28D-30175-27443
3 vaccinations
6 coded responses
35 check-ins
6 free-text entries
1 call case
- Sex
- Male
- Age at first dose
- 66+
- ZIP prefix
- 199 / DE
- Registered
- 2021-01-18
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-01-17
Dose 1 — Moderna
-
2021-01-18
Registered in v-safe
- 2021-01-18
- 2021-01-19
- 2021-01-20
- 2021-01-21
- 2021-01-22
- 2021-01-23
- 2021-01-24
- 2021-01-31
- 2021-02-07
- 2021-02-14
-
2021-02-16
Dose 2 — Moderna
-
2021-02-17
Survey response — days 1–6 daily, dose 2MedDRA: Injection site pain — Feeling: Poor · Site: Pain · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tirednessFree text: I had no problems with vaccination #1, except for a tender injection site. Vaccination #2 is a different story! However, I am blessed to have received #2!MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-02-18
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Site: Pain · Fatigue or tiredness, NauseaAdult check-in
-
2021-02-19
Survey response — days 1–6 daily, dose 2MedDRA: Feeling abnormal — Feeling: Fair · Site: PainFree text: I just feel a little off, but I feel a little better each day.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-02-20
- 2021-02-21
- 2021-02-22
- 2021-02-23
- 2021-03-02
- 2021-03-09
- 2021-03-16
- 2021-03-23
- 2021-03-30
- 2021-05-18
- 2021-08-18
-
2021-10-23
Dose 3 — Moderna
-
2021-10-26
Survey response — days 1–6 daily, dose 3MedDRA: Fatigue, Injection site pain — Feeling: GoodFree text: The day of the vaccine and the very next day, I felt soreness at the injection site and felt fatigued.MedDRA releases: 2024-11 · check-in free text available
- 2021-10-27
-
2021-10-28
Survey response — days 1–6 daily, dose 3MedDRA: Discomfort — Feeling: Good · HeadacheFree text: No real pain, just a dullness...MedDRA releases: 2024-11 · check-in free text available
-
2021-10-30
Survey response — day 7, dose 3MedDRA: Headache — Feeling: Good · HeadacheFree text: A dull headache...mildMedDRA releases: 2024-11 · check-in free text available
- 2021-11-06
- 2021-11-13
- 2021-11-20
- 2021-11-27
- 2022-01-22
- 2022-04-23
-
2022-10-23
Survey response — 12 months, dose 3MedDRA: COVID-19 — Feeling: Good · Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultationFree text: Covid, back around June 22nd. You didn't contact me after my last booster. I thought that you would have.MedDRA releases: 2024-11 · check-in free text available
-
2022-10-23
Report sent to call center — 12 months, dose 3Get care from a doctor or other healthcare professionalTelehealth, virtual health, or email health consultation · 1 call case(s)
-
2022-10-25
Call successfulNot applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-01-17 | Moderna | |
| 2 | 2021-02-16 | Moderna | |
| 3 | 2021-10-23 | Moderna | No |
Call center
1 call center case
1 successful
Free text
Release 4 — days 1–6 daily, dose 2
Systemic reaction (other): I had no problems with vaccination #1, except for a tender injection site. Vaccination #2 is a different story! However, I am blessed to have received #2!
Systemic reaction (other): I just feel a little off, but I feel a little better each day.
Release 10 — days 1–6 daily, dose 3
Systemic reaction (other): The day of the vaccine and the very next day, I felt soreness at the injection site and felt fatigued.
Systemic reaction (other): No real pain, just a dullness...
Release 10 — day 7, dose 3
Systemic reaction (other): A dull headache...mild
Release 12 — 12 months, dose 3
Symptoms: Covid, back around June 22nd. You didn't contact me after my last booster. I thought that you would have.
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 | COVID-19 | · | · | ✓ |
| SRO | Discomfort | · | · | ✓ |
| SRO | Fatigue | · | · | ✓ |
| SRO | Feeling abnormal | ✓ | ✓ | ✓ |
| SRO | Headache | · | · | ✓ |
| SRO | Injection site pain | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release