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4WD-23158-84355

1 vaccination 3 coded responses 4 check-ins 3 free-text entries 0 call cases
Sex
Female
Age at first dose
61-65
ZIP prefix
300 / GA
Registered
2021-04-02
Relationship
Self
Race
Black or African American
Ethnicity
Not Hispanic or Latino

Timeline

  1. 2021-03-17
    Dose 1 — Moderna
  2. 2021-04-02
    Registered in v-safe
  3. 2021-04-02
    Survey response — day 14, dose 1
    MedDRA: Chest pain, Chills, Lethargy, Pain, Pyrexia — Feeling: Fair · Be unable to do your normal daily activities
    Free text: Got my first shot March 17th.I tested for COVID-19 on March 29th (Monday). On March 31st (Thursday) my results came back as positive.....fever, chills, lethargy, chest pain, achiness
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  4. 2021-04-07
    Survey response — day 21, dose 1
    MedDRA: COVID-19, Fatigue — Feeling: Fair · Be unable to do your normal daily activities
    Free text: I contracted Covid a couple of weeks ago at gathering at (b)(6). I'm getting better, but I'm still fatigued.Concerned about ongoing gatherings at that particular church.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  5. 2021-04-14
    Survey response — day 28, dose 1
    MedDRA: Cough, Fatigue — Feeling: Good · Be unable to do your normal daily activities
    Free text: Still have a cough, after having the COVID-19 virus, and still get a little fatigued.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  6. 2021-06-17
    Health check-in — 3 months, dose 1
    Feeling: Good
    Adult check-in

Vaccinations

DoseDateManufacturerCo-administered
12021-03-17Moderna

Free text

Release 6 — day 14, dose 1

2021-04-02

Symptoms: Got my first shot March 17th.I tested for COVID-19 on March 29th (Monday). On March 31st (Thursday) my results came back as positive.....fever, chills, lethargy, chest pain, achiness

Release 7 — day 21, dose 1

2021-04-07

Symptoms: I contracted Covid a couple of weeks ago at gathering at (b)(6). I'm getting better, but I'm still fatigued.Concerned about ongoing gatherings at that particular church.
redacted (b)(6)

Release 7 — day 28, dose 1

2021-04-14

Symptoms: Still have a cough, after having the COVID-19 virus, and still get a little fatigued.

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
SDChest pain ✓ ✓ ✓
SDChills ✓ ✓ ✓
SDCough ✓ ✓ ✓
SDCOVID-19 ✓ ✓ ✓
SDFatigue ✓ ✓ ✓
SDLethargy ✓ ✓ ✓
SDPain ✓ ✓ ✓
SDPyrexia ✓ ✓ ✓

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