3DG-25833-97815
4 vaccinations
4 coded responses
39 check-ins
4 free-text entries
0 call cases
- Sex
- Female
- Age at first dose
- 56-60
- ZIP prefix
- 545 / WI
- Registered
- 2021-03-14
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-03-08
Dose 1 — Moderna
-
2021-03-14
Registered in v-safe
-
2021-03-14
Survey response — days 1–6 daily, dose 1MedDRA: Hypoaesthesia, Pain in extremity, Paraesthesia — Feeling: GoodFree text: Numbness/tingling in left cheek about 6 hours after shot. Lasted about 2 hours. Arm soreness for about 24 hours after shot. tMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-03-15
- 2021-03-22
- 2021-03-29
- 2021-04-05
-
2021-04-10
Dose 2 — Moderna
-
2021-04-12
Survey response — days 1–6 daily, dose 2MedDRA: Chills, Pain — Feeling: Good · Site: Pain · HeadacheFree text: 8 hours after shot, body aches and chills started. Lasted about 24 hoursills started, lastedMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-04-13
- 2021-04-14
- 2021-04-15
- 2021-04-16
- 2021-04-18
- 2021-04-24
- 2021-05-01
- 2021-05-08
- 2021-05-15
- 2021-05-22
- 2021-07-12
- 2021-10-10
-
2021-11-05
Dose 3 — Moderna
-
2021-11-05
Health check-in — day 0, dose 3Feeling: Fair · Site: Pain · Chills, Muscle or body achesAdult check-in
-
2021-11-06
Health check-in — days 1–6 daily, dose 3Feeling: Fair · Site: Pain · Headache, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activitiesAdult check-in
- 2021-11-07
- 2021-11-09
- 2021-11-11
- 2021-11-12
- 2021-11-19
- 2021-11-26
- 2021-12-03
- 2021-12-10
- 2021-12-17
-
2022-02-04
Survey response — 3 months, dose 3MedDRA: Headache, Nasal congestion — Feeling: GoodFree text: Stuffy nose for 3 days, slight headache from Dec 25-Dec 28. Very mild symptoms. I got tested just to be sureMedDRA releases: 2024-11 · check-in free text available
-
2022-04-11
Dose 4 — Moderna
- 2022-04-18
- 2022-04-25
- 2022-05-02
- 2022-05-09
- 2022-05-16
- 2022-05-23
- 2022-07-11
-
2022-10-10
Survey response — 6 months, dose 4MedDRA: Chills, Pain, Pyrexia — Feeling: GoodFree text: I experienced fever severe chills and severe body aches after my last booster. It started about 9 hours after vaccination and lasted about 16 hours. I received my flu shot at the same time. This was my most severe immune response.MedDRA releases: 2024-11 · check-in free text available
- 2023-04-11
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-03-08 | Moderna | |
| 2 | 2021-04-10 | Moderna | |
| 3 | 2021-11-05 | Moderna | No |
| 4 | 2022-04-11 | Moderna | No |
Free text
Release 5 — days 1–6 daily, dose 1
Systemic reaction (other): Numbness/tingling in left cheek about 6 hours after shot. Lasted about 2 hours. Arm soreness for about 24 hours after shot. t
Release 7 — days 1–6 daily, dose 2
Systemic reaction (other): 8 hours after shot, body aches and chills started. Lasted about 24 hoursills started, lasted
Release 11 — 3 months, dose 3
Symptoms: Stuffy nose for 3 days, slight headache from Dec 25-Dec 28. Very mild symptoms. I got tested just to be sure
Release 12 — 6 months, dose 4
Symptoms: I experienced fever severe chills and severe body aches after my last booster. It started about 9 hours after vaccination and lasted about 16 hours. I received my flu shot at the same time. This was my most severe immune response.
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 | Chills | · | · | ✓ |
| SD | Headache | · | · | ✓ |
| SD | Nasal congestion | · | · | ✓ |
| SD | Pain | · | · | ✓ |
| SD | Pyrexia | · | · | ✓ |
| SRO | Chills | ✓ | ✓ | ✓ |
| SRO | Hypoaesthesia | ✓ | ✓ | ✓ |
| SRO | Pain | ✓ | ✓ | ✓ |
| SRO | Pain in extremity | ✓ | ✓ | ✓ |
| SRO | Paraesthesia | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release