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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

  1. 2021-03-04
    Dose 1 — Moderna
  2. 2021-03-13
    Registered in v-safe
  3. 2021-03-13
    Health check-in — day 7, dose 1
    Feeling: Good · None
    Adult check-in
  4. 2021-03-20
    Survey response — day 14, dose 1
    MedDRA: Alopecia, Headache, Pre-existing disease, Vision blurred — Feeling: Fair · Be unable to do your normal daily activities
    Free 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
  5. 2021-03-26
    Survey response — day 21, dose 1
    MedDRA: Fatigue, Muscular weakness, Pre-existing disease, Vision blurred — Feeling: Fair
    Free 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
  6. 2021-04-01
    Dose 2 — Moderna
  7. 2021-09-02
    Health check-in — 6 months, dose 1
    Feeling: Good
    Adult check-in
  8. 2021-11-13
    Dose 3 — Moderna
  9. 2022-03-06
    Health check-in — 12 months, dose 1
    Feeling: Good
    Adult check-in
  10. 2022-04-01
    Dose 4 — Moderna
  11. 2022-04-23
    Health check-in — day 21, dose 4
    Feeling: Good
    Adult check-in
  12. 2022-04-29
    Survey response — day 28, dose 4
    MedDRA: Fatigue, Headache, Insomnia, Office visit — Feeling: Fair · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional
    Free 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
  13. 2022-04-29
    Report sent to call center — day 28, dose 4
    Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional
    1 call case(s)
  14. 2022-05-04
    Call successful
    Not applicable - Accidental Reporting
  15. 2022-05-06
    Survey response — day 35, dose 4
    MedDRA: COVID-19, Headache, Neck pain, Office visit — Feeling: Fair · Get care from a doctor or other healthcare professional · Emergency room or emergency department visit
    Free 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
  16. 2022-05-06
    Report sent to call center — day 35, dose 4
    Get care from a doctor or other healthcare professional
    Emergency room or emergency department visit · 1 call case(s)
  17. 2022-05-09
  18. 2022-05-13
    Call successful
    Not applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill
  19. 2022-07-01
    Health check-in — 3 months, dose 4
    Feeling: Good
    Adult check-in
  20. 2022-09-26
    Dose 5 — Pfizer-BioNTech
  21. 2022-10-01
    Health check-in — 6 months, dose 4
    Feeling: Good
    Adult check-in
  22. 2023-04-01
    Health check-in — 12 months, dose 4
    Feeling: Good
    Adult check-in
  23. 2023-04-01
    Health check-in — 6 months, dose 5
    Feeling: Good
    Adult check-in

Vaccinations

DoseDateManufacturerCo-administered
12021-03-04Moderna
22021-04-01Moderna No
32021-11-13Moderna No
42022-04-01Moderna No
52022-09-26Pfizer-BioNTech No

Call center

2 call center cases

2 successful

See the call center timeline

Free text

Release 6 — day 14, dose 1

2021-03-20

Symptoms: Still losing my hair from COVID-19 since November 6, 2020. Having headaches and occasionally blurred vision.

Release 6 — day 21, dose 1

2021-03-26

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

2022-04-29

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

2022-05-06

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

FieldPreferred term2021-092023-042024-11
HCVOOffice visit · · ✓
SDAlopecia ✓ ✓ ✓
SDCOVID-19 · · ✓
SDFatigue ✓ ✓ ✓
SDHeadache ✓ ✓ ✓
SDInsomnia · · ✓
SDMuscular weakness ✓ ✓ ✓
SDNeck pain · · ✓
SDPre-existing disease ✓ ✓ ✓
SDVision blurred ✓ ✓ ✓

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