57U-36771-95367
1 vaccination
4 coded responses
13 check-ins
4 free-text entries
0 call cases
- Sex
- Female
- Age at first dose
- 61-65
- ZIP prefix
- 481 / MI
- Registered
- 2021-03-27
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-03-27
Registered in v-safe
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2021-03-27
Dose 1 — Moderna
- 2021-03-28
- 2021-03-29
- 2021-03-30
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2021-03-31
Survey response — days 1–6 daily, dose 1MedDRA: Lymphadenopathy — Feeling: Fair · Fatigue or tiredness · Be unable to do your normal daily activitiesFree text: Swollen lymph nodesMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-04-01
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2021-04-02
Survey response — days 1–6 daily, dose 1MedDRA: Back pain — Feeling: GoodFree text: I have minor low back pain and normally don't at all. Not sure if this is attributed to the vaccine.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-04-03
Survey response — day 7, dose 1MedDRA: Rash — Feeling: Poor · Site: Itching · Joint pains, Muscle or body aches, Rash, not including the immediate area around the injection site · Be unable to do your normal daily activitiesFree text: Rash on neck, chest, both arms, hands, stomach, anterior thighs, shoulders, upper and lower backMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-04-10
Survey response — day 14, dose 1MedDRA: Emergency care, Rash — Feeling: Fair · Be unable to do your normal daily activitiesFree text: Rash developed over entire body, went to ER got an IV with Prednisone and benedryl. Also a 5 day supply of Prednisone, and Pepsid. The rash occcured 7 days after first Moderna injection, I am afraid to take the 2nd injection.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-04-17
- 2021-04-24
- 2021-05-01
- 2021-05-08
- 2021-06-26
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-03-27 | Moderna |
Free text
Release 6 — days 1–6 daily, dose 1
Systemic reaction (other): Swollen lymph nodes
Systemic reaction (other): I have minor low back pain and normally don't at all. Not sure if this is attributed to the vaccine.
Release 6 — day 7, dose 1
Systemic reaction (other): Rash on neck, chest, both arms, hands, stomach, anterior thighs, shoulders, upper and lower back
Release 7 — day 14, dose 1
Symptoms: Rash developed over entire body, went to ER got an IV with Prednisone and benedryl. Also a 5 day supply of Prednisone, and Pepsid. The rash occcured 7 days after first Moderna injection, I am afraid to take the 2nd injection.
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 | Emergency care | ✓ | ✓ | ✓ |
| SD | Rash | ✓ | ✓ | ✓ |
| SRO | Back pain | ✓ | ✓ | ✓ |
| SRO | Lymphadenopathy | ✓ | ✓ | ✓ |
| SRO | Rash | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release