4JL-13531-42720
4 vaccinations
4 coded responses
23 check-ins
4 free-text entries
0 call cases
- Sex
- Female
- Age at first dose
- 41-45
- ZIP prefix
- 100 / NY
- Registered
- 2021-03-08
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-02-04
Dose 1 — Moderna
-
2021-03-04
Dose 2 — Moderna
-
2021-03-08
Registered in v-safe
-
2021-03-09
Survey response — days 1–6 daily, dose 2MedDRA: Chills, Pain, Self-medication — Feeling: Fair · Site: Itching · Fever · Chills, Joint pains, Muscle or body aches, Fatigue or tirednessFree text: Ive been taking ibuprofen (400 mg at a time) to curb the body ache and chills, as soon as I feel them coming on ( about every 12-15 hours), so this remedy makes it hard to tell how severe the symptoms are.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-03-10
Survey response — days 1–6 daily, dose 2MedDRA: Dyspnoea — Feeling: Fair · Fever · Joint pains, Muscle or body aches, Fatigue or tirednessFree text: My breathing has been a little labored (and I believe this began after my second dose, along with the other symptoms).MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-03-11
Survey response — day 7, dose 2MedDRA: Chills, Dyspnoea, Fatigue, Pain — Feeling: GoodFree text: I am really curious to know whether all the symptoms I had for 6 days (chills, body ache, fatigue, and somewhat labored breathing) were all side-effects of the second dose of the vaccine, and how common such a long period of side-effects is.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-03-18
- 2021-03-25
- 2021-04-01
- 2021-04-08
- 2021-04-15
- 2021-06-03
- 2021-09-02
-
2021-11-11
Dose 3 — Moderna
-
2021-11-15
Survey response — days 1–6 daily, dose 3MedDRA: Pain, Pyrexia — Feeling: Good · Site: ItchingFree text: I had a fever and am all-over body ache for two days after the day of the booster shot, but those symptoms subsided after that.MedDRA releases: 2024-11 · check-in free text available
- 2021-11-16
- 2021-11-17
- 2021-11-18
- 2021-11-25
- 2021-12-02
- 2021-12-09
- 2021-12-16
- 2021-12-23
- 2022-02-10
- 2022-05-12
-
2022-09-15
Dose 4 — Moderna
- 2022-12-15
- 2023-03-16
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-02-04 | Moderna | |
| 2 | 2021-03-04 | Moderna | |
| 3 | 2021-11-11 | Moderna | No |
| 4 | 2022-09-15 | Moderna | No |
Free text
Release 5 — days 1–6 daily, dose 2
Systemic reaction (other): Ive been taking ibuprofen (400 mg at a time) to curb the body ache and chills, as soon as I feel them coming on ( about every 12-15 hours), so this remedy makes it hard to tell how severe the symptoms are.
Systemic reaction (other): My breathing has been a little labored (and I believe this began after my second dose, along with the other symptoms).
Release 5 — day 7, dose 2
Systemic reaction (other): I am really curious to know whether all the symptoms I had for 6 days (chills, body ache, fatigue, and somewhat labored breathing) were all side-effects of the second dose of the vaccine, and how common such a long period of side-effects is.
Release 10 — days 1–6 daily, dose 3
Systemic reaction (other): I had a fever and am all-over body ache for two days after the day of the booster shot, but those symptoms subsided after that.
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 |
|---|---|---|---|---|
| SRO | Chills | ✓ | ✓ | ✓ |
| SRO | Dyspnoea | ✓ | ✓ | ✓ |
| SRO | Fatigue | ✓ | ✓ | ✓ |
| SRO | Pain | ✓ | ✓ | ✓ |
| SRO | Pyrexia | · | · | ✓ |
| SRO | Self-medication | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release