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4HD-26075-67690

4 vaccinations 19 coded responses 36 check-ins 19 free-text entries 3 call cases
Sex
Female
Age at first dose
41-45
ZIP prefix
216 / MD
Registered
2021-01-08
Relationship
Self
Race
Black or African American
Ethnicity
Not Hispanic or Latino

Timeline

  1. 2021-01-06
    Dose 1 — Moderna
  2. 2021-01-08
    Registered in v-safe
  3. 2021-01-08
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · Site: Pain · Fatigue or tiredness
    Adult check-in
  4. 2021-01-09
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · Site: Pain · None
    Adult check-in
  5. 2021-01-10
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · Site: Pain, Itching · Fatigue or tiredness
    Adult check-in
  6. 2021-01-11
    Survey response — days 1–6 daily, dose 1
    MedDRA: Diarrhoea — Feeling: Good · Site: Pain · Nausea
    Free text: Loose stool
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  7. 2021-01-12
    Survey response — days 1–6 daily, dose 1
    MedDRA: Clumsiness, Feeling abnormal — Feeling: Good · Site: Pain · Fatigue or tiredness
    Free text: Clumsiness and feeling off
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  8. 2021-01-13
    Health check-in — day 7, dose 1
    Feeling: Good · Site: Pain · Diarrhea
    Adult check-in
  9. 2021-01-22
    Survey response — day 14, dose 1
    MedDRA: Dysphonia, Rhinorrhoea, Throat irritation — Feeling: Good
    Free text: Some days with a runny nose. Scratchy throat hoarse voice.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  10. 2021-01-29
    Survey response — day 21, dose 1
    MedDRA: Cough, Respiratory tract congestion, Sneezing, Weight increased — Feeling: Good
    Free text: Congestion. Weight gain. Cough. Sneeze.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  11. 2021-02-03
    Dose 2 — Moderna
  12. 2021-02-03
    Health check-in — day 0, dose 2
    Feeling: Good · Site: Pain · Muscle or body aches
    Adult check-in
  13. 2021-02-04
    Survey response — days 1–6 daily, dose 2
    MedDRA: Feeling abnormal — Feeling: Fair · Site: Pain, Swelling · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea
    Free text: Brain fog
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  14. 2021-02-05
    Survey response — days 1–6 daily, dose 2
    MedDRA: Hunger, Neck pain — Feeling: Fair · Site: Pain, Swelling, Itching · Muscle or body aches, Fatigue or tiredness
    Free text: Neck ache, hunger
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  15. 2021-02-06
    Survey response — days 1–6 daily, dose 2
    MedDRA: Feeling abnormal, Heavy menstrual bleeding, Memory impairment, Mood altered — Feeling: Fair · Site: Pain · Joint pains, Fatigue or tiredness · Be unable to do your normal daily activities
    Free text: Bad mood, forgetful, brain fog, heavy menses
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  16. 2021-02-07
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · Site: Pain, Swelling · Joint pains, Fatigue or tiredness, Nausea
    Adult check-in
  17. 2021-02-08
    Survey response — days 1–6 daily, dose 2
    MedDRA: Neck pain — Feeling: Fair · Site: Pain, Itching · Joint pains, Fatigue or tiredness, Rash, not including the immediate area around the injection site
    Free text: Neck pain.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  18. 2021-02-09
    Survey response — days 1–6 daily, dose 2
    MedDRA: Anxiety — Feeling: Good · Site: Itching · Fatigue or tiredness
    Free text: Anxious mood
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  19. 2021-02-10
    Health check-in — day 7, dose 2
    Feeling: Good · Site: Pain, Swelling, Itching · None
    Adult check-in
  20. 2021-02-17
    Health check-in — day 14, dose 2
    Feeling: Good
    Adult check-in
  21. 2021-02-25
    Survey response — day 21, dose 2
    MedDRA: Arthralgia, Fatigue — Feeling: Fair
    Free text: Achey joints. Fatigue.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  22. 2021-03-04
    Health check-in — day 28, dose 2
    Feeling: Good
    Adult check-in
  23. 2021-03-12
    Survey response — day 35, dose 2
    MedDRA: Weight increased — Feeling: Good
    Free text: Weight gain. Can someone give info abouy the amino acid chain targeted by immune system, short chain the sane in covid 19 and body's implantation with conception.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  24. 2021-03-18
    Health check-in — day 42, dose 2
    Feeling: Good
    Adult check-in
  25. 2021-05-07
    Health check-in — 3 months, dose 2
    Feeling: Good
    Adult check-in
  26. 2021-11-09
