3K6-31253-64075
4 vaccinations
12 coded responses
51 check-ins
12 free-text entries
2 call cases
- Sex
- Female
- Age at first dose
- 56-60
- ZIP prefix
- 276 / NC
- Registered
- 2021-03-09
- Relationship
- Self
- Race
- Black or African American
- Ethnicity
- Not Hispanic or Latino
Timeline
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2021-03-09
Registered in v-safe
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2021-03-09
Dose 1 — Moderna
- 2021-03-09
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2021-03-10
Survey response — days 1–6 daily, dose 1MedDRA: Joint stiffness — Feeling: Good · Site: PainFree text: A little joint stiffness first hr but hydrated and went awayMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-03-11
- 2021-03-12
- 2021-03-13
- 2021-03-14
- 2021-03-15
- 2021-03-16
- 2021-03-23
- 2021-03-30
- 2021-04-06
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2021-04-09
Dose 2 — Moderna
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2021-04-09
Survey response — day 0, dose 2MedDRA: No adverse event — Feeling: Fair · Fatigue or tirednessFree text: NoMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-04-10
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Site: Pain · Fatigue or tirednessAdult check-in
- 2021-04-11
- 2021-04-12
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2021-04-13
Survey response — days 1–6 daily, dose 2MedDRA: Cough — Feeling: Fair · ChillsFree text: slight coughMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-04-14
Survey response — days 1–6 daily, dose 2MedDRA: Cough — Feeling: GoodFree text: A little coughMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-04-15
- 2021-04-16
- 2021-04-23
- 2021-04-30
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2021-05-07
Survey response — day 28, dose 2MedDRA: Chills — Feeling: GoodFree text: The third week post vaccination I felt during the night some chills. This lasted 24 hrs then resolvedMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-05-14
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2021-05-21
Survey response — day 42, dose 2MedDRA: Cough, Pre-existing disease, Rhinorrhoea — Feeling: GoodFree text: Seems allergy related runny nose small cough but also had second Shingles booster this weekMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-07-09
- 2021-10-08
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2021-11-18
Dose 3 — Moderna
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2021-11-20
Health check-in — days 1–6 daily, dose 3Feeling: Fair · Site: Swelling, Itching · Fatigue or tirednessAdult check-in
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2021-11-21
Health check-in — days 1–6 daily, dose 3Feeling: Good · Site: Swelling, Itching · Fatigue or tirednessAdult check-in
- 2021-11-22
- 2021-11-23
- 2021-11-24
- 2021-11-25
- 2021-12-02
- 2021-12-09
- 2021-12-16
- 2021-12-23
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2021-12-30
Survey response — day 42, dose 3MedDRA: Cough, Rhinorrhoea — Feeling: FairFree text: Runny nose slight coughMedDRA releases: 2024-11 · check-in free text available
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2022-02-17
Survey response — 3 months, dose 3MedDRA: Blood test abnormal, Unevaluable event — Feeling: Fair · Get care from a doctor or other healthcare professionalFree text: Symptoms: My blood work shows elevation in inflammatory biomarkers · Healthcare visit (other): A referral was made to hematologist to investigate etilogy. No signs of leukemia. Next upcoming referral is to a cardiologistMedDRA releases: 2024-11 · check-in free text available
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2022-02-17
Report sent to call center — 3 months, dose 3Get care from a doctor or other healthcare professional1 call case(s)
- 2022-02-22
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2022-05-19
Survey response — 6 months, dose 3MedDRA: Antinuclear antibody increased, Bursitis, C-reactive protein increased, White blood cell count increased — Feeling: Good · 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: Elevated WBCs, presence of ANA antibodies, elevated C-Reactive Protein, bursitis in arm that have received the COVID vaccinesMedDRA releases: 2024-11 · check-in free text available
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2022-05-19
Report sent to call center — 6 months, dose 3Be unable to do your normal daily activities · Get care from a doctor or other healthcare professionalOutpatient clinic or urgent care clinic visit · 1 call case(s)
