5BU-25761-10607
4 vaccinations
7 coded responses
44 check-ins
7 free-text entries
1 call case
- Sex
- Female
- Age at first dose
- 61-65
- ZIP prefix
- 480 / MI
- Registered
- 2021-02-08
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-02-08
Registered in v-safe
-
2021-02-08
Dose 1 — Moderna
- 2021-02-08
- 2021-02-09
- 2021-02-10
- 2021-02-11
- 2021-02-13
- 2021-02-14
- 2021-02-15
- 2021-02-22
- 2021-03-01
-
2021-03-08
Dose 2 — Moderna
- 2021-03-08
-
2021-03-09
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Site: Pain, Swelling · Fever · Chills, Headache, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activitiesAdult check-in
-
2021-03-10
Survey response — days 1–6 daily, dose 2MedDRA: Dizziness — Feeling: Good · Site: Pain, Swelling · Be unable to do your normal daily activitiesFree text: I am feeling lightheaded on standing for any length of time, like I may faintMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-03-11
- 2021-03-12
- 2021-03-13
- 2021-03-14
- 2021-03-15
- 2021-03-22
- 2021-03-29
- 2021-04-05
- 2021-04-12
-
2021-04-19
Survey response — day 42, dose 2MedDRA: Nephrolithiasis — Feeling: Good · Be unable to work, Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Emergency room or emergency department visitFree text: I had 3 kidney stones and passed one of the stones. I had never had kidney stones priorMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-04-19
Report sent to call center — day 42, dose 2Be unable to work · Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional1 call case(s)
- 2021-06-07
- 2021-09-06
-
2021-10-26
Dose 3 — ModernaCo-administered: Flu
-
2021-10-28
Survey response — days 1–6 daily, dose 3MedDRA: Chills, Pyrexia — Feeling: Good · Site: PainFree text: I had fever and chills yesterday and got my booster on Oct 26MedDRA releases: 2024-11 · check-in free text available
-
2021-10-29
Survey response — days 1–6 daily, dose 3MedDRA: Axillary pain, Oedema peripheral — Feeling: Good · Site: PainFree text: I have pain and swelling in my right axilla, the side where I received my Covid boosterMedDRA releases: 2024-11 · check-in free text available
-
2021-10-30
Survey response — days 1–6 daily, dose 3MedDRA: Axillary pain, Oedema peripheral — Feeling: Good · Site: PainFree text: Pain and swelling in right axilla, arm where I received Covid boosterMedDRA releases: 2024-11 · check-in free text available
-
2021-10-31
Survey response — days 1–6 daily, dose 3MedDRA: Axillary pain, Oedema peripheral — Feeling: GoodFree text: Pain in right axilla with mild swelling.MedDRA releases: 2024-11 · check-in free text available
-
2021-11-01
Survey response — days 1–6 daily, dose 3MedDRA: Axillary pain — Feeling: GoodFree text: Slightly sore in right axillaMedDRA releases: 2024-11 · check-in free text available
- 2021-11-02
- 2021-11-09
- 2021-11-16
- 2021-11-23
- 2021-11-30
- 2021-12-07
- 2021-12-22
- 2022-01-25
-
2022-04-22
Dose 4 — Moderna
- 2022-04-26
- 2022-05-19
- 2022-05-20
- 2022-05-27
- 2022-06-03
- 2022-07-22
- 2022-10-21
- 2023-04-22
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-02-08 | Moderna | |
| 2 | 2021-03-08 | Moderna | |
| 3 | 2021-10-26 | Moderna | Flu |
| 4 | 2022-04-22 | Moderna | No |
Call center
1 call center case
1 unsuccessful
1 wait over 3 months for a first call
Free text
Release 5 — days 1–6 daily, dose 2
Systemic reaction (other): I am feeling lightheaded on standing for any length of time, like I may faint
Release 7 — day 42, dose 2
Symptoms: I had 3 kidney stones and passed one of the stones. I had never had kidney stones prior
Release 10 — days 1–6 daily, dose 3
Systemic reaction (other): I had fever and chills yesterday and got my booster on Oct 26
Systemic reaction (other): I have pain and swelling in my right axilla, the side where I received my Covid booster
Systemic reaction (other): Pain and swelling in right axilla, arm where I received Covid booster
Systemic reaction (other): Pain in right axilla with mild swelling.
Systemic reaction (other): Slightly sore in right axilla
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 | Nephrolithiasis | ✓ | ✓ | ✓ |
| SRO | Axillary pain | · | · | ✓ |
| SRO | Chills | · | · | ✓ |
| SRO | Dizziness | ✓ | ✓ | ✓ |
| SRO | Oedema peripheral | · | · | ✓ |
| SRO | Pyrexia | · | · | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release