HAG-11674-39556
4 vaccinations
5 coded responses
51 check-ins
5 free-text entries
1 call case
- Sex
- Female
- Age at first dose
- 31-35
- ZIP prefix
- 064 / CT
- Registered
- 2020-12-30
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Registered dependents
ENJ-28563-09521
Child or adolescent in my care · Male · 2022-10-04
Timeline
-
2020-12-28
Dose 1 — Moderna
-
2020-12-30
Registered in v-safe
-
2020-12-30
Survey response — days 1–6 daily, dose 1MedDRA: Chills, Fatigue, Headache, Hyperhidrosis — Feeling: Good · Site: Pain, SwellingFree text: 14 hours after injection I had chills, sweating, fatigue, headache, 99.9 temperature that was moderate in nature and made it difficult to work. Resolved 48 hours after injection.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2020-12-31
- 2021-01-01
- 2021-01-02
- 2021-01-03
- 2021-01-04
- 2021-01-11
- 2021-01-18
-
2021-01-25
Dose 2 — Moderna
-
2021-01-25
Health check-in — day 0, dose 2Feeling: Poor · Site: Pain · Fever · Chills, Headache, Muscle or body aches, Fatigue or tirednessAdult check-in
-
2021-01-26
Survey response — days 1–6 daily, dose 2MedDRA: Self-medication — Feeling: Fair · Site: Pain · Chills, Headache, Fatigue or tirednessFree text: This is how I feel while taking Tylenol, if not for the Tylenol Id feel worse.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-01-27
- 2021-01-28
- 2021-01-29
- 2021-01-30
- 2021-01-31
- 2021-02-01
- 2021-02-08
- 2021-02-15
- 2021-02-22
- 2021-03-01
- 2021-03-08
- 2021-04-26
- 2021-07-26
-
2021-10-28
Dose 3 — Moderna
-
2021-10-28
Survey response — day 0, dose 3MedDRA: Pregnancy — Feeling: Good · Site: PainFree text: 17 weeks pregnantMedDRA releases: 2024-11 · check-in free text available
-
2021-10-29
Health check-in — days 1–6 daily, dose 3Feeling: Good · Site: Pain · Fever · Chills, Headache, Fatigue or tirednessAdult check-in
- 2021-10-31
- 2021-11-01
- 2021-11-02
- 2021-11-03
- 2021-11-04
- 2021-11-11
- 2021-11-18
- 2021-11-25
- 2021-12-02
- 2021-12-09
- 2022-01-27
-
2022-04-28
Survey response — 6 months, dose 3MedDRA: Delivery, Term birth — Feeling: Good · Be unable to work or attend school, Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · HospitalizationFree text: Symptoms: Gave birth. · Healthcare visit (other): Term birth without complicationsMedDRA releases: 2024-11 · check-in free text available
-
2022-04-28
Report sent to call center — 6 months, dose 3Be unable to work or attend school · Be unable to do your normal daily activities · Get care from a doctor or other healthcare prHospitalization · 1 call case(s)
- 2022-05-03
- 2022-05-16
- 2022-05-17
-
2022-05-17
Call successfulNot applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill
-
2022-09-21
Dose 4 — Moderna
- 2022-09-21
-
2022-09-22
Health check-in — days 1–6 daily, dose 4Feeling: Good · Site: Pain, Redness, Swelling · Headache, Fatigue or tirednessAdult check-in
- 2022-09-23
- 2022-09-24
- 2022-09-25
- 2022-09-26
- 2022-09-27
- 2022-09-28
- 2022-10-05
- 2022-10-12
-
2022-10-19
Survey response — day 28, dose 4MedDRA: Oropharyngeal pain, SARS-CoV-2 test negative — Feeling: Poor · Be unable to work or attend schoolFree text: Sore throat (tested covid negative)MedDRA releases: 2024-11 · check-in free text available
- 2022-10-27
- 2022-12-23
- 2023-03-22
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2020-12-28 | Moderna | |
| 2 | 2021-01-25 | Moderna | |
| 3 | 2021-10-28 | Moderna | No |
| 4 | 2022-09-21 | Moderna | No |
Call center
1 call center case
1 successful
Free text
Release 1 — days 1–6 daily, dose 1
Systemic reaction (other): 14 hours after injection I had chills, sweating, fatigue, headache, 99.9 temperature that was moderate in nature and made it difficult to work. Resolved 48 hours after injection.
Release 2 — days 1–6 daily, dose 2
Systemic reaction (other): This is how I feel while taking Tylenol, if not for the Tylenol Id feel worse.
Release 10 — day 0, dose 3
Systemic reaction (other): 17 weeks pregnant
Release 11 — 6 months, dose 3
Release 12 — day 28, dose 4
Symptoms: Sore throat (tested covid negative)
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 |
|---|---|---|---|---|
| HCVO | Term birth | · | · | ✓ |
| SD | Delivery | · | · | ✓ |
| SD | Oropharyngeal pain | · | · | ✓ |
| SD | SARS-CoV-2 test negative | · | · | ✓ |
| SRO | Body temperature increased | ○ | ○ | ○ |
| SRO | Chills | ✓ | ✓ | ✓ |
| SRO | Fatigue | ✓ | ✓ | ✓ |
| SRO | Headache | ✓ | ✓ | ✓ |
| SRO | Hyperhidrosis | ✓ | ✓ | ✓ |
| SRO | Pregnancy | · | · | ✓ |
| SRO | Self-medication | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release