    Dose 3 — Moderna
  27. 2022-02-04
    Survey response — 12 months, dose 2
    MedDRA: COVID-19, Fatigue, Menstrual disorder — Feeling: Fair · Be unable to work or attend school, Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultation, Outpatient clinic or urgent care clinic visit
    Free text: Covid 19 positive, menstrual changes, fatigue.
    MedDRA releases: 2024-11 · check-in free text available
  28. 2022-02-04
    Report sent to call center — 12 months, dose 2
    Be unable to work or attend school · Be unable to do your normal daily activities · Get care from a doctor or other healthcare pr
    Telehealth, virtual health, or email health consultation · Outpatient clinic or urgent care clinic visit · 1 call case(s)
  29. 2022-02-09
    Survey response — 3 months, dose 3
    MedDRA: Anxiety, COVID-19, Cough, Fatigue, Menstruation irregular, Nasal congestion, Oropharyngeal pain, Pyrexia — Feeling: Fair · Be unable to work or attend school, Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultation, Outpatient clinic or urgent care clinic visit
    Free text: Change in menses and covid 19 positive. Fever, stuffy nose, sore throat, fatigue, cough and anxiety.
    MedDRA releases: 2024-11 · check-in free text available
  30. 2022-02-09
    Report sent to call center — 3 months, dose 3
    Be unable to work or attend school · Be unable to do your normal daily activities · Get care from a doctor or other healthcare pr
    Telehealth, virtual health, or email health consultation · Outpatient clinic or urgent care clinic visit · 1 call case(s)
  31. 2022-02-09
    Call successful
    Not applicable (accidental reporting or does not believe symptoms are related to vaccine)
  32. 2022-02-09
    Call successful
    Not applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill
  33. 2022-05-12
    Health check-in — 6 months, dose 3
    Feeling: Good
    Adult check-in
  34. 2022-09-19
    Dose 4 — Moderna
    Co-administered: Tetanus
  35. 2022-09-21
    Survey response — days 1–6 daily, dose 4
    MedDRA: Brain fog — Feeling: Fair · Site: Pain, Swelling, Itching · Headache, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to do your normal daily activities
    Free text: Brain fog
    MedDRA releases: 2024-11 · check-in free text available
  36. 2022-09-23
    Survey response — days 1–6 daily, dose 4
    MedDRA: Aphonia, Brain fog, Stress, Throat irritation — Feeling: Fair · Site: Pain · Fatigue or tiredness, Abdominal pain
    Free text: Scratchy throat and losing voice, stress, brain fog.
    MedDRA releases: 2024-11 · check-in free text available
  37. 2022-09-25
    Survey response — days 1–6 daily, dose 4
    MedDRA: Throat irritation — Feeling: Good · Site: Pain · Fatigue or tiredness
    Free text: Scratchy throat
    MedDRA releases: 2024-11 · check-in free text available
  38. 2022-09-26
    Health check-in — day 7, dose 4
    Feeling: Good · Site: Pain · Joint pains, Fatigue or tiredness
    Adult check-in
  39. 2022-10-07
    Survey response — day 14, dose 4
    MedDRA: Arthralgia, Fatigue, Gastrointestinal disorder, Pain in extremity — Feeling: Fair · Be unable to work or attend school, Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit, Emergency room or emergency department visit
    Free text: GI issue, ankle/leg and wrist pain. Fatigue.
    MedDRA releases: 2024-11 · check-in free text available
  40. 2022-10-07
    Report sent to call center — day 14, dose 4
    Be unable to work or attend school · Be unable to do your normal daily activities · Get care from a doctor or other healthcare pr
    Outpatient clinic or urgent care clinic visit · Emergency room or emergency department visit · 1 call case(s)
  41. 2022-10-10
    Health check-in — day 21, dose 4
    Feeling: Good
    Adult check-in
  42. 2022-10-10
    Call successful
    Not applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill
  43. 2022-10-19
    Survey response — day 28, dose 4
    MedDRA: Arthralgia, Nasal congestion, Sinus disorder — Feeling: Fair
    Free text: Sore joint Some stuffy nose and sinus issues
    MedDRA releases: 2024-11 · check-in free text available
  44. 2022-10-26
    Health check-in — day 35, dose 4
    Feeling: Good
    Adult check-in
  45. 2022-11-01
    Health check-in — day 42, dose 4
    Feeling: Good
    Adult check-in
  46. 2022-12-19
    Survey response — 3 months, dose 4
    MedDRA: Injection site pain — Feeling: Fair
    Free text: Sore arm at injection site
    MedDRA releases: 2024-11 · check-in free text available
  47. 2023-03-22
    Health check-in — 6 months, dose 4
    Feeling: Good
    Adult check-in

