27N-24077-58102
3 vaccinations
18 coded responses
40 check-ins
17 free-text entries
1 call case
- Sex
- Male
- Age at first dose
- 61-65
- ZIP prefix
- 600 / IL
- Registered
- 2021-07-18
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-07-18
Registered in v-safe
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2021-07-18
Dose 1 — Moderna
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2021-07-18
Health check-in — day 0, dose 1Feeling: Poor · Fever · Chills, Fatigue or tiredness · Be unable to do your normal daily activitiesAdult check-in
- 2021-07-19
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2021-07-20
Survey response — days 1–6 daily, dose 1MedDRA: No adverse event — Feeling: Fair · Fatigue or tirednessFree text: NoneMedDRA releases: 2024-11 · check-in free text available
- 2021-07-21
- 2021-07-22
- 2021-07-23
- 2021-07-24
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2021-07-25
Survey response — day 7, dose 1MedDRA: Sluggishness — Feeling: Good · Fatigue or tirednessFree text: SluggishMedDRA releases: 2021-09,2024-11 · check-in free text available
- 2021-08-01
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2021-08-08
Survey response — day 21, dose 1MedDRA: Back pain — Feeling: FairFree text: Left side of back is hurtingMedDRA releases: 2021-09,2024-11 · check-in free text available
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2021-08-15
Dose 2 — Moderna
- 2021-08-15
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2021-08-16
Survey response — days 1–6 daily, dose 2MedDRA: Arthralgia, Joint swelling — Feeling: Fair · Site: Pain, Swelling · Joint pains, Muscle or body achesFree text: Left Elbow joint and left shoulder sore. Sholder minr swellingMedDRA releases: 2021-09,2024-11 · check-in free text available
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2021-08-17
Survey response — days 1–6 daily, dose 2MedDRA: Injection site swelling — Feeling: Good · Fatigue or tirednessFree text: Swollen little in areaMedDRA releases: 2021-09,2024-11 · check-in free text available
- 2021-08-18
- 2021-08-19
- 2021-08-20
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2021-08-21
Survey response — days 1–6 daily, dose 2MedDRA: No adverse event — Feeling: Good · Fatigue or tirednessFree text: NoneMedDRA releases: 2021-09,2024-11 · check-in free text available
- 2021-08-22
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2021-08-29
Survey response — day 14, dose 2MedDRA: Fatigue — Feeling: GoodFree text: More tiredMedDRA releases: 2021-09,2024-11 · check-in free text available
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2021-09-05
Survey response — day 21, dose 2MedDRA: Fatigue — Feeling: GoodFree text: Fatigue, tiredMedDRA releases: 2021-09,2024-11 · check-in free text available
- 2021-09-12
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2021-09-19
Survey response — day 35, dose 2MedDRA: Fatigue, Somnolence — Feeling: FairFree text: Tired and sleepy for 6 weeks. I was never like that before the shotMedDRA releases: 2024-11 · check-in free text available
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2021-09-26
Survey response — day 42, dose 2MedDRA: Fatigue — Feeling: FairFree text: Tired all the time. Not my normal.MedDRA releases: 2024-11 · check-in free text available
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2021-11-16
Survey response — 3 months, dose 2MedDRA: Fatigue — Feeling: Fair · Be unable to do your normal daily activitiesFree text: More tiredMedDRA releases: 2024-11 · check-in free text available
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2022-02-14
Survey response — 6 months, dose 2MedDRA: Cardiac disorder, Fatigue — Feeling: Poor · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultation, Emergency room or emergency department visit, HospitalizationFree text: Always tired. Gotten worse since 2nd shot. More heart issues. More meds too. Going downhillMedDRA releases: 2024-11 · check-in free text available
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2022-02-14
Report sent to call center — 6 months, dose 2Be unable to do your normal daily activities · Get care from a doctor or other healthcare professionalTelehealth, virtual health, or email health consultation · Emergency room or emergency department visit · Hospitalization · 1 call case(s)
