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ZRM-19719-52662

3 vaccinations 7 coded responses 20 check-ins 7 free-text entries 0 call cases
Sex
Female
Age at first dose
61-65
ZIP prefix
490 / MI
Registered
2021-03-09
Relationship
Self
Race
White
Ethnicity
Not Hispanic or Latino

Timeline

  1. 2021-03-09
    Registered in v-safe
  2. 2021-03-09
    Dose 1 — Moderna
  3. 2021-03-09
    Health check-in — day 0, dose 1
    Feeling: Good · None
    Adult check-in
  4. 2021-03-10
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · Site: Pain · None
    Adult check-in
  5. 2021-03-11
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · Site: Pain · None
    Adult check-in
  6. 2021-03-12
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · None
    Adult check-in
  7. 2021-04-06
    Dose 2 — Moderna
  8. 2021-04-06
    Health check-in — day 0, dose 2
    Feeling: Good · None
    Adult check-in
  9. 2021-07-06
    Survey response — 3 months, dose 2
    MedDRA: Cough, Diarrhoea, Fatigue, Rash — Feeling: Fair
    Free text: Lately, the past 10 days I developed a small dry cough. I also have a rashI was treated for poison ivy but this rash looks different. I also had severe diarrhea for two day. Im not so tired that I cant function but Im tired. Had both
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  10. 2021-10-05
    Health check-in — 6 months, dose 2
    Feeling: Good
    Adult check-in
  11. 2021-11-01
    Dose 3 — Moderna
  12. 2021-11-03
    Health check-in — days 1–6 daily, dose 3
    Feeling: Fair · Site: Pain, Redness, Swelling, Itching · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to work or attend school, Be unable to do your normal daily activities
    Adult check-in
  13. 2021-11-04
    Survey response — days 1–6 daily, dose 3
    MedDRA: Lymphadenopathy — Feeling: Good · Site: Redness, Swelling, Itching
    Free text: Large swelling of lymph nodes under right arm.
    MedDRA releases: 2024-11 · check-in free text available
  14. 2021-11-05
    Survey response — days 1–6 daily, dose 3
    MedDRA: Lymphadenopathy — Feeling: Good · Site: Pain, Swelling, Itching
    Free text: Swelling in underarm lymph nodes
    MedDRA releases: 2024-11 · check-in free text available
  15. 2021-11-06
    Survey response — days 1–6 daily, dose 3
    MedDRA: Lymphadenopathy, Toothache — Feeling: Good
    Free text: My right side lymph nodes are only a little swollen. Since I've had the vaccine, my teeth on the right side have ached.
    MedDRA releases: 2024-11 · check-in free text available
  16. 2021-11-07
    Survey response — days 1–6 daily, dose 3
    MedDRA: Toothache — Feeling: Good
    Free text: Still have teeth that slightly ache in right side. Slowly getting better.
    MedDRA releases: 2024-11 · check-in free text available
  17. 2021-11-08
    Survey response — day 7, dose 3
    MedDRA: Toothache — Feeling: Good
    Free text: Only one tooth is painful today. It happens to be a molar dental implant. Other teeth are feeling fine.
    MedDRA releases: 2024-11 · check-in free text available
  18. 2021-11-15
    Health check-in — day 14, dose 3
    Feeling: Good
    Adult check-in
  19. 2021-11-22
    Health check-in — day 21, dose 3
    Feeling: Good
    Adult check-in
  20. 2021-11-29
    Health check-in — day 28, dose 3
    Feeling: Good
    Adult check-in
  21. 2021-12-06
    Health check-in — day 35, dose 3
    Feeling: Good
    Adult check-in
  22. 2021-12-13
    Health check-in — day 42, dose 3
    Feeling: Good
    Adult check-in
  23. 2022-01-31
    Health check-in — 3 months, dose 3
    Feeling: Good
    Adult check-in
  24. 2022-05-04
    Survey response — 6 months, dose 3
    MedDRA: Cough, Headache, Pain, Pyrexia, Respiratory tract congestion, SARS-CoV-2 test negative — Feeling: Fair · Be unable to work or attend school, Be unable to do your normal daily activities
    Free text: Constant coughtrying to get the junk out of my lung. Low grade fever. Achy. Headache. 2 home Covid tests-negative. Triple vaccinated.
    MedDRA releases: 2024-11 · check-in free text available

Vaccinations

DoseDateManufacturerCo-administered
12021-03-09Moderna
22021-04-06Moderna
32021-11-01Moderna No

Free text

Release 9 — 3 months, dose 2

2021-07-06

Symptoms: Lately, the past 10 days I developed a small dry cough. I also have a rashI was treated for poison ivy but this rash looks different. I also had severe diarrhea for two day. Im not so tired that I cant function but Im tired. Had both

Release 10 — days 1–6 daily, dose 3

2021-11-04

Systemic reaction (other): Large swelling of lymph nodes under right arm.

2021-11-05

Systemic reaction (other): Swelling in underarm lymph nodes

2021-11-06

Systemic reaction (other): My right side lymph nodes are only a little swollen. Since I've had the vaccine, my teeth on the right side have ached.

2021-11-07

Systemic reaction (other): Still have teeth that slightly ache in right side. Slowly getting better.

Release 10 — day 7, dose 3

2021-11-08

Systemic reaction (other): Only one tooth is painful today. It happens to be a molar dental implant. Other teeth are feeling fine.

Release 11 — 6 months, dose 3

2022-05-04

Symptoms: Constant coughtrying to get the junk out of my lung. Low grade fever. Achy. Headache. 2 home Covid tests-negative. Triple vaccinated.

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
SDCough ✓ ✓ ✓
SDDiarrhoea ✓ ✓ ✓
SDFatigue ✓ ✓ ✓
SDHeadache · · ✓
SDPain · · ✓
SDPyrexia · · ✓
SDRash ✓ ✓ ✓
SDRespiratory tract congestion · · ✓
SDSARS-CoV-2 test negative · · ✓
SROLymphadenopathy · · ✓
SROToothache · · ✓

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