5H7-24318-24097
5 vaccinations
4 coded responses
12 check-ins
4 free-text entries
2 call cases
- Sex
- Female
- Age at first dose
- 56-60
- ZIP prefix
- 257 / WV
- Registered
- 2021-03-13
- Relationship
- Self
- Race
- Black or African American
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-03-04
Dose 1 — Moderna
-
2021-03-13
Registered in v-safe
- 2021-03-13
-
2021-03-20
Survey response — day 14, dose 1MedDRA: Alopecia, Headache, Pre-existing disease, Vision blurred — Feeling: Fair · Be unable to do your normal daily activitiesFree text: Still losing my hair from COVID-19 since November 6, 2020. Having headaches and occasionally blurred vision.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-03-26
Survey response — day 21, dose 1MedDRA: Fatigue, Muscular weakness, Pre-existing disease, Vision blurred — Feeling: FairFree text: Notices that I am experiencing weakness in my arms and legs. Don't know if it's from Covid-19 or the health condition of diabetes; still have fatigue symptoms and little blurriness in the eyes.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-04-01
Dose 2 — Moderna
- 2021-09-02
-
2021-11-13
Dose 3 — Moderna
- 2022-03-06
-
2022-04-01
Dose 4 — Moderna
- 2022-04-23
-
2022-04-29
Survey response — day 28, dose 4MedDRA: Fatigue, Headache, Insomnia, Office visit — Feeling: Fair · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professionalFree text: Symptoms: I am still fatigue and having headaches (starting from the base of my neck and moving towards the front); tiredness and insomnia. · Healthcare visit (other): Kept my regular schedule doctors appointments.MedDRA releases: 2024-11 · check-in free text available
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2022-04-29
Report sent to call center — day 28, dose 4Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional1 call case(s)
-
2022-05-04
Call successfulNot applicable - Accidental Reporting
-
2022-05-06
Survey response — day 35, dose 4MedDRA: COVID-19, Headache, Neck pain, Office visit — Feeling: Fair · Get care from a doctor or other healthcare professional · Emergency room or emergency department visitFree text: Symptoms: Suffering with headaches, it starts in my neck and goes to my head. It starts after I had convid-19. · Healthcare visit (other): My regular primary doctor.MedDRA releases: 2024-11 · check-in free text available
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2022-05-06
Report sent to call center — day 35, dose 4Get care from a doctor or other healthcare professionalEmergency room or emergency department visit · 1 call case(s)
- 2022-05-09
-
2022-05-13
Call successfulNot applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill
- 2022-07-01
-
2022-09-26
Dose 5 — Pfizer-BioNTech
- 2022-10-01
- 2023-04-01
- 2023-04-01
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-03-04 | Moderna | |
| 2 | 2021-04-01 | Moderna | No |
| 3 | 2021-11-13 | Moderna | No |
| 4 | 2022-04-01 | Moderna | No |
| 5 | 2022-09-26 | Pfizer-BioNTech | No |
Call center
2 call center cases
2 successful
Free text
Release 6 — day 14, dose 1
Symptoms: Still losing my hair from COVID-19 since November 6, 2020. Having headaches and occasionally blurred vision.
Release 6 — day 21, dose 1
Symptoms: Notices that I am experiencing weakness in my arms and legs. Don't know if it's from Covid-19 or the health condition of diabetes; still have fatigue symptoms and little blurriness in the eyes.
Release 11 — day 28, dose 4
Symptoms: I am still fatigue and having headaches (starting from the base of my neck and moving towards the front); tiredness and insomnia.
Healthcare visit (other): Kept my regular schedule doctors appointments.
Release 11 — day 35, dose 4
Symptoms: Suffering with headaches, it starts in my neck and goes to my head. It starts after I had convid-19.
Healthcare visit (other): My regular primary doctor.
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 | Alopecia | ✓ | ✓ | ✓ |
| SD | COVID-19 | · | · | ✓ |
| SD | Fatigue | ✓ | ✓ | ✓ |
| SD | Headache | ✓ | ✓ | ✓ |
| SD | Insomnia | · | · | ✓ |
| SD | Muscular weakness | ✓ | ✓ | ✓ |
| SD | Neck pain | · | · | ✓ |
| SD | Pre-existing disease | ✓ | ✓ | ✓ |
| SD | Vision blurred | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release