YD4-42890-76867
2 vaccinations
9 coded responses
12 check-ins
9 free-text entries
1 call case
- Sex
- Female
- Age at first dose
- 51-55
- ZIP prefix
- 253 / WV
- Registered
- 2021-02-14
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
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2021-01-14
Dose 1 — Moderna
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2021-02-12
Dose 2 — Moderna
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2021-02-14
Registered in v-safe
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2021-02-14
Survey response — days 1–6 daily, dose 2MedDRA: Gait disturbance, Malaise, Medical observation, Syncope — Feeling: Poor · Site: Pain, Swelling · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to work, Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultationFree text: Systemic reaction (other): Feeling faint. Need assist to walk. Extreme fatigue. Sickest I have ever been in my life have felt like I am dying (yesterday). I have been lessSick than this and been in the er on it meds for it · Healthcare visit (other): Spoke with nurse at Wv covid hotline who advised we if needed yesterday night and followed up with me today. The only reason I did not go toner is because of avoiding covid. If not for that I would have gone I needed to go. This is the sickest I have ever beenMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-02-14
Report sent to call center — days 1–6 daily, dose 2Be unable to work · Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional1 call case(s)
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2021-02-15
Survey response — days 1–6 daily, dose 2MedDRA: Paraesthesia — Feeling: Poor · Site: Pain · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea, Abdominal pain · Be unable to work, Be unable to do your normal daily activitiesFree text: 98.5 temp is 1 degree higher thank my normal 97.5 temp, tingling. Tingling was also present the past two daysMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-02-17
Survey response — days 1–6 daily, dose 2MedDRA: Dizziness — Feeling: Fair · Site: Pain · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to work, Be unable to do your normal daily activitiesFree text: Dizzy. Have md apt tomorrow for side effects of vaccine today is better than yesterday. I would have been in er over the weekend if I wasnt afraid of getting covid there.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-02-19
Health check-in — day 7, dose 2Feeling: Fair · Site: Pain · Headache, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activitiesAdult check-in
- 2021-02-26
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2021-03-05
Survey response — day 21, dose 2MedDRA: Disturbance in attention — Feeling: Fair · Be unable to workFree text: Brain not functioning wellMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-03-14
Survey response — day 28, dose 2MedDRA: Cough, Fatigue, Feeling abnormal, Headache, Nausea — Feeling: Poor · Be unable to work, Be unable to do your normal daily activitiesFree text: Headache nasea fatigue foggy brain coughMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-03-19
Survey response — day 35, dose 2MedDRA: Brain fog, Fatigue, Feeling abnormal, Palpitations — Feeling: Fair · Be unable to work, Be unable to do your normal daily activitiesFree text: Heart palpatations. Fatigue. Brain fogMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-03-26
Survey response — day 42, dose 2MedDRA: Headache, Nausea — Feeling: Poor · Be unable to do your normal daily activitiesFree text: Nadeau headacheMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-05-14
Survey response — 3 months, dose 2MedDRA: Abdominal pain, Cyst — Feeling: Fair · Be unable to do your normal daily activitiesFree text: Abdominal pain and cystMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-07-31
Call successfulCompleted over the phone
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2021-08-18
Survey response — 6 months, dose 2MedDRA: Dyspnoea — Feeling: Fair · Be unable to do your normal daily activitiesFree text: Shortness of breathMedDRA releases: 2021-09,2024-11 · check-in free text available
- 2022-02-14
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-01-14 | Moderna | |
| 2 | 2021-02-12 | Moderna |
Call center
| Reported | Outcome | VAERS-related outcome |
|---|---|---|
| 2021-02-14 | Successful 2021-07-31 |
Completed over the phone |
Free text
Release 4 — days 1–6 daily, dose 2
Systemic reaction (other): Feeling faint. Need assist to walk. Extreme fatigue. Sickest I have ever been in my life have felt like I am dying (yesterday). I have been lessSick than this and been in the er on it meds for it
Healthcare visit (other): Spoke with nurse at Wv covid hotline who advised we if needed yesterday night and followed up with me today. The only reason I did not go toner is because of avoiding covid. If not for that I would have gone I needed to go. This is the sickest I have ever been
Systemic reaction (other): 98.5 temp is 1 degree higher thank my normal 97.5 temp, tingling. Tingling was also present the past two days
Systemic reaction (other): Dizzy. Have md apt tomorrow for side effects of vaccine today is better than yesterday. I would have been in er over the weekend if I wasnt afraid of getting covid there.
Release 5 — day 21, dose 2
Symptoms: Brain not functioning well
Release 5 — day 28, dose 2
Symptoms: Headache nasea fatigue foggy brain cough
Release 6 — day 35, dose 2
Symptoms: Heart palpatations. Fatigue. Brain fog
Release 6 — day 42, dose 2
Symptoms: Nadeau headache
Release 8 — 3 months, dose 2
Symptoms: Abdominal pain and cyst
Release 9 — 6 months, dose 2
Symptoms: 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
| Field | Preferred term | 2021-09 | 2023-04 | 2024-11 |
|---|---|---|---|---|
| HCVO | Malaise | ✓ | ✓ | ✓ |
| HCVO | Medical observation | ✓ | ✓ | ✓ |
| SD | Abdominal pain | ✓ | ✓ | ✓ |
| SD | Brain fog | · | · | ✓ |
| SD | Cough | ✓ | ✓ | ✓ |
| SD | Cyst | ✓ | ✓ | ✓ |
| SD | Disturbance in attention | ✓ | ✓ | ✓ |
| SD | Dyspnoea | ✓ | · | ✓ |
| SD | Fatigue | ✓ | ✓ | ✓ |
| SD | Feeling abnormal | ✓ | ✓ | ✓ |
| SD | Headache | ✓ | ✓ | ✓ |
| SD | Nausea | ✓ | ✓ | ✓ |
| SD | Palpitations | ✓ | ✓ | ✓ |
| SRO | Dizziness | ✓ | ✓ | ✓ |
| SRO | Gait disturbance | ✓ | ✓ | ✓ |
| SRO | Malaise | ✓ | ✓ | ✓ |
| SRO | Paraesthesia | ✓ | ✓ | ✓ |
| SRO | Syncope | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release