3TB-81703-46219
4 vaccinations
6 coded responses
47 check-ins
6 free-text entries
1 call case
- Sex
- Female
- Age at first dose
- 61-65
- ZIP prefix
- 061 / CT
- Registered
- 2021-04-01
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-04-01
Registered in v-safe
-
2021-04-01
Dose 1 — Moderna
- 2021-04-01
- 2021-04-02
- 2021-04-03
- 2021-04-04
-
2021-04-05
Survey response — days 1–6 daily, dose 1MedDRA: Lymphadenopathy — Feeling: GoodFree text: lymph nodes on neck and armpit shot side upMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-04-06
- 2021-04-07
- 2021-04-08
- 2021-04-15
- 2021-04-22
-
2021-04-29
Dose 2 — Moderna
- 2021-04-29
-
2021-04-30
Health check-in — days 1–6 daily, dose 2Feeling: Good · Site: Pain, Redness, Swelling · Fever · Chills, Headache, Fatigue or tirednessAdult check-in
-
2021-05-01
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Site: Pain, Redness, Swelling · Fever · Chills, Headache, Muscle or body aches, Fatigue or tiredness, Diarrhea · Be unable to workAdult check-in
-
2021-05-02
Survey response — days 1–6 daily, dose 2MedDRA: Odynophagia — Feeling: Fair · Site: Redness, Itching · Fever · Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to work, Be unable to do your normal daily activitiesFree text: hurts to swallow starting last niteMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-05-03
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Site: Swelling, Itching · Headache, Joint pains, Fatigue or tiredness · Be unable to do your normal daily activitiesAdult check-in
- 2021-05-04
- 2021-05-05
- 2021-05-06
- 2021-05-13
- 2021-05-20
- 2021-05-27
- 2021-06-03
- 2021-06-10
- 2021-07-29
-
2021-08-28
Dose 3 — Moderna
-
2021-09-09
Survey response — day 7, dose 3MedDRA: Dyspnoea exertional — Feeling: Fair · Headache, Joint pains, Fatigue or tiredness · Be unable to do your normal daily activitiesFree text: Shortness of breath walking up stairsMedDRA releases: 2024-11 · check-in free text available
- 2021-09-11
- 2021-09-18
- 2021-09-25
- 2021-10-02
- 2021-10-09
- 2021-11-27
- 2022-02-26
-
2022-04-15
Dose 4 — Moderna
-
2022-04-16
Health check-in — days 1–6 daily, dose 4Feeling: Fair · Site: Pain, Redness, Swelling · Fever · Chills, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activitiesAdult check-in
-
2022-04-17
Health check-in — days 1–6 daily, dose 4Feeling: Fair · Site: Pain, Redness, Swelling · Joint pains, Muscle or body aches, Fatigue or tirednessAdult check-in
-
2022-04-18
Health check-in — days 1–6 daily, dose 4Feeling: Fair · Site: Redness, Swelling, Itching · Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activitiesAdult check-in
-
2022-04-19
Health check-in — days 1–6 daily, dose 4Feeling: Good · Site: Redness, Swelling, Itching · Joint pains, Fatigue or tirednessAdult check-in
-
2022-04-20
Health check-in — days 1–6 daily, dose 4Feeling: Good · Site: Swelling, Itching · Joint pains, Muscle or body aches, Fatigue or tirednessAdult check-in
- 2022-04-21
- 2022-04-25
-
2022-05-01
Survey response — day 14, dose 4MedDRA: Fatigue — Feeling: Fair · Be unable to work or attend schoolFree text: Fatigue. Spouse tested+4/28. O2 88 in 24 hrs from test.hopefully 15 days 4th shot protects me, he did not get 4th.MedDRA releases: 2024-11 · check-in free text available
- 2022-05-07
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2022-05-14
Survey response — day 28, dose 4MedDRA: Pain in extremity, Peripheral swelling — Feeling: Fair · Be unable to do your normal daily activitiesFree text: Left leg swollen, calf pain. If not better monday, will go to dr.MedDRA releases: 2024-11 · check-in free text available
- 2022-05-20
- 2022-05-27
- 2022-07-15
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2022-10-14
Survey response — 6 months, dose 4MedDRA: Ageusia, Anosmia, Aphonia, Arthralgia, Asthma, Chills, Cough, Headache, Oropharyngeal pain, Pre-existing disease, Pyrexia, Rhinorrhoea — Feeling: Poor · Be unable to work or attend school, Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultation, Outpatient clinic or urgent care clinic visitFree text: worse pain of life in joints,fever,cough,headache,chills, lost taste+smell. took paxlovid. 2 days after last dose started all over with runny nose, fever, sore throat, chills temp 100-101 still, asthma super bad, cough. steriods inhaler, lost voice.MedDRA releases: 2024-11 · check-in free text available
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2022-10-14
Report sent to call center — 6 months, dose 4Be unable to work or attend school · Be unable to do your normal daily activities · Get care from a doctor or other healthcare prTelehealth, virtual health, or email health consultation · Outpatient clinic or urgent care clinic visit · 1 call case(s)
-
2022-10-17
Call successfulNot applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill
- 2023-04-17
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-04-01 | Moderna | |
| 2 | 2021-04-29 | Moderna | |
| 3 | 2021-08-28 | Moderna | No |
| 4 | 2022-04-15 | Moderna | No |
Call center
1 call center case
1 successful
Free text
Release 6 — days 1–6 daily, dose 1
Systemic reaction (other): lymph nodes on neck and armpit shot side up
Release 8 — days 1–6 daily, dose 2
Systemic reaction (other): hurts to swallow starting last nite
Release 9 — day 7, dose 3
Systemic reaction (other): Shortness of breath walking up stairs
Release 11 — day 14, dose 4
Symptoms: Fatigue. Spouse tested+4/28. O2 88 in 24 hrs from test.hopefully 15 days 4th shot protects me, he did not get 4th.
Release 11 — day 28, dose 4
Symptoms: Left leg swollen, calf pain. If not better monday, will go to dr.
Release 12 — 6 months, dose 4
Symptoms: worse pain of life in joints,fever,cough,headache,chills, lost taste+smell. took paxlovid. 2 days after last dose started all over with runny nose, fever, sore throat, chills temp 100-101 still, asthma super bad, cough. steriods inhaler, lost voice. cut off by CDC
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 | Ageusia | · | · | ✓ |
| SD | Anosmia | · | · | ✓ |
| SD | Aphonia | · | · | ✓ |
| SD | Arthralgia | · | · | ✓ |
| SD | Asthma | · | · | ✓ |
| SD | Chills | · | · | ✓ |
| SD | Cough | · | · | ✓ |
| SD | Fatigue | · | · | ✓ |
| SD | Headache | · | · | ✓ |
| SD | Oropharyngeal pain | · | · | ✓ |
| SD | Pain in extremity | · | · | ✓ |
| SD | Peripheral swelling | · | · | ✓ |
| SD | Pre-existing disease | · | · | ✓ |
| SD | Pyrexia | · | · | ✓ |
| SD | Rhinorrhoea | · | · | ✓ |
| SRO | Dyspnoea exertional | · | · | ✓ |
| SRO | Lymphadenopathy | ✓ | ✓ | ✓ |
| SRO | Odynophagia | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release