 2021-04-23
- 2021-04-30
- 2021-05-07
- 2021-06-27
- 2021-09-24
-
2021-11-01
Dose 3 — Moderna
-
2021-11-05
Health check-in — days 1–6 daily, dose 3Feeling: Fair · Site: Pain · Fever · Chills, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activitiesAdult check-in
- 2021-11-09
- 2021-11-15
- 2021-11-22
- 2021-11-29
- 2021-12-06
- 2021-12-13
-
2022-01-31
Survey response — 3 months, dose 3MedDRA: Injection site pain, Pain — Feeling: FairFree text: Pain in arm where I had the shots, can't lift arm up as good without pain and hard to sleep on that side. It feels like the pain is in the same area as where I got the shots.MedDRA releases: 2024-11 · check-in free text available
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2022-05-02
Survey response — 6 months, dose 3MedDRA: Injection site pain — Feeling: GoodFree text: Still having pain in upper part of arm were I got the injection.MedDRA releases: 2024-11 · check-in free text available
-
2022-06-20
Dose 4 — Moderna
-
2022-06-23
Survey response — days 1–6 daily, dose 4MedDRA: Injection site erythema, Injection site mass, Injection site pain, Injection site pruritus, Injection site swelling — Feeling: Poor · Site: Pain, Redness, Swelling, Itching · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activitiesFree text: Where the injection site is it was sore had a lump, was red and itchy. It was the size of a quarter then next day larger than a silver dollar.MedDRA releases: 2024-11 · check-in free text available
-
2022-06-24
Health check-in — days 1–6 daily, dose 4Feeling: Good · Site: Pain, Redness, Swelling · NoneAdult check-in
-
2022-06-25
Health check-in — days 1–6 daily, dose 4Feeling: Fair · Site: Pain, Redness, Swelling · NoneAdult check-in
- 2022-06-26
- 2022-06-28
- 2022-07-04
- 2022-07-11
- 2022-07-18
- 2022-07-25
- 2022-08-01
- 2022-09-19
-
2022-10-12
Dose 5 — Pfizer-BioNTechCo-administered: Flu
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2022-10-14
Health check-in — days 1–6 daily, dose 5Feeling: Fair · Site: Pain, Redness · Chills, Headache, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activitiesAdult check-in
-
2022-10-15
Health check-in — days 1–6 daily, dose 5Feeling: Good · Site: Pain, Redness · HeadacheAdult check-in
-
2022-10-16
Survey response — days 1–6 daily, dose 5MedDRA: Mobility decreased — Feeling: Good · Site: Pain, RednessFree text: Having a hard time raising my left arm all the way up.MedDRA releases: 2024-11 · check-in free text available
-
2022-10-17
Survey response — days 1–6 daily, dose 5MedDRA: Mobility decreased — Feeling: Good · Site: PainFree text: Can't lift arm straight up and certain ways.MedDRA releases: 2024-11 · check-in free text available
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2022-10-18
Survey response — days 1–6 daily, dose 5MedDRA: Mobility decreased, Pain — Feeling: Good · Site: Pain · Be unable to do your normal daily activitiesFree text: Can't lift left arm all the way up without pain.MedDRA releases: 2024-11 · check-in free text available
-
2022-10-19
Health check-in — day 7, dose 5Feeling: Good · Site: Pain · None · Be unable to do your normal daily activitiesAdult check-in
- 2022-10-26
- 2022-11-02
- 2022-11-10
- 2022-11-16
- 2022-11-23
- 2023-01-11
- 2023-04-12
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-02-26 | Moderna | |
| 2 | 2021-03-26 | Moderna | |
| 3 | 2021-11-01 | Moderna | No |
| 4 | 2022-06-20 | Moderna | No |
| 5 | 2022-10-12 | Pfizer-BioNTech | Flu |
Free text
Release 6 — days 1–6 daily, dose 2
Systemic reaction (other): Did have fever, chills and body aches for two days after second dose.
Release 11 — 3 months, dose 3
Symptoms: Pain in arm where I had the shots, can't lift arm up as good without pain and hard to sleep on that side. It feels like the pain is in the same area as where I got the shots.
Release 11 — 6 months, dose 3
Symptoms: Still having pain in upper part of arm were I got the injection.
Release 12 — days 1–6 daily, dose 4
Systemic reaction (other): Where the injection site is it was sore had a lump, was red and itchy. It was the size of a quarter then next day larger than a silver dollar.
Release 12 — days 1–6 daily, dose 5
Systemic reaction (other): Having a hard time raising my left arm all the way up.
Systemic reaction (other): Can't lift arm straight up and certain ways.
Systemic reaction (other): Can't lift left arm all the way up without pain.
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 | Injection site pain | · | · | ✓ |
| SD | Pain | · | · | ✓ |
| SRO | Chills | ✓ | ✓ | ✓ |
| SRO | Injection site erythema | · | · | ✓ |
| SRO | Injection site mass | · | · | ✓ |
| SRO | Injection site pain | · | · | ✓ |
| SRO | Injection site pruritus | · | · | ✓ |
| SRO | Injection site swelling | · | · | ✓ |
| SRO | Mobility decreased | · | · | ✓ |
| SRO | Pain | ✓ | ✓ | ✓ |
| SRO | Pyrexia | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release