6MN-11517-04706
4 vaccinations
11 coded responses
42 check-ins
10 free-text entries
8 call cases
- Sex
- Female
- Age at first dose
- 41-45
- ZIP prefix
- 257 / WV
- Registered
- 2021-01-05
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
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2021-01-05
Registered in v-safe
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2021-01-05
Dose 1 — Moderna
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2021-01-06
Survey response — days 1–6 daily, dose 1MedDRA: Condition aggravated, Hypoaesthesia, Pre-existing disease — Feeling: Fair · Site: Pain, Swelling · Fever · Headache, Fatigue or tiredness, Nausea · Be unable to do your normal daily activitiesFree text: Slightly increased neuropathy symptoms and numbness in faceMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-01-06
Report sent to call center — days 1–6 daily, dose 1Be unable to do your normal daily activities1 call case(s)
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2021-01-07
Health check-in — days 1–6 daily, dose 1Feeling: Fair · Site: Pain, Redness · Headache, Fatigue or tiredness · Be unable to do your normal daily activitiesAdult check-in
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2021-01-07
Report sent to call center — days 1–6 daily, dose 1Be unable to do your normal daily activities1 call case(s)
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2021-01-08
Survey response — days 1–6 daily, dose 1MedDRA: Dehydration, Diarrhoea — Feeling: Poor · Site: Itching · Chills, Headache, Fatigue or tiredness, Nausea, Diarrhea · Be unable to work, Be unable to do your normal daily activitiesFree text: Diarrhea started shortly after yesterday's check-in and caused dehydrationMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-01-08
Report sent to call center — days 1–6 daily, dose 1Be unable to work · Be unable to do your normal daily activities1 call case(s)
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2021-01-09
Health check-in — days 1–6 daily, dose 1Feeling: Fair · Headache, Fatigue or tiredness, NauseaAdult check-in
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2021-01-10
Health check-in — days 1–6 daily, dose 1Feeling: Fair · Fatigue or tiredness · Be unable to do your normal daily activitiesAdult check-in
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2021-01-10
Report sent to call center — days 1–6 daily, dose 1Be unable to do your normal daily activities1 call case(s)
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2021-01-11
Health check-in — days 1–6 daily, dose 1Feeling: Fair · Headache, Fatigue or tiredness · Be unable to do your normal daily activitiesAdult check-in
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2021-01-11
Report sent to call center — days 1–6 daily, dose 1Be unable to do your normal daily activities1 call case(s)
- 2021-01-12
- 2021-01-19
- 2021-01-26
- 2021-02-02
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2021-02-03
Dose 2 — Moderna
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2021-02-03
Health check-in — day 0, dose 2Feeling: Fair · Site: Pain · Fever · Chills, Headache, Fatigue or tiredness, Nausea · Be unable to do your normal daily activitiesAdult check-in
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2021-02-04
Survey response — days 1–6 daily, dose 2MedDRA: Bone pain — Feeling: Poor · Site: Pain, Swelling · Fever · Chills, Headache, Muscle or body aches, Fatigue or tiredness, Nausea, Abdominal pain · Be unable to work, Be unable to do your normal daily activitiesFree text: Bone painMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-02-05
Health check-in — days 1–6 daily, dose 2Feeling: Good · Site: Pain · Chills, Muscle or body aches, Fatigue or tiredness, Vomiting, Abdominal painAdult check-in
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2021-02-06
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Headache, Fatigue or tiredness, Abdominal painAdult check-in
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2021-02-07
Health check-in — days 1–6 daily, dose 2Feeling: Good · Headache, Fatigue or tiredness, Abdominal painAdult check-in
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2021-02-08
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Headache, Fatigue or tirednessAdult check-in
