4CH-25356-63461
5 vaccinations
11 coded responses
66 check-ins
11 free-text entries
0 call cases
- Sex
- Female
- Age at first dose
- 46-50
- ZIP prefix
- 488 / MI
- Registered
- 2021-03-14
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
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2021-03-13
Dose 1 — Moderna
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2021-03-14
Registered in v-safe
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2021-03-14
Health check-in — days 1–6 daily, dose 1Feeling: Good · Site: Pain · Fatigue or tirednessAdult check-in
- 2021-03-15
- 2021-03-16
- 2021-03-17
- 2021-03-18
- 2021-03-19
- 2021-03-20
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2021-03-27
Survey response — day 14, dose 1MedDRA: Injection site pain — Feeling: GoodFree text: I had a (mild) dull pain at the injection site return on day 9. Was gone in 24 hours.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-04-03
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2021-04-10
Dose 2 — Moderna
- 2021-04-10
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2021-04-11
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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2021-04-12
Survey response — days 1–6 daily, dose 2MedDRA: Adverse reaction — Feeling: Good · Site: Pain, Redness · FeverFree text: The temperature was actually late yesterday. Was gone by this morning.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-04-13
Survey response — days 1–6 daily, dose 2MedDRA: Energy increased — Feeling: Good · Site: Pain, RednessFree text: Feel really energetic!MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-04-14
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2021-04-15
Survey response — days 1–6 daily, dose 2MedDRA: Pruritus — Feeling: Good · Site: Redness, ItchingFree text: Red on arm is fading. Itchiness is slight.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-04-16
Survey response — days 1–6 daily, dose 2MedDRA: Erythema — Feeling: Good · Site: RednessFree text: Redness on arm has fadedMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-04-17
- 2021-04-24
- 2021-05-01
- 2021-05-08
- 2021-05-15
- 2021-05-22
- 2021-07-10
- 2021-10-09
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2021-10-25
Dose 3 — Moderna
- 2021-10-25
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2021-10-26
Survey response — days 1–6 daily, dose 3MedDRA: Body temperature increased, Fatigue — Feeling: Fair · Site: Pain · Fever · Fatigue or tirednessFree text: Just a little run-down and tired with a very slight temp. Much less of a reaction than shot #2!MedDRA releases: 2024-11 · check-in free text available
- 2021-10-27
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2021-10-28
Survey response — days 1–6 daily, dose 3MedDRA: Headache, Sinus disorder — Feeling: Good · Site: Pain, Redness · HeadacheFree text: The headache feels like a sinus issue. Prob not related to vaccine.MedDRA releases: 2024-11 · check-in free text available
- 2021-10-29
- 2021-10-30
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2021-10-31
Survey response — days 1–6 daily, dose 3MedDRA: Skin warm — Feeling: Good · Site: RednessFree text: Arm area not as hot to the touch todayMedDRA releases: 2024-11 · check-in free text available
- 2021-11-01
- 2021-11-08
- 2021-11-15
- 2021-11-22
- 2021-11-29
- 2021-12-06
- 2022-01-24
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2022-04-15
Dose 4 — Moderna
- 2022-04-15
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2022-04-16
Health check-in — days 1–6 daily, dose 4Feeling: Fair · Site: Pain · Fever · Chills, Headache, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activitiesAdult check-in
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2022-04-17
Survey response — days 1–6 daily, dose 4MedDRA: Injection site warmth — Feeling: Good · Site: PainFree text: Injection site is warmMedDRA releases: 2024-11 · check-in free text available
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2022-04-18
Survey response — days 1–6 daily, dose 4MedDRA: Injection site warmth — Feeling: Good · Site: PainFree text: Injection site still warm to touchMedDRA releases: 2024-11 · check-in free text available
- 2022-04-20
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2022-04-21
Health check-in — days 1–6 daily, dose 4Feeling: Good · Site: Redness, Itching · NoneAdult check-in
- 2022-04-22
- 2022-04-29
- 2022-05-06
- 2022-05-13
- 2022-05-20
- 2022-05-27
- 2022-07-15
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2022-09-17
Dose 5 — Moderna
- 2022-09-17
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2022-09-18
Health check-in — days 1–6 daily, dose 5Feeling: Fair · Site: Pain · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activitiesAdult check-in
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2022-09-19
Health check-in — days 1–6 daily, dose 5Feeling: Good · Site: Pain, Redness · Fatigue or tirednessAdult check-in
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2022-09-20
Survey response — days 1–6 daily, dose 5MedDRA: Injection site warmth — Feeling: Good · Site: Pain, Redness, ItchingFree text: Injection site warm to the touchMedDRA releases: 2024-11 · check-in free text available
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2022-09-21
Health check-in — days 1–6 daily, dose 5Feeling: Good · Site: Pain, Redness, Itching · NoneAdult check-in
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2022-09-22
Health check-in — days 1–6 daily, dose 5Feeling: Good · Site: Redness, Itching · NoneAdult check-in
- 2022-09-23
- 2022-09-24
- 2022-10-01
- 2022-10-10
- 2022-10-15
- 2022-10-22
- 2022-10-29
- 2022-12-17
- 2023-03-20
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-03-13 | Moderna | |
| 2 | 2021-04-10 | Moderna | |
| 3 | 2021-10-25 | Moderna | No |
| 4 | 2022-04-15 | Moderna | No |
| 5 | 2022-09-17 | Moderna | No |
Free text
Release 6 — day 14, dose 1
Symptoms: I had a (mild) dull pain at the injection site return on day 9. Was gone in 24 hours.
Release 7 — days 1–6 daily, dose 2
Systemic reaction (other): The temperature was actually late yesterday. Was gone by this morning.
Systemic reaction (other): Feel really energetic!
Systemic reaction (other): Red on arm is fading. Itchiness is slight.
Systemic reaction (other): Redness on arm has faded
Release 10 — days 1–6 daily, dose 3
Systemic reaction (other): Just a little run-down and tired with a very slight temp. Much less of a reaction than shot #2!
Systemic reaction (other): The headache feels like a sinus issue. Prob not related to vaccine.
Systemic reaction (other): Arm area not as hot to the touch today
Release 11 — days 1–6 daily, dose 4
Systemic reaction (other): Injection site is warm
Systemic reaction (other): Injection site still warm to touch
Release 12 — days 1–6 daily, dose 5
Systemic reaction (other): Injection site warm to the touch
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 | ✓ | ✓ | ✓ |
| SRO | Adverse reaction | ✓ | ✓ | ✓ |
| SRO | Body temperature increased | · | · | ✓ |
| SRO | Energy increased | ✓ | ✓ | ✓ |
| SRO | Erythema | ✓ | ✓ | ✓ |
| SRO | Fatigue | · | · | ✓ |
| SRO | Headache | · | · | ✓ |
| SRO | Injection site warmth | · | · | ✓ |
| SRO | Pruritus | ✓ | ✓ | ✓ |
| SRO | Sinus disorder | · | · | ✓ |
| SRO | Skin warm | · | · | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release