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3SB-20582-47843

4 vaccinations 29 coded responses 52 check-ins 29 free-text entries 2 call cases
Sex
Female
Age at first dose
56-60
ZIP prefix
263 / WV
Registered
2020-12-30
Relationship
Self
Race
White
Ethnicity
Not Hispanic or Latino

Timeline

  1. 2020-12-30
    Registered in v-safe
  2. 2020-12-30
    Dose 1 — Moderna
  3. 2020-12-30
    Health check-in — day 0, dose 1
    Feeling: Fair · Site: Pain · Headache
    Adult check-in
  4. 2020-12-31
    Health check-in — days 1–6 daily, dose 1
    Feeling: Poor · Site: Pain, Swelling · Fever · Chills, Headache, Muscle or body aches, Fatigue or tiredness, Nausea
    Adult check-in
  5. 2021-01-01
    Survey response — days 1–6 daily, dose 1
    MedDRA: Oropharyngeal pain — Feeling: Poor · Site: Pain, Swelling · Fever · Chills, Headache, Muscle or body aches, Fatigue or tiredness, Nausea
    Free text: Sore throat
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  6. 2021-01-02
    Survey response — days 1–6 daily, dose 1
    MedDRA: Back pain — Feeling: Poor · Site: Pain, Swelling, Itching · Fever · Chills, Headache, Muscle or body aches, Fatigue or tiredness, Nausea
    Free text: Back pain
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  7. 2021-01-03
    Survey response — days 1–6 daily, dose 1
    MedDRA: Back pain — Feeling: Fair · Site: Pain, Itching · Fever · Chills, Headache, Muscle or body aches, Fatigue or tiredness
    Free text: Back pain
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  8. 2021-01-04
    Survey response — days 1–6 daily, dose 1
    MedDRA: Back pain, Oropharyngeal pain — Feeling: Fair · Site: Pain, Swelling · Chills, Headache, Muscle or body aches, Fatigue or tiredness
    Free text: Back ache, sore throat
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  9. 2021-01-05
    Survey response — days 1–6 daily, dose 1
    MedDRA: Ear pain, Oropharyngeal pain — Feeling: Fair · Site: Pain · Chills, Headache, Muscle or body aches, Fatigue or tiredness, Nausea
    Free text: Sore throat, earache
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  10. 2021-01-07
    Survey response — day 7, dose 1
    MedDRA: Back pain, Oropharyngeal pain — Feeling: Fair · Site: Pain · Chills, Headache, Fatigue or tiredness, Nausea
    Free text: Backpain, sore throat
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  11. 2021-01-13
    Health check-in — day 14, dose 1
    Feeling: Fair
    Adult check-in
  12. 2021-01-21
    Survey response — day 21, dose 1
    MedDRA: Headache, Oropharyngeal pain — Feeling: Fair
    Free text: Constant headache, intermittent sore throat
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  13. 2021-01-27
    Dose 2 — Moderna
  14. 2021-01-27
    Survey response — day 0, dose 2
    MedDRA: Ear pain, Musculoskeletal stiffness — Feeling: Fair · Site: Pain, Swelling · Chills, Headache, Fatigue or tiredness, Nausea
    Free text: Ear ache, stiff neck
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  15. 2021-01-28
    Survey response — days 1–6 daily, dose 2
    MedDRA: Ear pain, Oropharyngeal pain — Feeling: Poor · Site: Pain, Redness, Swelling · Fever · Chills, Headache, Joint pains, Muscle or body aches, Nausea · Be unable to work, Be unable to do your normal daily activities
    Free text: Ear ache sore throat
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  16. 2021-01-29
    Survey response — days 1–6 daily, dose 2
    MedDRA: Ear pain, Oropharyngeal pain — Feeling: Poor · Site: Pain, Swelling · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to work, Be unable to do your normal daily activities
    Free text: Ear ache sore throat
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  17. 2021-01-30
    Survey response — days 1–6 daily, dose 2
    MedDRA: Ear pain, Oropharyngeal pain — Feeling: Fair · Site: Pain, Swelling · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness
    Free text: Earache sore throat
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  18. 2021-01-31
    Survey response — days 1–6 daily, dose 2
