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Y7B-87338-63798

3 vaccinations 4 coded responses 34 check-ins 4 free-text entries 0 call cases
Sex
Female
Age at first dose
46-50
ZIP prefix
494 / MI
Registered
2021-03-10
Relationship
Self
Race
White
Ethnicity
Not Hispanic or Latino

Timeline

  1. 2021-03-08
    Dose 1 — Moderna
  2. 2021-03-10
    Registered in v-safe
  3. 2021-03-10
    Survey response — days 1–6 daily, dose 1
    MedDRA: Oropharyngeal pain, Paranasal sinus hypersecretion, Rash, Thirst — Feeling: Good · Site: Pain · Rash, not including the immediate area around the injection site
    Free text: Small rash on right wrist since last night. On day of vaccine I had a little sinus drainage that made me thirsty and have site throat.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  4. 2021-03-11
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · None
    Adult check-in
  5. 2021-03-12
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · Nausea
    Adult check-in
  6. 2021-03-13
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · Headache, Nausea
    Adult check-in
  7. 2021-03-14
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · None
    Adult check-in
  8. 2021-03-15
    Health check-in — day 7, dose 1
    Feeling: Good · Headache
    Adult check-in
  9. 2021-03-22
    Survey response — day 14, dose 1
    MedDRA: Axillary pain, Injection site erythema, Injection site induration, Injection site pruritus, Injection site swelling, Lymphadenopathy — Feeling: Good
    Free text: Evening of March 15 injection site became red, swollen/firm and itchy. That lasted 2.5 days. Also on that date the lymph nodes in that armpit area started hurting and were swollen. I am still having some pain there.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  10. 2021-03-29
    Health check-in — day 21, dose 1
    Feeling: Good
    Adult check-in
  11. 2021-04-05
    Health check-in — day 28, dose 1
    Feeling: Good
    Adult check-in
  12. 2021-04-09
    Dose 2 — Moderna
  13. 2021-04-13
    Survey response — days 1–6 daily, dose 2
    MedDRA: Erythema, Headache, Nasopharyngitis, Pain, Pyrexia, Rash — Feeling: Good · Rash, not including the immediate area around the injection site
    Free text: Day and night and following morning after shot had fever, cold, headache, sore, red arm, body aches. Starting 3rd day after shot have rashes on wrists on and off
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  14. 2021-04-14
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · None
    Adult check-in
  15. 2021-04-15
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · None
    Adult check-in
  16. 2021-04-16
    Health check-in — day 7, dose 2
    Feeling: Good · None
    Adult check-in
  17. 2021-04-23
    Health check-in — day 14, dose 2
    Feeling: Good
    Adult check-in
  18. 2021-05-02
    Health check-in — day 21, dose 2
    Feeling: Good
    Adult check-in
  19. 2021-05-07
    Health check-in — day 28, dose 2
    Feeling: Good
    Adult check-in
  20. 2021-05-14
    Health check-in — day 35, dose 2
    Feeling: Good
    Adult check-in
  21. 2021-05-21
    Health check-in — day 42, dose 2
    Feeling: Good
    Adult check-in
  22. 2021-07-09
    Health check-in — 3 months, dose 2
    Feeling: Good
    Adult check-in
  23. 2021-10-08
    Health check-in — 6 months, dose 2
    Feeling: Good
    Adult check-in
  24. 2021-12-01
    Dose 3 — Pfizer-BioNTech
  25. 2021-12-02
    Health check-in — days 1–6 daily, dose 3
    Feeling: Good · Site: Pain · None
    Adult check-in
  26. 2021-12-04
    Survey response — days 1–6 daily, dose 3
    MedDRA: Lymph node pain, Lymphadenopathy — Feeling: Good · Site: Pain
    Free text: Swollen glands on left side under jawline, and swollen painful gland in armpit of arm i received shot
    MedDRA releases: 2024-11 · check-in free text available
  27. 2021-12-05
    Health check-in — days 1–6 daily, dose 3
    Feeling: Good · None
    Adult check-in
  28. 2021-12-06
    Health check-in — days 1–6 daily, dose 3
    Feeling: Good · None
    Adult check-in
  29. 2021-12-07
    Health check-in — days 1–6 daily, dose 3
    Feeling: Good · None
    Adult check-in
  30. 2021-12-08
    Health check-in — day 7, dose 3
    Feeling: Good · None
    Adult check-in
  31. 2021-12-15
    Health check-in — day 14, dose 3
    Feeling: Good
    Adult check-in
  32. 2021-12-22
    Health check-in — day 21, dose 3
    Feeling: Good
    Adult check-in
  33. 2021-12-29
    Health check-in — day 28, dose 3
    Feeling: Good
    Adult check-in
  34. 2022-01-05
    Health check-in — day 35, dose 3
    Feeling: Good
    Adult check-in
  35. 2022-01-12
    Health check-in — day 42, dose 3
    Feeling: Good
    Adult check-in
  36. 2022-03-02
    Health check-in — 3 months, dose 3
    Feeling: Good
    Adult check-in
  37. 2022-06-01
    Health check-in — 6 months, dose 3
    Feeling: Good
    Adult check-in
  38. 2022-12-01
    Health check-in — 12 months, dose 3
    Feeling: Good
    Adult check-in

Vaccinations

DoseDateManufacturerCo-administered
12021-03-08Moderna
22021-04-09Moderna
32021-12-01Pfizer-BioNTech No

Free text

Release 5 — days 1–6 daily, dose 1

2021-03-10

Systemic reaction (other): Small rash on right wrist since last night. On day of vaccine I had a little sinus drainage that made me thirsty and have site throat.

Release 6 — day 14, dose 1

2021-03-22

Symptoms: Evening of March 15 injection site became red, swollen/firm and itchy. That lasted 2.5 days. Also on that date the lymph nodes in that armpit area started hurting and were swollen. I am still having some pain there.

Release 7 — days 1–6 daily, dose 2

2021-04-13

Systemic reaction (other): Day and night and following morning after shot had fever, cold, headache, sore, red arm, body aches. Starting 3rd day after shot have rashes on wrists on and off

Release 10 — days 1–6 daily, dose 3

2021-12-04

Systemic reaction (other): Swollen glands on left side under jawline, and swollen painful gland in armpit of arm i received shot

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
SDAxillary pain ✓ ✓ ✓
SDInjection site erythema ✓ ✓ ✓
SDInjection site induration ✓ ✓ ✓
SDInjection site pruritus ✓ ✓ ✓
SDInjection site swelling ✓ ✓ ✓
SDLymphadenopathy ✓ ✓ ✓
SROErythema ✓ ✓ ✓
SROHeadache ✓ ✓ ✓
SROLymph node pain · · ✓
SROLymphadenopathy · · ✓
SRONasopharyngitis ✓ ✓ ✓
SROOropharyngeal pain ✓ ✓ ✓
SROPain ✓ ✓ ✓
SROParanasal sinus hypersecretion ✓ ✓ ✓
SROPyrexia ✓ ✓ ✓
SRORash ✓ ✓ ✓
SROThirst ✓ ✓ ✓

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