3SN-17737-27193
3 vaccinations
2 coded responses
23 check-ins
2 free-text entries
1 call case
- Sex
- Female
- Age at first dose
- 61-65
- ZIP prefix
- 303 / GA
- Registered
- 2020-12-25
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2020-12-24
Dose 1 — Moderna
-
2020-12-25
Registered in v-safe
- 2020-12-25
- 2020-12-26
- 2020-12-27
- 2020-12-28
- 2020-12-29
- 2020-12-30
- 2020-12-31
- 2021-01-07
- 2021-01-14
-
2021-01-21
Dose 2 — Moderna
-
2021-01-25
Survey response — days 1–6 daily, dose 2MedDRA: Chills, Erythema, Fatigue, Pain in extremity, Pruritus — Feeling: Good · Site: Redness, Itching · Be unable to workFree text: I did want to report, because this is the first day Ive done the check after my second shot, that 12 hours after my shot I had chills and was only able to work the following morning and went home with extreme fatigue. I took at 4.5 hr nap the day after the shot and slept 9.5 hours that night. My arm was sore for 2 days but not as bad as after the first one. I had redness and itching on my arm but in an are inferior and medial to where I received the shot. That started 48 hrs after the shot and persists. The redness and itching onMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-01-26
- 2021-01-27
- 2021-01-28
- 2021-02-04
- 2021-02-11
- 2021-02-18
- 2021-02-25
- 2021-03-04
- 2021-04-22
- 2021-07-22
-
2021-08-29
Dose 3 — Moderna
- 2021-11-28
- 2022-02-27
-
2022-08-29
Survey response — 12 months, dose 3MedDRA: COVID-19, Cough, Fatigue, Pyrexia — Feeling: Good · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultationFree text: Had Covid end of May thru first wee I. June. High fever several days with lingering couch and fatigue remainder of month of JuneMedDRA releases: 2024-11 · check-in free text available
-
2022-08-29
Report sent to call center — 12 months, dose 3Be unable to do your normal daily activities · Get care from a doctor or other healthcare professionalTelehealth, virtual health, or email health consultation · 1 call case(s)
- 2022-08-31
-
2022-08-31
Call successfulNot applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2020-12-24 | Moderna | |
| 2 | 2021-01-21 | Moderna | |
| 3 | 2021-08-29 | Moderna | No |
Call center
1 call center case
1 successful
Free text
Release 2 — days 1–6 daily, dose 2
Systemic reaction (other): I did want to report, because this is the first day Ive done the check after my second shot, that 12 hours after my shot I had chills and was only able to work the following morning and went home with extreme fatigue. I took at 4.5 hr nap the day after the shot and slept 9.5 hours that night. My arm was sore for 2 days but not as bad as after the first one. I had redness and itching on my arm but in an are inferior and medial to where I received the shot. That started 48 hrs after the shot and persists. The redness and itching on
Release 12 — 12 months, dose 3
Symptoms: Had Covid end of May thru first wee I. June. High fever several days with lingering couch and fatigue remainder of month of June
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 | Cough | · | · | ✓ |
| SD | COVID-19 | · | · | ✓ |
| SD | Fatigue | · | · | ✓ |
| SD | Pyrexia | · | · | ✓ |
| SRO | Chills | ✓ | ✓ | ✓ |
| SRO | Erythema | ✓ | ✓ | ✓ |
| SRO | Fatigue | ✓ | ✓ | ✓ |
| SRO | Pain in extremity | ✓ | ✓ | ✓ |
| SRO | Pruritus | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release