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
-
2020-12-30
Dose 1 — Moderna
-
2021-01-05
Registered in v-safe
- 2021-01-08
-
2021-01-13
Survey response — day 14, dose 1MedDRA: Fatigue, Feeling abnormal, Headache, Pyrexia — Feeling: Fair · Be unable to do your normal daily activitiesFree 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
-
2021-01-13
Report sent to call center — day 14, dose 1Be unable to do your normal daily activities1 call case(s)
- 2021-01-21
-
2021-01-26
Dose 2 — Moderna
-
2021-02-05
Survey response — day 7, dose 2MedDRA: Chills, Fatigue, Nausea, Pyrexia — Feeling: Good · Site: Pain, Itching · ChillsFree 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
- 2021-02-09
- 2021-02-16
- 2021-02-23
- 2021-03-04
- 2021-03-11
-
2021-04-27
Survey response — 3 months, dose 2MedDRA: Fatigue, Pain, Pyrexia, SARS-CoV-2 test negative — Feeling: Good · Be unable to work, Be unable to do your normal daily activitiesFree 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
- 2021-07-27
- 2022-01-26
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2020-12-30 | Moderna | |
| 2 | 2021-01-26 | Moderna |
Call center
1 call center case
1 priority 2/3 (triaged and no follow up)
Free text
Release 1 — day 14, dose 1
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
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
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
| Field | Preferred term | 2021-09 | 2023-04 | 2024-11 |
|---|---|---|---|---|
| SD | Fatigue | ✓ | ✓ | ✓ |
| SD | Feeling abnormal | ✓ | ✓ | ✓ |
| SD | Headache | ✓ | ✓ | ✓ |
| SD | Pain | ✓ | ✓ | ✓ |
| SD | Pyrexia | ✓ | ✓ | ✓ |
| SD | SARS-CoV-2 test negative | ✓ | ✓ | ✓ |
| SRO | Chills | ✓ | ✓ | ✓ |
| SRO | Fatigue | ✓ | ✓ | ✓ |
| SRO | Nausea | ✓ | ✓ | ✓ |
| SRO | Pyrexia | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release