3WY-20940-66045
1 vaccination
7 coded responses
13 check-ins
7 free-text entries
1 call case
- Sex
- Female
- Age at first dose
- 61-65
- ZIP prefix
- 273 / NC
- Registered
- 2021-03-27
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
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2021-03-26
Dose 1 — Moderna
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2021-03-27
Registered in v-safe
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2021-03-27
Health check-in — days 1–6 daily, dose 1Feeling: Poor · Site: Pain, Redness, Swelling · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Diarrhea, Abdominal pain · Be unable to do your normal daily activitiesAdult check-in
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2021-03-28
Health check-in — days 1–6 daily, dose 1Feeling: Fair · Site: Pain · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea, Abdominal painAdult check-in
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2021-03-29
Survey response — days 1–6 daily, dose 1MedDRA: Fatigue — Feeling: Poor · Site: Pain · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activitiesFree text: Im just so very tired!MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-03-30
Health check-in — days 1–6 daily, dose 1Feeling: Fair · Site: Itching · Chills, Headache, Joint pains, Muscle or body aches, Nausea, Abdominal pain · Be unable to do your normal daily activitiesAdult check-in
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2021-03-31
Survey response — days 1–6 daily, dose 1MedDRA: Chills, Headache — Feeling: Fair · Site: Itching · Chills, Headache, Joint pains, Nausea · Be unable to do your normal daily activitiesFree text: Headache that wont go away chills constantly.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-04-01
Health check-in — days 1–6 daily, dose 1Feeling: Good · Chills, Headache, Joint pains, Abdominal painAdult check-in
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2021-04-02
Survey response — day 7, dose 1MedDRA: Balance disorder, Disturbance in attention, Feeling abnormal — Feeling: Fair · Site: Pain · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea, Abdominal pain · Be unable to do your normal daily activitiesFree text: Off balance,fog brain trouble concentratingMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-04-09
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2021-04-16
Survey response — day 21, dose 1MedDRA: Fatigue, Headache, Pain in extremity — Feeling: Poor · Be unable to do your normal daily activitiesFree text: Leg aches really bad,super tired,headache every morning!MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-04-23
Survey response — day 28, dose 1MedDRA: Adverse reaction, Headache, Office visit, Pain in extremity — Feeling: Fair · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professionalFree text: Symptoms: Headache that wont go away and legs hurt really bad · Healthcare visit (other): I saw my MD and she advised me not to get the 2nd vaccine due to symptoms after the 1st vaccine.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-04-23
Report sent to call center — day 28, dose 1Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional1 call case(s)
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2021-06-27
Survey response — 3 months, dose 1MedDRA: Back pain, Fatigue, Headache, Herpes zoster, Pain in extremity — Feeling: Fair · Be unable to do your normal daily activitiesFree text: Headache,Shingles,Back pain sever and leg pain sever.super tired,No fever!MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-09-24
Survey response — 6 months, dose 1MedDRA: Cough, Pain in extremity, Pre-existing disease — Feeling: Fair · Be unable to do your normal daily activitiesFree text: Ive had a stroke,leg pain,cough that wont stopMedDRA releases: 2024-11 · check-in free text available
- 2022-03-28
- 2022-04-04
- 2022-04-07
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-03-26 | Moderna |
Call center
1 call center case
1 unsuccessful
1 wait over 3 months for a first call
Free text
Release 6 — days 1–6 daily, dose 1
Systemic reaction (other): Im just so very tired!
Systemic reaction (other): Headache that wont go away chills constantly.
Release 6 — day 7, dose 1
Systemic reaction (other): Off balance,fog brain trouble concentrating
Release 7 — day 21, dose 1
Symptoms: Leg aches really bad,super tired,headache every morning!
Release 7 — day 28, dose 1
Symptoms: Headache that wont go away and legs hurt really bad
Healthcare visit (other): I saw my MD and she advised me not to get the 2nd vaccine due to symptoms after the 1st vaccine.
Release 9 — 3 months, dose 1
Symptoms: Headache,Shingles,Back pain sever and leg pain sever.super tired,No fever!
Release 9 — 6 months, dose 1
Symptoms: Ive had a stroke,leg pain,cough that wont stop
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 | Adverse reaction | ✓ | ✓ | ✓ |
| HCVO | Office visit | ✓ | ✓ | ✓ |
| SD | Back pain | ✓ | ✓ | ✓ |
| SD | Cough | · | · | ✓ |
| SD | Fatigue | ✓ | ✓ | ✓ |
| SD | Headache | ✓ | ✓ | ✓ |
| SD | Herpes zoster | ✓ | ✓ | ✓ |
| SD | Pain in extremity | ✓ | ✓ | ✓ |
| SD | Pre-existing disease | · | · | ✓ |
| SRO | Balance disorder | ✓ | ✓ | ✓ |
| SRO | Chills | ✓ | ✓ | ✓ |
| SRO | Disturbance in attention | ✓ | ✓ | ✓ |
| SRO | Fatigue | ✓ | ✓ | ✓ |
| SRO | Feeling abnormal | ✓ | ✓ | ✓ |
| SRO | Headache | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release