3FH-36063-31291
5 vaccinations
7 coded responses
44 check-ins
7 free-text entries
1 call case
- Sex
- Female
- Age at first dose
- 66+
- ZIP prefix
- 606 / IL
- Registered
- 2021-02-08
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-02-08
Registered in v-safe
-
2021-02-08
Dose 1 — Moderna
- 2021-02-08
-
2021-02-11
Survey response — days 1–6 daily, dose 1MedDRA: Chills, Erythema — Feeling: Good · Site: Pain, Redness, SwellingFree text: had chills 24 hours after shot arm redness 48 hrs afterMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-02-12
- 2021-02-13
- 2021-02-14
- 2021-02-15
-
2021-02-22
Survey response — day 14, dose 1MedDRA: Macule, Pruritus — Feeling: GoodFree text: On day 8 experienced Covid arm large red macule (2.5 inch by 2.5 inch) itchy Lasted 3 days now resolvedMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-03-01
-
2021-03-08
Dose 2 — Moderna
-
2021-03-08
Health check-in — day 0, dose 2Feeling: Fair · Site: Pain, Redness · Chills, Fatigue or tirednessAdult check-in
-
2021-03-09
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
- 2021-03-10
- 2021-03-11
- 2021-03-13
- 2021-03-14
- 2021-03-17
- 2021-03-22
- 2021-03-29
- 2021-04-05
- 2021-04-13
- 2021-04-19
- 2021-06-07
- 2021-09-06
-
2021-10-23
Dose 3 — Moderna
- 2021-10-27
- 2021-10-28
- 2021-10-29
-
2021-10-30
Survey response — day 7, dose 3MedDRA: Pain in jaw — Feeling: GoodFree text: Mild jaw painMedDRA releases: 2024-11 · check-in free text available
- 2021-11-06
- 2021-11-13
- 2021-11-20
-
2021-11-27
Survey response — day 35, dose 3MedDRA: Fatigue, Oropharyngeal pain, Respiratory tract congestion, SARS-CoV-2 test negative — Feeling: PoorFree text: Sore throat. Fatigue Congestion. Bianoxnow test negative x 3MedDRA releases: 2024-11 · check-in free text available
- 2021-12-04
- 2022-01-22
-
2022-04-04
Dose 4 — Pfizer-BioNTech
- 2022-04-15
- 2022-04-18
- 2022-04-25
- 2022-05-02
- 2022-05-09
- 2022-05-16
- 2022-07-04
-
2022-09-08
Dose 5 — Moderna
-
2022-10-03
Survey response — 6 months, dose 4MedDRA: Pain, Skin burning sensation — Feeling: FairFree text: had 1-2 weeks of intermittent, burning pain L side of scalp - gone now - no dxMedDRA releases: 2024-11 · check-in free text available
-
2022-10-13
Survey response — day 35, dose 5MedDRA: Vertigo positional — Feeling: GoodFree text: Positional vertigoMedDRA releases: 2024-11 · check-in free text available
- 2022-10-20
-
2022-12-08
Survey response — 3 months, dose 5MedDRA: Cough, Influenza virus test negative, Medical counselling, Oropharyngeal pain, Respiratory tract congestion, SARS-CoV-2 test, SARS-CoV-2 test negative — Feeling: Good · Get care from a doctor or other healthcare professionalFree text: Symptoms: Sore throat congestion cough. Negative covid PCR x2. Negative PCR for flu and RSV · Healthcare visit (other): Pharmacy for Covid PCR testingMedDRA releases: 2024-11 · check-in free text available
-
2022-12-08
Report sent to call center — 3 months, dose 5Get care from a doctor or other healthcare professional1 call case(s)
- 2022-12-09
-
2022-12-16
Call successfulNot applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill
- 2023-03-09
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-02-08 | Moderna | |
| 2 | 2021-03-08 | Moderna | |
| 3 | 2021-10-23 | Moderna | No |
| 4 | 2022-04-04 | Pfizer-BioNTech | No |
| 5 | 2022-09-08 | Moderna | No |
Call center
1 call center case
1 successful
Free text
Release 4 — days 1–6 daily, dose 1
Systemic reaction (other): had chills 24 hours after shot arm redness 48 hrs after
Release 4 — day 14, dose 1
Symptoms: On day 8 experienced Covid arm large red macule (2.5 inch by 2.5 inch) itchy Lasted 3 days now resolved
Release 10 — day 7, dose 3
Systemic reaction (other): Mild jaw pain
Release 10 — day 35, dose 3
Symptoms: Sore throat. Fatigue Congestion. Bianoxnow test negative x 3
Release 12 — 6 months, dose 4
Symptoms: had 1-2 weeks of intermittent, burning pain L side of scalp - gone now - no dx
Release 12 — day 35, dose 5
Symptoms: Positional vertigo
Release 12 — 3 months, dose 5
Symptoms: Sore throat congestion cough. Negative covid PCR x2. Negative PCR for flu and RSV
Healthcare visit (other): Pharmacy for Covid PCR testing
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 |
|---|---|---|---|---|
| HCVO | Medical counselling | · | · | ✓ |
| HCVO | SARS-CoV-2 test | · | · | ✓ |
| SD | Cough | · | · | ✓ |
| SD | Fatigue | · | · | ✓ |
| SD | Influenza virus test negative | · | · | ✓ |
| SD | Macule | ✓ | ✓ | ✓ |
| SD | Oropharyngeal pain | · | · | ✓ |
| SD | Pain | · | · | ✓ |
| SD | Pruritus | ✓ | ✓ | ✓ |
| SD | Respiratory tract congestion | · | · | ✓ |
| SD | SARS-CoV-2 test negative | · | · | ✓ |
| SD | Skin burning sensation | · | · | ✓ |
| SD | Vertigo positional | · | · | ✓ |
| SRO | Chills | ✓ | ✓ | ✓ |
| SRO | Erythema | ✓ | ✓ | ✓ |
| SRO | Pain in jaw | · | · | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release