2ER-96890-01073
2 vaccinations
5 coded responses
17 check-ins
5 free-text entries
2 call cases
- Sex
- Female
- Age at first dose
- 51-55
- ZIP prefix
- 471 / IN
- Registered
- 2021-01-14
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-01-14
Registered in v-safe
-
2021-01-14
Dose 1 — Moderna
- 2021-01-14
- 2021-01-15
-
2021-01-16
Health check-in — days 1–6 daily, dose 1Feeling: Good · Site: Pain · Fatigue or tirednessAdult check-in
- 2021-01-17
-
2021-01-18
Health check-in — days 1–6 daily, dose 1Feeling: Good · Muscle or body aches · Be unable to workAdult check-in
- 2021-01-18
- 2021-01-21
- 2021-01-29
-
2021-02-04
Survey response — day 21, dose 1MedDRA: Arthralgia — Feeling: Fair · Be unable to work, Be unable to do your normal daily activitiesFree text: Joint painMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-02-11
Dose 2 — Moderna
-
2021-02-11
Survey response — day 28, dose 1MedDRA: Arthralgia, Disturbance in attention, Fatigue, Gastrointestinal disorder, Night sweats — Feeling: Fair · Be unable to workFree text: Fatigue, joint pain, night sweats on occasion, concentration problems, intestinal problems.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-02-18
Survey response — day 7, dose 2MedDRA: Fatigue, Feeling abnormal, Influenza like illness, Office visit, Oral surgery, Pyrexia, Tooth abscess, Toothache — Feeling: Fair · Fever · Chills, Headache, Muscle or body aches, Fatigue or tiredness, Abdominal pain · Be unable to work, Be unable to do your normal daily activities, Get care from a doctor or other healthcare professionalFree text: Systemic reaction (other): I felt very bad starting 1 day following this injection. I had fever, extremely fatigued, and flu like. I also developed a toothache 1 day after the shot that had to be emergently removed due to abscess. Feel ok now, but all of this unusual for me. I never react to the regular flu shot at all. And the first Covid shot I had was pretty asymptomatic. This second one did make me feel badly. Not today, one week out, but days 2-4 approximately. · Healthcare visit (other): Dentist/oral surgeryMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-02-18
Report sent to call center — day 7, dose 2Be unable to work · Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional1 call case(s)
- 2021-02-25
- 2021-03-04
- 2021-03-11
-
2021-03-18
Survey response — day 35, dose 2MedDRA: Arthralgia, Fatigue — Feeling: Fair · Be unable to do your normal daily activitiesFree text: Fatigue, joint painMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-03-25
- 2021-07-30
- 2021-08-02
- 2021-08-12
-
2022-02-13
Survey response — 12 months, dose 2MedDRA: Malaise, SARS-CoV-2 test negative — Feeling: Good · Be unable to do your normal daily activitiesFree text: I became sick after Christmas 2021 and believe I had Covid. By the time I was able to test I was negative.MedDRA releases: 2024-11 · check-in free text available
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-01-14 | Moderna | |
| 2 | 2021-02-11 | Moderna |
Call center
2 call center cases
1 unsuccessful · 1 priority 2/3 (triaged and no follow up)
1 wait over 3 months for a first call
Free text
Release 3 — day 21, dose 1
Symptoms: Joint pain
Release 4 — day 28, dose 1
Symptoms: Fatigue, joint pain, night sweats on occasion, concentration problems, intestinal problems.
Release 4 — day 7, dose 2
Systemic reaction (other): I felt very bad starting 1 day following this injection. I had fever, extremely fatigued, and flu like. I also developed a toothache 1 day after the shot that had to be emergently removed due to abscess. Feel ok now, but all of this unusual for me. I never react to the regular flu shot at all. And the first Covid shot I had was pretty asymptomatic. This second one did make me feel badly. Not today, one week out, but days 2-4 approximately.
Healthcare visit (other): Dentist/oral surgery
Release 5 — day 35, dose 2
Symptoms: Fatigue, joint pain
Release 11 — 12 months, dose 2
Symptoms: I became sick after Christmas 2021 and believe I had Covid. By the time I was able to test I was negative.
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 |
|---|---|---|---|---|
| HCVO | Office visit | ✓ | ✓ | ✓ |
| HCVO | Oral surgery | ✓ | ✓ | ✓ |
| SD | Arthralgia | ✓ | ✓ | ✓ |
| SD | Disturbance in attention | ✓ | ✓ | ✓ |
| SD | Fatigue | ✓ | ✓ | ✓ |
| SD | Gastrointestinal disorder | ✓ | ✓ | ✓ |
| SD | Malaise | · | · | ✓ |
| SD | Night sweats | ✓ | ✓ | ✓ |
| SD | SARS-CoV-2 test negative | · | · | ✓ |
| SRO | Fatigue | ✓ | ✓ | ✓ |
| SRO | Feeling abnormal | ✓ | ✓ | ✓ |
| SRO | Influenza like illness | ✓ | ✓ | ✓ |
| SRO | Pyrexia | ✓ | ✓ | ✓ |
| SRO | Tooth abscess | ✓ | ✓ | ✓ |
| SRO | Toothache | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release