- 2021-02-10
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2021-02-17
Survey response — day 14, dose 2MedDRA: Nasal congestion, Oropharyngeal pain — Feeling: FairFree text: Mild sore throat and stuffy noseMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-02-24
- 2021-03-03
- 2021-03-16
- 2021-03-19
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2021-11-02
Dose 3 — Moderna
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2021-11-02
Health check-in — day 0, dose 3Feeling: Fair · Site: Pain, Redness, Swelling · Muscle or body aches, Fatigue or tirednessAdult check-in
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2021-11-03
Survey response — days 1–6 daily, dose 3MedDRA: Rhinorrhoea, Sneezing — Feeling: Fair · Site: Pain, Swelling · Fever · Muscle or body aches, Fatigue or tirednessFree text: Sneezing, running noseMedDRA releases: 2024-11 · check-in free text available
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2021-11-04
Health check-in — days 1–6 daily, dose 3Feeling: Fair · Site: Pain, Redness, Swelling · Fever · Muscle or body aches, Fatigue or tirednessAdult check-in
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2021-11-07
Health check-in — days 1–6 daily, dose 3Feeling: Good · Site: Pain · Fatigue or tirednessAdult check-in
- 2021-11-08
- 2021-11-09
- 2021-11-21
- 2021-11-23
- 2021-11-30
- 2021-12-15
- 2022-02-03
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2022-05-04
Survey response — 6 months, dose 3MedDRA: Condition aggravated, Nasopharyngitis, Pre-existing disease, SARS-CoV-2 test negative — Feeling: Fair · Be unable to work or attend school, Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultation, Outpatient clinic or urgent care clinic visitFree text: Hyperadregenic POTS flare following contraction of a cold in February. Did not test positive for Covid-19.MedDRA releases: 2024-11 · check-in free text available
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2022-05-04
Report sent to call center — 6 months, dose 3Be unable to work or attend school · Be unable to do your normal daily activities · Get care from a doctor or other healthcare prTelehealth, virtual health, or email health consultation · Outpatient clinic or urgent care clinic visit · 1 call case(s)
- 2022-05-05
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2022-05-24
Call successfulNot applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill
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2022-09-09
Dose 4 — ModernaCo-administered: Flu
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2022-09-14
Survey response — days 1–6 daily, dose 4MedDRA: Breakthrough COVID-19, COVID-19 — Feeling: Fair · Headache, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to do your normal daily activitiesFree text: Ongoing symptoms from breakthrough Covid infection in MayMedDRA releases: 2024-11 · check-in free text available
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2022-09-18
Survey response — day 7, dose 4MedDRA: Breakthrough COVID-19, Cough, Pleuritic pain, Pneumonitis — Feeling: Fair · Headache, Muscle or body aches, Fatigue or tiredness · Be unable to work or attend school, Be unable to do your normal daily activitiesFree text: Ongoing lung inflammation (pleural pain and cough) since breakthrough Covid infection in May 2022MedDRA releases: 2024-11 · check-in free text available
- 2022-09-24
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2022-09-30
Survey response — day 21, dose 4MedDRA: Adverse drug reaction, Inflammation — Feeling: GoodFree text: Bleeding/bruising apparently associated with new NSAID prescription to reduce systemic inflammation.MedDRA releases: 2024-11 · check-in free text available
- 2022-10-08
- 2022-10-16
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2022-12-09
Survey response — 3 months, dose 4MedDRA: COVID-19, Hypersensitivity, Inflammation, Lymphadenopathy, Pleuritic pain, Pulmonary pain, Skin infection — Feeling: Poor · Be unable to work or attend school, Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultation, Outpatient clinic or urgent care clinic visitFree text: Fighting allergic reaction to material in HVAC system, systemic inflammatory response; skin infection, and poss. abscessed lymph nodes and lymphatic swelling in neck since Oct; pleurtitc lung pain since covid in May (infected 6 mo after 3rd booster)MedDRA releases: 2024-11 · check-in free text available
