4PW-36246-93503
5 vaccinations
11 coded responses
67 check-ins
11 free-text entries
3 call cases
- Sex
- Female
- Age at first dose
- 66+
- ZIP prefix
- 245 / VA
- Registered
- 2021-01-23
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
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2021-01-22
Dose 1 — Moderna
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2021-01-23
Registered in v-safe
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2021-01-23
Health check-in — days 1–6 daily, dose 1Feeling: Fair · Site: Pain · Headache, Joint pains, Muscle or body aches, Fatigue or tirednessAdult check-in
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2021-01-24
Health check-in — days 1–6 daily, dose 1Feeling: Fair · Site: Pain · Joint pains, Muscle or body aches, Fatigue or tirednessAdult check-in
- 2021-01-25
- 2021-01-26
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2021-01-27
Survey response — days 1–6 daily, dose 1MedDRA: Pre-existing disease — Feeling: Good · Joint pains, Muscle or body achesFree text: These have to do with inflammatory arthritis conditionMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-01-28
Survey response — days 1–6 daily, dose 1MedDRA: Pre-existing disease — Feeling: Good · Muscle or body achesFree text: Related to inflammatory arthritisMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-01-29
- 2021-02-05
- 2021-02-12
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2021-02-19
Dose 2 — Moderna
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2021-02-19
Health check-in — day 0, dose 2Feeling: Good · Joint pains, Muscle or body aches, Fatigue or tirednessAdult check-in
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2021-02-20
Health check-in — days 1–6 daily, dose 2Feeling: Poor · Site: Pain, Swelling · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Abdominal pain · Be unable to do your normal daily activitiesAdult check-in
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2021-02-21
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Site: Pain · Fatigue or tiredness, Nausea, Abdominal pain · Be unable to do your normal daily activitiesAdult check-in
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2021-02-22
Health check-in — days 1–6 daily, dose 2Feeling: Good · Joint pains, Muscle or body aches, Fatigue or tiredness, Abdominal pain · Be unable to do your normal daily activitiesAdult check-in
- 2021-02-23
- 2021-02-24
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2021-02-25
Survey response — days 1–6 daily, dose 2MedDRA: Fatigue — Feeling: Good · Fatigue or tirednessFree text: I think my tiredness is due to my ongoing health issuesMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-02-26
- 2021-03-05
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2021-03-12
Survey response — day 21, dose 2MedDRA: Sciatica — Feeling: Fair · 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: Severe lt side sciatica, being treated by PCPMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-03-12
Report sent to call center — day 21, dose 2Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional1 call case(s)
- 2021-03-19
- 2021-03-26
- 2021-04-02
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2021-05-21
Survey response — 3 months, dose 2MedDRA: Fatigue — Feeling: Poor · 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: Extreme fatigue in a short time, makes it hard to complete any task. As far as I know nothing to do with COVID or vaccine. The increase in my health issues is the major contributor of my decline.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-05-21
Report sent to call center — 3 months, dose 2Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional1 call case(s)
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2021-08-20
Survey response — 6 months, dose 2MedDRA: Sinusitis — Feeling: Fair · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultationFree text: Have sinus infection for 7 days being treated with antibiotic & steriodMedDRA releases: 2021-09,2024-11 · check-in free text available
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2021-08-20
Report sent to call center — 6 months, dose 2Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional1 call case(s)
- 2021-08-23
- 2021-08-23
- 2021-08-23
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2021-09-21
Dose 3 — Moderna
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2021-09-21
Health check-in — day 0, dose 3Feeling: Fair · Site: Pain · Headache, Muscle or body aches, NauseaAdult check-in
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2021-09-22
Health check-in — days 1–6 daily, dose 3Feeling: Good · Site: Pain, Swelling · Joint painsAdult check-in
- 2021-09-23
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2021-09-24
Health check-in — days 1–6 daily, dose 3Feeling: Fair · Fever · Fatigue or tiredness, Abdominal painAdult check-in
- 2021-09-25
- 2021-09-26
- 2021-09-27
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2021-09-28
Health check-in — day 7, dose 3Feeling: Good · Fever · Headache, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activitiesAdult check-in
- 2021-10-06
- 2021-10-12
- 2021-10-19
- 2021-10-26
- 2021-11-02
- 2021-12-21
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2022-03-22
Survey response — 6 months, dose 3MedDRA: Adverse drug reaction, Rheumatoid arthritis — Feeling: Fair · Be unable to do your normal daily activitiesFree text: Diagnosis of rheumatoid arthritis. Started on Methotrexate and had a severe reaction to mucous membranes & past abd surgery scarring areas. been on 3 rounds of antibiotics. A great deal of improvement mucous membranes and some improvement abd wallMedDRA releases: 2024-11 · check-in free text available
