3LE-23928-04210
4 vaccinations
6 coded responses
49 check-ins
5 free-text entries
0 call cases
- Sex
- Female
- Age at first dose
- 66+
- ZIP prefix
- 601 / IL
- Registered
- 2021-02-17
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-02-14
Dose 1 — Moderna
-
2021-02-17
Registered in v-safe
-
2021-02-17
Survey response — days 1–6 daily, dose 1MedDRA: Chills, Pain — Feeling: Good · Site: PainFree text: Pain was intense starting 26 hours after 1st dose. Also had chills the 2nd night. Temp was 96.4 - 96.7 at the time.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-02-18
-
2021-02-19
Survey response — days 1–6 daily, dose 1MedDRA: Dyspepsia — Feeling: FairFree text: An indigestion from my chest thru stomach, front and back. Started yesterday right before dinner. Went away by morning. Just started up again before dinner.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-02-20
-
2021-02-21
Survey response — day 7, dose 1MedDRA: Dyspepsia — Feeling: GoodFree text: My previous heartburn was caused by caffeine, not that I have changed my routine. Has anyone else had problems with caffeine after the Moderna vaccine?MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-02-28
-
2021-03-07
Survey response — day 21, dose 1MedDRA: Abdominal pain lower, Chills, Dyspepsia, Nausea, Pyrexia, Syncope — Feeling: Poor · Be unable to do your normal daily activitiesFree text: After having indigestion since 4 days after my first Moderna dose, on Fri. I developed severe Paine in my lower abdomen and chills. It was still there the next morning and I had the feeling of vomiting or passing out, which never happened. Low grade.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-03-14
-
2021-03-15
Dose 2 — Moderna
- 2021-03-15
-
2021-03-16
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Site: Pain · Fever · Chills, Headache, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to do your normal daily activitiesAdult check-in
- 2021-03-17
- 2021-03-18
- 2021-03-19
- 2021-03-20
- 2021-03-21
- 2021-03-22
- 2021-03-29
- 2021-04-05
- 2021-04-12
- 2021-04-19
- 2021-04-26
- 2021-06-14
- 2021-09-13
-
2021-10-23
Dose 3 — Moderna
-
2021-10-28
Survey response — days 1–6 daily, dose 3MedDRA: Chills, Headache, Pain, Self-medication — Feeling: Good · Site: PainFree text: Within 10 hours of receiving the booster, I had severe chills and body ache and headache. I took Tylenol at bedtime which helped. The symptoms slowly disappeared the next day.MedDRA releases: 2024-11 · check-in free text available
- 2021-10-29
- 2021-10-30
- 2021-11-06
- 2021-11-13
- 2021-11-20
- 2021-11-27
- 2021-12-04
- 2022-01-22
- 2022-04-23
-
2022-10-25
Dose 4 — Pfizer-BioNTech
- 2022-10-25
- 2022-10-25
-
2022-10-26
Health check-in — days 1–6 daily, dose 4Feeling: Fair · Fever · Chills, Headache, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activitiesAdult check-in
- 2022-10-27
- 2022-10-28
- 2022-10-29
- 2022-10-30
- 2022-10-31
- 2022-11-01
- 2022-11-08
- 2022-11-15
- 2022-11-22
- 2022-11-29
- 2022-12-06
-
2023-01-24
Survey response — 3 months, dose 4MedDRA: Bowel movement irregularity, Cough, Pyrexia, Respiratory tract congestion — Feeling: GoodMedDRA releases: 2024-11
- 2023-04-25
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-02-14 | Moderna | |
| 2 | 2021-03-15 | Moderna | |
| 3 | 2021-10-23 | Moderna | No |
| 4 | 2022-10-25 | Pfizer-BioNTech | No |
Free text
Release 4 — days 1–6 daily, dose 1
Systemic reaction (other): Pain was intense starting 26 hours after 1st dose. Also had chills the 2nd night. Temp was 96.4 - 96.7 at the time.
Systemic reaction (other): An indigestion from my chest thru stomach, front and back. Started yesterday right before dinner. Went away by morning. Just started up again before dinner.
Release 4 — day 7, dose 1
Systemic reaction (other): My previous heartburn was caused by caffeine, not that I have changed my routine. Has anyone else had problems with caffeine after the Moderna vaccine?
Release 5 — day 21, dose 1
Symptoms: After having indigestion since 4 days after my first Moderna dose, on Fri. I developed severe Paine in my lower abdomen and chills. It was still there the next morning and I had the feeling of vomiting or passing out, which never happened. Low grade. cut off by CDC
Release 10 — days 1–6 daily, dose 3
Systemic reaction (other): Within 10 hours of receiving the booster, I had severe chills and body ache and headache. I took Tylenol at bedtime which helped. The symptoms slowly disappeared the next day.
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 | Abdominal pain lower | ✓ | ✓ | ✓ |
| SD | Bowel movement irregularity | · | · | ✓ |
| SD | Chills | ✓ | ✓ | ✓ |
| SD | Cough | · | · | ✓ |
| SD | Dyspepsia | ✓ | ✓ | ✓ |
| SD | Nausea | ✓ | ✓ | ✓ |
| SD | Pyrexia | ✓ | ✓ | ✓ |
| SD | Respiratory tract congestion | · | · | ✓ |
| SD | Syncope | ✓ | ✓ | ✓ |
| SRO | Chills | ✓ | ✓ | ✓ |
| SRO | Dyspepsia | ✓ | ✓ | ✓ |
| SRO | Headache | · | · | ✓ |
| SRO | Pain | ✓ | ✓ | ✓ |
| SRO | Self-medication | · | · | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release