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
-
2021-01-11
Registered in v-safe
-
2021-01-11
Dose 1 — Moderna
- 2021-01-11
-
2021-01-12
Survey response — days 1–6 daily, dose 1MedDRA: Chills, Fatigue, Immediate post-injection reaction, Malaise — Feeling: Good · Site: PainFree 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
- 2021-01-13
- 2021-01-14
- 2021-01-15
- 2021-01-16
- 2021-01-17
- 2021-01-18
- 2021-01-25
- 2021-02-01
- 2021-02-08
-
2021-02-09
Dose 2 — Moderna
- 2021-02-15
- 2021-02-16
- 2021-02-23
- 2021-03-02
- 2021-03-09
- 2021-03-16
- 2021-03-23
- 2021-05-11
- 2021-08-10
-
2021-10-12
Dose 3 — Moderna
-
2021-10-24
Survey response — day 7, dose 3MedDRA: Pruritus — Feeling: GoodFree 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
- 2021-10-26
- 2021-11-02
- 2021-11-09
- 2021-11-16
- 2021-11-23
- 2022-01-11
- 2022-04-12
-
2022-04-18
Dose 4 — Pfizer-BioNTech
- 2022-05-16
- 2022-05-23
- 2022-05-30
-
2022-07-18
Survey response — 3 months, dose 4MedDRA: Cough, Nasal congestion — Feeling: Good · Be unable to work or attend school, Be unable to do your normal daily activitiesFree text: Cough and nasal congestionMedDRA releases: 2024-11 · check-in free text available
-
2022-10-17
Survey response — 6 months, dose 4MedDRA: Nasal congestion, Sneezing — Feeling: GoodFree text: Nasal congestion and sneezing on 10/15 and 10/16/22.MedDRA releases: 2024-11 · check-in free text available
-
2023-04-18
Survey response — 12 months, dose 4MedDRA: Rash, Rash pruritic — Feeling: Good · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visitMedDRA releases: 2024-11
-
2023-04-18
Report sent to call center — 12 months, dose 4Get care from a doctor or other healthcare professionalOutpatient clinic or urgent care clinic visit · 1 call case(s)
-
2023-04-19
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 | 2021-01-11 | Moderna | |
| 2 | 2021-02-09 | Moderna | |
| 3 | 2021-10-12 | Moderna | No |
| 4 | 2022-04-18 | Pfizer-BioNTech | No |
Call center
1 call center case
1 successful
Free text
Release 1 — days 1–6 daily, dose 1
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
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
Symptoms: Cough and nasal congestion
Release 12 — 6 months, dose 4
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
| Field | Preferred term | 2021-09 | 2023-04 | 2024-11 |
|---|---|---|---|---|
| SD | Cough | · | · | ✓ |
| SD | Nasal congestion | · | · | ✓ |
| SD | Rash | · | · | ✓ |
| SD | Rash pruritic | · | · | ✓ |
| SD | Sneezing | · | · | ✓ |
| SRO | Chills | ✓ | ✓ | ✓ |
| SRO | Fatigue | ✓ | ✓ | ✓ |
| SRO | Immediate post-injection reaction | ✓ | ✓ | ✓ |
| SRO | Malaise | ✓ | ✓ | ✓ |
| SRO | Pruritus | · | · | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release