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58X-25648-47426

3 vaccinations 24 coded responses 35 check-ins 24 free-text entries 0 call cases
Sex
Female
Age at first dose
51-55
ZIP prefix
499 / MI
Registered
2021-03-18
Relationship
Self
Race
White
Ethnicity
Not Hispanic or Latino

Timeline

  1. 2021-03-16
    Dose 1 — Moderna
  2. 2021-03-18
    Registered in v-safe
  3. 2021-03-18
    Survey response — days 1–6 daily, dose 1
    MedDRA: Dizziness, Restlessness — Feeling: Poor · Site: Pain, Swelling · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea, Vomiting · Be unable to work
    Free text: Dizziness, restlessness
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  4. 2021-03-19
    Survey response — days 1–6 daily, dose 1
    MedDRA: Dizziness — Feeling: Fair · Site: Pain · Fever · Headache, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to work
    Free text: Dizziness
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  5. 2021-03-20
    Survey response — days 1–6 daily, dose 1
    MedDRA: Dizziness — Feeling: Fair · Site: Pain · Fever · Chills, Headache, Fatigue or tiredness · Be unable to work, Be unable to do your normal daily activities
    Free text: Dizziness
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  6. 2021-03-21
    Survey response — days 1–6 daily, dose 1
    MedDRA: Dizziness — Feeling: Fair · Site: Pain · Headache, Fatigue or tiredness · Be unable to do your normal daily activities
    Free text: Dizziness
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  7. 2021-03-22
    Survey response — days 1–6 daily, dose 1
    MedDRA: Dizziness — Feeling: Fair · Site: Pain · Headache, Fatigue or tiredness · Be unable to do your normal daily activities
    Free text: Dizziness
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  8. 2021-03-23
    Health check-in — day 7, dose 1
    Feeling: Fair · Fever · Headache, Fatigue or tiredness
    Adult check-in
  9. 2021-03-30
    Health check-in — day 14, dose 1
    Feeling: Poor
    Adult check-in
  10. 2021-04-06
    Health check-in — day 21, dose 1
    Feeling: Fair
    Adult check-in
  11. 2021-04-13
    Dose 2 — Moderna
  12. 2021-04-13
    Survey response — day 0, dose 2
    MedDRA: Unevaluable event — Feeling: Good · Site: Pain · Be unable to work
    Free text: Just got shot one hour ago
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  13. 2021-04-14
    Survey response — days 1–6 daily, dose 2
    MedDRA: Dizziness, Heart rate increased — Feeling: Poor · Site: Pain, Swelling · Fever · Chills, Muscle or body aches, Fatigue or tiredness · Be unable to work, Be unable to do your normal daily activities
    Free text: Rapid heart beat, dizziness
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  14. 2021-04-15
    Survey response — days 1–6 daily, dose 2
    MedDRA: Palpitations — Feeling: Fair · Site: Pain, Redness · Fever · Chills, Headache, Fatigue or tiredness, Nausea · Be unable to work, Be unable to do your normal daily activities
    Free text: Racing heart
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  15. 2021-04-16
    Survey response — days 1–6 daily, dose 2
    MedDRA: Heart rate increased — Feeling: Good · Site: Pain · Headache · Be unable to work, Be unable to do your normal daily activities
    Free text: Rapid heart beat
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  16. 2021-04-17
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · Site: Pain, Redness, Swelling, Itching · Fatigue or tiredness, Rash, not including the immediate area around the injection site
    Adult check-in
  17. 2021-04-19
    Survey response — days 1–6 daily, dose 2
    MedDRA: Injection site induration, Injection site nodule — Feeling: Good · Site: Redness, Swelling, Itching · Headache, Fatigue or tiredness
    Free text: Arm has hard knot about size of quarter at injection site
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  18. 2021-04-20
    Health check-in — day 7, dose 2
    Feeling: Good · Headache
    Adult check-in
  19. 2021-04-28
    Survey response — day 14, dose 2
    MedDRA: Anxiety, Chills, Fatigue, Headache — Feeling: Good
    Free text: Frequent headaches. Some chills. Tired more than usual. Anxiety some.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  20. 2021-05-05
    Health check-in — day 21, dose 2
    Feeling: Fair
    Adult check-in
  21. 2021-05-14
    Survey response — day 28, dose 2
    MedDRA: Headache — Feeling: Poor · Be unable to work, Be unable to do your normal daily activities
    Free text: Headaches more often
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  22. 2021-05-18
    Survey response — day 35, dose 2
