4Y6-90221-07088
5 vaccinations
7 coded responses
44 check-ins
7 free-text entries
1 call case
- Sex
- Female
- Age at first dose
- 66+
- ZIP prefix
- 601 / IL
- Registered
- 2021-01-16
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-01-16
Registered in v-safe
-
2021-01-16
Dose 1 — Moderna
- 2021-01-16
- 2021-01-17
-
2021-01-18
Survey response — days 1–6 daily, dose 1MedDRA: Fatigue — Feeling: Fair · Site: Pain · FeverFree text: No just tired but I am older 72 and I still work full time lolMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-01-22
- 2021-01-23
-
2021-01-30
Survey response — day 14, dose 1MedDRA: Dizziness, Fatigue — Feeling: FairFree text: Very tired and dizzy not real dizzy but a bitMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-02-07
-
2021-02-13
Dose 2 — Moderna
- 2021-02-13
-
2021-02-14
Health check-in — days 1–6 daily, dose 2Feeling: Poor · Site: Pain · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea, Diarrhea · Be unable to work, Be unable to do your normal daily activitiesAdult check-in
-
2021-02-15
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Fever · Headache, Diarrhea · Be unable to work, Be unable to do your normal daily activitiesAdult check-in
- 2021-02-16
-
2021-02-17
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Site: Redness, Itching · Muscle or body achesAdult check-in
- 2021-02-18
- 2021-02-19
- 2021-02-20
- 2021-02-27
- 2021-03-06
- 2021-03-13
- 2021-03-20
- 2021-03-27
- 2021-05-15
- 2021-08-14
-
2021-10-22
Dose 3 — Moderna
-
2021-10-25
Survey response — days 1–6 daily, dose 3MedDRA: Headache, Malaise, Pain, Pyrexia — Feeling: Fair · Site: Pain, Redness, Itching · Headache · Be unable to do your normal daily activitiesFree text: I got the booster on October 22 was very sick 103.2 temperature headache pain all over I'm better today because it's been four days after the shitMedDRA releases: 2024-11 · check-in free text available
- 2021-10-26
- 2021-10-27
- 2021-10-29
- 2021-11-05
- 2021-11-12
- 2021-11-20
- 2021-11-26
- 2021-12-03
- 2022-01-21
-
2022-04-01
Dose 4 — Moderna
-
2022-04-15
Survey response — day 14, dose 4MedDRA: Chills, Erythema, Peripheral swelling, Pruritus, Pyrexia — Feeling: Good · Be unable to work or attend schoolFree text: On April 2 I got a fever 102.3 and had chills and my arm was swollen and red and itched very very much plus I have as extremely tired for three daysMedDRA releases: 2024-11 · check-in free text available
- 2022-04-23
- 2022-04-29
- 2022-05-06
- 2022-05-13
- 2022-07-01
-
2022-09-10
Dose 5 — Moderna
-
2022-09-29
Survey response — day 14, dose 5MedDRA: Pyrexia — Feeling: Good · Be unable to work or attend school, Be unable to do your normal daily activitiesFree text: I had a fever on the 11 12 13MedDRA releases: 2024-11 · check-in free text available
-
2022-10-01
Survey response — day 21, dose 5MedDRA: Erythema, Pruritus — Feeling: FairFree text: Arm stil red and itchyMedDRA releases: 2024-11 · check-in free text available
-
2022-10-09
Survey response — day 28, dose 5MedDRA: Chills, Headache, Malaise, Oropharyngeal pain, Pyrexia — 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 consultationFree text: Chills fever sore throat headache not feeling wellMedDRA releases: 2024-11 · check-in free text available
-
2022-10-09
Report sent to call center — day 28, dose 5Be 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 · 1 call case(s)
- 2022-10-10
-
2022-10-10
Call successfulNot applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill
- 2022-10-15
- 2022-12-10
- 2023-03-12
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-01-16 | Moderna | |
| 2 | 2021-02-13 | Moderna | |
| 3 | 2021-10-22 | Moderna | No |
| 4 | 2022-04-01 | Moderna | No |
| 5 | 2022-09-10 | Moderna | No |
Call center
1 call center case
1 successful
Free text
Release 2 — days 1–6 daily, dose 1
Systemic reaction (other): No just tired but I am older 72 and I still work full time lol
Release 3 — day 14, dose 1
Symptoms: Very tired and dizzy not real dizzy but a bit
Release 10 — days 1–6 daily, dose 3
Systemic reaction (other): I got the booster on October 22 was very sick 103.2 temperature headache pain all over I'm better today because it's been four days after the shit
Release 11 — day 14, dose 4
Symptoms: On April 2 I got a fever 102.3 and had chills and my arm was swollen and red and itched very very much plus I have as extremely tired for three days
Release 12 — day 14, dose 5
Symptoms: I had a fever on the 11 12 13
Release 12 — day 21, dose 5
Symptoms: Arm stil red and itchy
Release 12 — day 28, dose 5
Symptoms: Chills fever sore throat headache not feeling well
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 | Chills | · | · | ✓ |
| SD | Dizziness | ✓ | ✓ | ✓ |
| SD | Erythema | · | · | ✓ |
| SD | Fatigue | ✓ | ✓ | ✓ |
| SD | Headache | · | · | ✓ |
| SD | Malaise | · | · | ✓ |
| SD | Oropharyngeal pain | · | · | ✓ |
| SD | Peripheral swelling | · | · | ✓ |
| SD | Pruritus | · | · | ✓ |
| SD | Pyrexia | · | · | ✓ |
| SRO | Fatigue | ✓ | ✓ | ✓ |
| SRO | Headache | · | · | ✓ |
| SRO | Malaise | · | · | ✓ |
| SRO | Pain | · | · | ✓ |
| SRO | Pyrexia | · | · | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release