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2CC-26226-03691

3 vaccinations 6 coded responses 34 check-ins 6 free-text entries 1 call case
Sex
Female
Age at first dose
31-35
ZIP prefix
992 / WA
Registered
2021-01-05
Relationship
Self
Race
White
Ethnicity
Not Hispanic or Latino

Timeline

  1. 2020-12-31
    Dose 1 — Moderna
  2. 2021-01-05
    Registered in v-safe
  3. 2021-01-06
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · None
    Adult check-in
  4. 2021-01-07
    Survey response — day 7, dose 1
    MedDRA: Paraesthesia — Feeling: Fair · Headache
    Free text: Tingling all over head-mild, lasted about 30 seconds
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  5. 2021-01-14
    Health check-in — day 14, dose 1
    Feeling: Good
    Adult check-in
  6. 2021-01-21
    Survey response — day 21, dose 1
    MedDRA: Diarrhoea — Feeling: Fair
    Free text: Diarrhea
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  7. 2021-01-29
    Dose 2 — Moderna
  8. 2021-01-29
    Health check-in — day 0, dose 2
    Feeling: Fair · Site: Pain · Fatigue or tiredness
    Adult check-in
  9. 2021-01-30
    Health check-in — days 1–6 daily, dose 2
    Feeling: Poor · Site: Pain · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea, Diarrhea, Abdominal pain · Be unable to work, Be unable to do your normal daily activities
    Adult check-in
  10. 2021-01-31
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · Site: Pain · Joint pains
    Adult check-in
  11. 2021-02-01
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · Diarrhea
    Adult check-in
  12. 2021-02-02
    Health check-in — days 1–6 daily, dose 2
    Feeling: Fair · Headache
    Adult check-in
  13. 2021-02-03
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · None
    Adult check-in
  14. 2021-02-04
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · None
    Adult check-in
  15. 2021-02-07
    Health check-in — day 7, dose 2
    Feeling: Good · None
    Adult check-in
  16. 2021-02-13
    Health check-in — day 14, dose 2
    Feeling: Good
    Adult check-in
  17. 2021-02-20
    Health check-in — day 21, dose 2
    Feeling: Fair
    Adult check-in
  18. 2021-02-26
    Health check-in — day 28, dose 2
    Feeling: Good
    Adult check-in
  19. 2021-03-05
    Health check-in — day 35, dose 2
    Feeling: Good
    Adult check-in
  20. 2021-03-12
    Health check-in — day 42, dose 2
    Feeling: Good
    Adult check-in
  21. 2021-04-30
    Health check-in — 3 months, dose 2
    Feeling: Good
    Adult check-in
  22. 2021-07-30
    Health check-in — 6 months, dose 2
    Feeling: Good
    Adult check-in
  23. 2022-01-15
    Dose 3 — Moderna
  24. 2022-01-15
    Survey response — day 0, dose 3
    MedDRA: Dizziness — Feeling: Fair · Site: Pain · Fever · Chills, Headache, Joint pains, Nausea, Diarrhea, Abdominal pain · Be unable to work or attend school, Be unable to do your normal daily activities
    Free text: Dizziness
    MedDRA releases: 2024-11 · check-in free text available
  25. 2022-01-16
    Health check-in — days 1–6 daily, dose 3
    Feeling: Fair · Site: Pain · Chills, Headache, Joint pains, Muscle or body aches
    Adult check-in
  26. 2022-01-17
    Health check-in — days 1–6 daily, dose 3
    Feeling: Good · Site: Pain · Diarrhea
    Adult check-in
  27. 2022-01-18
    Health check-in — days 1–6 daily, dose 3
    Feeling: Good · Site: Pain · None
    Adult check-in
  28. 2022-01-19
    Health check-in — days 1–6 daily, dose 3
    Feeling: Good · None
    Adult check-in
  29. 2022-01-20
    Health check-in — days 1–6 daily, dose 3
    Feeling: Good · None
    Adult check-in
  30. 2022-01-22
    Survey response — day 7, dose 3
    MedDRA: Chest discomfort, Nasal congestion, Oropharyngeal pain — Feeling: Poor · Fever · Chills
    Free text: Sore throat, nasal congestion, chest tightness
    MedDRA releases: 2024-11 · check-in free text available
  31. 2022-01-29
    Survey response — day 14, dose 3
    MedDRA: Fatigue, Headache, Nasal congestion, Oropharyngeal pain, SARS-CoV-2 test positive — Feeling: Poor · Be unable to work or attend school, Be unable to do your normal daily activities
    Free text: I tested positive for Covid 1/24. I've experienced mild headache, moderate nasal congestion, mild sore throat, and extreme fatigue.
    MedDRA releases: 2024-11 · check-in free text available
  32. 2022-02-05
    Health check-in — day 21, dose 3
    Feeling: Good
    Adult check-in
  33. 2022-02-12
    Health check-in — day 28, dose 3
    Feeling: Good
    Adult check-in
  34. 2022-02-21
    Health check-in — day 35, dose 3
    Feeling: Good
    Adult check-in
  35. 2022-02-26
    Survey response — day 42, dose 3
    MedDRA: COVID-19, Hypoaesthesia, Nerve injury, Paraesthesia, SARS-CoV-2 test positive — Feeling: Good · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit
    Free text: Area on back went numb and is now tingling. I had positive covid test 1 week after vaccine and doc said nerve damage was likely due to covid infection. Tingling is nerve regeneration.
    MedDRA releases: 2024-11 · check-in free text available
  36. 2022-02-26
    Report sent to call center — day 42, dose 3
    Get care from a doctor or other healthcare professional
    Outpatient clinic or urgent care clinic visit · 1 call case(s)
  37. 2022-03-22
    Call successful
    Not applicable (accidental reporting or does not believe symptoms are related to vaccine)
  38. 2022-04-16
    Health check-in — 3 months, dose 3
    Feeling: Good
    Adult check-in
  39. 2022-07-16
    Health check-in — 6 months, dose 3
    Feeling: Good
    Adult check-in
  40. 2023-01-15
    Health check-in — 12 months, dose 3
    Feeling: Poor
    Adult check-in