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2022-12-09
Report sent to call center — 3 months, dose 4Be unable to work or attend school · Be unable to do your normal daily activities · Get care from a doctor or other healthcare prTelehealth, virtual health, or email health consultation · Outpatient clinic or urgent care clinic visit · 1 call case(s)
- 2022-12-12
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2023-03-12
Survey response — 6 months, dose 4MedDRA: Abdominal pain, Gallbladder polyp, Steatorrhoea, Tinnitus — Feeling: Fair · Be unable to work or attend school, Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultation, Outpatient clinic or urgent care clinic visitMedDRA releases: 2024-11
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2023-03-12
Report sent to call center — 6 months, dose 4Be unable to work or attend school · Be unable to do your normal daily activities · Get care from a doctor or other healthcare prTelehealth, virtual health, or email health consultation · Outpatient clinic or urgent care clinic visit · 1 call case(s)
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2023-03-13
Call successfulCompleted over the phone
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2023-03-13
Call successfulCompleted over the phone
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-01-05 | Moderna | |
| 2 | 2021-02-03 | Moderna | |
| 3 | 2021-11-02 | Moderna | No |
| 4 | 2022-09-09 | Moderna | Flu |
Call center
8 call center cases
3 successful · 5 priority 2/3 (triaged and no follow up)
VAERS report filed, before or during a call: 2
Free text
Release 1 — days 1–6 daily, dose 1
Systemic reaction (other): Slightly increased neuropathy symptoms and numbness in face
Systemic reaction (other): Diarrhea started shortly after yesterday's check-in and caused dehydration
Release 3 — days 1–6 daily, dose 2
Systemic reaction (other): Bone pain
Release 4 — day 14, dose 2
Symptoms: Mild sore throat and stuffy nose
Release 10 — days 1–6 daily, dose 3
Systemic reaction (other): Sneezing, running nose
Release 11 — 6 months, dose 3
Symptoms: Hyperadregenic POTS flare following contraction of a cold in February. Did not test positive for Covid-19.
Release 12 — days 1–6 daily, dose 4
Systemic reaction (other): Ongoing symptoms from breakthrough Covid infection in May
Release 12 — day 7, dose 4
Systemic reaction (other): Ongoing lung inflammation (pleural pain and cough) since breakthrough Covid infection in May 2022
Release 12 — day 21, dose 4
Symptoms: Bleeding/bruising apparently associated with new NSAID prescription to reduce systemic inflammation.
Release 12 — 3 months, dose 4
Symptoms: Fighting allergic reaction to material in HVAC system, systemic inflammatory response; skin infection, and poss. abscessed lymph nodes and lymphatic swelling in neck since Oct; pleurtitc lung pain since covid in May (infected 6 mo after 3rd booster) cut off by CDC
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 |
|---|---|---|---|---|
| SD | Abdominal pain | · | · | ✓ |
| SD | Adverse drug reaction | · | · | ✓ |
| SD | Condition aggravated | · | · | ✓ |
| SD | COVID-19 | · | · | ✓ |
| SD | Gallbladder polyp | · | · | ✓ |
| SD | Hypersensitivity | · | · | ✓ |
| SD | Inflammation | · | · | ✓ |
| SD | Lymphadenopathy | · | · | ✓ |
| SD | Nasal congestion | ✓ | ✓ | ✓ |
| SD | Nasopharyngitis | · | · | ✓ |
| SD | Oropharyngeal pain | ✓ | ✓ | ✓ |
| SD | Pleuritic pain | · | · | ✓ |
| SD | Pre-existing disease | · | · | ✓ |
| SD | Pulmonary pain | · | · | ✓ |
| SD | SARS-CoV-2 test negative | · | · | ✓ |
| SD | Skin infection | · | · | ✓ |
| SD | Steatorrhoea | · | · | ✓ |
| SD | Tinnitus | · | · | ✓ |
| SRO | Bone pain | ✓ | ✓ | ✓ |
| SRO | Breakthrough COVID-19 | · | · | ✓ |
| SRO | Condition aggravated | ✓ | ✓ | ✓ |
| SRO | Cough | · | · | ✓ |
| SRO | COVID-19 | · | · | ✓ |
| SRO | Dehydration | ✓ | ✓ | ✓ |
| SRO | Diarrhoea | ✓ | ✓ | ✓ |
| SRO | Hypoaesthesia | ✓ | ✓ | ✓ |
| SRO | Pleuritic pain | · | · | ✓ |
| SRO | Pneumonitis | · | · | ✓ |
| SRO | Pre-existing disease | ✓ | ✓ | ✓ |
| SRO | Rhinorrhoea | · | · | ✓ |
| SRO | Sneezing | · | · | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release