    MedDRA: Ear pain, Oropharyngeal pain — Feeling: Fair · Site: Pain, Swelling · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness
    Free text: Ear ache sore throat
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  19. 2021-02-01
    Survey response — days 1–6 daily, dose 2
    MedDRA: Ear pain, Oropharyngeal pain — Feeling: Fair · Site: Pain, Swelling · Headache, Muscle or body aches, Fatigue or tiredness
    Free text: Ear ache sore throat
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  20. 2021-02-02
    Survey response — days 1–6 daily, dose 2
    MedDRA: Ear pain, Oropharyngeal pain — Feeling: Fair · Site: Pain, Swelling · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness
    Free text: Ear ache, sore throat
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  21. 2021-02-03
    Survey response — day 7, dose 2
    MedDRA: Ear pain, Oropharyngeal pain — Feeling: Fair · Site: Pain, Swelling · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness
    Free text: Ear ache sore throat
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  22. 2021-02-10
    Survey response — day 14, dose 2
    MedDRA: Ear pain, Fatigue, Headache, Oropharyngeal pain — Feeling: Fair
    Free text: Severe earache, always tired, intermittent sore throat, constant headache
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  23. 2021-02-17
    Survey response — day 21, dose 2
    MedDRA: Ear pain, Fatigue, Headache, Oropharyngeal pain — Feeling: Fair
    Free text: Ear ache, head ache, sore throat, still very tired
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  24. 2021-02-24
    Survey response — day 28, dose 2
    MedDRA: Bone pain, Ear pain, Fatigue, Headache, Oropharyngeal pain — Feeling: Fair
    Free text: Constant headache, ear aches, sore throat, pain that feels deep in the bone, fatigue
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  25. 2021-03-03
    Survey response — day 35, dose 2
    MedDRA: Back pain, Chest pain, Heart valve incompetence, Hospitalisation — Feeling: Poor · Get care from a doctor or other healthcare professional · Emergency room or emergency department visit, Hospitalization
    Free text: Back and chest pain, I was admitted to the hospital on Feb 26. I now have my left ventricle at 60 percent with a leaking valve. No previous cardiac issues . I have to take 325mg aspirin. I still have remaining pain constant at a level 5. I am working
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  26. 2021-03-03
    Report sent to call center — day 35, dose 2
    Get care from a doctor or other healthcare professional
    1 call case(s)
  27. 2021-03-10
    Survey response — day 42, dose 2
    MedDRA: Back pain, Chest pain, Fatigue, Headache — Feeling: Fair
    Free text: Headache, still have pain in my chest and back. Fatigue
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  28. 2021-04-28
    Health check-in — 3 months, dose 2
    Feeling: Poor
    Adult check-in
  29. 2021-07-28
    Health check-in — 6 months, dose 2
    Feeling: Fair
    Adult check-in
  30. 2021-09-29
  31. 2021-10-22
    Dose 3 — Moderna
  32. 2021-10-24
    Survey response — days 1–6 daily, dose 3
    MedDRA: Chest pain — Feeling: Poor · Site: Pain · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea, Vomiting · Be unable to do your normal daily activities
    Free text: Some chest pain
    MedDRA releases: 2024-11 · check-in free text available
  33. 2021-10-25
    Survey response — days 1–6 daily, dose 3
    MedDRA: Chest discomfort, Cough, Ear pain — Feeling: Poor · Site: Pain · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea, Vomiting, Diarrhea · Be unable to do your normal daily activities
    Free text: Ear ache, heaviness in chest, cough
    MedDRA releases: 2024-11 · check-in free text available
  34. 2021-10-26
    Survey response — days 1–6 daily, dose 3
    MedDRA: Chest pain, Cough — Feeling: Poor · Site: Pain · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities
    Free text: Cough. Some chest pain
    MedDRA releases: 2024-11 · check-in free text available
  35. 2021-10-27
    Health check-in — days 1–6 daily, dose 3
