52W-21700-11274
4 vaccinations
7 coded responses
43 check-ins
7 free-text entries
1 call case
- Sex
- Female
- Age at first dose
- 61-65
- ZIP prefix
- 531 / WI
- Registered
- 2021-02-17
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-02-17
Registered in v-safe
-
2021-02-17
Dose 1 — Moderna
- 2021-02-17
-
2021-02-18
Survey response — days 1–6 daily, dose 1MedDRA: Adverse reaction — Feeling: Good · Site: Pain · Muscle or body achesFree text: Only during the night. Felt fine during the day.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-02-19
- 2021-02-20
- 2021-02-21
- 2021-02-22
- 2021-02-23
- 2021-02-24
- 2021-03-03
- 2021-03-10
-
2021-03-16
Dose 2 — Moderna
- 2021-03-16
-
2021-03-17
Survey response — days 1–6 daily, dose 2MedDRA: Feeling abnormal — Feeling: Fair · Site: Pain · Chills, Headache, Muscle or body aches, Fatigue or tirednessFree text: Just feel punky. Kind of like after some flu shots over the years.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-03-18
Health check-in — days 1–6 daily, dose 2Feeling: Good · Site: Pain · Fatigue or tirednessAdult check-in
- 2021-03-19
- 2021-03-20
- 2021-03-21
-
2021-03-22
Survey response — days 1–6 daily, dose 2MedDRA: Adverse reaction — Feeling: Fair · Headache, DiarrheaFree text: Only for a few hours in morning, felt better later.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-03-23
Survey response — day 7, dose 2MedDRA: Headache, Respiratory tract congestion — Feeling: Fair · HeadacheFree text: Woke up with headache and congestion in early morning then subsided.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-03-30
- 2021-04-06
- 2021-04-13
- 2021-04-20
- 2021-04-27
-
2021-06-15
Survey response — 3 months, dose 2MedDRA: Nasopharyngitis, Oropharyngeal pain, Respiratory tract congestion, Rhinorrhoea — Feeling: GoodFree text: I had a cold, sore throat and congestion, runny nose for about 7 days then gone.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-09-14
-
2021-10-08
Dose 3 — Moderna
- 2021-11-04
- 2021-11-05
-
2021-11-12
Survey response — day 35, dose 3MedDRA: Arthralgia, Myalgia — Feeling: FairFree text: I have been having joint, muscle pains for a while. Some days are better than others. Maybe it's just that I am 66 years old.MedDRA releases: 2024-11 · check-in free text available
- 2021-11-19
- 2022-01-07
- 2022-04-08
-
2022-09-30
Dose 4 — Moderna
- 2022-10-03
- 2022-10-04
- 2022-10-05
- 2022-10-06
- 2022-10-07
- 2022-10-14
- 2022-10-21
- 2022-10-28
- 2022-11-06
- 2022-11-11
-
2022-12-30
Survey response — 3 months, dose 4MedDRA: Chills, Cough, Diarrhoea, Headache, Influenza, Rhinorrhoea — Feeling: Fair · 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: Have been getting over Influenza A these last week and a half. Chills, diarrhea, cough runny nose. Headache. On the mend.MedDRA releases: 2024-11 · check-in free text available
-
2022-12-30
Report sent to call center — 3 months, dose 4Be unable to do your normal daily activities · Get care from a doctor or other healthcare professionalOutpatient clinic or urgent care clinic visit · 1 call case(s)
-
2023-01-03
Call successfulNot applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill
- 2023-03-31
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-02-17 | Moderna | |
| 2 | 2021-03-16 | Moderna | |
| 3 | 2021-10-08 | Moderna | No |
| 4 | 2022-09-30 | Moderna | No |
Call center
1 call center case
1 successful
Free text
Release 4 — days 1–6 daily, dose 1
Systemic reaction (other): Only during the night. Felt fine during the day.
Release 5 — days 1–6 daily, dose 2
Systemic reaction (other): Just feel punky. Kind of like after some flu shots over the years.
Release 6 — days 1–6 daily, dose 2
Systemic reaction (other): Only for a few hours in morning, felt better later.
Release 6 — day 7, dose 2
Systemic reaction (other): Woke up with headache and congestion in early morning then subsided.
Release 9 — 3 months, dose 2
Symptoms: I had a cold, sore throat and congestion, runny nose for about 7 days then gone.
Release 10 — day 35, dose 3
Symptoms: I have been having joint, muscle pains for a while. Some days are better than others. Maybe it's just that I am 66 years old.
Release 12 — 3 months, dose 4
Symptoms: Have been getting over Influenza A these last week and a half. Chills, diarrhea, cough runny nose. Headache. On the mend.
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 | Arthralgia | · | · | ✓ |
| SD | Chills | · | · | ✓ |
| SD | Cough | · | · | ✓ |
| SD | Diarrhoea | · | · | ✓ |
| SD | Headache | · | · | ✓ |
| SD | Influenza | · | · | ✓ |
| SD | Myalgia | · | · | ✓ |
| SD | Nasopharyngitis | ✓ | ✓ | ✓ |
| SD | Oropharyngeal pain | ✓ | ✓ | ✓ |
| SD | Respiratory tract congestion | ✓ | ✓ | ✓ |
| SD | Rhinorrhoea | ✓ | ✓ | ✓ |
| SRO | Adverse reaction | ✓ | ✓ | ✓ |
| SRO | Feeling abnormal | ✓ | ✓ | ✓ |
| SRO | Headache | ✓ | ✓ | ✓ |
| SRO | Respiratory tract congestion | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release