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
-
2021-03-03
Registered in v-safe
-
2021-03-03
Dose 1 — Moderna
- 2021-03-03
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2021-03-04
Health check-in — days 1–6 daily, dose 1Feeling: Good · Site: Pain, Redness, Swelling · NoneAdult check-in
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2021-03-05
Health check-in — days 1–6 daily, dose 1Feeling: Good · Site: Redness, Swelling · NoneAdult check-in
- 2021-03-06
- 2021-03-07
- 2021-03-08
- 2021-03-09
- 2021-03-10
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2021-03-17
Survey response — day 14, dose 1MedDRA: Injection site erythema, Injection site mass, Injection site pruritus, Injection site rash, Injection site swelling, Injection site warmth — Feeling: GoodFree 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
- 2021-03-24
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2021-03-31
Dose 2 — Moderna
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2021-03-31
Health check-in — day 0, dose 2Feeling: Fair · Site: Pain · Headache, Muscle or body achesAdult check-in
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2021-04-01
Survey response — days 1–6 daily, dose 2MedDRA: 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 activitiesFree text: Lack of appetite , inability to sit up as too much head pain and joint painMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-04-02
Survey response — days 1–6 daily, dose 2MedDRA: Ear pain, Eye pain, Headache, Injection site warmth, Night sweats, Pain in jaw — Feeling: Fair · Site: Pain, Redness · Headache, Muscle or body achesFree 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
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2021-04-03
Survey response — days 1–6 daily, dose 2MedDRA: Peripheral swelling — Feeling: Good · Site: Pain, Redness, Swelling · HeadacheFree 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
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2021-04-04
Survey response — days 1–6 daily, dose 2MedDRA: Erythema, Limb discomfort — Feeling: Good · Site: Pain, Redness, Swelling · Rash, not including the immediate area around the injection siteFree text: Red now covers a large area of the upper armMedDRA 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
- 2021-05-05
- 2021-05-13
- 2021-06-30
- 2021-10-01
- 2022-03-31
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-03-03 | Moderna | |
| 2 | 2021-03-31 | Moderna |
Free text
Release 5 — day 14, dose 1
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
Systemic reaction (other): Lack of appetite , inability to sit up as too much head pain and joint pain
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.
Systemic reaction (other): Arm has gone from no redness or swelling to have a 3x4 inch area of redness with minor swelling.
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
| Field | Preferred term | 2021-09 | 2023-04 | 2024-11 |
|---|---|---|---|---|
| SD | Injection site erythema | ✓ | ✓ | ✓ |
| SD | Injection site mass | ✓ | ✓ | ✓ |
| SD | Injection site pruritus | ✓ | ✓ | ✓ |
| SD | Injection site rash | ✓ | ✓ | ✓ |
| SD | Injection site swelling | ✓ | ✓ | ✓ |
| SD | Injection site warmth | ✓ | ✓ | ✓ |
| SRO | Arthralgia | ✓ | ✓ | ✓ |
| SRO | Decreased appetite | ✓ | ✓ | ✓ |
| SRO | Ear pain | ✓ | ✓ | ✓ |
| SRO | Erythema | ✓ | ✓ | ✓ |
| SRO | Eye pain | ✓ | ✓ | ✓ |
| SRO | Headache | ✓ | ✓ | ✓ |
| SRO | Injection site warmth | ✓ | ✓ | ✓ |
| SRO | Limb discomfort | ✓ | ✓ | ○ |
| SRO | Mobility decreased | ✓ | ✓ | ✓ |
| SRO | Night sweats | ✓ | ✓ | ✓ |
| SRO | Pain in jaw | ✓ | ✓ | ✓ |
| SRO | Peripheral swelling | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release