- 2022-02-15
- 2022-02-18
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2022-05-05
Dose 3 — Moderna
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2022-05-05
Survey response — day 0, dose 3MedDRA: Unevaluable event — Feeling: GoodFree text: This was my 1st boosterMedDRA releases: 2024-11 · check-in free text available
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2022-05-06
Survey response — days 1–6 daily, dose 3MedDRA: Arthralgia, Fatigue, Swelling — Feeling: Fair · Site: Swelling · Muscle or body achesFree text: Swelling, sore sholder, fatigueMedDRA releases: 2024-11 · check-in free text available
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2022-05-07
Survey response — days 1–6 daily, dose 3MedDRA: Swelling — Feeling: Fair · Site: Swelling · Joint painsFree text: SwellingMedDRA releases: 2024-11 · check-in free text available
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2022-05-09
Survey response — days 1–6 daily, dose 3MedDRA: Fatigue — Feeling: Good · Fatigue or tirednessFree text: TiredMedDRA releases: 2024-11 · check-in free text available
- 2022-05-10
- 2022-05-11
- 2022-05-12
- 2022-05-19
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2022-05-26
Survey response — day 21, dose 3MedDRA: Arthralgia, Reaction to previous exposure to any vaccine — Feeling: FairFree text: Since starting the Covid in july my left shoulder was bothering me. 2nd shot made it worse. Now with the booster it has gone to my elbow which is sore. Got ALL my shots on the left. I have been replying with the same issues since this started.MedDRA releases: 2024-11 · check-in free text available
- 2022-06-02
- 2022-06-09
- 2022-06-16
- 2022-08-04
- 2022-11-03
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2023-05-05
Survey response — 12 months, dose 3MedDRA: Fatigue — Feeling: Fair · Be unable to do your normal daily activitiesMedDRA releases: 2024-11
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-07-18 | Moderna | No |
| 2 | 2021-08-15 | Moderna | No |
| 3 | 2022-05-05 | Moderna | No |
Call center
1 call center case
1 unsuccessful
Free text
Release 9 — days 1–6 daily, dose 1
Systemic reaction (other): None
Release 9 — day 7, dose 1
Systemic reaction (other): Sluggish
Release 9 — day 21, dose 1
Symptoms: Left side of back is hurting
Release 9 — days 1–6 daily, dose 2
Systemic reaction (other): Left Elbow joint and left shoulder sore. Sholder minr swelling
Systemic reaction (other): Swollen little in area
Systemic reaction (other): None
Release 9 — day 14, dose 2
Symptoms: More tired
Release 9 — day 21, dose 2
Symptoms: Fatigue, tired
Release 9 — day 35, dose 2
Symptoms: Tired and sleepy for 6 weeks. I was never like that before the shot
Release 9 — day 42, dose 2
Symptoms: Tired all the time. Not my normal.
Release 10 — 3 months, dose 2
Symptoms: More tired
Release 11 — 6 months, dose 2
Symptoms: Always tired. Gotten worse since 2nd shot. More heart issues. More meds too. Going downhill
Release 11 — day 0, dose 3
Systemic reaction (other): This was my 1st booster
Release 11 — days 1–6 daily, dose 3
Systemic reaction (other): Swelling, sore sholder, fatigue
Systemic reaction (other): Swelling
Systemic reaction (other): Tired
Release 11 — day 21, dose 3
Symptoms: Since starting the Covid in july my left shoulder was bothering me. 2nd shot made it worse. Now with the booster it has gone to my elbow which is sore. Got ALL my shots on the left. I have been replying with the same issues since this started.
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 | Arthralgia | · | · | ✓ |
| SD | Back pain | ✓ | · | ✓ |
| SD | Cardiac disorder | · | · | ✓ |
| SD | Fatigue | ✓ | · | ✓ |
| SD | Reaction to previous exposure to any vaccine | · | · | ✓ |
| SD | Somnolence | · | · | ✓ |
| SRO | Arthralgia | ✓ | · | ✓ |
| SRO | Fatigue | · | · | ✓ |
| SRO | Injection site swelling | ✓ | · | ✓ |
| SRO | Joint swelling | ✓ | · | ✓ |
| SRO | No adverse event | ✓ | · | ✓ |
| SRO | Sluggishness | ✓ | · | ✓ |
| SRO | Swelling | · | · | ✓ |
| SRO | Unevaluable event | · | · | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release