Vaccinations

DoseDateManufacturerCo-administered
12021-01-06Moderna
22021-02-03Moderna
32021-11-09Moderna No
42022-09-19Moderna Tetanus

Call center

3 call center cases

3 successful

See the call center timeline

Free text

Release 1 — days 1–6 daily, dose 1

2021-01-11

Systemic reaction (other): Loose stool

2021-01-12

Systemic reaction (other): Clumsiness and feeling off

Release 2 — day 14, dose 1

2021-01-22

Symptoms: Some days with a runny nose. Scratchy throat hoarse voice.

Release 3 — day 21, dose 1

2021-01-29

Symptoms: Congestion. Weight gain. Cough. Sneeze.

Release 3 — days 1–6 daily, dose 2

2021-02-04

Systemic reaction (other): Brain fog

2021-02-05

Systemic reaction (other): Neck ache, hunger

2021-02-06

Systemic reaction (other): Bad mood, forgetful, brain fog, heavy menses

2021-02-08

Systemic reaction (other): Neck pain.

2021-02-09

Systemic reaction (other): Anxious mood

Release 4 — day 21, dose 2

2021-02-25

Symptoms: Achey joints. Fatigue.

Release 5 — day 35, dose 2

2021-03-12

Symptoms: Weight gain. Can someone give info abouy the amino acid chain targeted by immune system, short chain the sane in covid 19 and body's implantation with conception.

Release 11 — 12 months, dose 2

2022-02-04

Symptoms: Covid 19 positive, menstrual changes, fatigue.

Release 11 — 3 months, dose 3

2022-02-09

Symptoms: Change in menses and covid 19 positive. Fever, stuffy nose, sore throat, fatigue, cough and anxiety.

Release 12 — days 1–6 daily, dose 4

2022-09-21

Systemic reaction (other): Brain fog

2022-09-23

Systemic reaction (other): Scratchy throat and losing voice, stress, brain fog.

2022-09-25

Systemic reaction (other): Scratchy throat

Release 12 — day 14, dose 4

2022-10-07

Symptoms: GI issue, ankle/leg and wrist pain. Fatigue.

Release 12 — day 28, dose 4

2022-10-19

Symptoms: Sore joint Some stuffy nose and sinus issues

Release 12 — 3 months, dose 4

2022-12-19

Symptoms: Sore arm at injection site

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
SDAnxiety · · ✓
SDArthralgia ✓ ✓ ✓
SDCough ✓ ✓ ✓
SDCOVID-19 · · ✓
SDDysphonia ✓ ✓ ✓
SDFatigue ✓ ✓ ✓
SDGastrointestinal disorder · · ✓
SDInjection site pain · · ✓
SDMenstrual disorder · · ✓
SDMenstruation irregular · · ✓
SDNasal congestion · · ✓
SDOropharyngeal pain · · ✓
SDPain in extremity · · ✓
SDPyrexia · · ✓
SDRespiratory tract congestion ✓ ✓ ✓
SDRhinorrhoea ✓ ✓ ✓
SDSinus disorder · · ✓
SDSneezing ✓ ✓ ✓
SDThroat irritation ✓ ✓ ✓
SDWeight increased ✓ ✓ ✓
SROAnxiety ✓ ✓ ✓
SROAphonia · · ✓
SROBrain fog · · ✓
SROClumsiness ✓ ✓ ✓
SRODiarrhoea ✓ ✓ ✓
SROFeeling abnormal ✓ ✓ ✓
SROHeavy menstrual bleeding ✓ ✓ ✓
SROHunger ✓ ✓ ✓
SROMemory impairment ✓ ✓ ✓
SROMood altered ✓ ✓ ✓
SRONeck pain ✓ ✓ ✓
SROStress · · ✓
SROThroat irritation · · ✓

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

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