    Feeling: Fair · Site: Pain · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea
    Adult check-in
  36. 2021-10-28
    Health check-in — days 1–6 daily, dose 3
    Feeling: Fair · Site: Pain · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness
    Adult check-in
  37. 2021-10-29
    Survey response — day 7, dose 3
    MedDRA: Palpitations — Feeling: Fair · Site: Pain · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness
    Free text: Palpitations
    MedDRA releases: 2024-11 · check-in free text available
  38. 2021-11-05
    Health check-in — day 14, dose 3
    Feeling: Fair
    Adult check-in
  39. 2021-11-12
    Health check-in — day 21, dose 3
    Feeling: Good
    Adult check-in
  40. 2021-11-19
    Health check-in — day 28, dose 3
    Feeling: Fair
    Adult check-in
  41. 2021-11-26
    Health check-in — day 35, dose 3
    Feeling: Fair
    Adult check-in
  42. 2021-12-03
    Survey response — day 42, dose 3
    MedDRA: Fatigue, Neck pain — Feeling: Fair
    Free text: Pains in my neck, lingering tiredness
    MedDRA releases: 2024-11 · check-in free text available
  43. 2022-01-21
    Health check-in — 3 months, dose 3
    Feeling: Fair
    Adult check-in
  44. 2022-04-05
    Dose 4 — Moderna
  45. 2022-04-05
    Health check-in — day 0, dose 4
    Feeling: Poor · Site: Pain, Redness, Swelling · Fever · Headache, Fatigue or tiredness, Nausea
    Adult check-in
  46. 2022-04-06
    Survey response — days 1–6 daily, dose 4
    MedDRA: Chest discomfort — Feeling: Poor · Site: Pain, Redness, Swelling · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea, Vomiting, Abdominal pain · Be unable to work or attend school
    Free text: Chest feels heavy
    MedDRA releases: 2024-11 · check-in free text available
  47. 2022-04-07
    Survey response — days 1–6 daily, dose 4
    MedDRA: Chest discomfort — Feeling: Poor · Site: Pain, Redness, Swelling · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to work or attend school
    Free text: Chest feels heavy
    MedDRA releases: 2024-11 · check-in free text available
  48. 2022-04-08
    Health check-in — days 1–6 daily, dose 4
    Feeling: Poor · Site: Pain, Redness, Swelling · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea
    Adult check-in
  49. 2022-04-10
    Health check-in — days 1–6 daily, dose 4
    Feeling: Fair · Site: Pain, Redness, Swelling · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness
    Adult check-in
  50. 2022-04-11
    Health check-in — days 1–6 daily, dose 4
    Feeling: Fair · Site: Pain · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness
    Adult check-in
  51. 2022-04-12
    Health check-in — day 7, dose 4
    Feeling: Fair · Site: Pain · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness
    Adult check-in
  52. 2022-04-19
    Health check-in — day 14, dose 4
    Feeling: Fair
    Adult check-in
  53. 2022-04-27
    Health check-in — day 21, dose 4
    Feeling: Fair
    Adult check-in
  54. 2022-05-03
    Health check-in — day 28, dose 4
    Feeling: Fair
    Adult check-in
  55. 2022-05-10
    Health check-in — day 35, dose 4
    Feeling: Fair
    Adult check-in
  56. 2022-05-17
    Survey response — day 42, dose 4
    MedDRA: Headache, Nodule, Rash vesicular — Feeling: Poor · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit
    Free text: Nodule on my eye. Also recurring blistery rash that recurs. Also headache every day
    MedDRA releases: 2024-11 · check-in free text available
  57. 2022-05-17
    Report sent to call center — day 42, dose 4
    Get care from a doctor or other healthcare professional
    Outpatient clinic or urgent care clinic visit · 1 call case(s)
  58. 2022-05-18
  59. 2022-05-18
  60. 2022-07-05
    Survey response — 3 months, dose 4
    MedDRA: Bone pain — Feeling: Fair
    Free text: Pain in the bones of my extremities. To describe like waiting for the bones to implode
    MedDRA releases: 2024-11 · check-in free text available
  61. 2022-10-04
    Health check-in — 6 months, dose 4
    Feeling: Fair
    Adult check-in
  62. 2023-04-07
    Health check-in — 12 months, dose 4
    Feeling: Fair
    Adult check-in

