3SV-23394-97873
4 vaccinations
5 coded responses
39 check-ins
4 free-text entries
1 call case
- Sex
- Male
- Age at first dose
- 66+
- ZIP prefix
- 902 / CA
- Registered
- 2021-02-06
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-02-06
Registered in v-safe
-
2021-02-06
Dose 1 — Moderna
- 2021-02-08
- 2021-02-09
- 2021-02-10
- 2021-02-11
- 2021-02-12
- 2021-02-13
- 2021-02-20
-
2021-02-27
Survey response — day 21, dose 1MedDRA: Chills, Pain, Pyrexia — Feeling: Good · Be unable to do your normal daily activitiesFree text: After not working out for 5 days I had an intense workout. Following that I felt achy and feverish, I had no fever, for a few days. Also had chills. May have had nothing to do with the vaccination as it was two weeks post first injectionMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-03-06
-
2021-03-07
Dose 2 — Moderna
- 2021-03-07
- 2021-03-08
-
2021-03-09
Health check-in — days 1–6 daily, dose 2Feeling: Good · Site: Pain, Swelling · Chills, Fatigue or tirednessAdult check-in
- 2021-03-10
- 2021-03-11
- 2021-03-12
- 2021-03-13
- 2021-03-14
-
2021-03-21
Survey response — day 14, dose 2MedDRA: Chills, Fatigue, Feeling hot — Feeling: Fair · Be unable to workFree text: Feeling feverish without a fever, some chills, and some fatigue.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-03-28
- 2021-04-04
- 2021-04-11
-
2021-04-18
Survey response — day 42, dose 2MedDRA: Chills, Fatigue, Pyrexia — Feeling: Fair · Be unable to workFree text: 3-4 days last week saw a repeat of fatigue, chills, feeling feverish without actual fever. This is the third such episode. Anti body testing did not show the presence of antibodies to either the virus or the vaccine.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-06-06
-
2021-09-05
Survey response — 6 months, dose 2MedDRA: Insomnia, Tremor — Feeling: Poor · Be unable to work or attend schoolFree text: Tremors and inability to sleepMedDRA releases: 2021-09,2024-11 · check-in free text available
-
2022-02-11
Dose 3 — Moderna
- 2022-03-07
-
2022-09-23
Dose 4 — Moderna
- 2022-09-23
-
2022-09-24
Health check-in — days 1–6 daily, dose 4Feeling: Fair · Site: Pain, Swelling · Fever · Chills, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activitiesAdult check-in
- 2022-09-25
- 2022-09-26
- 2022-09-27
- 2022-09-28
- 2022-09-30
- 2022-10-07
- 2022-10-14
- 2022-10-21
- 2022-10-28
- 2022-11-04
- 2022-12-25
-
2023-03-24
Survey response — 6 months, dose 4MedDRA: Cough, Pyrexia, Rhinorrhoea — Feeling: Good · Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultationMedDRA releases: 2024-11
-
2023-03-24
Report sent to call center — 6 months, dose 4Get care from a doctor or other healthcare professionalTelehealth, virtual health, or email health consultation · 1 call case(s)
- 2023-03-27
-
2023-03-27
Call successfulDoes not wish to fill out VAERS report
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-02-06 | Moderna | |
| 2 | 2021-03-07 | Moderna | |
| 3 | 2022-02-11 | Moderna | No |
| 4 | 2022-09-23 | Moderna | No |
Call center
1 call center case
1 successful
Free text
Release 4 — day 21, dose 1
Symptoms: After not working out for 5 days I had an intense workout. Following that I felt achy and feverish, I had no fever, for a few days. Also had chills. May have had nothing to do with the vaccination as it was two weeks post first injection
Release 6 — day 14, dose 2
Symptoms: Feeling feverish without a fever, some chills, and some fatigue.
Release 7 — day 42, dose 2
Symptoms: 3-4 days last week saw a repeat of fatigue, chills, feeling feverish without actual fever. This is the third such episode. Anti body testing did not show the presence of antibodies to either the virus or the vaccine.
Release 9 — 6 months, dose 2
Symptoms: Tremors and inability to 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 | Chills | ✓ | ✓ | ✓ |
| SD | Cough | · | · | ✓ |
| SD | Fatigue | ✓ | ✓ | ✓ |
| SD | Feeling hot | ✓ | ✓ | ✓ |
| SD | Insomnia | ✓ | · | ✓ |
| SD | Pain | ✓ | ✓ | ✓ |
| SD | Pyrexia | ✓ | ✓ | ✓ |
| SD | Rhinorrhoea | · | · | ✓ |
| SD | Tremor | ✓ | · | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release