3HU-28506-70179
5 vaccinations
6 coded responses
39 check-ins
4 free-text entries
1 call case
- Sex
- Female
- Age at first dose
- 66+
- ZIP prefix
- 549 / WI
- Registered
- 2021-02-27
- Relationship
- Self
- Race
- White
- 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
Health check-in — days 1–6 daily, dose 1Feeling: Fair · Site: Pain · Chills, Headache, Fatigue or tirednessAdult check-in
-
2021-03-01
Health check-in — days 1–6 daily, dose 1Feeling: Fair · Chills, Headache, Fatigue or tirednessAdult check-in
- 2021-03-02
- 2021-03-03
- 2021-03-04
- 2021-03-05
- 2021-03-08
- 2021-03-13
- 2021-03-20
- 2021-03-27
-
2021-04-01
Dose 2 — Moderna
-
2021-04-02
Survey response — days 1–6 daily, dose 2MedDRA: Chills, Hyperhidrosis, Tremor — Feeling: Poor · Site: Pain · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activitiesFree text: Shaking chills to profuse sweating. All these symptoms started later the same day I got my 2nd dose.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-04-03
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activitiesAdult check-in
-
2021-04-04
Survey response — days 1–6 daily, dose 2MedDRA: Adverse reaction — Feeling: Fair · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activitiesFree text: My second shot was administered 33 days after my first one. I dont know of any other person I have asked if they got their shots that far apart. Makes me wonder if that is a reason for such severe reaction to my second injection?MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-04-06
Survey response — days 1–6 daily, dose 2MedDRA: Pyrexia — Feeling: Fair · Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activitiesFree text: Missed deadline yesterday. Fever finally gone late yesterday.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-04-07
- 2021-04-08
- 2021-04-15
- 2021-04-22
- 2021-04-29
- 2021-05-06
- 2021-05-13
- 2021-07-01
- 2021-09-30
-
2021-10-25
Dose 3 — Moderna
- 2022-04-03
-
2022-05-13
Dose 4 — Moderna
-
2022-05-26
Survey response — day 7, dose 4MedDRA: Arthralgia, Chills, Fatigue, Headache, Injection site erythema, Pain, Pyrexia, Swelling — Feeling: GoodFree text: 72 hrs after injections I have experienced headaches, chills, low grade fever, body aches, joint pain, fatigue, tired & pain & swelling, redness at injection site.MedDRA releases: 2024-11 · check-in free text available
- 2022-05-27
- 2022-06-03
- 2022-06-10
- 2022-06-17
- 2022-06-24
- 2022-08-12
-
2022-10-12
Dose 5 — Moderna
-
2022-10-23
Health check-in — day 7, dose 5Feeling: Good · Site: Itching · Headache, Fatigue or tirednessAdult check-in
- 2022-10-26
- 2022-11-04
- 2022-11-09
- 2022-11-23
-
2023-01-11
Survey response — 3 months, dose 5MedDRA: Influenza, Sinusitis — Feeling: Fair · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visitMedDRA releases: 2024-11
-
2023-01-11
Report sent to call center — 3 months, dose 5Be unable to do your normal daily activities · Get care from a doctor or other healthcare professionalOutpatient clinic or urgent care clinic visit · 1 call case(s)
- 2023-01-12
-
2023-01-12
Call successfulNot applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill
- 2023-04-12
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-02-27 | Moderna | |
| 2 | 2021-04-01 | Moderna | |
| 3 | 2021-10-25 | Moderna | No |
| 4 | 2022-05-13 | Moderna | No |
| 5 | 2022-10-12 | Moderna | No |
Call center
1 call center case
1 successful
Free text
Release 6 — days 1–6 daily, dose 2
Systemic reaction (other): Shaking chills to profuse sweating. All these symptoms started later the same day I got my 2nd dose.
Systemic reaction (other): My second shot was administered 33 days after my first one. I dont know of any other person I have asked if they got their shots that far apart. Makes me wonder if that is a reason for such severe reaction to my second injection?
Release 7 — days 1–6 daily, dose 2
Systemic reaction (other): Missed deadline yesterday. Fever finally gone late yesterday.
Release 11 — day 7, dose 4
Systemic reaction (other): 72 hrs after injections I have experienced headaches, chills, low grade fever, body aches, joint pain, fatigue, tired & pain & swelling, redness at injection site.
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 | Influenza | · | · | ✓ |
| SD | Nasopharyngitis | · | · | ✓ |
| SD | Sinusitis | · | · | ✓ |
| SRO | Adverse reaction | ✓ | ✓ | ✓ |
| SRO | Arthralgia | · | · | ✓ |
| SRO | Chills | ✓ | ✓ | ✓ |
| SRO | Fatigue | · | · | ✓ |
| SRO | Headache | · | · | ✓ |
| SRO | Hyperhidrosis | ✓ | ✓ | ✓ |
| SRO | Injection site erythema | · | · | ✓ |
| SRO | Pain | · | · | ✓ |
| SRO | Pyrexia | ✓ | ✓ | ✓ |
| SRO | Swelling | · | · | ✓ |
| SRO | Tremor | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release