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595-13273-34977

2 vaccinations 7 coded responses 26 check-ins 7 free-text entries 0 call cases
Sex
Female
Age at first dose
31-35
ZIP prefix
498 / MI
Registered
2021-03-23
Relationship
Self
Race
White
Ethnicity
Not Hispanic or Latino

Timeline

  1. 2021-03-23
    Registered in v-safe
  2. 2021-03-26
    Dose 1 — Moderna
  3. 2021-03-26
    Survey response — day 0, dose 1
    MedDRA: Injection site pain — Feeling: Good · Site: Pain
    Free text: Just arm muscle hurts where injection site was.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  4. 2021-03-28
    Survey response — days 1–6 daily, dose 1
    MedDRA: Chills — Feeling: Good · Site: Pain · Chills
    Free text: Day 1 through last night had chills at night when going to bed
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  5. 2021-03-29
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · None
    Adult check-in
  6. 2021-03-30
    Survey response — days 1–6 daily, dose 1
    MedDRA: Chills — Feeling: Good
    Free text: Chills last night when sleeping 03/29. 4 nights in a row
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  7. 2021-03-31
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · None
    Adult check-in
  8. 2021-04-01
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · Nausea
    Adult check-in
  9. 2021-04-02
    Health check-in — day 7, dose 1
    Feeling: Good · Nausea
    Adult check-in
  10. 2021-04-09
    Health check-in — day 14, dose 1
    Feeling: Good
    Adult check-in
  11. 2021-04-16
    Health check-in — day 21, dose 1
    Feeling: Good
    Adult check-in
  12. 2021-04-23
    Health check-in — day 28, dose 1
    Feeling: Good
    Adult check-in
  13. 2021-04-30
    Dose 2 — Moderna
  14. 2021-04-30
    Survey response — day 0, dose 2
    MedDRA: Pain in extremity — Feeling: Good · Nausea
    Free text: Arm where vaccine was hurts. That muscle
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  15. 2021-05-01
    Survey response — days 1–6 daily, dose 2
    MedDRA: Chills — Feeling: Good · Chills
    Free text: Chills at night only
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  16. 2021-05-02
    Survey response — days 1–6 daily, dose 2
    MedDRA: Chills — Feeling: Good · Chills, Headache
    Free text: Just chills evening, and through out night
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  17. 2021-05-03
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · None
    Adult check-in
  18. 2021-05-04
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · None
    Adult check-in
  19. 2021-05-05
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · None
    Adult check-in
  20. 2021-05-06
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · None
    Adult check-in
  21. 2021-05-07
    Health check-in — day 7, dose 2
    Feeling: Good · None
    Adult check-in
  22. 2021-05-14
    Health check-in — day 14, dose 2
    Feeling: Good
    Adult check-in
  23. 2021-05-21
    Health check-in — day 21, dose 2
    Feeling: Good
    Adult check-in
  24. 2021-05-30
    Health check-in — day 28, dose 2
    Feeling: Good
    Adult check-in
  25. 2021-06-04
    Health check-in — day 35, dose 2
    Feeling: Good
    Adult check-in
  26. 2021-06-11
    Health check-in — day 42, dose 2
    Feeling: Good
    Adult check-in
  27. 2021-07-30
    Survey response — 3 months, dose 2
    MedDRA: Cough, Ear infection, Nasopharyngitis, Office visit, SARS-CoV-2 test negative, Sinusitis — Feeling: Fair · Be unable to work or attend school, Be unable to do your normal daily activities
    Free text: July 12-14 sinus infection,July 17 double ear infection, put on clindamycin. July 18th nasty cold/cough. 21st COVID test negativewent to clinic more meds, antibiotics 22nd- 2 breathing treatments24th- new inhalerToday 30th Im a bit better
    MedDRA releases: 2021-09,2024-11 · check-in free text available
  28. 2021-10-29
    Health check-in — 6 months, dose 2
    Feeling: Good
    Adult check-in
  29. 2022-05-01
    Health check-in — 12 months, dose 2
    Feeling: Good
    Adult check-in

Vaccinations

DoseDateManufacturerCo-administered
12021-03-26Moderna
22021-04-30Moderna

Free text

Release 6 — day 0, dose 1

2021-03-26

Systemic reaction (other): Just arm muscle hurts where injection site was.

Release 6 — days 1–6 daily, dose 1

2021-03-28

Systemic reaction (other): Day 1 through last night had chills at night when going to bed

2021-03-30

Systemic reaction (other): Chills last night when sleeping 03/29. 4 nights in a row

Release 8 — day 0, dose 2

2021-04-30

Systemic reaction (other): Arm where vaccine was hurts. That muscle

Release 8 — days 1–6 daily, dose 2

2021-05-01

Systemic reaction (other): Chills at night only

2021-05-02

Systemic reaction (other): Just chills evening, and through out night

Release 9 — 3 months, dose 2

2021-07-30

Symptoms: July 12-14 sinus infection,July 17 double ear infection, put on clindamycin. July 18th nasty cold/cough. 21st COVID test negativewent to clinic more meds, antibiotics 22nd- 2 breathing treatments24th- new inhalerToday 30th Im a bit better

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
SDCough ✓ · ✓
SDEar infection ✓ · ✓
SDNasopharyngitis ✓ · ✓
SDOffice visit ✓ · ✓
SDSARS-CoV-2 test negative ✓ · ✓
SDSinusitis ✓ · ✓
SROChills ✓ ✓ ✓
SROInjection site pain ✓ ✓ ✓
SROPain in extremity ✓ ✓ ✓

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

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