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YA8-33995-15996

3 vaccinations 9 coded responses 16 check-ins 9 free-text entries 0 call cases
Sex
Female
Age at first dose
66+
ZIP prefix
601 / IL
Registered
2021-12-02
Relationship
Self
Race
White
Ethnicity
Not Hispanic or Latino

Timeline

  1. 2021-03-24
    Dose 1 — Moderna
  2. 2021-04-21
    Dose 2 — Moderna
  3. 2021-12-02
    Registered in v-safe
  4. 2021-12-02
    Dose 3 — Moderna
  5. 2021-12-02
    Survey response — day 0, dose 3
    MedDRA: Unevaluable event — Feeling: Good
    Free text: Just a sense of relief to have received this booster
    MedDRA releases: 2024-11 · check-in free text available
  6. 2021-12-03
    Survey response — days 1–6 daily, dose 3
    MedDRA: Fatigue, Headache — Feeling: Fair · Site: Pain · Fever · Headache, Muscle or body aches
    Free text: A general feeling of tiredness and headache at back of head
    MedDRA releases: 2024-11 · check-in free text available
  7. 2021-12-04
    Survey response — days 1–6 daily, dose 3
    MedDRA: Injection site pain, Pain — Feeling: Good · Site: Pain · Headache, Joint pains
    Free text: Some pain but mostly soreness at injection site
    MedDRA releases: 2024-11 · check-in free text available
  8. 2021-12-05
    Survey response — days 1–6 daily, dose 3
    MedDRA: Fatigue, Insomnia — Feeling: Good · Site: Pain · Fatigue or tiredness
    Free text: Just a little tired today. Did not sleep too well last evening. Glad to be inside and rest.
    MedDRA releases: 2024-11 · check-in free text available
  9. 2021-12-06
    Survey response — days 1–6 daily, dose 3
    MedDRA: No adverse event — Feeling: Good
    Free text: None today thank uou
    MedDRA releases: 2024-11 · check-in free text available
  10. 2021-12-07
    Survey response — days 1–6 daily, dose 3
    MedDRA: Burning sensation — Feeling: Good
    Free text: No more sense of burning up inside
    MedDRA releases: 2024-11 · check-in free text available
  11. 2021-12-08
    Health check-in — days 1–6 daily, dose 3
    Feeling: Good · Fatigue or tiredness
    Adult check-in
  12. 2021-12-09
    Survey response — day 7, dose 3
    MedDRA: Unevaluable event — Feeling: Good
    Free text: Happy to have received the booster
    MedDRA releases: 2024-11 · check-in free text available
  13. 2021-12-16
    Survey response — day 14, dose 3
    MedDRA: Headache, Musculoskeletal stiffness, Oropharyngeal pain — Feeling: Good
    Free text: Sore throat, headache in back of head and front of head, stiffness
    MedDRA releases: 2024-11 · check-in free text available
  14. 2021-12-23
    Survey response — day 21, dose 3
    MedDRA: Cough, Oropharyngeal pain, Sleep disorder — Feeling: Good
    Free text: Coughing hard woke me up at night 2 nights in a row, I got up gargled with salt water and took a lozenge to soothe my sore throat. Sore throat upon waking . Have to whisper snd not talk too much
    MedDRA releases: 2024-11 · check-in free text available
  15. 2021-12-30
    Health check-in — day 28, dose 3
    Feeling: Good
    Adult check-in
  16. 2022-01-06
    Health check-in — day 35, dose 3
    Feeling: Good
    Adult check-in
  17. 2022-01-13
    Health check-in — day 42, dose 3
    Feeling: Good
    Adult check-in
  18. 2022-03-03
    Health check-in — 3 months, dose 3
    Feeling: Good
    Adult check-in
  19. 2022-06-02
    Health check-in — 6 months, dose 3
    Feeling: Good
    Adult check-in
  20. 2022-12-02
    Health check-in — 12 months, dose 3
    Feeling: Good
    Adult check-in

Vaccinations

DoseDateManufacturerCo-administered
12021-03-24Moderna No
22021-04-21Moderna No
32021-12-02Moderna No

Free text

Release 10 — day 0, dose 3

2021-12-02

Systemic reaction (other): Just a sense of relief to have received this booster

Release 10 — days 1–6 daily, dose 3

2021-12-03

Systemic reaction (other): A general feeling of tiredness and headache at back of head

2021-12-04

Systemic reaction (other): Some pain but mostly soreness at injection site

2021-12-05

Systemic reaction (other): Just a little tired today. Did not sleep too well last evening. Glad to be inside and rest.

2021-12-06

Systemic reaction (other): None today thank uou

2021-12-07

Systemic reaction (other): No more sense of burning up inside

Release 10 — day 7, dose 3

2021-12-09

Systemic reaction (other): Happy to have received the booster

Release 10 — day 14, dose 3

2021-12-16

Symptoms: Sore throat, headache in back of head and front of head, stiffness

Release 10 — day 21, dose 3

2021-12-23

Symptoms: Coughing hard woke me up at night 2 nights in a row, I got up gargled with salt water and took a lozenge to soothe my sore throat. Sore throat upon waking . Have to whisper snd not talk too much

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

FieldPreferred term2021-092023-042024-11
SDCough · · ✓
SDHeadache · · ✓
SDMusculoskeletal stiffness · · ✓
SDOropharyngeal pain · · ✓
SDSleep disorder · · ✓
SROBurning sensation · · ✓
SROFatigue · · ✓
SROHeadache · · ✓
SROInjection site pain · · ✓
SROInsomnia · · ✓
SRONo adverse event · · ✓
SROPain · · ✓
SROUnevaluable event · · ✓

✓ active code · ○ coded but marked inactive · blank = not in that release