3L9-13694-63986
3 vaccinations
5 coded responses
17 check-ins
5 free-text entries
1 call case
- Sex
- Male
- Age at first dose
- 66+
- ZIP prefix
- 802 / CO
- Registered
- 2021-02-16
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-01-12
Dose 1 — Moderna
-
2021-02-09
Dose 2 — Moderna
-
2021-02-16
Registered in v-safe
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2021-02-16
Survey response — day 7, dose 2MedDRA: Chills, Fatigue, Pyrexia — Feeling: Good · Site: Pain · Be unable to work, Be unable to do your normal daily activitiesFree text: Had chills and 100.9 fever the day after 2nd shot, lasted several hours but was fine the next morning. Somewhat tired two days.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-02-25
- 2021-03-02
- 2021-03-10
- 2021-05-11
-
2021-10-26
Dose 3 — Moderna
-
2021-10-28
Survey response — days 1–6 daily, dose 3MedDRA: Arthralgia, Brain fog, Headache, Myalgia, Pyrexia, Self-medication, Somnolence — Feeling: Fair · Site: Pain · Headache · Be unable to do your normal daily activitiesFree text: Got the moderna booster two days ago. Yesterday I had slight fever, achy joints and muscles, headache. Foggy brained! I slept and rested, took Tylenol. Better this morning.MedDRA releases: 2024-11 · check-in free text available
-
2021-10-29
Survey response — days 1–6 daily, dose 3MedDRA: Unevaluable event — Feeling: GoodFree text: Booster on Tuesday afternoon, active Thursday, back full steam Friday,MedDRA releases: 2024-11 · check-in free text available
- 2021-11-01
- 2021-11-02
- 2021-11-11
- 2021-11-18
- 2021-11-25
- 2021-12-04
- 2021-12-09
- 2022-01-25
-
2022-04-26
Survey response — 6 months, dose 3MedDRA: Throat irritation — Feeling: FairFree text: Raspy throat, possible coldMedDRA releases: 2024-11 · check-in free text available
-
2022-10-27
Survey response — 12 months, dose 3MedDRA: Blood pressure increased, COVID-19, Nephrolithiasis, Poor quality sleep, Stress at work — Feeling: Fair · Get care from a doctor or other healthcare professional · Emergency room or emergency department visitFree text: High blood pressure continuing following kidney stone mid summer. Had mild Covid Apri 26-May 7. Work stress, poor sleep.MedDRA releases: 2024-11 · check-in free text available
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2022-10-27
Report sent to call center — 12 months, dose 3Get care from a doctor or other healthcare professionalEmergency room or emergency department visit · 1 call case(s)
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2022-10-28
Call successfulDoes not wish to fill out VAERS report
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-01-12 | Moderna | |
| 2 | 2021-02-09 | Moderna | |
| 3 | 2021-10-26 | Moderna | No |
Call center
1 call center case
1 successful
Free text
Release 4 — day 7, dose 2
Systemic reaction (other): Had chills and 100.9 fever the day after 2nd shot, lasted several hours but was fine the next morning. Somewhat tired two days.
Release 10 — days 1–6 daily, dose 3
Systemic reaction (other): Got the moderna booster two days ago. Yesterday I had slight fever, achy joints and muscles, headache. Foggy brained! I slept and rested, took Tylenol. Better this morning.
Systemic reaction (other): Booster on Tuesday afternoon, active Thursday, back full steam Friday,
Release 11 — 6 months, dose 3
Symptoms: Raspy throat, possible cold
Release 12 — 12 months, dose 3
Symptoms: High blood pressure continuing following kidney stone mid summer. Had mild Covid Apri 26-May 7. Work stress, poor sleep.
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 | Blood pressure increased | · | · | ✓ |
| SD | COVID-19 | · | · | ✓ |
| SD | Nephrolithiasis | · | · | ✓ |
| SD | Poor quality sleep | · | · | ✓ |
| SD | Stress at work | · | · | ✓ |
| SD | Throat irritation | · | · | ✓ |
| SRO | Arthralgia | · | · | ✓ |
| SRO | Brain fog | · | · | ✓ |
| SRO | Chills | ✓ | ✓ | ✓ |
| SRO | Fatigue | ✓ | ✓ | ✓ |
| SRO | Headache | · | · | ✓ |
| SRO | Myalgia | · | · | ✓ |
| SRO | Pyrexia | ✓ | ✓ | ✓ |
| SRO | Self-medication | · | · | ✓ |
| SRO | Somnolence | · | · | ✓ |
| SRO | Unevaluable event | · | · | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release