26K-16627-35562
4 vaccinations
6 coded responses
24 check-ins
5 free-text entries
1 call case
- Sex
- Female
- Age at first dose
- 51-55
- ZIP prefix
- 250 / WV
- Registered
- 2020-12-30
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2020-12-23
Dose 1 — Moderna
-
2020-12-30
Registered in v-safe
- 2020-12-30
-
2021-01-06
Survey response — day 14, dose 1MedDRA: Injection site erythema, Medical counselling — Feeling: Good · Get care from a doctor or other healthcare professionalFree text: Symptoms: A light red ring around the vaccination site showed up last week, but is gone now. Asked (B)(6), DO to look at it and was told it was my immune system working & could take a Benedryl, after seeing my right arm. · Healthcare visit (other): Co-worker/DO who gave initial vaccination assessed it at workMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-01-06
Report sent to call center — day 14, dose 1Get care from a doctor or other healthcare professional1 call case(s)
- 2021-01-13
- 2021-01-20
-
2021-01-21
Dose 2 — Moderna
-
2021-01-27
Survey response — days 1–6 daily, dose 2MedDRA: Dry mouth — Feeling: Poor · Site: Pain · Fever · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Diarrhea, Abdominal pain · Be unable to work, Be unable to do your normal daily activitiesFree text: Dry mouthMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-01-28
Health check-in — day 7, dose 2Feeling: Poor · Joint pains, Muscle or body aches, Fatigue or tiredness, DiarrheaAdult check-in
- 2021-02-04
-
2021-02-10
Call successfulDoes not wish to fill out VAERS report
- 2021-02-11
- 2021-02-18
- 2021-02-25
- 2021-03-04
- 2021-04-22
- 2021-07-22
-
2021-10-29
Dose 3 — Moderna
- 2022-01-21
- 2022-01-28
-
2022-04-12
Dose 4 — Pfizer-BioNTech
-
2022-04-19
Survey response — day 7, dose 4MedDRA: Heart rate irregular — Feeling: Poor · Fatigue or tiredness · Be unable to work or attend school, Be unable to do your normal daily activitiesFree text: Irregular heartbeatMedDRA releases: 2024-11 · check-in free text available
- 2022-04-26
- 2022-05-03
- 2022-05-12
- 2022-05-17
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2022-05-24
Survey response — day 42, dose 4MedDRA: Arthralgia, Fatigue — Feeling: FairFree text: More tired each week, since the beginning of the vaccinations began, with advancing joint aches.MedDRA releases: 2024-11 · check-in free text available
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2022-07-12
Survey response — 3 months, dose 4MedDRA: Cough, Paranasal sinus hypersecretion, SARS-CoV-2 test positive, Sneezing, Throat irritation — Feeling: Fair · Be unable to work or attend schoolFree text: Tested positive for Covid 06-16-2022. Continue to have sinus drainage, itchy throat, sneezing & coughing.MedDRA releases: 2024-11 · check-in free text available
- 2022-10-11
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2023-04-12
Survey response — 12 months, dose 4MedDRA: Arthralgia, Myalgia — Feeling: Poor · Be unable to do your normal daily activitiesMedDRA releases: 2024-11
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2020-12-23 | Moderna | |
| 2 | 2021-01-21 | Moderna | |
| 3 | 2021-10-29 | Moderna | No |
| 4 | 2022-04-12 | Pfizer-BioNTech | No |
Call center
1 call center case
1 successful
Free text
Release 1 — day 14, dose 1
Symptoms: A light red ring around the vaccination site showed up last week, but is gone now. Asked (B)(6), DO to look at it and was told it was my immune system working & could take a Benedryl, after seeing my right arm.
Healthcare visit (other): Co-worker/DO who gave initial vaccination assessed it at work
redacted (b)(6)
Release 2 — days 1–6 daily, dose 2
Systemic reaction (other): Dry mouth
Release 11 — day 7, dose 4
Systemic reaction (other): Irregular heartbeat
Release 11 — day 42, dose 4
Symptoms: More tired each week, since the beginning of the vaccinations began, with advancing joint aches.
Release 12 — 3 months, dose 4
Symptoms: Tested positive for Covid 06-16-2022. Continue to have sinus drainage, itchy throat, sneezing & coughing.
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 | Medical counselling | ✓ | ✓ | ✓ |
| HCVO | Medical observation | ○ | ○ | ○ |
| SD | Arthralgia | · | · | ✓ |
| SD | Cough | · | · | ✓ |
| SD | Fatigue | · | · | ✓ |
| SD | Injection site erythema | ✓ | ✓ | ✓ |
| SD | Myalgia | · | · | ✓ |
| SD | Paranasal sinus hypersecretion | · | · | ✓ |
| SD | SARS-CoV-2 test positive | · | · | ✓ |
| SD | Sneezing | · | · | ✓ |
| SD | Throat irritation | · | · | ✓ |
| SD | Vaccination site discolouration | ○ | ○ | ○ |
| SRO | Dry mouth | ✓ | ✓ | ✓ |
| SRO | Heart rate irregular | · | · | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release