Vaccinations

DoseDateManufacturerCo-administered
12020-12-31Moderna
22021-01-29Moderna
32022-01-15Moderna No

Call center

1 call center case

1 successful

See the call center timeline

Free text

Release 1 — day 7, dose 1

2021-01-07

Systemic reaction (other): Tingling all over head-mild, lasted about 30 seconds

Release 2 — day 21, dose 1

2021-01-21

Symptoms: Diarrhea

Release 10 — day 0, dose 3

2022-01-15

Systemic reaction (other): Dizziness

Release 11 — day 7, dose 3

2022-01-22

Systemic reaction (other): Sore throat, nasal congestion, chest tightness

Release 11 — day 14, dose 3

2022-01-29

Symptoms: I tested positive for Covid 1/24. I've experienced mild headache, moderate nasal congestion, mild sore throat, and extreme fatigue.

Release 11 — day 42, dose 3

2022-02-26

Symptoms: Area on back went numb and is now tingling. I had positive covid test 1 week after vaccine and doc said nerve damage was likely due to covid infection. Tingling is nerve regeneration.

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
SDCOVID-19 · · ✓
SDDiarrhoea ✓ ✓ ✓
SDFatigue · · ✓
SDHeadache · · ✓
SDHypoaesthesia · · ✓
SDNasal congestion · · ✓
SDNerve injury · · ✓
SDOropharyngeal pain · · ✓
SDParaesthesia · · ✓
SDSARS-CoV-2 test positive · · ✓
SROChest discomfort · · ✓
SRODizziness · · ✓
SRONasal congestion · · ✓
SROOropharyngeal pain · · ✓
SROParaesthesia ✓ ✓ ✓

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