    MedDRA: Anxiety, Depression, Fatigue — Feeling: Poor · Be unable to work, Be unable to do your normal daily activities
    Free text: Depression and anxiety. Fatigue.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  23. 2021-05-26
    Health check-in — day 42, dose 2
    Feeling: Fair
    Adult check-in
  24. 2021-07-13
    Health check-in — 3 months, dose 2
    Feeling: Fair
    Adult check-in
  25. 2021-10-12
    Survey response — 6 months, dose 2
    MedDRA: Back pain, Breast pain, Chest pain, Headache — Feeling: Fair · Be unable to work or attend school, Be unable to do your normal daily activities
    Free text: Back pain, chest pain, breast pain, more headaches.
    MedDRA releases: 2024-11 · check-in free text available
  26. 2021-12-14
    Dose 3 — Moderna
  27. 2021-12-17
    Health check-in — days 1–6 daily, dose 3
    Feeling: Good · Site: Swelling · Chills, Fatigue or tiredness
    Adult check-in
  28. 2021-12-18
    Survey response — days 1–6 daily, dose 3
    MedDRA: Confusional state — Feeling: Fair · Site: Pain, Swelling, Itching · Muscle or body aches, Rash, not including the immediate area around the injection site · Be unable to do your normal daily activities
    Free text: Confusion
    MedDRA releases: 2024-11 · check-in free text available
  29. 2021-12-19
    Health check-in — days 1–6 daily, dose 3
    Feeling: Fair · Site: Itching · Fatigue or tiredness, Rash, not including the immediate area around the injection site
    Adult check-in
  30. 2021-12-20
    Survey response — days 1–6 daily, dose 3
    MedDRA: Fear, Injection site induration, Injection site nodule, Pain in extremity, Pruritus, Self-medication — Feeling: Fair · Site: Itching · Fatigue or tiredness
    Free text: Arm is still sore 6 days later and the itching is still a lot that i have to apply ant-itch cream still. My arm had a hard knot in the injection site over 5 days. Because of the side affects I have had different ones from each shot it's scaring me.
    MedDRA releases: 2024-11 · check-in free text available
  31. 2021-12-21
    Survey response — day 7, dose 3
    MedDRA: Dizziness, Erythema, Pruritus — Feeling: Fair · Site: Pain, Redness, Itching · Fatigue or tiredness
    Free text: The itching is pretty severe a week later. I'm going to have to see a Dr if it doesn't stop. Redness is also still there. Some dizziness also.
    MedDRA releases: 2024-11 · check-in free text available
  32. 2021-12-29
    Survey response — day 14, dose 3
    MedDRA: Fatigue, Injection site erythema, Injection site pruritus, Injection site rash, Nodule, Rash — Feeling: Fair
    Free text: Have developed rash on my stomach I've never had and also on my arm below injection site. Booster shot remained red on my arm nearly 2 weeks. Continued to inch more than 2 weeks and caused rash in other places on my body. Fatigue. Hard knot in arm.
    MedDRA releases: 2024-11 · check-in free text available
  33. 2022-01-04
    Survey response — day 21, dose 3
    MedDRA: Rash, Rash pruritic — Feeling: Fair
    Free text: Continued to have rash and itching on arm and stomach that were not present before booster
    MedDRA releases: 2024-11 · check-in free text available
  34. 2022-01-13
    Survey response — day 28, dose 3
    MedDRA: Headache, Rash — Feeling: Fair · Be unable to do your normal daily activities
    Free text: Headaches, continued rashes
    MedDRA releases: 2024-11 · check-in free text available
  35. 2022-01-18
    Survey response — day 35, dose 3
    MedDRA: Rash — Feeling: Fair · Be unable to do your normal daily activities
    Free text: Rashes. I continue to get rashes I never got before the booster.
    MedDRA releases: 2024-11 · check-in free text available
  36. 2022-01-25
    Survey response — day 42, dose 3
    MedDRA: Pruritus, Rash — Feeling: Fair
    Free text: I have continued to have the same rash and itching since I got the shot. I am unsure if the shot is causing my health problems, but I do wonder about that.
    MedDRA releases: 2024-11 · check-in free text available
  37. 2022-03-15
    Health check-in — 3 months, dose 3
    Feeling: Fair
    Adult check-in
  38. 2022-06-14
    Survey response — 6 months, dose 3
    MedDRA: Confusional state, Rash — Feeling: Fair · Be unable to work or attend school, Be unable to do your normal daily activities
    Free text: I've noticed confusion a lot since I got those shots. Also I still have reoccurring rash on my stomach.
    MedDRA releases: 2024-11 · check-in free text available
  39. 2022-12-14
    Survey response — 12 months, dose 3
    MedDRA: Confusional state — Feeling: Fair · Be unable to do your normal daily activities
    Free text: Some confusion I never had before the booster
    MedDRA releases: 2024-11 · check-in free text available

