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6YH-31835-53203

2 vaccinations 4 coded responses 14 check-ins 4 free-text entries 1 call case
Sex
Female
Age at first dose
66+
ZIP prefix
498 / MI
Registered
2021-03-21
Relationship
Self
Race
White
Ethnicity
Not Hispanic or Latino

Timeline

  1. 2021-03-12
    Dose 1 — Moderna
  2. 2021-03-21
    Registered in v-safe
  3. 2021-03-21
    Health check-in — day 7, dose 1
    Feeling: Fair · Site: Redness, Swelling, Itching · Muscle or body aches, Fatigue or tiredness
    Adult check-in
  4. 2021-03-27
    Health check-in — day 14, dose 1
    Feeling: Fair
    Adult check-in
  5. 2021-04-02
    Survey response — day 21, dose 1
    MedDRA: Back pain, Dyspnoea, Fatigue, Headache — Feeling: Fair · Be unable to do your normal daily activities
    Free text: Fatigue, headache (3days now), more short of breath than normal, increased back pain.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  6. 2021-04-09
    Dose 2 — Moderna
  7. 2021-04-13
    Survey response — days 1–6 daily, dose 2
    MedDRA: No adverse event — Feeling: Good · Site: Redness, Swelling, Itching · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness
    Free text: Nothing.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  8. 2021-04-14
    Survey response — days 1–6 daily, dose 2
    MedDRA: Balance disorder — Feeling: Fair · Site: Itching · Joint pains, Muscle or body aches, Fatigue or tiredness
    Free text: Balance impaired
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  9. 2021-04-15
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · None
    Adult check-in
  10. 2021-04-16
    Health check-in — day 7, dose 2
    Feeling: Good · None
    Adult check-in
  11. 2021-04-23
    Health check-in — day 14, dose 2
    Feeling: Good
    Adult check-in
  12. 2021-05-03
    Health check-in — day 21, dose 2
    Feeling: Good
    Adult check-in
  13. 2021-05-07
    Health check-in — day 28, dose 2
    Feeling: Good
    Adult check-in
  14. 2021-05-15
    Health check-in — day 35, dose 2
    Feeling: Good
    Adult check-in
  15. 2021-07-09
    Health check-in — 3 months, dose 2
    Feeling: Good
    Adult check-in
  16. 2021-10-08
    Health check-in — 6 months, dose 2
    Feeling: Good
    Adult check-in
  17. 2022-04-14
    Survey response — 12 months, dose 2
    MedDRA: Abdominal pain, Arthralgia, Asthenia, Back pain, Gait disturbance, Hiatus hernia, Nausea, Unevaluable event, Vomiting — Feeling: Fair · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit, Emergency room or emergency department visit
    Free text: Symptoms: Pain in hips, back, progressive. Not like symptoms related to COVID in my understadin. · Healthcare visit (other): Multiple tests . No two diagnosis same. Abdominal pain, nausea vomiting for past 4-5 months. DCCS hiatal hernia. Walking now like I have had a small stroke, very mild weakness changed from right side to left. No speech problem but an abnormal sw. t
    MedDRA releases: 2024-11 · check-in free text available
  18. 2022-04-14
    Report sent to call center — 12 months, dose 2
    Get care from a doctor or other healthcare professional
    Outpatient clinic or urgent care clinic visit · Emergency room or emergency department visit · 1 call case(s)
  19. 2022-04-19

Vaccinations

DoseDateManufacturerCo-administered
12021-03-12Moderna
22021-04-09Moderna

Call center

1 call center case

1 unsuccessful

See the call center timeline

Free text

Release 6 — day 21, dose 1

2021-04-02

Symptoms: Fatigue, headache (3days now), more short of breath than normal, increased back pain.

Release 7 — days 1–6 daily, dose 2

2021-04-13

Systemic reaction (other): Nothing.

2021-04-14

Systemic reaction (other): Balance impaired

Release 11 — 12 months, dose 2

2022-04-14

Symptoms: Pain in hips, back, progressive. Not like symptoms related to COVID in my understadin.
Healthcare visit (other): Multiple tests . No two diagnosis same. Abdominal pain, nausea vomiting for past 4-5 months. DCCS hiatal hernia. Walking now like I have had a small stroke, very mild weakness changed from right side to left. No speech problem but an abnormal sw. t cut off by CDC

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
HCVOAbdominal pain · · ✓
HCVOAsthenia · · ✓
HCVOGait disturbance · · ✓
HCVOHiatus hernia · · ✓
HCVONausea · · ✓
HCVOUnevaluable event · · ✓
HCVOVomiting · · ✓
SDArthralgia · · ✓
SDBack pain ✓ ✓ ✓
SDDyspnoea ✓ ✓ ✓
SDFatigue ✓ ✓ ✓
SDHeadache ✓ ✓ ✓
SROBalance disorder ✓ ✓ ✓
SRONo adverse event ✓ ✓ ✓

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