Vaccinations

DoseDateManufacturerCo-administered
12020-12-30Moderna
22021-01-27Moderna
32021-10-22Moderna No
42022-04-05Moderna No

Call center

2 call center cases

2 unsuccessful

1 wait over 3 months for a first call

See the call center timeline

Free text

Release 1 — days 1–6 daily, dose 1

2021-01-01

Systemic reaction (other): Sore throat

2021-01-02

Systemic reaction (other): Back pain

2021-01-03

Systemic reaction (other): Back pain

2021-01-04

Systemic reaction (other): Back ache, sore throat

2021-01-05

Systemic reaction (other): Sore throat, earache

Release 1 — day 7, dose 1

2021-01-07

Systemic reaction (other): Backpain, sore throat

Release 2 — day 21, dose 1

2021-01-21

Symptoms: Constant headache, intermittent sore throat

Release 2 — day 0, dose 2

2021-01-27

Systemic reaction (other): Ear ache, stiff neck

Release 2 — days 1–6 daily, dose 2

2021-01-28

Systemic reaction (other): Ear ache sore throat

Release 3 — days 1–6 daily, dose 2

2021-01-29

Systemic reaction (other): Ear ache sore throat

2021-01-30

Systemic reaction (other): Earache sore throat

2021-01-31

Systemic reaction (other): Ear ache sore throat

2021-02-01

Systemic reaction (other): Ear ache sore throat

2021-02-02

Systemic reaction (other): Ear ache, sore throat

Release 3 — day 7, dose 2

2021-02-03

Systemic reaction (other): Ear ache sore throat

Release 4 — day 14, dose 2

2021-02-10

Symptoms: Severe earache, always tired, intermittent sore throat, constant headache

Release 4 — day 21, dose 2

2021-02-17

Symptoms: Ear ache, head ache, sore throat, still very tired

Release 4 — day 28, dose 2

2021-02-24

Symptoms: Constant headache, ear aches, sore throat, pain that feels deep in the bone, fatigue

Release 5 — day 35, dose 2

2021-03-03

Symptoms: Back and chest pain, I was admitted to the hospital on Feb 26. I now have my left ventricle at 60 percent with a leaking valve. No previous cardiac issues . I have to take 325mg aspirin. I still have remaining pain constant at a level 5. I am working cut off by CDC

Release 5 — day 42, dose 2

2021-03-10

Symptoms: Headache, still have pain in my chest and back. Fatigue

Release 10 — days 1–6 daily, dose 3

2021-10-24

Systemic reaction (other): Some chest pain

2021-10-25

Systemic reaction (other): Ear ache, heaviness in chest, cough

2021-10-26

Systemic reaction (other): Cough. Some chest pain

Release 10 — day 7, dose 3

2021-10-29

Systemic reaction (other): Palpitations

Release 10 — day 42, dose 3

2021-12-03

Symptoms: Pains in my neck, lingering tiredness

Release 11 — days 1–6 daily, dose 4

2022-04-06

Systemic reaction (other): Chest feels heavy

2022-04-07

Systemic reaction (other): Chest feels heavy

Release 11 — day 42, dose 4

2022-05-17

Symptoms: Nodule on my eye. Also recurring blistery rash that recurs. Also headache every day

Release 12 — 3 months, dose 4

2022-07-05

Symptoms: Pain in the bones of my extremities. To describe like waiting for the bones to implode

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
SDBack pain ✓ ✓ ✓
SDBone pain ✓ ✓ ✓
SDChest pain ✓ ✓ ✓
SDEar pain ✓ ✓ ✓
SDFatigue ✓ ✓ ✓
SDHeadache ✓ ✓ ✓
SDHeart valve incompetence ✓ ✓ ✓
SDHospitalisation ✓ ✓ ✓
SDNeck pain · · ✓
SDNodule · · ✓
SDOropharyngeal pain ✓ ✓ ✓
SDRash vesicular · · ✓
SROBack pain ✓ ✓ ✓
SROChest discomfort · · ✓
SROChest pain · · ✓
SROCough · · ✓
SROEar pain ✓ ✓ ✓
SROMusculoskeletal stiffness ✓ ✓ ✓
SROOropharyngeal pain ✓ ✓ ✓
SROPalpitations · · ✓

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

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