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Y59-22867-66878

2 vaccinations 5 coded responses 26 check-ins 5 free-text entries 0 call cases
Sex
Female
Age at first dose
66+
ZIP prefix
484 / MI
Registered
2021-03-03
Relationship
Self
Race
White
Ethnicity
N/A

Timeline

  1. 2021-03-03
    Registered in v-safe
  2. 2021-03-03
    Dose 1 — Moderna
  3. 2021-03-03
    Health check-in — day 0, dose 1
    Feeling: Good · None
    Adult check-in
  4. 2021-03-04
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · Site: Pain, Redness, Swelling · None
    Adult check-in
  5. 2021-03-05
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · Site: Redness, Swelling · None
    Adult check-in
  6. 2021-03-06
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · Site: Redness · None
    Adult check-in
  7. 2021-03-07
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · Site: Redness · None
    Adult check-in
  8. 2021-03-08
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · None
    Adult check-in
  9. 2021-03-09
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · None
    Adult check-in
  10. 2021-03-10
    Health check-in — day 7, dose 1
    Feeling: Good · None
    Adult check-in
  11. 2021-03-17
    Survey response — day 14, dose 1
    MedDRA: Injection site erythema, Injection site mass, Injection site pruritus, Injection site rash, Injection site swelling, Injection site warmth — Feeling: Good
    Free text: Covid arm. Starting on day 8, my arm got redder, had a lump, swollen, rash, itching and hot. It got progressively worse for 6 days. As of today, the redness has a circumference of 18.84 but is no longer hot, swollen or itchy.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  12. 2021-03-24
    Health check-in — day 21, dose 1
    Feeling: Good
    Adult check-in
  13. 2021-03-31
    Dose 2 — Moderna
  14. 2021-03-31
    Health check-in — day 0, dose 2
    Feeling: Fair · Site: Pain · Headache, Muscle or body aches
    Adult check-in
  15. 2021-04-01
    Survey response — days 1–6 daily, dose 2
    MedDRA: Arthralgia, Decreased appetite, Headache, Mobility decreased — Feeling: Poor · Site: Pain · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to do your normal daily activities
    Free text: Lack of appetite , inability to sit up as too much head pain and joint pain
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  16. 2021-04-02
    Survey response — days 1–6 daily, dose 2
    MedDRA: Ear pain, Eye pain, Headache, Injection site warmth, Night sweats, Pain in jaw — Feeling: Fair · Site: Pain, Redness · Headache, Muscle or body aches
    Free text: Warmth at injection site. Sweats last nighr. Yesterday's headache pain included eye, ear and jaw pain as well as severe pain throughout my head. Today is much less.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  17. 2021-04-03
    Survey response — days 1–6 daily, dose 2
    MedDRA: Peripheral swelling — Feeling: Good · Site: Pain, Redness, Swelling · Headache
    Free text: Arm has gone from no redness or swelling to have a 3x4 inch area of redness with minor swelling.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  18. 2021-04-04
    Survey response — days 1–6 daily, dose 2
    MedDRA: Erythema, Limb discomfort — Feeling: Good · Site: Pain, Redness, Swelling · Rash, not including the immediate area around the injection site
    Free text: Red now covers a large area of the upper arm
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  19. 2021-04-05
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · Site: Redness · None
    Adult check-in
  20. 2021-04-06
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · None
    Adult check-in
  21. 2021-04-07
    Health check-in — day 7, dose 2
    Feeling: Good · None
    Adult check-in
  22. 2021-04-14
    Health check-in — day 14, dose 2
    Feeling: Good
    Adult check-in
  23. 2021-04-21
    Health check-in — day 21, dose 2
    Feeling: Good
    Adult check-in
  24. 2021-04-28
    Health check-in — day 28, dose 2
    Feeling: Good
    Adult check-in
  25. 2021-05-05
    Health check-in — day 35, dose 2
    Feeling: Good
    Adult check-in
  26. 2021-05-13
    Health check-in — day 42, dose 2
    Feeling: Good
    Adult check-in
  27. 2021-06-30
    Health check-in — 3 months, dose 2
    Feeling: Good
    Adult check-in
  28. 2021-10-01
    Health check-in — 6 months, dose 2
    Feeling: Good
    Adult check-in
  29. 2022-03-31
    Health check-in — 12 months, dose 2
    Feeling: Good
    Adult check-in

Vaccinations

DoseDateManufacturerCo-administered
12021-03-03Moderna
22021-03-31Moderna

Free text

Release 5 — day 14, dose 1

2021-03-17

Symptoms: Covid arm. Starting on day 8, my arm got redder, had a lump, swollen, rash, itching and hot. It got progressively worse for 6 days. As of today, the redness has a circumference of 18.84 but is no longer hot, swollen or itchy.

Release 6 — days 1–6 daily, dose 2

2021-04-01

Systemic reaction (other): Lack of appetite , inability to sit up as too much head pain and joint pain

2021-04-02

Systemic reaction (other): Warmth at injection site. Sweats last nighr. Yesterday's headache pain included eye, ear and jaw pain as well as severe pain throughout my head. Today is much less.

2021-04-03

Systemic reaction (other): Arm has gone from no redness or swelling to have a 3x4 inch area of redness with minor swelling.

2021-04-04

Systemic reaction (other): Red now covers a large area of the upper arm

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
SDInjection site erythema ✓ ✓ ✓
SDInjection site mass ✓ ✓ ✓
SDInjection site pruritus ✓ ✓ ✓
SDInjection site rash ✓ ✓ ✓
SDInjection site swelling ✓ ✓ ✓
SDInjection site warmth ✓ ✓ ✓
SROArthralgia ✓ ✓ ✓
SRODecreased appetite ✓ ✓ ✓
SROEar pain ✓ ✓ ✓
SROErythema ✓ ✓ ✓
SROEye pain ✓ ✓ ✓
SROHeadache ✓ ✓ ✓
SROInjection site warmth ✓ ✓ ✓
SROLimb discomfort ✓ ✓ ○
SROMobility decreased ✓ ✓ ✓
SRONight sweats ✓ ✓ ✓
SROPain in jaw ✓ ✓ ✓
SROPeripheral swelling ✓ ✓ ✓

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