Y38-61313-75095
5 vaccinations
9 coded responses
60 check-ins
9 free-text entries
0 call cases
- Sex
- Female
- Age at first dose
- 66+
- ZIP prefix
- 488 / MI
- Registered
- 2021-01-28
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-01-28
Registered in v-safe
-
2021-01-28
Dose 1 — Moderna
-
2021-01-28
Survey response — day 0, dose 1MedDRA: Injection site pain — Feeling: Good · Site: SwellingFree text: Slight soreness at injection site.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-01-29
- 2021-01-30
- 2021-01-31
- 2021-02-01
- 2021-02-02
- 2021-02-03
- 2021-02-04
-
2021-02-11
Survey response — day 14, dose 1MedDRA: Body temperature decreased, Chills, Malaise — Feeling: GoodFree text: One week after I received the vaccine, I experienced one day of feeling unwell and had chills up and down my body. My temp was 96 degrees.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-02-18
-
2021-02-25
Dose 2 — Moderna
- 2021-02-25
-
2021-02-26
Survey response — days 1–6 daily, dose 2MedDRA: Arthralgia, Neck pain, Pain in extremity — Feeling: Fair · Site: Swelling · Chills, Fatigue or tiredness · Be unable to do your normal daily activitiesFree text: Sore arm-neck-shoulder last night. Better todayMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-02-27
-
2021-02-28
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Fatigue or tiredness · Be unable to do your normal daily activitiesAdult check-in
- 2021-03-01
- 2021-03-02
- 2021-03-03
- 2021-03-04
- 2021-03-11
- 2021-03-18
- 2021-03-25
- 2021-04-01
- 2021-04-08
- 2021-05-27
- 2021-08-26
-
2021-10-31
Dose 3 — Moderna
- 2021-10-31
-
2021-11-01
Survey response — days 1–6 daily, dose 3MedDRA: Asthenia — Feeling: Fair · Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activitiesFree text: No energy most of the day.MedDRA releases: 2024-11 · check-in free text available
- 2021-11-02
- 2021-11-03
- 2021-11-04
- 2021-11-05
- 2021-11-06
- 2021-11-07
- 2021-11-14
- 2021-11-21
- 2021-11-28
- 2021-12-05
- 2021-12-12
- 2022-01-30
-
2022-04-05
Dose 4 — Moderna
-
2022-04-19
Survey response — day 14, dose 4MedDRA: Chills, Fatigue, Flushing, Injection site pain, Insomnia, Nausea, Neck pain, Pain, Pain in extremity — Feeling: Good · Be unable to do your normal daily activitiesFree text: After my 2nd booster I experienced 1st day: sore upper arm up to neck at vac site, body shuttering chills before bed, didn't sleep well. 2nd day: tired, slight nausea, flushed face. After 24 hours I was fine.MedDRA releases: 2024-11 · check-in free text available
- 2022-04-26
- 2022-05-03
- 2022-05-10
- 2022-05-17
-
2022-07-05
Survey response — 3 months, dose 4MedDRA: Dysphonia, Lacrimation increased, Oropharyngeal pain, Respiratory tract congestion, Rhinorrhoea, Sneezing — Feeling: GoodFree text: Runny nose, sneezing, watery eyes. Added to that, 3 days later: sore throat, hoarseness, stuffy head.MedDRA releases: 2024-11 · check-in free text available
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2022-10-04
Survey response — 6 months, dose 4MedDRA: Ageusia, Anosmia, COVID-19 — Feeling: GoodFree text: Now and then I have a brief loss of taste and smell, since my Covid last May. No other symptoms.MedDRA releases: 2024-11 · check-in free text available
-
2022-11-18
Dose 5 — Moderna
- 2022-11-18
-
2022-11-19
Survey response — days 1–6 daily, dose 5MedDRA: No adverse event — Feeling: Fair · Site: Pain, Swelling · Fatigue or tirednessFree text: NoMedDRA releases: 2024-11 · check-in free text available
-
2022-11-20
Survey response — days 1–6 daily, dose 5MedDRA: Chills — Feeling: Good · Site: SwellingFree text: Chills during last evening, better today.MedDRA releases: 2024-11 · check-in free text available
- 2022-11-21
- 2022-11-22
- 2022-11-23
- 2022-11-25
- 2022-12-02
- 2022-12-09
- 2022-12-16
- 2022-12-23
- 2022-12-30
- 2023-02-17
- 2023-05-19
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-01-28 | Moderna | |
| 2 | 2021-02-25 | Moderna | |
| 3 | 2021-10-31 | Moderna | No |
| 4 | 2022-04-05 | Moderna | No |
| 5 | 2022-11-18 | Moderna | No |
Free text
Release 2 — day 0, dose 1
Systemic reaction (other): Slight soreness at injection site.
Release 4 — day 14, dose 1
Symptoms: One week after I received the vaccine, I experienced one day of feeling unwell and had chills up and down my body. My temp was 96 degrees.
Release 4 — days 1–6 daily, dose 2
Systemic reaction (other): Sore arm-neck-shoulder last night. Better today
Release 10 — days 1–6 daily, dose 3
Systemic reaction (other): No energy most of the day.
Release 11 — day 14, dose 4
Symptoms: After my 2nd booster I experienced 1st day: sore upper arm up to neck at vac site, body shuttering chills before bed, didn't sleep well. 2nd day: tired, slight nausea, flushed face. After 24 hours I was fine.
Release 12 — 3 months, dose 4
Symptoms: Runny nose, sneezing, watery eyes. Added to that, 3 days later: sore throat, hoarseness, stuffy head.
Release 12 — 6 months, dose 4
Symptoms: Now and then I have a brief loss of taste and smell, since my Covid last May. No other symptoms.
Release 12 — days 1–6 daily, dose 5
Systemic reaction (other): No
Systemic reaction (other): Chills during last evening, better today.
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 |
|---|---|---|---|---|
| SD | Ageusia | · | · | ✓ |
| SD | Anosmia | · | · | ✓ |
| SD | Body temperature decreased | ✓ | ✓ | ✓ |
| SD | Chills | ✓ | ✓ | ✓ |
| SD | COVID-19 | · | · | ✓ |
| SD | Dysphonia | · | · | ✓ |
| SD | Fatigue | · | · | ✓ |
| SD | Flushing | · | · | ✓ |
| SD | Injection site pain | · | · | ✓ |
| SD | Insomnia | · | · | ✓ |
| SD | Lacrimation increased | · | · | ✓ |
| SD | Malaise | ✓ | ✓ | ✓ |
| SD | Nausea | · | · | ✓ |
| SD | Neck pain | · | · | ✓ |
| SD | Oropharyngeal pain | · | · | ✓ |
| SD | Pain | · | · | ✓ |
| SD | Pain in extremity | · | · | ✓ |
| SD | Respiratory tract congestion | · | · | ✓ |
| SD | Rhinorrhoea | · | · | ✓ |
| SD | Sneezing | · | · | ✓ |
| SRO | Arthralgia | ✓ | ✓ | ✓ |
| SRO | Asthenia | · | · | ✓ |
| SRO | Chills | · | · | ✓ |
| SRO | Injection site pain | ✓ | ✓ | ✓ |
| SRO | Neck pain | ✓ | ✓ | ✓ |
| SRO | No adverse event | · | · | ✓ |
| SRO | Pain in extremity | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release