4VW-10820-36319
2 vaccinations
6 coded responses
22 check-ins
6 free-text entries
1 call case
- Sex
- Female
- Age at first dose
- 66+
- ZIP prefix
- 363 / AL
- Registered
- 2021-01-27
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-01-26
Dose 1 — Moderna
-
2021-01-27
Registered in v-safe
-
2021-01-27
Survey response — days 1–6 daily, dose 1MedDRA: Feeling abnormal — Feeling: Poor · Site: Pain · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to workFree text: Just feel really badMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-01-29
Health check-in — days 1–6 daily, dose 1Feeling: Good · Site: Pain, Redness, Swelling, Itching · NoneAdult check-in
-
2021-01-30
Survey response — days 1–6 daily, dose 1MedDRA: Arthralgia, Body temperature increased, Fatigue, Feeling abnormal, Headache, Impaired work ability, Myalgia — Feeling: Fair · Site: Pain, Itching · Headache, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activitiesFree text: I have had a lot of tiredness since I had the vaccine. The day after I got the vaccine, I had 100.7 temp lasting most of the day. Also had a headache, and muscle pain. All my joints hurt, and I had to leave work to go home and go to bed around noon. I slept until the next morning, waking occasionally, and going right back to sleep. I really felt bad. The next day, I was ok, but the fatigue and feeling depleted are still an issue.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-02-02
Survey response — day 7, dose 1MedDRA: Dysgeusia, Dyspnoea, Fatigue — Feeling: Fair · Fatigue or tirednessFree text: Very tired, bad taste in my mouth, shortness of breathMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-02-09
- 2021-02-16
- 2021-02-23
-
2021-02-25
Dose 2 — Moderna
-
2021-02-26
Survey response — days 1–6 daily, dose 2MedDRA: Feeling cold — Feeling: Poor · Site: Pain, Redness · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to work, Be unable to do your normal daily activitiesFree text: Just feel really bad. Cant get warm.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-02-27
-
2021-02-28
Survey response — days 1–6 daily, dose 2MedDRA: Fatigue — Feeling: Fair · 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: Extremely tiredMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-03-01
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Fatigue or tiredness · Be unable to do your normal daily activitiesAdult check-in
- 2021-03-02
- 2021-03-03
- 2021-03-04
- 2021-03-11
- 2021-03-18
- 2021-03-25
- 2021-04-01
-
2021-04-09
Survey response — day 42, dose 2MedDRA: Fatigue, Office visit — Feeling: Fair · Be unable to work, Be unable to do your normal daily activities, Get care from a doctor or other healthcare professionalFree text: Symptoms: Fatigue and general in well feeling. Not sure if related to vaccine. The field is required to be answered, but I dont know what is causing the extreme fatigue that has been a problem since the first of the year. I thought it would go away. · Healthcare visit (other): Primary physicianMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-04-09
Report sent to call center — day 42, dose 2Be unable to work · Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional1 call case(s)
- 2021-06-03
- 2021-08-28
- 2022-02-27
-
2022-03-21
Call successfulNot applicable (accidental reporting or does not believe symptoms are related to vaccine)
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-01-26 | Moderna | |
| 2 | 2021-02-25 | Moderna |
Call center
1 call center case
1 successful
Free text
Release 2 — days 1–6 daily, dose 1
Systemic reaction (other): Just feel really bad
Release 3 — days 1–6 daily, dose 1
Systemic reaction (other): I have had a lot of tiredness since I had the vaccine. The day after I got the vaccine, I had 100.7 temp lasting most of the day. Also had a headache, and muscle pain. All my joints hurt, and I had to leave work to go home and go to bed around noon. I slept until the next morning, waking occasionally, and going right back to sleep. I really felt bad. The next day, I was ok, but the fatigue and feeling depleted are still an issue.
Release 3 — day 7, dose 1
Systemic reaction (other): Very tired, bad taste in my mouth, shortness of breath
Release 4 — days 1–6 daily, dose 2
Systemic reaction (other): Just feel really bad. Cant get warm.
Systemic reaction (other): Extremely tired
Release 7 — day 42, dose 2
Symptoms: Fatigue and general in well feeling. Not sure if related to vaccine. The field is required to be answered, but I dont know what is causing the extreme fatigue that has been a problem since the first of the year. I thought it would go away.
Healthcare visit (other): Primary physician
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 | Office visit | ✓ | ✓ | ✓ |
| SD | Fatigue | ✓ | ✓ | ✓ |
| SRO | Arthralgia | ✓ | ✓ | ✓ |
| SRO | Body temperature increased | ✓ | ✓ | ✓ |
| SRO | Dysgeusia | ✓ | ✓ | ✓ |
| SRO | Dyspnoea | ✓ | ✓ | ✓ |
| SRO | Fatigue | ✓ | ✓ | ✓ |
| SRO | Feeling abnormal | ✓ | ✓ | ✓ |
| SRO | Feeling cold | ✓ | ✓ | ✓ |
| SRO | Headache | ✓ | ✓ | ✓ |
| SRO | Impaired work ability | ✓ | ✓ | ✓ |
| SRO | Myalgia | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release