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6CG-25731-78247

5 vaccinations 12 coded responses 46 check-ins 12 free-text entries 0 call cases
Sex
Female
Age at first dose
66+
ZIP prefix
482 / MI
Registered
2021-01-27
Relationship
Self
Race
Black or African American
Ethnicity
Not Hispanic or Latino

Timeline

  1. 2021-01-26
    Dose 1 — Moderna
  2. 2021-01-27
    Registered in v-safe
  3. 2021-01-27
    Survey response — days 1–6 daily, dose 1
    MedDRA: Injection site warmth — Feeling: Good · Site: Pain, Swelling
    Free text: Arm is hot at injection site
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  4. 2021-01-28
    Survey response — days 1–6 daily, dose 1
    MedDRA: Injection site pain — Feeling: Good · Site: Swelling
    Free text: Very mild muscle ache at injection site
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  5. 2021-01-29
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · None
    Adult check-in
  6. 2021-01-30
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · None
    Adult check-in
  7. 2021-02-01
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · None
    Adult check-in
  8. 2021-02-02
    Survey response — day 7, dose 1
    MedDRA: Nasal congestion — Feeling: Fair · Headache · Be unable to do your normal daily activities
    Free text: Nasal congestion
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  9. 2021-02-09
    Survey response — day 14, dose 1
    MedDRA: Arthralgia, Inflammation, Injection site erythema, Injection site pruritus, Nasal congestion, Rash, Rhinorrhoea — Feeling: Fair · Be unable to work, Be unable to do your normal daily activities
    Free text: Increased redness (patches of red) and itching around injection site; knee pain/ inflammation; plus day seven only stuffiness and runny nose (reported last week)
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  10. 2021-02-16
    Health check-in — day 21, dose 1
    Feeling: Good
    Adult check-in
  11. 2021-02-23
    Dose 2 — Moderna
  12. 2021-02-23
    Health check-in — day 0, dose 2
    Feeling: Good · Site: Itching · None
    Adult check-in
  13. 2021-02-24
    Health check-in — days 1–6 daily, dose 2
    Feeling: Fair · Site: Swelling, Itching · Chills, Fatigue or tiredness · Be unable to work, Be unable to do your normal daily activities
    Adult check-in
  14. 2021-02-25
    Survey response — days 1–6 daily, dose 2
    MedDRA: Pyrexia — Feeling: Fair · Site: Swelling, Itching · Fatigue or tiredness, Diarrhea
    Free text: Fever at injection site
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  15. 2021-02-26
    Survey response — days 1–6 daily, dose 2
    MedDRA: Chills — Feeling: Good · Site: Pain, Swelling, Itching · Muscle or body aches
    Free text: Experienced chills yesterday evening after check-in
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  16. 2021-02-27
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · Site: Swelling, Itching · None
    Adult check-in
  17. 2021-02-28
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · None
    Adult check-in
  18. 2021-03-01
    Health check-in — days 1–6 daily, dose 2
    Feeling: Fair · Site: Swelling · Fatigue or tiredness
    Adult check-in
  19. 2021-03-02
    Health check-in — day 7, dose 2
    Feeling: Good · Site: Swelling · None
    Adult check-in
  20. 2021-03-09
    Health check-in — day 14, dose 2
    Feeling: Good
    Adult check-in
  21. 2021-03-16
    Health check-in — day 21, dose 2
    Feeling: Good
    Adult check-in
  22. 2021-03-23
    Health check-in — day 28, dose 2
    Feeling: Good
    Adult check-in
  23. 2021-03-30
    Health check-in — day 35, dose 2
    Feeling: Good
    Adult check-in
  24. 2021-04-06
    Health check-in — day 42, dose 2
    Feeling: Good
    Adult check-in
  25. 2021-05-26
    Health check-in — 3 months, dose 2
    Feeling: Good
    Adult check-in
  26. 2021-08-26
    Health check-in — 6 months, dose 2
    Feeling: Good
    Adult check-in
  27. 2021-10-22
    Dose 3 — Moderna
  28. 2021-11-02
    Survey response — day 7, dose 3
    MedDRA: Cough — Feeling: Good
    Free text: Cough
    MedDRA releases: 2024-11 · check-in free text available
  29. 2021-11-05
    Health check-in — day 14, dose 3
    Feeling: Good
    Adult check-in
  30. 2021-11-12
    Survey response — day 21, dose 3
    MedDRA: Injection site pain — Feeling: Good
    Free text: Arm hurts today in muscle of injection site.
    MedDRA releases: 2024-11 · check-in free text available
  31. 2021-11-22
    Health check-in — day 28, dose 3
    Feeling: Good
    Adult check-in
  32. 2021-11-26
    Health check-in — day 35, dose 3
    Feeling: Good
    Adult check-in
  33. 2021-12-03
    Health check-in — day 42, dose 3
    Feeling: Good
    Adult check-in
  34. 2022-01-22
    Survey response — 3 months, dose 3
    MedDRA: Headache, Nasal congestion — Feeling: Good
    Free text: Stuffy nose; headache
    MedDRA releases: 2024-11 · check-in free text available
  35. 2022-04-12
    Dose 4 — Moderna
  36. 2022-04-21
    Health check-in — day 7, dose 4
    Feeling: Good · Site: Swelling · None
    Adult check-in
  37. 2022-04-26
    Health check-in — day 14, dose 4
    Feeling: Good
    Adult check-in
  38. 2022-05-07
    Health check-in — day 21, dose 4
    Feeling: Good
    Adult check-in
  39. 2022-05-10
    Survey response — day 28, dose 4
    MedDRA: Diarrhoea, Ear swelling — Feeling: Fair · Be unable to work or attend school, Be unable to do your normal daily activities
    Free text: Increased swelling behind my left ear; diarrhea
    MedDRA releases: 2024-11 · check-in free text available
  40. 2022-05-17
    Health check-in — day 35, dose 4
    Feeling: Good
    Adult check-in
  41. 2022-05-25
    Health check-in — day 42, dose 4
    Feeling: Good
    Adult check-in
  42. 2022-07-14
    Health check-in — 3 months, dose 4
    Feeling: Good
    Adult check-in
  43. 2022-09-22
    Dose 5 — Moderna
    Co-administered: Flu
  44. 2022-09-25
    Survey response — days 1–6 daily, dose 5
    MedDRA: Rhinorrhoea — Feeling: Good · Site: Pain, Redness
    Free text: Sniffles
    MedDRA releases: 2024-11 · check-in free text available
  45. 2022-09-26
    Health check-in — days 1–6 daily, dose 5
    Feeling: Good · Site: Pain · None
    Adult check-in
  46. 2022-09-28
    Health check-in — days 1–6 daily, dose 5
    Feeling: Good · None
    Adult check-in
  47. 2022-10-03
    Health check-in — day 7, dose 5
    Feeling: Good · Fatigue or tiredness
    Adult check-in
  48. 2022-10-06
    Health check-in — day 14, dose 5
    Feeling: Good
    Adult check-in
  49. 2022-10-13
    Health check-in — day 21, dose 5
    Feeling: Good
    Adult check-in
  50. 2022-10-21
    Health check-in — day 28, dose 5
    Feeling: Good
    Adult check-in
  51. 2022-11-04
    Health check-in — day 42, dose 5
    Feeling: Good
    Adult check-in
  52. 2022-12-23
    Survey response — 3 months, dose 5
    MedDRA: Rhinorrhoea — Feeling: Good · Be unable to work or attend school
    Free text: Runny nose
    MedDRA releases: 2024-11 · check-in free text available

