Y84-10702-93125
5 vaccinations
3 coded responses
25 check-ins
3 free-text entries
0 call cases
- Sex
- Female
- Age at first dose
- 51-55
- ZIP prefix
- 483 / MI
- Registered
- 2021-03-11
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-03-11
Registered in v-safe
-
2021-03-11
Dose 1 — Moderna
- 2021-03-11
- 2021-03-12
- 2021-03-13
- 2021-03-14
-
2021-03-15
Survey response — days 1–6 daily, dose 1MedDRA: Injection site pain — Feeling: Good · Site: PainFree text: Only noticing sore/achy muscle in injection area. Decreasing day by day. More noticeable in evenings ( same as last night, after my check in). Nothing acute.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-03-16
-
2021-03-18
Survey response — day 7, dose 1MedDRA: Injection site discomfort — Feeling: GoodFree text: Occasional and very mild awareness of injection site, most common at rest in the nightMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-03-25
- 2021-04-01
-
2021-04-08
Dose 2 — Moderna
- 2021-04-08
-
2021-04-09
Survey response — days 1–6 daily, dose 2MedDRA: Unevaluable event — Feeling: Fair · Site: Pain, Swelling · Chills, Headache, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activitiesFree text: I have had an elevated body temperate of 98.7 since 3 am . Normal body temp 96.4. I would say all of my symptoms are moderate plus ( struggling, but not what I would classify as severe)MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-04-10
Health check-in — days 1–6 daily, dose 2Feeling: Good · Site: Pain, Swelling · HeadacheAdult check-in
- 2021-04-11
- 2021-04-12
- 2021-04-13
- 2021-04-15
- 2021-04-24
- 2021-04-29
- 2021-05-06
- 2021-05-13
- 2021-05-22
- 2021-07-08
- 2021-10-07
-
2021-11-01
Dose 3 — ModernaCo-administered: Flu
-
2022-04-02
Dose 4 — Moderna
- 2022-04-08
- 2022-10-03
-
2022-10-18
Dose 5 — Pfizer-BioNTech
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-03-11 | Moderna | |
| 2 | 2021-04-08 | Moderna | |
| 3 | 2021-11-01 | Moderna | Flu |
| 4 | 2022-04-02 | Moderna | No |
| 5 | 2022-10-18 | Pfizer-BioNTech | No |
Free text
Release 5 — days 1–6 daily, dose 1
Systemic reaction (other): Only noticing sore/achy muscle in injection area. Decreasing day by day. More noticeable in evenings ( same as last night, after my check in). Nothing acute.
Release 5 — day 7, dose 1
Systemic reaction (other): Occasional and very mild awareness of injection site, most common at rest in the night
Release 7 — days 1–6 daily, dose 2
Systemic reaction (other): I have had an elevated body temperate of 98.7 since 3 am . Normal body temp 96.4. I would say all of my symptoms are moderate plus ( struggling, but not what I would classify as severe)
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 |
|---|---|---|---|---|
| SRO | Injection site discomfort | ✓ | ✓ | ✓ |
| SRO | Injection site pain | ✓ | ✓ | ✓ |
| SRO | Unevaluable event | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release