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2022-05-20
Dose 4 — Moderna
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2022-05-20
Survey response — day 0, dose 4MedDRA: Reaction to previous exposure to any vaccine — Feeling: Good · Site: Pain · Be unable to do your normal daily activitiesFree text: I just got 2nd booster less than 1 hr ago. Too early to know effects. Since previous 3 shots I have seen elevated WBC count, presence of other inflammatory biomarkers in blood test with no known cause and bursitis in arm that received COVID vaccinesMedDRA releases: 2024-11 · check-in free text available
- 2022-05-20
- 2022-05-20
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2022-05-21
Health check-in — days 1–6 daily, dose 4Feeling: Good · Site: Pain, Redness, Swelling, Itching · Headache, Fatigue or tirednessAdult check-in
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2022-05-22
Health check-in — days 1–6 daily, dose 4Feeling: Fair · Site: Redness, Itching · Fatigue or tirednessAdult check-in
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2022-05-23
Health check-in — days 1–6 daily, dose 4Feeling: Fair · Site: Redness, Swelling, Itching · Headache, Fatigue or tirednessAdult check-in
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2022-05-24
Health check-in — days 1–6 daily, dose 4Feeling: Good · Site: Redness, Swelling, Itching · Fatigue or tirednessAdult check-in
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2022-05-25
Survey response — days 1–6 daily, dose 4MedDRA: Sneezing — Feeling: Good · Site: Redness, Swelling, ItchingFree text: SneezingMedDRA releases: 2024-11 · check-in free text available
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2022-05-26
Health check-in — days 1–6 daily, dose 4Feeling: Good · Site: Redness, Itching · NoneAdult check-in
- 2022-05-27
- 2022-06-03
- 2022-06-10
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2022-06-17
Survey response — day 28, dose 4MedDRA: Cough — Feeling: GoodFree text: Slight coughMedDRA releases: 2024-11 · check-in free text available
- 2022-06-24
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-03-09 | Moderna | |
| 2 | 2021-04-09 | Moderna | |
| 3 | 2021-11-18 | Moderna | No |
| 4 | 2022-05-20 | Moderna | No |
Call center
2 call center cases
2 unsuccessful
Free text
Release 5 — days 1–6 daily, dose 1
Systemic reaction (other): A little joint stiffness first hr but hydrated and went away
Release 7 — day 0, dose 2
Systemic reaction (other): No
Release 7 — days 1–6 daily, dose 2
Systemic reaction (other): slight cough
Systemic reaction (other): A little cough
Release 8 — day 28, dose 2
Symptoms: The third week post vaccination I felt during the night some chills. This lasted 24 hrs then resolved
Release 8 — day 42, dose 2
Symptoms: Seems allergy related runny nose small cough but also had second Shingles booster this week
Release 10 — day 42, dose 3
Symptoms: Runny nose slight cough
Release 11 — 3 months, dose 3
Symptoms: My blood work shows elevation in inflammatory biomarkers
Healthcare visit (other): A referral was made to hematologist to investigate etilogy. No signs of leukemia. Next upcoming referral is to a cardiologist
Release 11 — 6 months, dose 3
Symptoms: Elevated WBCs, presence of ANA antibodies, elevated C-Reactive Protein, bursitis in arm that have received the COVID vaccines
Release 11 — day 0, dose 4
Systemic reaction (other): I just got 2nd booster less than 1 hr ago. Too early to know effects. Since previous 3 shots I have seen elevated WBC count, presence of other inflammatory biomarkers in blood test with no known cause and bursitis in arm that received COVID vaccines cut off by CDC
Release 11 — days 1–6 daily, dose 4
Systemic reaction (other): Sneezing
Release 12 — day 28, dose 4
Symptoms: Slight cough
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 | Unevaluable event | · | · | ✓ |
| SD | Antinuclear antibody increased | · | · | ✓ |
| SD | Blood test abnormal | · | · | ✓ |
| SD | Bursitis | · | · | ✓ |
| SD | C-reactive protein increased | · | · | ✓ |
| SD | Chills | ✓ | ✓ | ✓ |
| SD | Cough | ✓ | ✓ | ✓ |
| SD | Pre-existing disease | ✓ | ✓ | ✓ |
| SD | Rhinorrhoea | ✓ | ✓ | ✓ |
| SD | White blood cell count increased | · | · | ✓ |
| SRO | Cough | ✓ | ✓ | ✓ |
| SRO | Joint stiffness | ✓ | ✓ | ✓ |
| SRO | No adverse event | ✓ | ✓ | ✓ |
| SRO | Reaction to previous exposure to any vaccine | · | · | ✓ |
| SRO | Sneezing | · | · | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release