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6KK-28683-34810

4 vaccinations 3 coded responses 27 check-ins 3 free-text entries 0 call cases
Sex
Female
Age at first dose
51-55
ZIP prefix
254 / WV
Registered
2021-01-23
Relationship
Self
Race
White
Ethnicity
Not Hispanic or Latino

Timeline

  1. 2021-01-23
    Registered in v-safe
  2. 2021-01-23
    Dose 1 — Moderna
  3. 2021-01-23
    Health check-in — day 0, dose 1
    Feeling: Fair · Site: Pain · None
    Adult check-in
  4. 2021-01-24
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · Site: Pain · None
    Adult check-in
  5. 2021-01-25
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · Site: Pain · None
    Adult check-in
  6. 2021-01-26
    Health check-in — days 1–6 daily, dose 1
    Feeling: Fair · Fever · Fatigue or tiredness
    Adult check-in
  7. 2021-01-27
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · Fever · None
    Adult check-in
  8. 2021-01-28
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · Headache
    Adult check-in
  9. 2021-01-29
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · None
    Adult check-in
  10. 2021-01-30
    Health check-in — day 7, dose 1
    Feeling: Good · None
    Adult check-in
  11. 2021-02-06
    Survey response — day 14, dose 1
    MedDRA: Allergy to chemicals, Chemotherapy, Hypersensitivity, Pre-existing disease, Rhinorrhoea, Secretion discharge, Sneezing — Feeling: Good · Be unable to do your normal daily activities
    Free text: Allergies. My nose ran and I sneezed profusely for about 4 days. Mucus was clear like water. Since having chemo two years ago this happens from time to time when exposed cleaning chemicals. I had no exposure to anything this time.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  12. 2021-02-13
    Health check-in — day 21, dose 1
    Feeling: Good
    Adult check-in
  13. 2021-02-20
    Survey response — day 28, dose 1
    MedDRA: Back pain, Pre-existing disease — Feeling: Good
    Free text: Lower back where Ive had two surgeries has been pretty sore. Probably not related to the vax
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  14. 2021-02-26
    Dose 2 — Moderna
  15. 2021-02-26
    Health check-in — day 0, dose 2
    Feeling: Good · None
    Adult check-in
  16. 2021-02-27
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · Site: Pain · None
    Adult check-in
  17. 2021-02-28
    Health check-in — days 1–6 daily, dose 2
    Feeling: Fair · Fever · Chills, Fatigue or tiredness
    Adult check-in
  18. 2021-03-01
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · Fever · Headache, Fatigue or tiredness
    Adult check-in
  19. 2021-03-02
    Health check-in — days 1–6 daily, dose 2
    Feeling: Fair · Fever · Headache, Fatigue or tiredness · Be unable to do your normal daily activities
    Adult check-in
  20. 2021-03-03
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · Headache, Fatigue or tiredness
    Adult check-in
  21. 2021-03-04
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · Fatigue or tiredness
    Adult check-in
  22. 2021-03-05
    Health check-in — day 7, dose 2
    Feeling: Good · Fever · None
    Adult check-in
  23. 2021-03-14
    Survey response — day 14, dose 2
    MedDRA: Lymph node pain, Pulmonary pain — Feeling: Good
    Free text: Had a painful lymph node on rib cage on shot side. Also painful spot inside my lung for one day. Lymph node was sore to touch and without touch. Was completely better after 36 hrs.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  24. 2021-03-19
    Health check-in — day 21, dose 2
    Feeling: Good
    Adult check-in
  25. 2021-03-26
    Health check-in — day 28, dose 2
    Feeling: Good
    Adult check-in
  26. 2021-04-02
    Health check-in — day 35, dose 2
    Feeling: Good
    Adult check-in
  27. 2021-04-09
    Health check-in — day 42, dose 2
    Feeling: Good
    Adult check-in
  28. 2021-05-28
    Health check-in — 3 months, dose 2
    Feeling: Good
    Adult check-in
  29. 2021-11-03
    Dose 3 — Moderna
  30. 2022-02-26
    Health check-in — 12 months, dose 2
    Feeling: Good
    Adult check-in
  31. 2022-03-15
    Dose 4 — Moderna
  32. 2022-04-28
    Health check-in — day 42, dose 4
    Feeling: Good
    Adult check-in

Vaccinations

DoseDateManufacturerCo-administered
12021-01-23Moderna
22021-02-26Moderna
32021-11-03Moderna No
42022-03-15Moderna No

Free text

Release 3 — day 14, dose 1

2021-02-06

Symptoms: Allergies. My nose ran and I sneezed profusely for about 4 days. Mucus was clear like water. Since having chemo two years ago this happens from time to time when exposed cleaning chemicals. I had no exposure to anything this time.

Release 4 — day 28, dose 1

2021-02-20

Symptoms: Lower back where Ive had two surgeries has been pretty sore. Probably not related to the vax

Release 5 — day 14, dose 2

2021-03-14

Symptoms: Had a painful lymph node on rib cage on shot side. Also painful spot inside my lung for one day. Lymph node was sore to touch and without touch. Was completely better after 36 hrs.

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
SDAllergy to chemicals ○ ✓ ○
SDBack pain ✓ ✓ ✓
SDChemotherapy ○ ✓ ○
SDHypersensitivity ○ ✓ ○
SDLymph node pain ✓ ✓ ✓
SDPre-existing disease ✓ ✓ ✓
SDPulmonary pain ✓ ✓ ✓
SDRhinorrhoea ✓ ✓ ✓
SDSecretion discharge ✓ · ✓
SDSneezing ✓ ✓ ✓

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

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