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5U9-58483-38574

4 vaccinations 5 coded responses 28 check-ins 5 free-text entries 0 call cases
Sex
Female
Age at first dose
66+
ZIP prefix
257 / WV
Registered
2021-08-17
Relationship
Self
Race
White
Ethnicity
Not Hispanic or Latino

Timeline

  1. 2021-02-22
    Dose 1 — Moderna
  2. 2021-03-23
    Dose 2 — Moderna
  3. 2021-08-17
    Registered in v-safe
  4. 2021-08-17
    Dose 3 — Moderna
  5. 2021-08-17
    Health check-in — day 0, dose 3
    Feeling: Good · Site: Pain · None
    Adult check-in
  6. 2021-08-18
    Health check-in — days 1–6 daily, dose 3
    Feeling: Poor · Site: Pain · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea, Abdominal pain · Be unable to do your normal daily activities
    Adult check-in
  7. 2021-08-19
    Health check-in — days 1–6 daily, dose 3
    Feeling: Fair · Site: Pain · Fatigue or tiredness, Nausea · Be unable to do your normal daily activities
    Adult check-in
  8. 2021-08-20
    Survey response — days 1–6 daily, dose 3
    MedDRA: Asthenia — Feeling: Good
    Free text: Still a little weak
    MedDRA releases: 2021-09,2024-11 · check-in free text available
  9. 2021-08-21
    Survey response — days 1–6 daily, dose 3
    MedDRA: Asthenia, Heart rate increased — Feeling: Good
    Free text: Still weak with rapid pulse
    MedDRA releases: 2021-09,2024-11 · check-in free text available
  10. 2021-08-22
    Survey response — days 1–6 daily, dose 3
    MedDRA: Asthenia, Exercise tolerance decreased — Feeling: Good
    Free text: General weakness continues. Still unable to exercise on treadmill as I was prior to 3rd vaccine
    MedDRA releases: 2021-09,2024-11 · check-in free text available
  11. 2021-08-23
    Health check-in — days 1–6 daily, dose 3
    Feeling: Good · None
    Adult check-in
  12. 2021-08-24
    Health check-in — day 7, dose 3
    Feeling: Good · None
    Adult check-in
  13. 2021-09-01
    Health check-in — day 14, dose 3
    Feeling: Good
    Adult check-in
  14. 2021-09-07
    Health check-in — day 21, dose 3
    Feeling: Good
    Adult check-in
  15. 2021-09-14
    Health check-in — day 28, dose 3
    Feeling: Good
    Adult check-in
  16. 2021-09-21
    Survey response — day 35, dose 3
    MedDRA: Dizziness, Fatigue, Feeling abnormal, Headache — Feeling: Fair · Be unable to do your normal daily activities
    Free text: Some days I have extreme fatigue. Other days I feel like myself again. Dizziness (almost fell a few times) and headaches off and on the past week.
    MedDRA releases: 2024-11 · check-in free text available
  17. 2021-09-29
    Survey response — day 42, dose 3
    MedDRA: Balance disorder, Dizziness, Dizziness postural, Dyspnoea, Fall, Head discomfort, Headache — Feeling: Fair · Be unable to do your normal daily activities
    Free text: Dizziness and headache. Lose my balance when I bend over for to dizziness. Feels like fluid in my head, lol. Fell once. Shortness of breath
    MedDRA releases: 2024-11 · check-in free text available
  18. 2021-11-16
    Health check-in — 3 months, dose 3
    Feeling: Good
    Adult check-in
  19. 2022-02-15
    Health check-in — 6 months, dose 3
    Feeling: Good
    Adult check-in
  20. 2022-04-11
    Dose 4 — Moderna
  21. 2022-04-14
    Health check-in — days 1–6 daily, dose 4
    Feeling: Fair · Site: Pain, Redness, Swelling, Itching · Fatigue or tiredness · Be unable to do your normal daily activities
    Adult check-in
  22. 2022-04-15
    Health check-in — days 1–6 daily, dose 4
    Feeling: Fair · Site: Pain, Redness, Swelling · Joint pains, Fatigue or tiredness, Nausea · Be unable to do your normal daily activities
    Adult check-in
  23. 2022-04-16
    Health check-in — days 1–6 daily, dose 4
    Feeling: Good · Site: Itching · None
    Adult check-in
  24. 2022-04-17
    Health check-in — days 1–6 daily, dose 4
    Feeling: Good · None
    Adult check-in
  25. 2022-04-18
    Health check-in — day 7, dose 4
    Feeling: Good · None
    Adult check-in
  26. 2022-04-25
    Health check-in — day 14, dose 4
    Feeling: Good
    Adult check-in
  27. 2022-05-02
    Health check-in — day 21, dose 4
    Feeling: Good
    Adult check-in
  28. 2022-05-09
    Health check-in — day 28, dose 4
    Feeling: Good
    Adult check-in
  29. 2022-05-16
    Health check-in — day 35, dose 4
    Feeling: Good
    Adult check-in
  30. 2022-05-23
    Health check-in — day 42, dose 4
    Feeling: Good
    Adult check-in
  31. 2022-07-11
    Health check-in — 3 months, dose 4
    Feeling: Good
    Adult check-in
  32. 2022-10-12
    Health check-in — 6 months, dose 4
    Feeling: Good
    Adult check-in
  33. 2023-04-13
    Health check-in — 12 months, dose 4
    Feeling: Good
    Adult check-in

Vaccinations

DoseDateManufacturerCo-administered
12021-02-22Moderna No
22021-03-23Moderna No
32021-08-17Moderna No
42022-04-11Moderna No

Free text

Release 9 — days 1–6 daily, dose 3

2021-08-20

Systemic reaction (other): Still a little weak

2021-08-21

Systemic reaction (other): Still weak with rapid pulse

2021-08-22

Systemic reaction (other): General weakness continues. Still unable to exercise on treadmill as I was prior to 3rd vaccine

Release 9 — day 35, dose 3

2021-09-21

Symptoms: Some days I have extreme fatigue. Other days I feel like myself again. Dizziness (almost fell a few times) and headaches off and on the past week.

Release 9 — day 42, dose 3

2021-09-29

Symptoms: Dizziness and headache. Lose my balance when I bend over for to dizziness. Feels like fluid in my head, lol. Fell once. Shortness of breath

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
SDBalance disorder · · ✓
SDDizziness · · ✓
SDDizziness postural · · ✓
SDDyspnoea · · ✓
SDFall · · ✓
SDFatigue · · ✓
SDFeeling abnormal · · ✓
SDHead discomfort · · ✓
SDHeadache · · ✓
SROAsthenia ✓ · ✓
SROExercise tolerance decreased ✓ · ✓
SROHeart rate increased ✓ · ✓

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