Vaccinations

DoseDateManufacturerCo-administered
12021-03-16Moderna
22021-04-13Moderna
32021-12-14Moderna No

Free text

Release 5 — days 1–6 daily, dose 1

2021-03-18

Systemic reaction (other): Dizziness, restlessness

2021-03-19

Systemic reaction (other): Dizziness

Release 6 — days 1–6 daily, dose 1

2021-03-20

Systemic reaction (other): Dizziness

2021-03-21

Systemic reaction (other): Dizziness

2021-03-22

Systemic reaction (other): Dizziness

Release 7 — day 0, dose 2

2021-04-13

Systemic reaction (other): Just got shot one hour ago

Release 7 — days 1–6 daily, dose 2

2021-04-14

Systemic reaction (other): Rapid heart beat, dizziness

2021-04-15

Systemic reaction (other): Racing heart

2021-04-16

Systemic reaction (other): Rapid heart beat

2021-04-19

Systemic reaction (other): Arm has hard knot about size of quarter at injection site

Release 8 — day 14, dose 2

2021-04-28

Symptoms: Frequent headaches. Some chills. Tired more than usual. Anxiety some.

Release 8 — day 28, dose 2

2021-05-14

Symptoms: Headaches more often

Release 8 — day 35, dose 2

2021-05-18

Symptoms: Depression and anxiety. Fatigue.

Release 10 — 6 months, dose 2

2021-10-12

Symptoms: Back pain, chest pain, breast pain, more headaches.

Release 10 — days 1–6 daily, dose 3

2021-12-18

Systemic reaction (other): Confusion

2021-12-20

Systemic reaction (other): Arm is still sore 6 days later and the itching is still a lot that i have to apply ant-itch cream still. My arm had a hard knot in the injection site over 5 days. Because of the side affects I have had different ones from each shot it's scaring me. cut off by CDC

Release 10 — day 7, dose 3

2021-12-21

Systemic reaction (other): The itching is pretty severe a week later. I'm going to have to see a Dr if it doesn't stop. Redness is also still there. Some dizziness also.

Release 10 — day 14, dose 3

2021-12-29

Symptoms: Have developed rash on my stomach I've never had and also on my arm below injection site. Booster shot remained red on my arm nearly 2 weeks. Continued to inch more than 2 weeks and caused rash in other places on my body. Fatigue. Hard knot in arm. cut off by CDC

Release 10 — day 21, dose 3

2022-01-04

Symptoms: Continued to have rash and itching on arm and stomach that were not present before booster

Release 10 — day 28, dose 3

2022-01-13

Symptoms: Headaches, continued rashes

Release 10 — day 35, dose 3

2022-01-18

Symptoms: Rashes. I continue to get rashes I never got before the booster.

Release 11 — day 42, dose 3

2022-01-25

Symptoms: I have continued to have the same rash and itching since I got the shot. I am unsure if the shot is causing my health problems, but I do wonder about that.

Release 12 — 6 months, dose 3

2022-06-14

Symptoms: I've noticed confusion a lot since I got those shots. Also I still have reoccurring rash on my stomach.

Release 12 — 12 months, dose 3

2022-12-14

Symptoms: Some confusion I never had before the booster

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
SDAnxiety ✓ ✓ ✓
SDBack pain · · ✓
SDBreast pain · · ✓
SDChest pain · · ✓
SDChills ✓ ✓ ✓
SDConfusional state · · ✓
SDDepression ✓ ✓ ✓
SDFatigue ✓ ✓ ✓
SDHeadache ✓ ✓ ✓
SDInjection site erythema · · ✓
SDInjection site pruritus · · ✓
SDInjection site rash · · ✓
SDNodule · · ✓
SDPruritus · · ✓
SDRash · · ✓
SDRash pruritic · · ✓
SROConfusional state · · ✓
SRODizziness ✓ ✓ ✓
SROErythema · · ✓
SROFear · · ✓
SROHeart rate increased ✓ ✓ ✓
SROInjection site induration ✓ ✓ ✓
SROInjection site nodule ✓ ✓ ✓
SROPain in extremity · · ✓
SROPalpitations ✓ ✓ ✓
SROPruritus · · ✓
SRORestlessness ✓ ✓ ✓
SROSelf-medication · · ✓
SROUnevaluable event ✓ ✓ ✓

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

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