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
-
2021-01-09
Dose 1 — Moderna
-
2021-01-12
Registered in v-safe
-
2021-01-12
Survey response — days 1–6 daily, dose 1MedDRA: 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 activitiesFree 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
-
2021-01-12
Report sent to call center — days 1–6 daily, dose 1Be unable to work · Be unable to do your normal daily activities1 call case(s)
- 2021-01-13
- 2021-01-14
- 2021-01-16
- 2021-01-23
- 2021-02-01
-
2021-02-06
Dose 2 — Moderna
-
2021-02-23
Survey response — day 14, dose 2MedDRA: Adverse reaction, Headache, Injection site pain, Pain — Feeling: Good · Be unable to workFree 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
- 2021-02-27
- 2021-03-08
- 2021-08-07
- 2022-02-06
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-01-09 | Moderna | |
| 2 | 2021-02-06 | Moderna |
Call center
1 call center case
1 priority 2/3 (triaged and no follow up)
Free text
Release 1 — days 1–6 daily, dose 1
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
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
| Field | Preferred term | 2021-09 | 2023-04 | 2024-11 |
|---|---|---|---|---|
| SD | Adverse reaction | ✓ | ✓ | ✓ |
| SD | Headache | ✓ | ✓ | ✓ |
| SD | Injection site pain | ✓ | ✓ | ✓ |
| SD | Pain | ✓ | ✓ | ✓ |
| SRO | Chills | ✓ | ✓ | ✓ |
| SRO | Headache | ✓ | ✓ | ✓ |
| SRO | Impaired work ability | ✓ | ✓ | ✓ |
| SRO | Pain | ✓ | ✓ | ✓ |
| SRO | Pyrexia | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release