5XC-13717-18951
7 vaccinations
5 coded responses
59 check-ins
5 free-text entries
1 call case
- Sex
- Female
- Age at first dose
- 66+
- ZIP prefix
- 484 / MI
- Registered
- 2021-01-23
- Relationship
- Self
- Race
- Multiracial
- Ethnicity
- N/A
Timeline
-
2021-01-23
Registered in v-safe
-
2021-01-23
Dose 1 — Moderna
- 2021-01-23
- 2021-01-24
- 2021-01-25
- 2021-01-26
- 2021-01-27
- 2021-01-28
- 2021-01-29
- 2021-02-01
- 2021-02-06
- 2021-02-13
-
2021-02-20
Dose 2 — Moderna
-
2021-02-20
Survey response — day 0, dose 2MedDRA: Multiple sclerosis — Feeling: GoodFree text: I have Multiple SchlerosisMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-02-21
Survey response — days 1–6 daily, dose 2MedDRA: Pre-existing disease — Feeling: Poor · Site: Pain · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea, Diarrhea · Be unable to do your normal daily activitiesFree text: I Have MS and take immunomodulator drug CopaxoneMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-02-26
- 2021-02-27
- 2021-03-06
- 2021-03-13
- 2021-03-20
- 2021-03-27
- 2021-04-03
- 2021-05-22
-
2021-08-17
Dose 3 — Moderna
- 2021-11-16
-
2022-02-15
Survey response — 6 months, dose 3MedDRA: Office visit, Thyroid mass, Ultrasound scan abnormal — Feeling: Good · Get care from a doctor or other healthcare professionalFree text: Symptoms: I have a 2.7 cm nodule found on my right side of my thyroid. That was found by having an ultrasound done in Jan · Healthcare visit (other): In my PC OfficeMedDRA releases: 2024-11 · check-in free text available
-
2022-02-15
Report sent to call center — 6 months, dose 3Get care from a doctor or other healthcare professional1 call case(s)
-
2022-02-18
Call successfulCompleted over the phone
-
2022-02-19
Dose 4 — Moderna
- 2022-02-19
-
2022-02-20
Health check-in — days 1–6 daily, dose 4Feeling: Fair · Site: Pain · Headache, Joint pains, Muscle or body aches, Fatigue or tirednessAdult check-in
- 2022-02-21
- 2022-02-22
- 2022-02-23
- 2022-02-24
- 2022-02-25
- 2022-02-26
- 2022-03-05
- 2022-03-14
- 2022-03-21
- 2022-03-26
- 2022-04-02
- 2022-05-21
-
2022-07-21
Dose 5 — Moderna
-
2022-08-20
Survey response — 6 months, dose 4MedDRA: Thyroid mass, Ultrasound thyroid abnormal — Feeling: Good · Be unable to do your normal daily activitiesFree text: January 2022 I found a nodule on rt thyroid .Ultrasound shows 2.9 cm. Had fine needle aspiration. Results benign. 1cm nodule on left thyroid had benign on biopsy also.MedDRA releases: 2024-11 · check-in free text available
- 2022-08-25
- 2022-09-01
-
2022-09-28
Dose 6 — Moderna
- 2022-09-28
- 2022-09-29
- 2022-09-30
- 2022-10-01
- 2022-10-02
- 2022-10-03
- 2022-10-04
- 2022-10-05
- 2022-10-12
- 2022-10-19
- 2022-10-26
- 2022-11-02
- 2022-11-09
-
2022-12-28
Survey response — 3 months, dose 6MedDRA: Basal cell carcinoma, Skin neoplasm excision — Feeling: Fair · Be unable to do your normal daily activitiesFree text: I had nose surgery because of Basil cell cancer and am recuperating from 2 weeks ago. It will still continue since it is healing for the next two weeks at least on my chin and my noseMedDRA releases: 2024-11 · check-in free text available
- 2023-03-29
-
2023-04-21
Dose 7 — Moderna
- 2023-05-06
- 2023-05-12
- 2023-05-19
- 2023-05-28
- 2023-06-02
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-01-23 | Moderna | |
| 2 | 2021-02-20 | Moderna | |
| 3 | 2021-08-17 | Moderna | No |
| 4 | 2022-02-19 | Moderna | No |
| 5 | 2022-07-21 | Moderna | No |
| 6 | 2022-09-28 | Moderna | No |
| 7 | 2023-04-21 | Moderna | No |
Call center
1 call center case
1 successful
VAERS report filed, before or during a call: 1
Free text
Release 4 — day 0, dose 2
Systemic reaction (other): I have Multiple Schlerosis
Release 4 — days 1–6 daily, dose 2
Systemic reaction (other): I Have MS and take immunomodulator drug Copaxone
Release 11 — 6 months, dose 3
Symptoms: I have a 2.7 cm nodule found on my right side of my thyroid. That was found by having an ultrasound done in Jan
Healthcare visit (other): In my PC Office
Release 12 — 6 months, dose 4
Symptoms: January 2022 I found a nodule on rt thyroid .Ultrasound shows 2.9 cm. Had fine needle aspiration. Results benign. 1cm nodule on left thyroid had benign on biopsy also.
Release 12 — 3 months, dose 6
Symptoms: I had nose surgery because of Basil cell cancer and am recuperating from 2 weeks ago. It will still continue since it is healing for the next two weeks at least on my chin and my nose
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 |
|---|---|---|---|---|
| HCVO | Office visit | · | · | ✓ |
| SD | Basal cell carcinoma | · | · | ✓ |
| SD | Skin neoplasm excision | · | · | ✓ |
| SD | Thyroid mass | · | · | ✓ |
| SD | Ultrasound scan abnormal | · | · | ✓ |
| SD | Ultrasound thyroid abnormal | · | · | ✓ |
| SRO | Multiple sclerosis | ✓ | ✓ | ✓ |
| SRO | Pre-existing disease | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release