3NS-41212-48224
5 vaccinations
9 coded responses
61 check-ins
9 free-text entries
1 call case
- Sex
- Female
- Age at first dose
- 66+
- ZIP prefix
- 627 / IL
- Registered
- 2021-01-16
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-01-16
Registered in v-safe
-
2021-01-16
Dose 1 — Moderna
- 2021-01-16
-
2021-01-17
Survey response — days 1–6 daily, dose 1MedDRA: Myalgia — Feeling: Good · Muscle or body achesFree text: Just a little muscle ache-NOT painMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-01-19
- 2021-01-22
- 2021-01-23
- 2021-01-30
- 2021-02-07
- 2021-02-13
-
2021-02-15
Dose 2 — Moderna
- 2021-02-20
- 2021-02-21
- 2021-02-22
- 2021-03-01
- 2021-03-08
- 2021-03-15
- 2021-03-22
- 2021-03-29
- 2021-05-17
- 2021-08-16
-
2021-10-22
Dose 3 — Moderna
- 2021-10-22
- 2021-10-23
-
2021-10-24
Survey response — days 1–6 daily, dose 3MedDRA: No adverse event — Feeling: GoodFree text: Nothing abnormalMedDRA releases: 2024-11 · check-in free text available
- 2021-10-25
- 2021-10-26
- 2021-10-27
- 2021-10-28
- 2021-10-29
- 2021-11-05
- 2021-11-12
- 2021-11-19
- 2021-11-26
- 2021-12-03
- 2022-01-21
-
2022-04-19
Dose 4 — Moderna
- 2022-04-19
-
2022-04-20
Survey response — days 1–6 daily, dose 4MedDRA: Injection site pain — Feeling: GoodFree text: slight ache at injection site ( only when touchedMedDRA releases: 2024-11 · check-in free text available
- 2022-04-21
-
2022-04-22
Survey response — days 1–6 daily, dose 4MedDRA: Pre-existing disease — Feeling: GoodFree text: Just the aches ad pains I had BEFORE the boosterMedDRA releases: 2024-11 · check-in free text available
-
2022-04-23
Survey response — days 1–6 daily, dose 4MedDRA: Pre-existing disease — Feeling: GoodFree text: Only. Normal aches from arthritisMedDRA releases: 2024-11 · check-in free text available
-
2022-04-24
Survey response — days 1–6 daily, dose 4MedDRA: No adverse event — Feeling: GoodFree text: NormalMedDRA releases: 2024-11 · check-in free text available
-
2022-04-25
Survey response — days 1–6 daily, dose 4MedDRA: Arthritis, Pain — Feeling: GoodFree text: Arthritis achesMedDRA releases: 2024-11 · check-in free text available
- 2022-04-26
- 2022-05-03
- 2022-05-10
- 2022-05-17
- 2022-05-24
- 2022-05-31
-
2022-07-19
Survey response — 3 months, dose 4MedDRA: Allergic respiratory symptom, Bronchitis, Office visit, SARS-CoV-2 test negative — Feeling: Good · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visitFree text: allergy symptoms turned into bronchitis. 2 at home covid test 48 hrs spar were clear urgent care rapid test after another 48 hrs also clear. meds prescribed ( including antibiotics)workedMedDRA releases: 2024-11 · check-in free text available
-
2022-07-19
Report sent to call center — 3 months, dose 4Get care from a doctor or other healthcare professionalOutpatient clinic or urgent care clinic visit · 1 call case(s)
- 2022-07-20
-
2022-09-16
Dose 5 — Moderna
-
2022-09-16
Survey response — day 0, dose 5MedDRA: Injection site reaction, Musculoskeletal stiffness — Feeling: GoodFree text: slight stiffness at inoculation site but very short term gone w/i 2hrsMedDRA releases: 2024-11 · check-in free text available
- 2022-09-17
- 2022-09-18
- 2022-09-19
- 2022-09-20
- 2022-09-21
- 2022-09-22
- 2022-09-23
- 2022-09-30
- 2022-10-07
- 2022-10-14
- 2022-10-21
- 2022-10-28
- 2022-12-16
- 2023-03-17
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-01-16 | Moderna | |
| 2 | 2021-02-15 | Moderna | |
| 3 | 2021-10-22 | Moderna | No |
| 4 | 2022-04-19 | Moderna | No |
| 5 | 2022-09-16 | Moderna | No |
Call center
1 call center case
1 unsuccessful
Free text
Release 2 — days 1–6 daily, dose 1
Systemic reaction (other): Just a little muscle ache-NOT pain
Release 10 — days 1–6 daily, dose 3
Systemic reaction (other): Nothing abnormal
Release 11 — days 1–6 daily, dose 4
Systemic reaction (other): slight ache at injection site ( only when touched
Systemic reaction (other): Just the aches ad pains I had BEFORE the booster
Systemic reaction (other): Only. Normal aches from arthritis
Systemic reaction (other): Normal
Systemic reaction (other): Arthritis aches
Release 12 — 3 months, dose 4
Symptoms: allergy symptoms turned into bronchitis. 2 at home covid test 48 hrs spar were clear urgent care rapid test after another 48 hrs also clear. meds prescribed ( including antibiotics)worked
Release 12 — day 0, dose 5
Systemic reaction (other): slight stiffness at inoculation site but very short term gone w/i 2hrs
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 | Allergic respiratory symptom | · | · | ✓ |
| SD | Bronchitis | · | · | ✓ |
| SD | Office visit | · | · | ✓ |
| SD | SARS-CoV-2 test negative | · | · | ✓ |
| SRO | Arthritis | · | · | ✓ |
| SRO | Injection site pain | · | · | ✓ |
| SRO | Injection site reaction | · | · | ✓ |
| SRO | Musculoskeletal stiffness | · | · | ✓ |
| SRO | Myalgia | ✓ | ✓ | ✓ |
| SRO | No adverse event | · | · | ✓ |
| SRO | Pain | · | · | ✓ |
| SRO | Pre-existing disease | · | · | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release