5BR-68123-87561
3 vaccinations
7 coded responses
40 check-ins
7 free-text entries
0 call cases
- Sex
- Female
- Age at first dose
- 36-40
- ZIP prefix
- 483 / MI
- Registered
- 2021-02-03
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-02-03
Registered in v-safe
-
2021-02-03
Dose 1 — Moderna
- 2021-02-03
- 2021-02-04
- 2021-02-05
- 2021-02-06
- 2021-02-07
- 2021-02-08
- 2021-02-10
- 2021-02-17
- 2021-02-24
-
2021-03-03
Dose 2 — Moderna
- 2021-03-03
-
2021-03-04
Health check-in — days 1–6 daily, dose 2Feeling: Poor · Site: Pain · Fever · Chills, Headache, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to workAdult check-in
-
2021-03-05
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Site: Pain · Fever · Chills, Headache, Muscle or body aches, Fatigue or tiredness · Be unable to workAdult check-in
- 2021-03-06
- 2021-03-07
- 2021-03-08
- 2021-03-09
- 2021-03-10
- 2021-03-17
-
2021-03-24
Survey response — day 21, dose 2MedDRA: Abdominal discomfort, Chills, Headache — Feeling: Poor · Be unable to do your normal daily activitiesFree text: Today I had chills, upset stomach, diarrhea, headache.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-03-31
- 2021-04-07
- 2021-04-14
- 2021-06-02
- 2021-09-01
-
2021-10-29
Dose 3 — Moderna
- 2021-10-29
-
2021-10-30
Health check-in — days 1–6 daily, dose 3Feeling: Poor · Site: Pain · Fever · Chills, Headache, Muscle or body aches · Be unable to work or attend schoolAdult check-in
-
2021-10-31
Survey response — days 1–6 daily, dose 3MedDRA: Lymph node pain, Lymphadenopathy, Unevaluable event — Feeling: Fair · Site: Pain · Fever · Chills, Muscle or body aches, Fatigue or tiredness · Be unable to work or attend schoolFree text: My lymph nodes in my left arm pit are swollen and tender. Left ear/neck lymph node painMedDRA releases: 2024-11 · check-in free text available
-
2021-11-01
Survey response — days 1–6 daily, dose 3MedDRA: Ear pain, Headache, Lymphadenopathy, Respiratory tract congestion — Feeling: Fair · Site: Pain · Fever · Chills, Muscle or body aches, Fatigue or tiredness · Be unable to work or attend schoolFree text: Swollen lymph nodes on left side, congestion, ear ache headache only on left sideMedDRA releases: 2024-11 · check-in free text available
-
2021-11-02
Survey response — days 1–6 daily, dose 3MedDRA: SARS-CoV-2 test positive — Feeling: Poor · Site: Pain · Fever · Chills, Headache, Muscle or body aches, Fatigue or tiredness · Be unable to work or attend schoolFree text: I tested positive for covid todayMedDRA releases: 2024-11 · check-in free text available
-
2021-11-03
Survey response — days 1–6 daily, dose 3MedDRA: COVID-19 — Feeling: Poor · Site: Pain · Headache, Fatigue or tiredness · Be unable to work or attend schoolFree text: I'm covid positive. My symptoms are related to covid now not my boosterMedDRA releases: 2024-11 · check-in free text available
-
2021-11-04
Survey response — days 1–6 daily, dose 3MedDRA: SARS-CoV-2 test positive — Feeling: Poor · Fever · Headache, Muscle or body aches, Fatigue or tiredness · Be unable to work or attend schoolFree text: I tested positive for covid 3 days after the booster shotMedDRA releases: 2024-11 · check-in free text available
-
2021-11-05
Survey response — day 7, dose 3MedDRA: COVID-19, SARS-CoV-2 test positive — Feeling: Poor · Fatigue or tiredness · Be unable to work or attend schoolFree text: I have COVID. Tested positive 3 days after booster. Just got infusion todayMedDRA releases: 2024-11 · check-in free text available
- 2021-11-12
- 2021-11-19
- 2021-11-26
- 2021-12-03
- 2021-12-10
- 2022-01-28
- 2022-04-29
- 2022-10-31
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-02-03 | Moderna | |
| 2 | 2021-03-03 | Moderna | |
| 3 | 2021-10-29 | Moderna | No |
Free text
Release 6 — day 21, dose 2
Symptoms: Today I had chills, upset stomach, diarrhea, headache.
Release 10 — days 1–6 daily, dose 3
Systemic reaction (other): My lymph nodes in my left arm pit are swollen and tender. Left ear/neck lymph node pain
Systemic reaction (other): Swollen lymph nodes on left side, congestion, ear ache headache only on left side
Systemic reaction (other): I tested positive for covid today
Systemic reaction (other): I'm covid positive. My symptoms are related to covid now not my booster
Systemic reaction (other): I tested positive for covid 3 days after the booster shot
Release 10 — day 7, dose 3
Systemic reaction (other): I have COVID. Tested positive 3 days after booster. Just got infusion today
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 | Abdominal discomfort | ✓ | ✓ | ✓ |
| SD | Chills | ✓ | ✓ | ✓ |
| SD | Headache | ✓ | ✓ | ✓ |
| SRO | COVID-19 | · | · | ✓ |
| SRO | Ear pain | · | · | ✓ |
| SRO | Headache | · | · | ✓ |
| SRO | Lymph node pain | · | · | ✓ |
| SRO | Lymphadenopathy | · | · | ✓ |
| SRO | Respiratory tract congestion | · | · | ✓ |
| SRO | SARS-CoV-2 test positive | · | · | ✓ |
| SRO | Unevaluable event | · | · | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release