4S4-13529-36093
4 vaccinations
9 coded responses
43 check-ins
8 free-text entries
1 call case
- Sex
- Female
- Age at first dose
- 56-60
- ZIP prefix
- 260 / WV
- Registered
- 2021-01-23
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-01-23
Registered in v-safe
-
2021-01-23
Dose 1 — Moderna
- 2021-01-23
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2021-01-24
Health check-in — days 1–6 daily, dose 1Feeling: Fair · Site: Pain · Fever · Headache, Muscle or body aches, Fatigue or tiredness, NauseaAdult check-in
- 2021-01-25
- 2021-01-26
- 2021-01-27
- 2021-01-28
- 2021-01-29
- 2021-01-30
- 2021-02-06
- 2021-02-13
-
2021-02-20
Dose 2 — Moderna
- 2021-02-20
-
2021-02-21
Survey response — days 1–6 daily, dose 2MedDRA: Injection site mass, Injection site pain, Injection site swelling — Feeling: Fair · Site: Pain, Redness, Swelling · Fever · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to work, Be unable to do your normal daily activitiesFree text: Pain and large, swollen lump at injection site.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-02-22
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Site: Pain, Redness, Swelling · Fever · HeadacheAdult check-in
-
2021-02-23
Health check-in — days 1–6 daily, dose 2Feeling: Good · Site: Pain, Redness, Swelling, Itching · Fever · Joint pains, NauseaAdult check-in
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2021-02-24
Survey response — days 1–6 daily, dose 2MedDRA: Erythema, Hypoaesthesia, Pain in extremity, Peripheral swelling — Feeling: Fair · Site: Pain, Redness, Swelling, Itching · Headache, Joint pains, Fatigue or tiredness, NauseaFree text: Mybarm is swollen and red frim my shoulder to below my elbow. All the way around. It aches and at times my hand and fingers become numb.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-02-25
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Site: Pain, Redness, Swelling, Itching · Fever · Headache, Joint pains, Fatigue or tiredness, Rash, not including the immediate area around the injection site · Be unable to work, Be unable to do your normal daily activitiesAdult check-in
-
2021-02-26
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Site: Pain, Swelling · Headache, Fatigue or tirednessAdult check-in
-
2021-02-27
Health check-in — day 7, dose 2Feeling: Fair · Site: Pain, Swelling · Fatigue or tirednessAdult check-in
-
2021-03-06
Survey response — day 14, dose 2MedDRA: Arthralgia, Pain in extremity — Feeling: GoodFree text: Joint pain in ankles, knees and handsMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-03-13
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2021-03-20
Survey response — day 28, dose 2MedDRA: Diarrhoea, Fatigue, Irritability — Feeling: GoodFree text: Fatigue, irritability, diarrheaMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-03-27
- 2021-04-03
- 2021-05-22
- 2021-08-21
-
2021-10-29
Dose 3 — Moderna
- 2022-02-20
- 2022-04-29
-
2022-05-06
Dose 4 — Moderna
- 2022-05-06
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2022-05-07
Health check-in — days 1–6 daily, dose 4Feeling: Fair · Site: Pain, Redness, Swelling · Fever · Fatigue or tirednessAdult check-in
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2022-05-08
Health check-in — days 1–6 daily, dose 4Feeling: Fair · Site: Pain, Redness, Swelling · Fever · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, NauseaAdult check-in
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2022-05-09
Health check-in — days 1–6 daily, dose 4Feeling: Good · Site: Pain · Joint pains, Muscle or body achesAdult check-in
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2022-05-10
Survey response — days 1–6 daily, dose 4MedDRA: Flatulence — Feeling: Good · Site: Pain · Joint pains, Muscle or body achesFree text: intestinal gas, not related to dietary change.MedDRA releases: 2024-11 · check-in free text available
- 2022-05-11
- 2022-05-12
- 2022-05-13
- 2022-05-20
- 2022-05-27
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2022-06-03
Survey response — day 28, dose 4MedDRA: Oropharyngeal pain, Respiratory tract congestion, SARS-CoV-2 test negative — Feeling: FairFree text: Congestion, sore throat. Negative COVID test X 2MedDRA releases: 2024-11 · check-in free text available
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2022-06-10
Survey response — day 35, dose 4MedDRA: Cough, Oropharyngeal pain, SARS-CoV-2 test negative — Feeling: Poor · Be unable to do your normal daily activitiesFree text: Cough and sore throat. Home covid test negative X 3MedDRA releases: 2024-11 · check-in free text available
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2022-06-19
Survey response — day 42, dose 4MedDRA: Malaise — Feeling: Poor · Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultationFree text: Covid 19 symptoms and fam member diagnosedMedDRA releases: 2024-11 · check-in free text available
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2022-06-19
Report sent to call center — day 42, dose 4Get care from a doctor or other healthcare professionalTelehealth, virtual health, or email health consultation · 1 call case(s)
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2022-06-21
Call successfulNot applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill
- 2022-08-05
- 2022-11-04
- 2023-05-06
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-01-23 | Moderna | |
| 2 | 2021-02-20 | Moderna | |
| 3 | 2021-10-29 | Moderna | No |
| 4 | 2022-05-06 | Moderna | No |
Call center
1 call center case
1 successful
Free text
Release 4 — days 1–6 daily, dose 2
Systemic reaction (other): Pain and large, swollen lump at injection site.
Systemic reaction (other): Mybarm is swollen and red frim my shoulder to below my elbow. All the way around. It aches and at times my hand and fingers become numb.
Release 5 — day 14, dose 2
Symptoms: Joint pain in ankles, knees and hands
Release 6 — day 28, dose 2
Symptoms: Fatigue, irritability, diarrhea
Release 11 — days 1–6 daily, dose 4
Systemic reaction (other): intestinal gas, not related to dietary change.
Release 11 — day 28, dose 4
Symptoms: Congestion, sore throat. Negative COVID test X 2
Release 12 — day 35, dose 4
Symptoms: Cough and sore throat. Home covid test negative X 3
Release 12 — day 42, dose 4
Symptoms: Covid 19 symptoms and fam member diagnosed
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 | Arthralgia | ✓ | ✓ | ✓ |
| SD | Brain fog | · | · | ✓ |
| SD | Cough | · | · | ✓ |
| SD | Diarrhoea | ✓ | ✓ | ✓ |
| SD | Fatigue | ✓ | ✓ | ✓ |
| SD | Irritability | ✓ | ✓ | ✓ |
| SD | Malaise | · | · | ✓ |
| SD | Oropharyngeal pain | · | · | ✓ |
| SD | Pain in extremity | ✓ | ✓ | ✓ |
| SD | Respiratory tract congestion | · | · | ✓ |
| SD | SARS-CoV-2 test negative | · | · | ✓ |
| SRO | Erythema | ✓ | ✓ | ✓ |
| SRO | Flatulence | · | · | ✓ |
| SRO | Hypoaesthesia | ✓ | ✓ | ✓ |
| SRO | Injection site mass | ✓ | ✓ | ✓ |
| SRO | Injection site pain | ✓ | ✓ | ✓ |
| SRO | Injection site swelling | ✓ | ✓ | ✓ |
| SRO | Pain in extremity | ✓ | ✓ | ✓ |
| SRO | Peripheral swelling | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release