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42X-13250-79160

2 vaccinations 2 coded responses 11 check-ins 2 free-text entries 1 call case
Sex
Male
Age at first dose
66+
ZIP prefix
320 / FL
Registered
2021-01-12
Relationship
Self
Race
White
Ethnicity
Not Hispanic or Latino

Timeline

  1. 2021-01-09
    Dose 1 — Moderna
  2. 2021-01-12
    Registered in v-safe
  3. 2021-01-12
    Survey response — days 1–6 daily, dose 1
    MedDRA: Chills, Headache, Impaired work ability, Pain, Pyrexia — Feeling: Fair · Site: Swelling, Itching · Headache, Muscle or body aches, Fatigue or tiredness · Be unable to work, Be unable to do your normal daily activities
    Free text: I had my shot on 1/9. On 1/10 at 3am I woke up with severe chills, a fever, headache and bodyaches. I had to spend the entire day in bed. Yesterday, 1/11, I was still not feeling well and had to leave work early. I am feeling somewhat better today but not yet 100%. Ihad a very strong reaction to the shot!
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  4. 2021-01-12
    Report sent to call center — days 1–6 daily, dose 1
    Be unable to work · Be unable to do your normal daily activities
    1 call case(s)
  5. 2021-01-13
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · None
    Adult check-in
  6. 2021-01-14
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · None
    Adult check-in
  7. 2021-01-16
    Health check-in — day 7, dose 1
    Feeling: Good · None
    Adult check-in
  8. 2021-01-23
    Health check-in — day 14, dose 1
    Feeling: Good
    Adult check-in
  9. 2021-02-01
    Health check-in — day 21, dose 1
    Feeling: Good
    Adult check-in
  10. 2021-02-06
    Dose 2 — Moderna
  11. 2021-02-23
    Survey response — day 14, dose 2
    MedDRA: Adverse reaction, Headache, Injection site pain, Pain — Feeling: Good · Be unable to work
    Free text: Had the same adverse reaction to my 2nd dose as I did with my 1st. Fatigue, headache, body aches. Much worse pain in my arm at injection site. Was able to eat better, though.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  12. 2021-02-27
    Health check-in — day 21, dose 2
    Feeling: Good
    Adult check-in
  13. 2021-03-08
    Health check-in — day 28, dose 2
    Feeling: Good
    Adult check-in
  14. 2021-08-07
    Health check-in — 6 months, dose 2
    Feeling: Good
    Adult check-in
  15. 2022-02-06
    Health check-in — 12 months, dose 2
    Feeling: Good
    Adult check-in

Vaccinations

DoseDateManufacturerCo-administered
12021-01-09Moderna
22021-02-06Moderna

Call center

1 call center case

1 priority 2/3 (triaged and no follow up)

See the call center timeline

Free text

Release 1 — days 1–6 daily, dose 1

2021-01-12

Systemic reaction (other): I had my shot on 1/9. On 1/10 at 3am I woke up with severe chills, a fever, headache and bodyaches. I had to spend the entire day in bed. Yesterday, 1/11, I was still not feeling well and had to leave work early. I am feeling somewhat better today but not yet 100%. Ihad a very strong reaction to the shot!

Release 4 — day 14, dose 2

2021-02-23

Symptoms: Had the same adverse reaction to my 2nd dose as I did with my 1st. Fatigue, headache, body aches. Much worse pain in my arm at injection site. Was able to eat better, though.

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

FieldPreferred term2021-092023-042024-11
SDAdverse reaction ✓ ✓ ✓
SDHeadache ✓ ✓ ✓
SDInjection site pain ✓ ✓ ✓
SDPain ✓ ✓ ✓
SROChills ✓ ✓ ✓
SROHeadache ✓ ✓ ✓
SROImpaired work ability ✓ ✓ ✓
SROPain ✓ ✓ ✓
SROPyrexia ✓ ✓ ✓

✓ active code · ○ coded but marked inactive · blank = not in that release