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6V3-28652-72141

2 vaccinations 5 coded responses 22 check-ins 5 free-text entries 0 call cases
Sex
Female
Age at first dose
51-55
ZIP prefix
494 / MI
Registered
2021-01-06
Relationship
Self
Race
White
Ethnicity
Not Hispanic or Latino

Timeline

  1. 2021-01-04
    Dose 1 — Moderna
  2. 2021-01-06
    Registered in v-safe
  3. 2021-01-06
    Health check-in — days 1–6 daily, dose 1
    Feeling: Fair · Site: Pain · Chills, Headache, Muscle or body aches, Fatigue or tiredness
    Adult check-in
  4. 2021-01-07
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · Site: Pain · None
    Adult check-in
  5. 2021-01-09
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · None
    Adult check-in
  6. 2021-01-10
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · Site: Itching · None
    Adult check-in
  7. 2021-01-11
    Health check-in — day 7, dose 1
    Feeling: Good · None
    Adult check-in
  8. 2021-01-18
    Health check-in — day 14, dose 1
    Feeling: Good
    Adult check-in
  9. 2021-01-25
    Survey response — day 21, dose 1
    MedDRA: Chest pain, Cough, Headache, Rhinorrhoea, Throat irritation — Feeling: Fair · Be unable to work
    Free text: Scratchy throat runny nose coughing slight headache and as of today my chest stsryed hurting.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  10. 2021-02-01
    Dose 2 — Moderna
  11. 2021-02-01
    Survey response — day 0, dose 2
    MedDRA: No adverse event — Feeling: Good · Site: Pain
    Free text: Not yet just got the shot this morning
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  12. 2021-02-02
    Health check-in — days 1–6 daily, dose 2
    Feeling: Poor · Site: Pain · Fever · Chills, Headache, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to work, Be unable to do your normal daily activities
    Adult check-in
  13. 2021-02-04
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · None
    Adult check-in
  14. 2021-02-05
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · Fever · None
    Adult check-in
  15. 2021-02-06
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · None
    Adult check-in
  16. 2021-02-07
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · None
    Adult check-in
  17. 2021-02-08
    Health check-in — day 7, dose 2
    Feeling: Good · Site: Itching · None
    Adult check-in
  18. 2021-02-16
    Health check-in — day 14, dose 2
    Feeling: Good
    Adult check-in
  19. 2021-02-22
    Health check-in — day 21, dose 2
    Feeling: Good
    Adult check-in
  20. 2021-03-01
    Health check-in — day 28, dose 2
    Feeling: Good
    Adult check-in
  21. 2021-03-08
    Health check-in — day 35, dose 2
    Feeling: Good
    Adult check-in
  22. 2021-03-15
    Health check-in — day 42, dose 2
    Feeling: Good
    Adult check-in
  23. 2021-05-03
    Survey response — 3 months, dose 2
    MedDRA: Headache, Sinus headache — Feeling: Good · Be unable to work, Be unable to do your normal daily activities
    Free text: Sinuses and severe headaches. Haf a test dine Thursday last week and it came back negitive
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  24. 2021-08-02
    Survey response — 6 months, dose 2
    MedDRA: Diabetes mellitus, Gastrointestinal infection, Pre-existing disease — Feeling: Good · Be unable to work or attend school, Be unable to do your normal daily activities
    Free text: My diabetes is out of control and i had a serious intestinal infection over the 4th of July
    MedDRA releases: 2021-09,2024-11 · check-in free text available
  25. 2022-02-01
    Survey response — 12 months, dose 2
    MedDRA: Anosmia, COVID-19, Cough, Ear discomfort, Fatigue, Pyrexia — Feeling: Good · Be unable to work or attend school, Be unable to do your normal daily activities
    Free text: Diagnosed with COVID on November 2nd 2021. Symptoms were minimal. Feeling run down lasted the longest about 2 months Had a fever 1 day a cough 2 days loss of smell for a week and plugged ears for about a month
    MedDRA releases: 2024-11 · check-in free text available

Vaccinations

DoseDateManufacturerCo-administered
12021-01-04Moderna
22021-02-01Moderna

Free text

Release 2 — day 21, dose 1

2021-01-25

Symptoms: Scratchy throat runny nose coughing slight headache and as of today my chest stsryed hurting.

Release 3 — day 0, dose 2

2021-02-01

Systemic reaction (other): Not yet just got the shot this morning

Release 8 — 3 months, dose 2

2021-05-03

Symptoms: Sinuses and severe headaches. Haf a test dine Thursday last week and it came back negitive

Release 9 — 6 months, dose 2

2021-08-02

Symptoms: My diabetes is out of control and i had a serious intestinal infection over the 4th of July

Release 11 — 12 months, dose 2

2022-02-01

Symptoms: Diagnosed with COVID on November 2nd 2021. Symptoms were minimal. Feeling run down lasted the longest about 2 months Had a fever 1 day a cough 2 days loss of smell for a week and plugged ears for about a month

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
SDAnosmia · · ✓
SDChest pain ✓ ✓ ✓
SDCough ✓ ✓ ✓
SDCOVID-19 · · ✓
SDDiabetes mellitus ✓ · ✓
SDEar discomfort · · ✓
SDFatigue · · ✓
SDGastrointestinal infection ✓ · ✓
SDHeadache ✓ ✓ ✓
SDPre-existing disease ✓ · ✓
SDPyrexia · · ✓
SDRhinorrhoea ✓ ✓ ✓
SDSinus headache ✓ ✓ ✓
SDThroat irritation ✓ ✓ ✓
SRONo adverse event ✓ ✓ ✓

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