3WS-28046-66023
4 vaccinations
2 coded responses
23 check-ins
2 free-text entries
1 call case
- Sex
- Female
- Age at first dose
- 61-65
- ZIP prefix
- 403 / KY
- Registered
- 2020-12-22
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2020-12-22
Registered in v-safe
-
2020-12-22
Dose 1 — Moderna
- 2020-12-22
- 2021-01-05
- 2021-01-14
-
2021-01-19
Dose 2 — Moderna
-
2021-01-26
Survey response — day 7, dose 2MedDRA: Chills, Fatigue, Pain — Feeling: GoodFree text: I currently have no symptoms, however, starting the night of the 19th and continuing through the entire next day, I was very fatigued which is unusual for me and I had body aches and chills. These were completely gone within approximately 24 hours after the vaccination. I have felt fine sense. It has been a week today.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-02-02
- 2021-02-09
- 2021-02-16
- 2021-02-23
- 2021-03-02
- 2021-04-20
- 2021-07-22
-
2021-11-04
Dose 3 — Moderna
- 2022-01-19
- 2022-02-03
- 2022-05-05
-
2022-06-07
Dose 4 — Pfizer-BioNTechCo-administered: Shingles:Tetanus
- 2022-06-17
- 2022-06-21
- 2022-06-28
- 2022-07-05
- 2022-07-12
-
2022-07-19
Survey response — day 42, dose 4MedDRA: Pyrexia, Rhinorrhoea, Upper-airway cough syndrome — Feeling: Good · Be unable to work or attend school, 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: Initially thought to be increased allergy symptoms, including nasal drainage, drainage down the back of the throat, however, developed a low-grade fever.MedDRA releases: 2024-11 · check-in free text available
-
2022-07-19
Report sent to call center — day 42, dose 4Be unable to work or attend school · Be unable to do your normal daily activities · Get care from a doctor or other healthcare prOutpatient clinic or urgent care clinic visit · 1 call case(s)
- 2022-07-20
-
2022-07-20
Call successfulDoes not wish to fill out VAERS report
- 2022-09-06
- 2022-12-06
- 2023-06-07
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2020-12-22 | Moderna | |
| 2 | 2021-01-19 | Moderna | |
| 3 | 2021-11-04 | Moderna | No |
| 4 | 2022-06-07 | Pfizer-BioNTech | Shingles:Tetanus |
Call center
1 call center case
1 successful
Free text
Release 2 — day 7, dose 2
Systemic reaction (other): I currently have no symptoms, however, starting the night of the 19th and continuing through the entire next day, I was very fatigued which is unusual for me and I had body aches and chills. These were completely gone within approximately 24 hours after the vaccination. I have felt fine sense. It has been a week today.
Release 12 — day 42, dose 4
Symptoms: Initially thought to be increased allergy symptoms, including nasal drainage, drainage down the back of the throat, however, developed a low-grade fever.
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 | Pyrexia | · | · | ✓ |
| SD | Rhinorrhoea | · | · | ✓ |
| SD | Upper-airway cough syndrome | · | · | ✓ |
| SRO | Chills | ✓ | ✓ | ✓ |
| SRO | Fatigue | ✓ | ✓ | ✓ |
| SRO | Pain | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release