3DN-20319-35803
3 vaccinations
8 coded responses
36 check-ins
8 free-text entries
1 call case
- Sex
- Female
- Age at first dose
- 31-35
- ZIP prefix
- 236 / VA
- Registered
- 2021-02-27
- Relationship
- Self
- Race
- Black or African American
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-02-27
Registered in v-safe
-
2021-02-27
Dose 1 — Moderna
- 2021-02-27
- 2021-02-28
- 2021-03-01
- 2021-03-02
- 2021-03-03
- 2021-03-04
- 2021-03-05
- 2021-03-06
- 2021-03-13
- 2021-03-20
-
2021-03-27
Dose 2 — Moderna
- 2021-03-27
-
2021-03-28
Health check-in — days 1–6 daily, dose 2Feeling: Poor · Site: Pain · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to work, Be unable to do your normal daily activitiesAdult check-in
- 2021-03-29
- 2021-03-30
- 2021-03-31
- 2021-04-03
- 2021-04-10
-
2021-04-17
Survey response — day 21, dose 2MedDRA: Fatigue — Feeling: GoodFree text: Fatigue, but I had a tetanus shot on April 13 and did not experience extreme tiredness until after that shot.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-04-24
- 2021-05-03
- 2021-05-10
- 2021-06-26
-
2021-09-25
Survey response — 6 months, dose 2MedDRA: Pyrexia — Feeling: Good · Be unable to work or attend schoolFree text: Fever of 101.4 a few weeks ago.MedDRA releases: 2024-11 · check-in free text available
-
2021-12-07
Dose 3 — ModernaCo-administered: Flu
-
2021-12-08
Health check-in — days 1–6 daily, dose 3Feeling: Fair · Site: Pain, Redness · Fever · Joint pains, Fatigue or tiredness · Be unable to work or attend schoolAdult check-in
-
2021-12-09
Survey response — days 1–6 daily, dose 3MedDRA: Nasopharyngitis — Feeling: Good · Site: Redness, Swelling, ItchingFree text: I think that I may be getting a cold, but it seems unrelated to the moderna booster shMedDRA releases: 2024-11 · check-in free text available
-
2021-12-10
Survey response — days 1–6 daily, dose 3MedDRA: Blood urine present, Urinary tract infection — Feeling: Poor · Site: Redness, Swelling · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visitFree text: My poor health appears to be unrelated to the booster. Have blood in the urine; probably from a UTI.MedDRA releases: 2024-11 · check-in free text available
-
2021-12-10
Report sent to call center — days 1–6 daily, dose 3Get care from a doctor or other healthcare professionalOutpatient clinic or urgent care clinic visit · 1 call case(s)
-
2021-12-11
Survey response — days 1–6 daily, dose 3MedDRA: Cystitis, Fatigue — Feeling: Fair · Fatigue or tirednessFree text: I have a bladder infection and am taking antibiotics. I believe that may be causing the fatigue.MedDRA releases: 2024-11 · check-in free text available
-
2021-12-13
Survey response — days 1–6 daily, dose 3MedDRA: Injection site bruising — Feeling: GoodFree text: Bruising at injection site.MedDRA releases: 2024-11 · check-in free text available
- 2021-12-13
- 2021-12-14
- 2021-12-16
- 2021-12-21
- 2021-12-28
- 2022-01-04
- 2022-01-18
-
2022-03-08
Survey response — 3 months, dose 3MedDRA: Oropharyngeal pain — Feeling: FairFree text: Sore throatMedDRA releases: 2024-11 · check-in free text available
- 2022-06-07
-
2022-12-09
Survey response — 12 months, dose 3MedDRA: Nasopharyngitis, SARS-CoV-2 test negative, Upper respiratory tract infection — Feeling: Good · Be unable to work or attend school, Be unable to do your normal daily activitiesFree text: Had a cold or some other type of upper respiratory infection in October. It was not covid, as I tested negative for it.MedDRA releases: 2024-11 · check-in free text available
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-02-27 | Moderna | |
| 2 | 2021-03-27 | Moderna | |
| 3 | 2021-12-07 | Moderna | Flu |
Call center
1 call center case
1 unsuccessful
Free text
Release 7 — day 21, dose 2
Symptoms: Fatigue, but I had a tetanus shot on April 13 and did not experience extreme tiredness until after that shot.
Release 9 — 6 months, dose 2
Symptoms: Fever of 101.4 a few weeks ago.
Release 10 — days 1–6 daily, dose 3
Systemic reaction (other): I think that I may be getting a cold, but it seems unrelated to the moderna booster sh
Systemic reaction (other): My poor health appears to be unrelated to the booster. Have blood in the urine; probably from a UTI.
Systemic reaction (other): I have a bladder infection and am taking antibiotics. I believe that may be causing the fatigue.
Systemic reaction (other): Bruising at injection site.
Release 11 — 3 months, dose 3
Symptoms: Sore throat
Release 12 — 12 months, dose 3
Symptoms: Had a cold or some other type of upper respiratory infection in October. It was not covid, as I tested negative for it.
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 | Fatigue | ✓ | ✓ | ✓ |
| SD | Nasopharyngitis | · | · | ✓ |
| SD | Oropharyngeal pain | · | · | ✓ |
| SD | Pyrexia | · | · | ✓ |
| SD | SARS-CoV-2 test negative | · | · | ✓ |
| SD | Upper respiratory tract infection | · | · | ✓ |
| SRO | Blood urine present | · | · | ✓ |
| SRO | Cystitis | · | · | ✓ |
| SRO | Fatigue | · | · | ✓ |
| SRO | Injection site bruising | · | · | ✓ |
| SRO | Nasopharyngitis | · | · | ✓ |
| SRO | Urinary tract infection | · | · | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release