6VN-29645-86257
4 vaccinations
3 coded responses
30 check-ins
3 free-text entries
1 call case
- Sex
- Female
- Age at first dose
- 56-60
- ZIP prefix
- 410 / KY
- Registered
- 2021-03-19
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-03-17
Dose 1 — Moderna
-
2021-03-19
Registered in v-safe
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2021-03-19
Health check-in — days 1–6 daily, dose 1Feeling: Fair · Site: Pain · Muscle or body aches, Fatigue or tirednessAdult check-in
- 2021-03-20
- 2021-03-21
- 2021-03-31
- 2021-04-07
-
2021-04-14
Dose 2 — Moderna
-
2021-04-15
Survey response — days 1–6 daily, dose 2MedDRA: Heart rate increased, Nasopharyngitis — Feeling: Fair · Site: Pain · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activitiesFree text: Feel like I have a cold now, rapid heartbeat last nightMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-04-16
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Joint pains, Muscle or body aches, Fatigue or tirednessAdult check-in
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2021-04-17
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Muscle or body aches, Fatigue or tirednessAdult check-in
-
2021-04-18
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Headache, Fatigue or tiredness · Be unable to do your normal daily activitiesAdult check-in
-
2021-04-25
Health check-in — day 7, dose 2Feeling: Fair · Muscle or body aches, Fatigue or tirednessAdult check-in
- 2021-04-28
- 2021-05-07
- 2021-05-15
- 2021-05-19
- 2021-05-27
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2021-10-15
Survey response — 6 months, dose 2MedDRA: Fatigue, Office visit, Palpitations, Pityriasis rosea, Rash — Feeling: Fair · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professionalFree text: Symptoms: I had a rash for 2 months that I believe to have been pityriasis rosea that I have never had before. Onset was around 4-6 weeks after second dose. I also feel that I have been fatigued more so than usual continually ever since vaccine. Heart palps · Healthcare visit (other): Primary care physician and then cardiologistMedDRA releases: 2024-11 · check-in free text available
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2021-10-15
Report sent to call center — 6 months, dose 2Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional1 call case(s)
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2021-11-10
Dose 3 — Moderna
- 2021-11-18
-
2022-06-07
Dose 4 — Moderna
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2022-06-09
Health check-in — days 1–6 daily, dose 4Feeling: Fair · Site: Pain, Swelling · Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activitiesAdult check-in
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2022-06-10
Health check-in — days 1–6 daily, dose 4Feeling: Fair · Site: Pain · Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activitiesAdult check-in
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2022-06-11
Health check-in — days 1–6 daily, dose 4Feeling: Good · Site: Pain · Muscle or body aches, Fatigue or tirednessAdult check-in
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2022-06-12
Health check-in — days 1–6 daily, dose 4Feeling: Fair · Site: Pain · Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activitiesAdult check-in
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2022-06-13
Health check-in — days 1–6 daily, dose 4Feeling: Fair · Site: Pain · Joint pains, Muscle or body aches, Fatigue or tirednessAdult check-in
- 2022-06-14
- 2022-06-23
- 2022-06-29
- 2022-07-07
- 2022-07-12
- 2022-07-22
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2022-09-06
Survey response — 3 months, dose 4MedDRA: Ageusia, Anosmia, Cough, Fatigue, Feeling abnormal, Pain, Pain in extremity, Productive cough, Respiratory tract congestion — Feeling: Good · Be unable to do your normal daily activitiesFree text: Coughing up phlegm throughout the day still. Had calf pains, cough, congestion, fatigue, aches, loss of smell and taste, pretty much everything except a fever for the first couple of weeks. Still don't feel normal.MedDRA releases: 2024-11 · check-in free text available
- 2022-12-06
- 2023-06-07
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-03-17 | Moderna | |
| 2 | 2021-04-14 | Moderna | |
| 3 | 2021-11-10 | Moderna | No |
| 4 | 2022-06-07 | Moderna | No |
Call center
1 call center case
1 unsuccessful
Free text
Release 7 — days 1–6 daily, dose 2
Systemic reaction (other): Feel like I have a cold now, rapid heartbeat last night
Release 10 — 6 months, dose 2
Symptoms: I had a rash for 2 months that I believe to have been pityriasis rosea that I have never had before. Onset was around 4-6 weeks after second dose. I also feel that I have been fatigued more so than usual continually ever since vaccine. Heart palps cut off by CDC
Healthcare visit (other): Primary care physician and then cardiologist
Release 12 — 3 months, dose 4
Symptoms: Coughing up phlegm throughout the day still. Had calf pains, cough, congestion, fatigue, aches, loss of smell and taste, pretty much everything except a fever for the first couple of weeks. Still don't feel normal.
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 | Office visit | · | · | ✓ |
| SD | Ageusia | · | · | ✓ |
| SD | Anosmia | · | · | ✓ |
| SD | Cough | · | · | ✓ |
| SD | Fatigue | · | · | ✓ |
| SD | Feeling abnormal | · | · | ✓ |
| SD | Pain | · | · | ✓ |
| SD | Pain in extremity | · | · | ✓ |
| SD | Palpitations | · | · | ✓ |
| SD | Pityriasis rosea | · | · | ✓ |
| SD | Productive cough | · | · | ✓ |
| SD | Rash | · | · | ✓ |
| SD | Respiratory tract congestion | · | · | ✓ |
| SRO | Heart rate increased | ✓ | ✓ | ✓ |
| SRO | Nasopharyngitis | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release