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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

  1. 2021-01-12
    Dose 1 — Moderna
  2. 2021-02-09
    Dose 2 — Moderna
  3. 2021-02-16
    Registered in v-safe
  4. 2021-02-16
    Survey response — day 7, dose 2
    MedDRA: Chills, Fatigue, Pyrexia — Feeling: Good · Site: Pain · Be unable to work, Be unable to do your normal daily activities
    Free 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
  5. 2021-02-25
    Health check-in — day 14, dose 2
    Feeling: Good
    Adult check-in
  6. 2021-03-02
    Health check-in — day 21, dose 2
    Feeling: Good
    Adult check-in
  7. 2021-03-10
    Health check-in — day 28, dose 2
    Feeling: Good
    Adult check-in
  8. 2021-05-11
    Health check-in — 3 months, dose 2
    Feeling: Good
    Adult check-in
  9. 2021-10-26
    Dose 3 — Moderna
  10. 2021-10-28
    Survey response — days 1–6 daily, dose 3
    MedDRA: Arthralgia, Brain fog, Headache, Myalgia, Pyrexia, Self-medication, Somnolence — Feeling: Fair · Site: Pain · Headache · Be unable to do your normal daily activities
    Free 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
  11. 2021-10-29
    Survey response — days 1–6 daily, dose 3
    MedDRA: Unevaluable event — Feeling: Good
    Free text: Booster on Tuesday afternoon, active Thursday, back full steam Friday,
    MedDRA releases: 2024-11 · check-in free text available
  12. 2021-11-01
    Health check-in — days 1–6 daily, dose 3
    Feeling: Good · None
    Adult check-in
  13. 2021-11-02
    Health check-in — day 7, dose 3
    Feeling: Good · None
    Adult check-in
  14. 2021-11-11
    Health check-in — day 14, dose 3
    Feeling: Good
    Adult check-in
  15. 2021-11-18
    Health check-in — day 21, dose 3
    Feeling: Good
    Adult check-in
  16. 2021-11-25
    Health check-in — day 28, dose 3
    Feeling: Good
    Adult check-in
  17. 2021-12-04
    Health check-in — day 35, dose 3
    Feeling: Good
    Adult check-in
  18. 2021-12-09
    Health check-in — day 42, dose 3
    Feeling: Good
    Adult check-in
  19. 2022-01-25
    Health check-in — 3 months, dose 3
    Feeling: Good
    Adult check-in
  20. 2022-04-26
    Survey response — 6 months, dose 3
    MedDRA: Throat irritation — Feeling: Fair
    Free text: Raspy throat, possible cold
    MedDRA releases: 2024-11 · check-in free text available
  21. 2022-10-27
    Survey response — 12 months, dose 3
    MedDRA: 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 visit
    Free 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
  22. 2022-10-27
    Report sent to call center — 12 months, dose 3
    Get care from a doctor or other healthcare professional
    Emergency room or emergency department visit · 1 call case(s)
  23. 2022-10-28
    Call successful
    Does not wish to fill out VAERS report

Vaccinations

DoseDateManufacturerCo-administered
12021-01-12Moderna
22021-02-09Moderna
32021-10-26Moderna No

Call center

1 call center case

1 successful

See the call center timeline

Free text

Release 4 — day 7, dose 2

2021-02-16

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

2021-10-28

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.

2021-10-29

Systemic reaction (other): Booster on Tuesday afternoon, active Thursday, back full steam Friday,

Release 11 — 6 months, dose 3

2022-04-26

Symptoms: Raspy throat, possible cold

Release 12 — 12 months, dose 3

2022-10-27

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

FieldPreferred term2021-092023-042024-11
SDBlood pressure increased · · ✓
SDCOVID-19 · · ✓
SDNephrolithiasis · · ✓
SDPoor quality sleep · · ✓
SDStress at work · · ✓
SDThroat irritation · · ✓
SROArthralgia · · ✓
SROBrain fog · · ✓
SROChills ✓ ✓ ✓
SROFatigue ✓ ✓ ✓
SROHeadache · · ✓
SROMyalgia · · ✓
SROPyrexia ✓ ✓ ✓
SROSelf-medication · · ✓
SROSomnolence · · ✓
SROUnevaluable event · · ✓

✓ active code · ○ coded but marked inactive · blank = not in that release