6WY-19553-55573
4 vaccinations
7 coded responses
50 check-ins
7 free-text entries
1 call case
- Sex
- Female
- Age at first dose
- 51-55
- ZIP prefix
- 488 / MI
- Registered
- 2021-04-01
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-03-31
Dose 1 — Moderna
-
2021-04-01
Registered in v-safe
-
2021-04-01
Health check-in — days 1–6 daily, dose 1Feeling: Good · Site: Pain · Fatigue or tirednessAdult check-in
- 2021-04-02
-
2021-04-04
Survey response — days 1–6 daily, dose 1MedDRA: Myalgia — Feeling: Good · Muscle or body achesFree text: Muscle soreness top/back of sholder, front edge & back edge (lat) of armpit on left arm/side where shot was given (4/1-4/4).MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-04-05
- 2021-04-06
- 2021-04-07
- 2021-04-14
- 2021-04-21
-
2021-04-28
Dose 2 — Moderna
- 2021-04-28
- 2021-04-29
- 2021-04-30
- 2021-05-02
- 2021-05-03
- 2021-05-04
- 2021-05-05
- 2021-05-12
- 2021-05-19
- 2021-05-26
- 2021-06-04
-
2021-06-09
Survey response — day 42, dose 2MedDRA: Muscle spasms, Tension, Unevaluable event — Feeling: Good · Get care from a doctor or other healthcare professionalFree text: Symptoms: Recurring left Neck/shoulder & mid- back spams/tension causing frequent trips to chiropractor (over last 2.5 wks). · Healthcare visit (other): Chiropractic adjustmentsMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-06-09
Report sent to call center — day 42, dose 2Get care from a doctor or other healthcare professional1 call case(s)
- 2021-07-28
- 2021-10-27
-
2021-11-19
Dose 3 — Moderna
- 2021-11-19
-
2021-11-20
Call successfulNot applicable (accidental reporting or does not believe symptoms are related to vaccine)
-
2021-11-21
Health check-in — days 1–6 daily, dose 3Feeling: Fair · Site: Pain · Fever · Chills, Headache, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to work or attend school, Be unable to do your normal daily activitiesAdult check-in
-
2021-11-22
Health check-in — days 1–6 daily, dose 3Feeling: Good · Site: Pain · Fatigue or tirednessAdult check-in
- 2021-11-23
-
2021-11-24
Survey response — days 1–6 daily, dose 3MedDRA: Dizziness — Feeling: GoodFree text: Occasional slight dizziness 11/21-11/24MedDRA releases: 2024-11 · check-in free text available
-
2021-11-25
Survey response — days 1–6 daily, dose 3MedDRA: Dizziness, Feeling abnormal — Feeling: Good · Fever · Fatigue or tirednessFree text: Dizzy, bit spaceyMedDRA releases: 2024-11 · check-in free text available
- 2021-11-27
- 2021-12-04
- 2021-12-10
- 2021-12-17
- 2021-12-24
- 2021-12-31
- 2022-02-18
-
2022-05-13
Dose 4 — Moderna
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2022-05-13
Survey response — day 0, dose 4MedDRA: Injection site pain, Myalgia — Feeling: Good · Site: Pain, Redness · Muscle or body aches, Fatigue or tirednessFree text: Muscle soreness/ache upper arm around injection site, and a bit in shoulder jointMedDRA releases: 2024-11 · check-in free text available
-
2022-05-14
Survey response — days 1–6 daily, dose 4MedDRA: Injection site bruising, Injection site pain — Feeling: Fair · Site: Pain · Fever · Chills, Headache, Muscle or body aches, Fatigue or tiredness, Diarrhea · Be unable to work or attend school, Be unable to do your normal daily activitiesFree text: Injection site has been bruised since shot; muscle aches upper left arm around injection siteMedDRA releases: 2024-11 · check-in free text available
-
2022-05-15
Health check-in — days 1–6 daily, dose 4Feeling: Good · Site: Pain · Fatigue or tirednessAdult check-in
- 2022-05-16
- 2022-05-17
-
2022-05-19
Survey response — days 1–6 daily, dose 4MedDRA: Injection site bruising — Feeling: Good · HeadacheFree text: Nickel-sized bruise at injection siteMedDRA releases: 2024-11 · check-in free text available
- 2022-05-20
- 2022-05-27
- 2022-06-03
- 2022-06-12
- 2022-06-17
- 2022-06-24
- 2022-08-14
- 2022-11-11
- 2023-05-13
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-03-31 | Moderna | |
| 2 | 2021-04-28 | Moderna | |
| 3 | 2021-11-19 | Moderna | No |
| 4 | 2022-05-13 | Moderna | No |
Call center
1 call center case
1 successful
Free text
Release 6 — days 1–6 daily, dose 1
Systemic reaction (other): Muscle soreness top/back of sholder, front edge & back edge (lat) of armpit on left arm/side where shot was given (4/1-4/4).
Release 9 — day 42, dose 2
Symptoms: Recurring left Neck/shoulder & mid- back spams/tension causing frequent trips to chiropractor (over last 2.5 wks).
Healthcare visit (other): Chiropractic adjustments
Release 10 — days 1–6 daily, dose 3
Systemic reaction (other): Occasional slight dizziness 11/21-11/24
Systemic reaction (other): Dizzy, bit spacey
Release 11 — day 0, dose 4
Systemic reaction (other): Muscle soreness/ache upper arm around injection site, and a bit in shoulder joint
Release 11 — days 1–6 daily, dose 4
Systemic reaction (other): Injection site has been bruised since shot; muscle aches upper left arm around injection site
Systemic reaction (other): Nickel-sized bruise at injection site
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 | Unevaluable event | ✓ | ✓ | ✓ |
| SD | Muscle spasms | ✓ | ✓ | ✓ |
| SD | Tension | ✓ | ✓ | ✓ |
| SRO | Dizziness | · | · | ✓ |
| SRO | Feeling abnormal | · | · | ✓ |
| SRO | Injection site bruising | · | · | ✓ |
| SRO | Injection site pain | · | · | ✓ |
| SRO | Myalgia | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release