3T3-24018-03414
1 vaccination
3 coded responses
8 check-ins
3 free-text entries
1 call case
- Sex
- Female
- Age at first dose
- 66+
- ZIP prefix
- 307 / GA
- Registered
- 2021-01-20
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-01-19
Dose 1 — Moderna
-
2021-01-20
Registered in v-safe
-
2021-01-22
Survey response — days 1–6 daily, dose 1MedDRA: Asthenia, Chills, Dizziness, Headache, Injection site pain, Loss of personal independence in daily activities, Pain, Pyrexia — Feeling: Fair · Site: Pain, Itching · Headache, Fatigue or tiredness, NauseaFree text: On the evening of the vaccine and all day the next day I had fever, headache, chills, body aches, weakness, lightheadedness, injection site pain. I was unable to do any of my normal activities, including keeping a grand baby.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-01-23
-
2021-01-24
Survey response — days 1–6 daily, dose 1MedDRA: Nasal congestion — Feeling: Good · Site: ItchingFree text: I have had a very stuffy nose in the evenings since the vaccine, to the point of taking a decongestant and using nose spray. I had failed to mention that on my previous reports. I was less congested last night.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-01-25
- 2021-01-26
- 2021-02-02
- 2021-02-09
-
2022-01-19
Survey response — 12 months, dose 1MedDRA: Cough, Influenza virus test negative, Middle ear effusion, SARS-CoV-2 test negative, Sinusitis, Streptococcal infection — Feeling: Good · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visitFree text: I had strep, sinusitis, fluid behind eardrums, and a cough. Tested negative for COVID and flu.MedDRA releases: 2024-11 · check-in free text available
-
2022-01-19
Report sent to call center — 12 months, dose 1Be unable to do your normal daily activities · Get care from a doctor or other healthcare professionalOutpatient clinic or urgent care clinic visit · 1 call case(s)
- 2022-01-20
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-01-19 | Moderna |
Call center
1 call center case
1 unsuccessful
Free text
Release 2 — days 1–6 daily, dose 1
Systemic reaction (other): On the evening of the vaccine and all day the next day I had fever, headache, chills, body aches, weakness, lightheadedness, injection site pain. I was unable to do any of my normal activities, including keeping a grand baby.
Systemic reaction (other): I have had a very stuffy nose in the evenings since the vaccine, to the point of taking a decongestant and using nose spray. I had failed to mention that on my previous reports. I was less congested last night.
Release 10 — 12 months, dose 1
Symptoms: I had strep, sinusitis, fluid behind eardrums, and a cough. Tested negative for COVID and flu.
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 | Influenza virus test negative | · | · | ✓ |
| SD | Middle ear effusion | · | · | ✓ |
| SD | SARS-CoV-2 test negative | · | · | ✓ |
| SD | Sinusitis | · | · | ✓ |
| SD | Streptococcal infection | · | · | ✓ |
| SRO | Asthenia | ✓ | ✓ | ✓ |
| SRO | Chills | ✓ | ✓ | ✓ |
| SRO | Dizziness | ✓ | ✓ | ✓ |
| SRO | Headache | ✓ | ✓ | ✓ |
| SRO | Injection site pain | ✓ | ✓ | ✓ |
| SRO | Loss of personal independence in daily activities | ✓ | ✓ | ✓ |
| SRO | Nasal congestion | ✓ | ✓ | ✓ |
| SRO | Pain | ✓ | ✓ | ✓ |
| SRO | Pyrexia | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release