6H4-30919-22086
2 vaccinations
8 coded responses
19 check-ins
8 free-text entries
1 call case
- Sex
- Female
- Age at first dose
- 51-55
- ZIP prefix
- 296 / SC
- Registered
- 2021-04-02
- Relationship
- Self
- Race
- Other
- Ethnicity
- Not Hispanic or Latino
Timeline
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2021-04-02
Registered in v-safe
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2021-04-02
Dose 1 — Moderna
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2021-04-02
Survey response — day 0, dose 1MedDRA: Nasopharyngitis — Feeling: Fair · Site: PainFree text: Just feel like I have a head cold.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-04-04
Survey response — days 1–6 daily, dose 1MedDRA: Nasopharyngitis — Feeling: Good · Site: Pain, Itching · Abdominal painFree text: Still symptoms of a head cold.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-04-05
Survey response — days 1–6 daily, dose 1MedDRA: Injection site reaction, Muscle spasms — Feeling: Good · Site: Pain, Redness, Itching · DiarrheaFree text: Spasms in location of the injectionMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-04-06
Health check-in — days 1–6 daily, dose 1Feeling: Good · Site: Pain, Itching · Diarrhea, Abdominal painAdult check-in
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2021-04-08
Health check-in — days 1–6 daily, dose 1Feeling: Good · Site: Pain, Itching · Fatigue or tiredness, Diarrhea · Be unable to do your normal daily activitiesAdult check-in
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2021-04-09
Health check-in — day 7, dose 1Feeling: Good · Site: Itching · Joint pains, Fatigue or tirednessAdult check-in
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2021-04-16
Survey response — day 14, dose 1MedDRA: Fatigue, Somnolence — Feeling: Fair · Be unable to do your normal daily activitiesFree text: The fatigue is worsening. Im so tired I can barely function. I could sleep all day.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-04-23
Survey response — day 21, dose 1MedDRA: Arthralgia, Feeding disorder, Joint swelling — Feeling: Good · Be unable to do your normal daily activitiesFree text: Swelling lips that are very painful and cause difficulty eating. I will schedule a doctor visit if no improvement over the weekend.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-04-30
Dose 2 — Moderna
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2021-05-01
Survey response — days 1–6 daily, dose 2MedDRA: Decreased appetite — Feeling: Poor · Site: Pain, Swelling · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to do your normal daily activitiesFree text: Loss of appetiteMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-05-02
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Site: Pain, Swelling, Itching · Joint pains, Muscle or body aches, Nausea, DiarrheaAdult check-in
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2021-05-03
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Site: Pain, Redness, Swelling, Itching · Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to workAdult check-in
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2021-05-05
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Site: Pain, Swelling, Itching · Fever · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea, Diarrhea · Be unable to do your normal daily activitiesAdult check-in
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2021-05-06
Survey response — days 1–6 daily, dose 2MedDRA: Night sweats, Telemedicine — Feeling: Fair · Site: Itching · Fever · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea, Diarrhea, Abdominal pain · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professionalFree text: Systemic reaction (other): Extreme night sweats · Healthcare visit (other): Scheduled telehealth visit for the night sweats.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-05-06
Report sent to call center — days 1–6 daily, dose 2Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional1 call case(s)
- 2021-05-09
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2021-05-14
Survey response — day 14, dose 2MedDRA: Arthralgia — Feeling: GoodFree text: Joint pain was worse for a couple of days.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-05-21
- 2021-05-28
- 2021-07-30
- 2021-11-05
- 2022-05-05
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-04-02 | Moderna | |
| 2 | 2021-04-30 | Moderna |
Call center
1 call center case
1 unsuccessful
1 wait over 3 months for a first call
Free text
Release 6 — day 0, dose 1
Systemic reaction (other): Just feel like I have a head cold.
Release 6 — days 1–6 daily, dose 1
Systemic reaction (other): Still symptoms of a head cold.
Systemic reaction (other): Spasms in location of the injection
Release 7 — day 14, dose 1
Symptoms: The fatigue is worsening. Im so tired I can barely function. I could sleep all day.
Release 7 — day 21, dose 1
Symptoms: Swelling lips that are very painful and cause difficulty eating. I will schedule a doctor visit if no improvement over the weekend.
Release 8 — days 1–6 daily, dose 2
Systemic reaction (other): Loss of appetite
Systemic reaction (other): Extreme night sweats
Healthcare visit (other): Scheduled telehealth visit for the night sweats.
Release 8 — day 14, dose 2
Symptoms: Joint pain was worse for a couple of days.
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 | Telemedicine | ✓ | ✓ | ✓ |
| SD | Arthralgia | ✓ | ✓ | ✓ |
| SD | Fatigue | ✓ | ✓ | ✓ |
| SD | Feeding disorder | ✓ | ✓ | ✓ |
| SD | Joint swelling | ✓ | ✓ | ✓ |
| SD | Somnolence | ✓ | ✓ | ✓ |
| SRO | Decreased appetite | ✓ | ✓ | ✓ |
| SRO | Injection site reaction | ✓ | ✓ | ✓ |
| SRO | Muscle spasms | ✓ | ✓ | ✓ |
| SRO | Nasopharyngitis | ✓ | ✓ | ✓ |
| SRO | Night sweats | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release