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2022-05-23
Dose 4 — Moderna
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2022-05-23
Health check-in — day 0, dose 4Feeling: Fair · Site: Pain · Fever · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activitiesAdult check-in
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2022-05-24
Health check-in — days 1–6 daily, dose 4Feeling: Poor · Site: Pain, Swelling · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Abdominal pain · Be unable to do your normal daily activitiesAdult check-in
- 2022-05-25
- 2022-05-26
- 2022-05-27
- 2022-05-28
- 2022-05-29
- 2022-05-30
- 2022-06-06
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2022-06-13
Survey response — day 21, dose 4MedDRA: Headache, Pharyngitis streptococcal, Pyrexia — Feeling: Poor · Be unable to do your normal daily activitiesFree text: Have been diagnosed with Strep Throat, having fever, headache, sore throat. On antibiotic 3 days now. Feeling somewhat betterMedDRA releases: 2024-11 · check-in free text available
- 2022-06-20
- 2022-06-27
- 2022-07-04
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2022-08-22
Survey response — 3 months, dose 4MedDRA: Pre-existing disease, Rheumatoid arthritis — Feeling: Fair · Be unable to do your normal daily activitiesFree text: Being treated for Rheumatoid Arthritis flareMedDRA releases: 2024-11 · check-in free text available
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2022-10-18
Dose 5 — ModernaCo-administered: Flu
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2022-10-19
Health check-in — days 1–6 daily, dose 5Feeling: Poor · Site: Pain · Fever · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea, Abdominal pain · Be unable to do your normal daily activitiesAdult check-in
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2022-10-20
Health check-in — days 1–6 daily, dose 5Feeling: Fair · Site: Pain · Joint pains, Muscle or body achesAdult check-in
- 2022-10-21
- 2022-10-22
- 2022-10-23
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2022-10-24
Survey response — days 1–6 daily, dose 5MedDRA: Pre-existing disease — Feeling: Good · Joint pains, Fatigue or tirednessFree text: These symptoms due to rheumatoid arthritisMedDRA releases: 2024-11 · check-in free text available
- 2022-10-25
- 2022-11-01
- 2022-11-08
- 2022-11-15
- 2022-11-22
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2022-11-29
Survey response — day 42, dose 5MedDRA: Post procedural inflammation, Post procedural swelling, Pre-existing disease, Procedural pain — Feeling: Fair · Be unable to do your normal daily activitiesFree text: Had exacerbation of abdomen post Surgery inflammation, pain & swelling. I'm post 8 abdomen surgies with lady surgery 2010 and MRSA afterwards. Have had a few flare ups with above mentioned symptoms. Take antibiotics, pain meds, rest with no pushing,MedDRA releases: 2024-11 · check-in free text available
- 2023-01-17
- 2023-04-18
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-01-22 | Moderna | |
| 2 | 2021-02-19 | Moderna | |
| 3 | 2021-09-21 | Moderna | No |
| 4 | 2022-05-23 | Moderna | No |
| 5 | 2022-10-18 | Moderna | Flu |
Call center
3 call center cases
3 unsuccessful
2 waits over 3 months for a first call
Free text
Release 2 — days 1–6 daily, dose 1
Systemic reaction (other): These have to do with inflammatory arthritis condition
Release 3 — days 1–6 daily, dose 1
Systemic reaction (other): Related to inflammatory arthritis
Release 4 — days 1–6 daily, dose 2
Systemic reaction (other): I think my tiredness is due to my ongoing health issues
Release 5 — day 21, dose 2
Symptoms: Severe lt side sciatica, being treated by PCP
Release 8 — 3 months, dose 2
Symptoms: Extreme fatigue in a short time, makes it hard to complete any task. As far as I know nothing to do with COVID or vaccine. The increase in my health issues is the major contributor of my decline.
Release 9 — 6 months, dose 2
Symptoms: Have sinus infection for 7 days being treated with antibiotic & steriod
Release 11 — 6 months, dose 3
Symptoms: Diagnosis of rheumatoid arthritis. Started on Methotrexate and had a severe reaction to mucous membranes & past abd surgery scarring areas. been on 3 rounds of antibiotics. A great deal of improvement mucous membranes and some improvement abd wall cut off by CDC
Release 12 — day 21, dose 4
Symptoms: Have been diagnosed with Strep Throat, having fever, headache, sore throat. On antibiotic 3 days now. Feeling somewhat better
Release 12 — 3 months, dose 4
Symptoms: Being treated for Rheumatoid Arthritis flare
Release 12 — days 1–6 daily, dose 5
Systemic reaction (other): These symptoms due to rheumatoid arthritis
Release 12 — day 42, dose 5
Symptoms: Had exacerbation of abdomen post Surgery inflammation, pain & swelling. I'm post 8 abdomen surgies with lady surgery 2010 and MRSA afterwards. Have had a few flare ups with above mentioned symptoms. Take antibiotics, pain meds, rest with no pushing, cut off by CDC
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 |
|---|---|---|---|---|
| SD | Adverse drug reaction | · | · | ✓ |
| SD | Fatigue | ✓ | ✓ | ✓ |
| SD | Headache | · | · | ✓ |
| SD | Pharyngitis streptococcal | · | · | ✓ |
| SD | Post procedural inflammation | · | · | ✓ |
| SD | Post procedural swelling | · | · | ✓ |
| SD | Pre-existing disease | · | · | ✓ |
| SD | Procedural pain | · | · | ✓ |
| SD | Pyrexia | · | · | ✓ |
| SD | Rheumatoid arthritis | · | · | ✓ |
| SD | Sciatica | ✓ | ✓ | ✓ |
| SD | Sinusitis | ✓ | · | ✓ |
| SRO | Fatigue | ✓ | ✓ | ✓ |
| SRO | Pre-existing disease | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release