5QU-11828-25563
4 vaccinations
5 coded responses
39 check-ins
5 free-text entries
2 call cases
- Sex
- Female
- Age at first dose
- 66+
- ZIP prefix
- 370 / TN
- Registered
- 2021-02-06
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-02-06
Registered in v-safe
-
2021-02-06
Dose 1 — Moderna
-
2021-02-07
Survey response — days 1–6 daily, dose 1MedDRA: Injection site pain — Feeling: Good · HeadacheFree text: Sore at shot siteMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-02-08
- 2021-02-09
- 2021-02-10
- 2021-02-11
- 2021-02-12
- 2021-02-13
- 2021-02-20
- 2021-02-27
-
2021-03-06
Dose 2 — Moderna
- 2021-03-13
- 2021-03-20
-
2021-03-27
Survey response — day 21, dose 2MedDRA: Arthralgia, Fatigue, Feeling abnormal, Influenza, Respiratory tract congestion, SARS-CoV-2 test negative — 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: Fatigue, joint ache, still have a little congestion. Think I had flu after 2nd shot. Just started feeling better this past week. Felt rough. No COVID- had test.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-03-27
Report sent to call center — day 21, dose 2Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional1 call case(s)
- 2021-04-03
- 2021-04-10
- 2021-04-17
-
2021-06-07
Survey response — 3 months, dose 2MedDRA: Pain in extremity — Feeling: PoorFree text: Im having a lot of pain in my right leg.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-09-04
-
2021-10-27
Dose 3 — Moderna
-
2021-10-27
Health check-in — day 0, dose 3Feeling: Fair · Site: Pain · Headache, Joint pains, Muscle or body achesAdult check-in
- 2021-10-28
- 2021-10-29
- 2021-10-30
- 2021-10-31
- 2021-11-01
- 2021-11-02
- 2021-11-03
-
2021-11-11
Survey response — day 14, dose 3MedDRA: Cough, Fatigue, Lower respiratory tract infection, Rhinorrhoea — Feeling: Fair · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visitFree text: Cough, tired , chest cold- probably not related to vac. Maybe picked up someone else's cold germ. Runny nose . No feverMedDRA releases: 2024-11 · check-in free text available
-
2021-11-11
Report sent to call center — day 14, dose 3Get care from a doctor or other healthcare professionalOutpatient clinic or urgent care clinic visit · 1 call case(s)
-
2021-11-15
Call successfulNot applicable (accidental reporting or does not believe symptoms are related to vaccine)
- 2021-11-17
- 2021-11-24
- 2021-12-10
- 2022-01-26
-
2022-09-15
Dose 4 — Moderna
- 2022-09-21
-
2022-09-23
Survey response — day 7, dose 4MedDRA: Arthralgia, Headache, Pyrexia — Feeling: GoodFree text: The first couple of days after vaccination I had a full headache, achy joints and slight fever. But I have felt better after that.MedDRA releases: 2024-11 · check-in free text available
- 2022-09-29
- 2022-10-06
- 2022-10-13
- 2022-10-22
- 2022-10-27
- 2022-12-15
- 2023-03-17
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-02-06 | Moderna | |
| 2 | 2021-03-06 | Moderna | |
| 3 | 2021-10-27 | Moderna | No |
| 4 | 2022-09-15 | Moderna | No |
Call center
2 call center cases
2 successful
Free text
Release 3 — days 1–6 daily, dose 1
Systemic reaction (other): Sore at shot site
Release 6 — day 21, dose 2
Symptoms: Fatigue, joint ache, still have a little congestion. Think I had flu after 2nd shot. Just started feeling better this past week. Felt rough. No COVID- had test.
Release 8 — 3 months, dose 2
Symptoms: Im having a lot of pain in my right leg.
Release 10 — day 14, dose 3
Symptoms: Cough, tired , chest cold- probably not related to vac. Maybe picked up someone else's cold germ. Runny nose . No fever
Release 12 — day 7, dose 4
Systemic reaction (other): The first couple of days after vaccination I had a full headache, achy joints and slight fever. But I have felt better 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 |
|---|---|---|---|---|
| SD | Arthralgia | ✓ | ✓ | ✓ |
| SD | Cough | · | · | ✓ |
| SD | Fatigue | ✓ | ✓ | ✓ |
| SD | Feeling abnormal | ✓ | ✓ | ✓ |
| SD | Influenza | ✓ | ✓ | ✓ |
| SD | Lower respiratory tract infection | · | · | ✓ |
| SD | Pain in extremity | ✓ | ✓ | ✓ |
| SD | Respiratory tract congestion | ✓ | ✓ | ✓ |
| SD | Rhinorrhoea | · | · | ✓ |
| SD | SARS-CoV-2 test negative | ✓ | ✓ | ✓ |
| SRO | Arthralgia | · | · | ✓ |
| SRO | Headache | · | · | ✓ |
| SRO | Injection site pain | ✓ | ✓ | ✓ |
| SRO | Pyrexia | · | · | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release