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YUD-10276-09556

5 vaccinations 5 coded responses 30 check-ins 5 free-text entries 0 call cases
Sex
Female
Age at first dose
66+
ZIP prefix
482 / MI
Registered
2021-02-22
Relationship
Self
Race
White
Ethnicity
Not Hispanic or Latino

Timeline

  1. 2021-02-03
    Dose 1 — Moderna
  2. 2021-02-22
    Registered in v-safe
  3. 2021-02-22
    Survey response — day 14, dose 1
    MedDRA: Injection site pruritus, Injection site rash — Feeling: Good
    Free text: Slight 2 inch rash, occasionally itchy, at injection site. Started today, 9 days after receiving vaccine
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  4. 2021-02-28
    Survey response — day 21, dose 1
    MedDRA: Injection site reaction, Rash pruritic — Feeling: Fair
    Free text: 2/13 1st vaccine; 2/21 slightly itchy 3 rash; 2/28 rash LARGER 5, not itchy. I read that the rash goes away; mine is increasing in size.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  5. 2021-03-03
    Survey response — day 28, dose 1
    MedDRA: Rash pruritic — Feeling: Fair
    Free text: Please CORRECT ERROR ON DATE OF 1ST VACCINE TO 2/13. 2/13 1st vaccine; 2/21 slightly itchy rash; 2/28 rash larger 5; 3/3 still have rash; 3/13 scheduled for 2nd vaccine.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  6. 2021-03-13
    Dose 2 — Moderna
  7. 2021-03-17
    Health check-in — days 1–6 daily, dose 2
    Feeling: Poor · Fever · Chills, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to do your normal daily activities
    Adult check-in
  8. 2021-03-18
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · None
    Adult check-in
  9. 2021-03-21
    Health check-in — day 7, dose 2
    Feeling: Good · None
    Adult check-in
  10. 2021-03-29
    Health check-in — day 14, dose 2
    Feeling: Good
    Adult check-in
  11. 2021-04-03
    Health check-in — day 21, dose 2
    Feeling: Good
    Adult check-in
  12. 2021-04-10
    Health check-in — day 28, dose 2
    Feeling: Good
    Adult check-in
  13. 2021-04-19
    Health check-in — day 35, dose 2
    Feeling: Good
    Adult check-in
  14. 2021-04-24
    Health check-in — day 42, dose 2
    Feeling: Good
    Adult check-in
  15. 2021-06-12
    Health check-in — 3 months, dose 2
    Feeling: Good
    Adult check-in
  16. 2021-09-11
    Health check-in — 6 months, dose 2
    Feeling: Good
    Adult check-in
  17. 2021-11-18
    Dose 3 — Moderna
  18. 2022-03-13
    Health check-in — 12 months, dose 2
    Feeling: Good
    Adult check-in
  19. 2022-04-30
    Dose 4 — Pfizer-BioNTech
  20. 2022-05-05
    Health check-in — days 1–6 daily, dose 4
    Feeling: Good · Fatigue or tiredness
    Adult check-in
  21. 2022-05-06
    Health check-in — days 1–6 daily, dose 4
    Feeling: Good · None
    Adult check-in
  22. 2022-05-07
    Health check-in — day 7, dose 4
    Feeling: Good · None
    Adult check-in
  23. 2022-05-15
    Health check-in — day 14, dose 4
    Feeling: Good
    Adult check-in
  24. 2022-05-24
    Health check-in — day 21, dose 4
    Feeling: Good
    Adult check-in
  25. 2022-05-28
    Health check-in — day 28, dose 4
    Feeling: Good
    Adult check-in
  26. 2022-06-06
    Health check-in — day 35, dose 4
    Feeling: Good
    Adult check-in
  27. 2022-06-12
    Health check-in — day 42, dose 4
    Feeling: Good
    Adult check-in
  28. 2022-08-03
    Health check-in — 3 months, dose 4
    Feeling: Good
    Adult check-in
  29. 2022-10-16
    Dose 5 — Moderna
  30. 2022-10-29
    Survey response — 6 months, dose 4
    MedDRA: Chills, Nausea, Pyrexia — Feeling: Good · Be unable to do your normal daily activities
    Free text: Fever, chills, nausea one day after Moderna Bivalent Booster
    MedDRA releases: 2024-11 · check-in free text available
  31. 2022-10-29
    Survey response — day 7, dose 5
    MedDRA: Pyrexia — Feeling: Good · Chills, Nausea · Be unable to do your normal daily activities
    Free text: Fever
    MedDRA releases: 2024-11 · check-in free text available
  32. 2022-10-30
    Health check-in — day 14, dose 5
    Feeling: Good
    Adult check-in
  33. 2022-11-06
    Health check-in — day 21, dose 5
    Feeling: Good
    Adult check-in
  34. 2022-11-13
    Health check-in — day 28, dose 5
    Feeling: Good
    Adult check-in
  35. 2022-11-22
    Health check-in — day 35, dose 5
    Feeling: Good
    Adult check-in
  36. 2022-11-27
    Health check-in — day 42, dose 5
    Feeling: Good
    Adult check-in

Vaccinations

DoseDateManufacturerCo-administered
12021-02-03Moderna
22021-03-13Moderna
32021-11-18Moderna No
42022-04-30Pfizer-BioNTech No
52022-10-16Moderna No

Free text

Release 4 — day 14, dose 1

2021-02-22

Symptoms: Slight 2 inch rash, occasionally itchy, at injection site. Started today, 9 days after receiving vaccine

Release 4 — day 21, dose 1

2021-02-28

Symptoms: 2/13 1st vaccine; 2/21 slightly itchy 3 rash; 2/28 rash LARGER 5, not itchy. I read that the rash goes away; mine is increasing in size.

Release 5 — day 28, dose 1

2021-03-03

Symptoms: Please CORRECT ERROR ON DATE OF 1ST VACCINE TO 2/13. 2/13 1st vaccine; 2/21 slightly itchy rash; 2/28 rash larger 5; 3/3 still have rash; 3/13 scheduled for 2nd vaccine.

Release 12 — day 7, dose 5

2022-10-29

Systemic reaction (other): Fever

Release 12 — 6 months, dose 4

2022-10-29

Symptoms: Fever, chills, nausea one day after Moderna Bivalent Booster

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
SDChills · · ✓
SDInjection site pruritus ✓ ✓ ✓
SDInjection site rash ✓ ✓ ✓
SDInjection site reaction ✓ ✓ ✓
SDNausea · · ✓
SDPyrexia · · ✓
SDRash pruritic ✓ ✓ ✓
SROPyrexia · · ✓

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