36F-23558-03812
4 vaccinations
4 coded responses
29 check-ins
4 free-text entries
1 call case
- Sex
- Female
- Age at first dose
- 61-65
- ZIP prefix
- 011 / MA
- Registered
- 2021-01-08
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-01-07
Dose 1 — Moderna
-
2021-01-08
Registered in v-safe
-
2021-01-08
Health check-in — days 1–6 daily, dose 1Feeling: Good · Site: Pain, Swelling, Itching · NoneAdult check-in
- 2021-01-09
- 2021-01-10
-
2021-01-11
Survey response — days 1–6 daily, dose 1MedDRA: Unevaluable event — Feeling: Good · DiarrheaFree text: Sensitivity to ibuprofenMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-01-12
- 2021-01-13
- 2021-01-14
- 2021-01-21
- 2021-01-28
-
2021-02-03
Dose 2 — Moderna
- 2021-02-03
-
2021-02-04
Survey response — days 1–6 daily, dose 2MedDRA: Feeling abnormal — Feeling: Good · Site: Pain, Redness · Fatigue or tirednessFree text: A little bit of brain fogMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-02-05
- 2021-02-07
- 2021-02-08
- 2021-02-09
- 2021-02-10
- 2021-02-17
- 2021-02-24
-
2021-03-04
Survey response — day 28, dose 2MedDRA: Fatigue, Headache — Feeling: Good · Be unable to do your normal daily activitiesFree text: I got my 2nd shingles vaccine on Friday 2/26. Saturday I felt extreme fatigue with headache all day. In retrospect, I had 4 vaccines in just over 2 months. Shingles 12/18/20, COVID 1/7/21 and 2/3/21, shingles 2/26/21. It was a lot for my body.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-03-12
- 2021-03-17
- 2021-05-05
- 2021-08-04
-
2021-11-11
Dose 3 — Moderna
- 2022-02-03
-
2022-09-20
Dose 4 — Moderna
- 2022-10-06
-
2022-10-13
Survey response — day 21, dose 4MedDRA: Exposure to SARS-CoV-2, SARS-CoV-2 test, SARS-CoV-2 test negative, Upper-airway cough syndrome — Feeling: Good · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visitFree text: Post nasal drip for multiple days . Hubby had COVID, so I tested. Hone tests were negative. I got a PCR test to be sure. Results were inconclusive; that should be an option for the question belowMedDRA releases: 2024-11 · check-in free text available
-
2022-10-13
Report sent to call center — day 21, dose 4Get care from a doctor or other healthcare professionalOutpatient clinic or urgent care clinic visit · 1 call case(s)
- 2022-10-14
- 2022-10-18
-
2022-10-18
Call successfulNot applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill
- 2022-10-25
- 2022-11-01
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-01-07 | Moderna | |
| 2 | 2021-02-03 | Moderna | |
| 3 | 2021-11-11 | Moderna | No |
| 4 | 2022-09-20 | Moderna | No |
Call center
1 call center case
1 successful
Free text
Release 1 — days 1–6 daily, dose 1
Systemic reaction (other): Sensitivity to ibuprofen
Release 3 — days 1–6 daily, dose 2
Systemic reaction (other): A little bit of brain fog
Release 5 — day 28, dose 2
Symptoms: I got my 2nd shingles vaccine on Friday 2/26. Saturday I felt extreme fatigue with headache all day. In retrospect, I had 4 vaccines in just over 2 months. Shingles 12/18/20, COVID 1/7/21 and 2/3/21, shingles 2/26/21. It was a lot for my body.
Release 12 — day 21, dose 4
Symptoms: Post nasal drip for multiple days . Hubby had COVID, so I tested. Hone tests were negative. I got a PCR test to be sure. Results were inconclusive; that should be an option for the question below
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 | Exposure to SARS-CoV-2 | · | · | ✓ |
| SD | Fatigue | ✓ | ✓ | ✓ |
| SD | Headache | ✓ | ✓ | ✓ |
| SD | SARS-CoV-2 test | · | · | ✓ |
| SD | SARS-CoV-2 test negative | · | · | ✓ |
| SD | Upper-airway cough syndrome | · | · | ✓ |
| SRO | Feeling abnormal | ✓ | ✓ | ✓ |
| SRO | Unevaluable event | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release