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4WV-10717-89203

2 vaccinations 7 coded responses 17 check-ins 7 free-text entries 1 call case
Sex
Male
Age at first dose
46-50
ZIP prefix
787 / TX
Registered
2021-01-26
Relationship
Self
Race
White
Ethnicity
Hispanic or Latino

Timeline

  1. 2021-01-25
    Dose 1 — Moderna
  2. 2021-01-26
    Registered in v-safe
  3. 2021-01-26
    Health check-in — days 1–6 daily, dose 1
    Feeling: Poor · Site: Pain, Redness · Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to work, Be unable to do your normal daily activities
    Adult check-in
  4. 2021-01-27
    Survey response — days 1–6 daily, dose 1
    MedDRA: Hypersomnia — Feeling: Fair · Site: Pain, Swelling · Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to work
    Free text: Acute sense of smell
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  5. 2021-01-28
    Health check-in — days 1–6 daily, dose 1
    Feeling: Fair · Site: Itching · Nausea
    Adult check-in
  6. 2021-01-29
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · None
    Adult check-in
  7. 2021-01-30
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · Diarrhea
    Adult check-in
  8. 2021-02-01
    Survey response — day 7, dose 1
    MedDRA: Paraesthesia, Parosmia — Feeling: Fair · Fatigue or tiredness, Diarrhea
    Free text: Fantom water going down my right leg, and increased sense of smell
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  9. 2021-02-10
    Health check-in — day 14, dose 1
    Feeling: Good
    Adult check-in
  10. 2021-02-15
    Survey response — day 21, dose 1
    MedDRA: Parosmia — Feeling: Good
    Free text: Smell ,, everything smells different
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  11. 2021-02-22
    Health check-in — day 28, dose 1
    Feeling: Good
    Adult check-in
  12. 2021-02-26
    Dose 2 — Moderna
  13. 2021-03-08
    Survey response — day 7, dose 2
    MedDRA: Respiratory tract congestion — Feeling: Poor · Fatigue or tiredness · Be unable to work
    Free text: Lung congestion
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  14. 2021-03-14
    Survey response — day 14, dose 2
    MedDRA: Cold sweat, Cough, Nasopharyngitis, Oropharyngeal pain, Pain, Pulmonary congestion — Feeling: Poor · Be unable to work
    Free text: Cold symptoms, ache, lung congestion, sore throat, cough. Clamy but no fever
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  15. 2021-03-19
    Survey response — day 21, dose 2
    MedDRA: Fatigue — Feeling: Poor
    Free text: Tired, exhausted
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  16. 2021-03-28
    Health check-in — day 28, dose 2
    Feeling: Good
    Adult check-in
  17. 2021-04-04
    Health check-in — day 35, dose 2
    Feeling: Good
    Adult check-in
  18. 2021-04-11
    Health check-in — day 42, dose 2
    Feeling: Good
    Adult check-in
  19. 2021-05-31
    Health check-in — 3 months, dose 2
    Feeling: Good
    Adult check-in
  20. 2021-08-27
    Survey response — 6 months, dose 2
    MedDRA: COVID-19, Delirium, Diarrhoea, Fatigue, Hypoaesthesia, Nausea, Productive cough — Feeling: Poor · 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, Emergency room or emergency department visit
    Free text: Recovering from covid, i have a lingering delirium and an uneasy stomach and diarrhea, hands and feet feeling numb and still holding a mild productive cough, daily routine is more exhausting than i remember.
    MedDRA releases: 2021-09,2024-11 · check-in free text available
  21. 2021-08-27
    Report sent to call center — 6 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
    1 call case(s)
  22. 2021-09-01
    Call successful
    Not applicable (accidental reporting or does not believe symptoms are related to vaccine)

Vaccinations

DoseDateManufacturerCo-administered
12021-01-25Moderna
22021-02-26Moderna

Call center

1 call center case

1 successful

See the call center timeline

Free text

Release 2 — days 1–6 daily, dose 1

2021-01-27

Systemic reaction (other): Acute sense of smell

Release 3 — day 7, dose 1

2021-02-01

Systemic reaction (other): Fantom water going down my right leg, and increased sense of smell

Release 4 — day 21, dose 1

2021-02-15

Symptoms: Smell ,, everything smells different

Release 5 — day 7, dose 2

2021-03-08

Systemic reaction (other): Lung congestion

Release 5 — day 14, dose 2

2021-03-14

Symptoms: Cold symptoms, ache, lung congestion, sore throat, cough. Clamy but no fever

Release 5 — day 21, dose 2

2021-03-19

Symptoms: Tired, exhausted

Release 9 — 6 months, dose 2

2021-08-27

Symptoms: Recovering from covid, i have a lingering delirium and an uneasy stomach and diarrhea, hands and feet feeling numb and still holding a mild productive cough, daily routine is more exhausting than i remember.

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
SDCold sweat ✓ ✓ ✓
SDCough ✓ ✓ ✓
SDCOVID-19 ✓ · ✓
SDDelirium ✓ · ✓
SDDiarrhoea ✓ · ✓
SDFatigue ✓ ✓ ✓
SDHypoaesthesia ✓ · ✓
SDNasopharyngitis ✓ ✓ ✓
SDNausea ✓ · ✓
SDOropharyngeal pain ✓ ✓ ✓
SDPain ✓ ✓ ✓
SDParosmia ✓ ✓ ✓
SDProductive cough ✓ · ✓
SDPulmonary congestion ✓ ✓ ✓
SROHypersomnia ✓ ✓ ✓
SROParaesthesia ✓ ✓ ✓
SROParosmia ✓ ✓ ✓
SRORespiratory tract congestion ✓ ✓ ✓

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