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57M-27562-58148

2 vaccinations 3 coded responses 12 check-ins 3 free-text entries 1 call case
Sex
Female
Age at first dose
66+
ZIP prefix
252 / WV
Registered
2021-01-05
Relationship
Self
Race
White
Ethnicity
Not Hispanic or Latino

Timeline

  1. 2020-12-30
    Dose 1 — Moderna
  2. 2021-01-05
    Registered in v-safe
  3. 2021-01-08
    Health check-in — day 7, dose 1
    Feeling: Good · Site: Pain, Itching · None
    Adult check-in
  4. 2021-01-13
    Survey response — day 14, dose 1
    MedDRA: Fatigue, Feeling abnormal, Headache, Pyrexia — Feeling: Fair · Be unable to do your normal daily activities
    Free text: Low grade fever, headache, fatigue, not myself. Have felt this way since Jan. 8th was quesy for 2-3 days too. . Got PCR on 12th. Waiting fir results. Rapid & flu negative.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  5. 2021-01-13
    Report sent to call center — day 14, dose 1
    Be unable to do your normal daily activities
    1 call case(s)
  6. 2021-01-21
    Health check-in — day 21, dose 1
    Feeling: Good
    Adult check-in
  7. 2021-01-26
    Dose 2 — Moderna
  8. 2021-02-05
    Survey response — day 7, dose 2
    MedDRA: Chills, Fatigue, Nausea, Pyrexia — Feeling: Good · Site: Pain, Itching · Chills
    Free text: About 30 hrs. after getting 2nd IHad chills, feverish, nausea, tiredness until laye the next morning. Then was fine.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  9. 2021-02-09
    Health check-in — day 14, dose 2
    Feeling: Good
    Adult check-in
  10. 2021-02-16
    Health check-in — day 21, dose 2
    Feeling: Good
    Adult check-in
  11. 2021-02-23
    Health check-in — day 28, dose 2
    Feeling: Good
    Adult check-in
  12. 2021-03-04
    Health check-in — day 35, dose 2
    Feeling: Good
    Adult check-in
  13. 2021-03-11
    Health check-in — day 42, dose 2
    Feeling: Good
    Adult check-in
  14. 2021-04-27
    Survey response — 3 months, dose 2
    MedDRA: Fatigue, Pain, Pyrexia, SARS-CoV-2 test negative — Feeling: Good · Be unable to work, Be unable to do your normal daily activities
    Free text: Had chills, the runs, nausea, low grade fever and fatigue April 3rd. Then only Low grade fever & fatigue April 4th through April 8th. Nonrapid Test on 4/5. (Came out negative)
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  15. 2021-07-27
    Health check-in — 6 months, dose 2
    Feeling: Good
    Adult check-in
  16. 2022-01-26
    Health check-in — 12 months, dose 2
    Feeling: Good
    Adult check-in

Vaccinations

DoseDateManufacturerCo-administered
12020-12-30Moderna
22021-01-26Moderna

Call center

1 call center case

1 priority 2/3 (triaged and no follow up)

See the call center timeline

Free text

Release 1 — day 14, dose 1

2021-01-13

Symptoms: Low grade fever, headache, fatigue, not myself. Have felt this way since Jan. 8th was quesy for 2-3 days too. . Got PCR on 12th. Waiting fir results. Rapid & flu negative.

Release 3 — day 7, dose 2

2021-02-05

Systemic reaction (other): About 30 hrs. after getting 2nd IHad chills, feverish, nausea, tiredness until laye the next morning. Then was fine.

Release 8 — 3 months, dose 2

2021-04-27

Symptoms: Had chills, the runs, nausea, low grade fever and fatigue April 3rd. Then only Low grade fever & fatigue April 4th through April 8th. Nonrapid Test on 4/5. (Came out negative)

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
SDFatigue ✓ ✓ ✓
SDFeeling abnormal ✓ ✓ ✓
SDHeadache ✓ ✓ ✓
SDPain ✓ ✓ ✓
SDPyrexia ✓ ✓ ✓
SDSARS-CoV-2 test negative ✓ ✓ ✓
SROChills ✓ ✓ ✓
SROFatigue ✓ ✓ ✓
SRONausea ✓ ✓ ✓
SROPyrexia ✓ ✓ ✓

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