Vaccinations

DoseDateManufacturerCo-administered
12021-01-26Moderna
22021-02-23Moderna
32021-10-22Moderna No
42022-04-12Moderna No
52022-09-22Moderna Flu

Free text

Release 2 — days 1–6 daily, dose 1

2021-01-27

Systemic reaction (other): Arm is hot at injection site

2021-01-28

Systemic reaction (other): Very mild muscle ache at injection site

Release 3 — day 7, dose 1

2021-02-02

Systemic reaction (other): Nasal congestion

Release 3 — day 14, dose 1

2021-02-09

Symptoms: Increased redness (patches of red) and itching around injection site; knee pain/ inflammation; plus day seven only stuffiness and runny nose (reported last week)

Release 4 — days 1–6 daily, dose 2

2021-02-25

Systemic reaction (other): Fever at injection site

2021-02-26

Systemic reaction (other): Experienced chills yesterday evening after check-in

Release 10 — day 7, dose 3

2021-11-02

Systemic reaction (other): Cough

Release 10 — day 21, dose 3

2021-11-12

Symptoms: Arm hurts today in muscle of injection site.

Release 11 — 3 months, dose 3

2022-01-22

Symptoms: Stuffy nose; headache

Release 11 — day 28, dose 4

2022-05-10

Symptoms: Increased swelling behind my left ear; diarrhea

Release 12 — days 1–6 daily, dose 5

2022-09-25

Systemic reaction (other): Sniffles

Release 12 — 3 months, dose 5

2022-12-23

Symptoms: Runny 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

FieldPreferred term2021-092023-042024-11
SDArthralgia ✓ ✓ ✓
SDDiarrhoea · · ✓
SDEar swelling · · ✓
SDHeadache · · ✓
SDInflammation ✓ ✓ ✓
SDInjection site erythema ✓ ✓ ✓
SDInjection site pain · · ✓
SDInjection site pruritus ✓ ✓ ✓
SDNasal congestion ✓ ✓ ✓
SDRash ✓ ✓ ✓
SDRhinorrhoea ✓ ✓ ✓
SROChills ✓ ✓ ✓
SROCough · · ✓
SROInjection site pain ✓ ✓ ✓
SROInjection site warmth ✓ ✓ ✓
SRONasal congestion ✓ ✓ ✓
SROPyrexia ✓ ✓ ✓
SRORhinorrhoea · · ✓

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