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37Q-37975-16320

4 vaccinations 5 coded responses 34 check-ins 4 free-text entries 1 call case
Sex
Female
Age at first dose
66+
ZIP prefix
803 / CO
Registered
2021-01-11
Relationship
Self
Race
White
Ethnicity
Not Hispanic or Latino

Timeline

  1. 2021-01-11
    Registered in v-safe
  2. 2021-01-11
    Dose 1 — Moderna
  3. 2021-01-11
    Health check-in — day 0, dose 1
    Feeling: Good · None
    Adult check-in
  4. 2021-01-12
    Survey response — days 1–6 daily, dose 1
    MedDRA: Chills, Fatigue, Immediate post-injection reaction, Malaise — Feeling: Good · Site: Pain
    Free text: About four hours after I received my shot yesterday (1/11/21) I had onset of chills and fatigue/malaise that lasted about four hours. I did not report these symptoms yesterday because they occurred after I provided my report . I do not have these symptoms today.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  5. 2021-01-13
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · None
    Adult check-in
  6. 2021-01-14
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · None
    Adult check-in
  7. 2021-01-15
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · None
    Adult check-in
  8. 2021-01-16
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · None
    Adult check-in
  9. 2021-01-17
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · None
    Adult check-in
  10. 2021-01-18
    Health check-in — day 7, dose 1
    Feeling: Good · None
    Adult check-in
  11. 2021-01-25
    Health check-in — day 14, dose 1
    Feeling: Good
    Adult check-in
  12. 2021-02-01
    Health check-in — day 21, dose 1
    Feeling: Good
    Adult check-in
  13. 2021-02-08
    Health check-in — day 28, dose 1
    Feeling: Good
    Adult check-in
  14. 2021-02-09
    Dose 2 — Moderna
  15. 2021-02-15
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · None
    Adult check-in
  16. 2021-02-16
    Health check-in — day 7, dose 2
    Feeling: Good · None
    Adult check-in
  17. 2021-02-23
    Health check-in — day 14, dose 2
    Feeling: Good
    Adult check-in
  18. 2021-03-02
    Health check-in — day 21, dose 2
    Feeling: Good
    Adult check-in
  19. 2021-03-09
    Health check-in — day 28, dose 2
    Feeling: Good
    Adult check-in
  20. 2021-03-16
    Health check-in — day 35, dose 2
    Feeling: Good
    Adult check-in
  21. 2021-03-23
    Health check-in — day 42, dose 2
    Feeling: Good
    Adult check-in
  22. 2021-05-11
    Health check-in — 3 months, dose 2
    Feeling: Good
    Adult check-in
  23. 2021-08-10
    Health check-in — 6 months, dose 2
    Feeling: Good
    Adult check-in
  24. 2021-10-12
    Dose 3 — Moderna
  25. 2021-10-24
    Survey response — day 7, dose 3
    MedDRA: Pruritus — Feeling: Good
    Free text: Itching in left upper arm almost daily since third dose of Moderna on 10/12/21. No itching yet today but it comes and goes.
    MedDRA releases: 2024-11 · check-in free text available
  26. 2021-10-26
    Health check-in — day 14, dose 3
    Feeling: Good
    Adult check-in
  27. 2021-11-02
    Health check-in — day 21, dose 3
    Feeling: Good
    Adult check-in
  28. 2021-11-09
    Health check-in — day 28, dose 3
    Feeling: Good
    Adult check-in
  29. 2021-11-16
    Health check-in — day 35, dose 3
    Feeling: Good
    Adult check-in
  30. 2021-11-23
    Health check-in — day 42, dose 3
    Feeling: Good
    Adult check-in
  31. 2022-01-11
    Health check-in — 3 months, dose 3
    Feeling: Good
    Adult check-in
  32. 2022-04-12
    Health check-in — 6 months, dose 3
    Feeling: Good
    Adult check-in
  33. 2022-04-18
    Dose 4 — Pfizer-BioNTech
  34. 2022-05-16
    Health check-in — day 28, dose 4
    Feeling: Good
    Adult check-in
  35. 2022-05-23
    Health check-in — day 35, dose 4
    Feeling: Good
    Adult check-in
  36. 2022-05-30
    Health check-in — day 42, dose 4
    Feeling: Good
    Adult check-in
  37. 2022-07-18
    Survey response — 3 months, dose 4
    MedDRA: Cough, Nasal congestion — Feeling: Good · Be unable to work or attend school, Be unable to do your normal daily activities
    Free text: Cough and nasal congestion
    MedDRA releases: 2024-11 · check-in free text available
  38. 2022-10-17
    Survey response — 6 months, dose 4
    MedDRA: Nasal congestion, Sneezing — Feeling: Good
    Free text: Nasal congestion and sneezing on 10/15 and 10/16/22.
    MedDRA releases: 2024-11 · check-in free text available
  39. 2023-04-18
    Survey response — 12 months, dose 4
    MedDRA: Rash, Rash pruritic — Feeling: Good · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit
    MedDRA releases: 2024-11
  40. 2023-04-18
    Report sent to call center — 12 months, dose 4
    Get care from a doctor or other healthcare professional
    Outpatient clinic or urgent care clinic visit · 1 call case(s)
  41. 2023-04-19
    Call successful
    Not applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill

Vaccinations

DoseDateManufacturerCo-administered
12021-01-11Moderna
22021-02-09Moderna
32021-10-12Moderna No
42022-04-18Pfizer-BioNTech No

Call center

1 call center case

1 successful

See the call center timeline

Free text

Release 1 — days 1–6 daily, dose 1

2021-01-12

Systemic reaction (other): About four hours after I received my shot yesterday (1/11/21) I had onset of chills and fatigue/malaise that lasted about four hours. I did not report these symptoms yesterday because they occurred after I provided my report . I do not have these symptoms today.

Release 10 — day 7, dose 3

2021-10-24

Systemic reaction (other): Itching in left upper arm almost daily since third dose of Moderna on 10/12/21. No itching yet today but it comes and goes.

Release 12 — 3 months, dose 4

2022-07-18

Symptoms: Cough and nasal congestion

Release 12 — 6 months, dose 4

2022-10-17

Symptoms: Nasal congestion and sneezing on 10/15 and 10/16/22.

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 · · ✓
SDNasal congestion · · ✓
SDRash · · ✓
SDRash pruritic · · ✓
SDSneezing · · ✓
SROChills ✓ ✓ ✓
SROFatigue ✓ ✓ ✓
SROImmediate post-injection reaction ✓ ✓ ✓
SROMalaise ✓ ✓ ✓
SROPruritus · · ✓

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