63X-14551-78170
3 vaccinations
6 coded responses
36 check-ins
6 free-text entries
1 call case
- Sex
- Female
- Age at first dose
- 66+
- ZIP prefix
- 920 / CA
- Registered
- 2021-01-27
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-01-27
Registered in v-safe
-
2021-01-27
Dose 1 — Moderna
- 2021-01-27
-
2021-01-28
Survey response — days 1–6 daily, dose 1MedDRA: Injection site pain — Feeling: Good · Site: Pain · Fatigue or tirednessFree text: My right arm around the injection sight and up to my shoulder are a little sore.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-01-29
Survey response — days 1–6 daily, dose 1MedDRA: Fatigue, Feeling cold, Pain, Self-medication — Feeling: Good · Site: PainFree text: Late yesterday, after my v-check in, I felt tired and achy. I also felt very cold. I took two Advil, which really helped a lot. I took two more Advil at bedtime.Today I feel perfectly fine.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-01-30
- 2021-01-31
- 2021-02-02
- 2021-02-04
- 2021-02-10
- 2021-02-17
-
2021-02-25
Dose 2 — Moderna
-
2021-02-26
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Site: Pain · Fever · Chills, Headache, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to do your normal daily activitiesAdult check-in
-
2021-02-27
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Site: Pain · Headache, Muscle or body achesAdult check-in
- 2021-02-28
-
2021-03-01
Health check-in — days 1–6 daily, dose 2Feeling: Good · Site: Pain · Headache, Fatigue or tirednessAdult check-in
- 2021-03-02
- 2021-03-03
- 2021-03-04
- 2021-03-11
-
2021-03-18
Survey response — day 21, dose 2MedDRA: Chest pain, Chills, Fatigue, Malaise — Feeling: Fair · Be unable to do your normal daily activitiesFree text: Intermittent, mild chills.Feeling off and fatigued.Chest pain.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-03-25
- 2021-04-01
- 2021-04-08
- 2021-05-27
- 2021-08-26
-
2021-10-22
Dose 3 — Moderna
-
2021-10-25
Survey response — days 1–6 daily, dose 3MedDRA: Adverse reaction — Feeling: Fair · Site: Pain, Redness, Swelling · Chills, Headache, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activitiesFree text: Symptoms were mostly on October 23rd, the day after my booster.MedDRA releases: 2024-11 · check-in free text available
- 2021-10-26
- 2021-10-27
- 2021-10-28
- 2021-10-30
-
2021-11-05
Survey response — day 14, dose 3MedDRA: Injection site pain, Injection site swelling — Feeling: GoodFree text: The site of the injection is still a little swollen and sore. I thought it would be back to normal by now.MedDRA releases: 2024-11 · check-in free text available
- 2021-11-14
-
2021-11-19
Survey response — day 28, dose 3MedDRA: Fatigue, Oropharyngeal pain — Feeling: Fair · Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultationFree text: Sore throat snd fatigueMedDRA releases: 2024-11 · check-in free text available
-
2021-11-19
Report sent to call center — day 28, dose 3Get care from a doctor or other healthcare professionalTelehealth, virtual health, or email health consultation · 1 call case(s)
- 2021-11-28
-
2021-11-30
Call successfulNot applicable (accidental reporting or does not believe symptoms are related to vaccine)
- 2021-12-03
- 2022-01-21
- 2022-04-23
- 2022-10-22
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-01-27 | Moderna | |
| 2 | 2021-02-25 | Moderna | |
| 3 | 2021-10-22 | Moderna | No |
Call center
1 call center case
1 successful
Free text
Release 2 — days 1–6 daily, dose 1
Systemic reaction (other): My right arm around the injection sight and up to my shoulder are a little sore.
Release 3 — days 1–6 daily, dose 1
Systemic reaction (other): Late yesterday, after my v-check in, I felt tired and achy. I also felt very cold. I took two Advil, which really helped a lot. I took two more Advil at bedtime.Today I feel perfectly fine.
Release 5 — day 21, dose 2
Symptoms: Intermittent, mild chills.Feeling off and fatigued.Chest pain.
Release 10 — days 1–6 daily, dose 3
Systemic reaction (other): Symptoms were mostly on October 23rd, the day after my booster.
Release 10 — day 14, dose 3
Symptoms: The site of the injection is still a little swollen and sore. I thought it would be back to normal by now.
Release 10 — day 28, dose 3
Symptoms: Sore throat snd fatigue
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 | Chest pain | ✓ | ✓ | ✓ |
| SD | Chills | ✓ | ✓ | ✓ |
| SD | Fatigue | ✓ | ✓ | ✓ |
| SD | Injection site pain | · | · | ✓ |
| SD | Injection site swelling | · | · | ✓ |
| SD | Malaise | ✓ | ✓ | ✓ |
| SD | Oropharyngeal pain | · | · | ✓ |
| SRO | Adverse reaction | · | · | ✓ |
| SRO | Fatigue | ✓ | ✓ | ✓ |
| SRO | Feeling cold | ✓ | ✓ | ✓ |
| SRO | Injection site pain | ✓ | ✓ | ✓ |
| SRO | Pain | ✓ | ✓ | ✓ |
| SRO | Self-medication | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release