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2CD-21609-24254

5 vaccinations 20 coded responses 62 check-ins 20 free-text entries 3 call cases
Sex
Female
Age at first dose
66+
ZIP prefix
982 / WA
Registered
2021-01-21
Relationship
Self
Race
N/A
Ethnicity
Not Hispanic or Latino

Timeline

  1. 2021-01-21
    Registered in v-safe
  2. 2021-01-21
    Dose 1 — Moderna
  3. 2021-01-21
    Health check-in — day 0, dose 1
    Feeling: Good · Site: Pain · Muscle or body aches
    Adult check-in
  4. 2021-01-22
    Survey response — days 1–6 daily, dose 1
    MedDRA: Eye pruritus, Eye swelling, Periorbital swelling, Sinus congestion — Feeling: Poor · Site: Pain · Headache, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultation
    Free text: Itchy eyes; sinus congestion; slightly swollen around eyes
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  5. 2021-01-22
    Report sent to call center — days 1–6 daily, dose 1
    Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional
    1 call case(s)
  6. 2021-01-23
    Survey response — days 1–6 daily, dose 1
    MedDRA: Adverse reaction, Eye pruritus, Eye swelling, Periorbital swelling, Sinus congestion, Sinusitis — Feeling: Fair · Fever · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Abdominal pain · Be unable to do your normal daily activities
    Free text: Area around eyes swollen. Other allergy symptoms of itchy eyes, clogged sinus
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  7. 2021-01-24
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · None
    Adult check-in
  8. 2021-01-25
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · None
    Adult check-in
  9. 2021-01-26
    Health check-in — days 1–6 daily, dose 1
    Feeling: Fair · Headache
    Adult check-in
  10. 2021-01-27
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · None
    Adult check-in
  11. 2021-01-28
    Health check-in — day 7, dose 1
    Feeling: Good · None
    Adult check-in
  12. 2021-02-04
    Health check-in — day 14, dose 1
    Feeling: Good
    Adult check-in
  13. 2021-02-12
    Health check-in — day 21, dose 1
    Feeling: Good
    Adult check-in
  14. 2021-02-18
    Dose 2 — Moderna
  15. 2021-02-18
    Health check-in — day 0, dose 2
    Feeling: Good · Site: Pain · Headache, Fatigue or tiredness
    Adult check-in
  16. 2021-02-19
    Survey response — days 1–6 daily, dose 2
    MedDRA: Anxiety, Heart rate increased, Neck pain — Feeling: Poor · Fever · Chills, Headache, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to do your normal daily activities
    Free text: Sore neck. Feeling anxious. Fast heartbeat
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  17. 2021-02-20
    Survey response — days 1–6 daily, dose 2
    MedDRA: Eye pruritus, Sinus disorder — Feeling: Poor · Fever · Chills, Headache, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to work, Be unable to do your normal daily activities
    Free text: Sinus. Itchy eyes
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  18. 2021-02-21
    Survey response — days 1–6 daily, dose 2
    MedDRA: Dehydration, Dizziness — Feeling: Poor · Site: Redness, Itching · Headache, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to work, Be unable to do your normal daily activities
    Free text: Dehydration, dizziness
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  19. 2021-02-22
    Survey response — days 1–6 daily, dose 2
    MedDRA: Anxiety, Feeling abnormal, Nightmare — Feeling: Fair · Site: Redness, Itching · Headache, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities
    Free text: Nightmares, feeling unsettled/anxious
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  20. 2021-02-23
    Survey response — days 1–6 daily, dose 2
    MedDRA: Sinus disorder — Feeling: Fair · Headache, Fatigue or tiredness, Nausea · Be unable to do your normal daily activities
    Free text: Sinus
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  21. 2021-02-24
    Health check-in — days 1–6 daily, dose 2
    Feeling: Fair · Fatigue or tiredness
    Adult check-in
  22. 2021-02-25
    Health check-in — day 7, dose 2
    Feeling: Fair · Fatigue or tiredness
    Adult check-in
  23. 2021-03-04
    Survey response — day 14, dose 2
    MedDRA: Muscle spasms — Feeling: Fair · Be unable to do your normal daily activities
    Free text: Neck spasms on same side as vaccine
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  24. 2021-03-11
    Survey response — day 21, dose 2
    MedDRA: Muscle spasms, Muscle tightness, Neck pain, Office visit — Feeling: Fair · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional
    Free text: Symptoms: Neck muscle spasm, tightness and pain on same side as covid vaccine #2 · Healthcare visit (other): PCP dr visit in person
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  25. 2021-03-11
    Report sent to call center — day 21, dose 2
    Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional
    1 call case(s)
  26. 2021-03-20
    Health check-in — day 28, dose 2
    Feeling: Good
    Adult check-in
  27. 2021-03-25
    Health check-in — day 35, dose 2
    Feeling: Good
    Adult check-in
  28. 2021-04-01
    Survey response — day 42, dose 2
    MedDRA: Office visit, Rash — Feeling: Fair · Get care from a doctor or other healthcare professional
    Free text: Symptoms: Skin rash on scalp · Healthcare visit (other): Visit with PCP
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  29. 2021-04-01
    Report sent to call center — day 42, dose 2
    Get care from a doctor or other healthcare professional
    1 call case(s)
  30. 2021-05-20
    Health check-in — 3 months, dose 2
    Feeling: Good
    Adult check-in
  31. 2021-05-20
  32. 2021-08-21
    Health check-in — 6 months, dose 2
    Feeling: Fair
    Adult check-in
  33. 2021-12-01
    Dose 3 — Moderna
  34. 2021-12-02
    Health check-in — days 1–6 daily, dose 3
    Feeling: Poor · Site: Pain · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities
    Adult check-in
  35. 2021-12-04
    Survey response — days 1–6 daily, dose 3
    MedDRA: Pre-existing disease, Sinus disorder — Feeling: Poor · Headache, Fatigue or tiredness, Nausea · Be unable to do your normal daily activities
    Free text: Sinus and allergy like symptoms.
    MedDRA releases: 2024-11 · check-in free text available
  36. 2021-12-05
    Survey response — days 1–6 daily, dose 3
    MedDRA: Discouragement, Pruritus — Feeling: Fair · Fever · Headache, Fatigue or tiredness · Be unable to do your normal daily activities
    Free text: Itching; discouraged
    MedDRA releases: 2024-11 · check-in free text available
  37. 2021-12-06
    Survey response — days 1–6 daily, dose 3
    MedDRA: Eye pruritus, Pruritus, Sinus disorder — Feeling: Fair · Headache, Fatigue or tiredness · Be unable to do your normal daily activities
    Free text: Sinus; itchy eyes; itching scalp
    MedDRA releases: 2024-11 · check-in free text available
  38. 2021-12-07
    Health check-in — days 1–6 daily, dose 3
    Feeling: Fair · Fatigue or tiredness
    Adult check-in
  39. 2021-12-08
    Health check-in — day 7, dose 3
    Feeling: Fair · Fatigue or tiredness
    Adult check-in
  40. 2021-12-15
    Health check-in — day 14, dose 3
    Feeling: Good
    Adult check-in
  41. 2021-12-22
    Health check-in — day 21, dose 3
    Feeling: Good
    Adult check-in
  42. 2021-12-31
    Survey response — day 28, dose 3
    MedDRA: Eye pruritus, Sinus congestion — Feeling: Fair
    Free text: Sinus clogged. Itchy eyes.
    MedDRA releases: 2024-11 · check-in free text available
  43. 2022-01-05
    Health check-in — day 35, dose 3
    Feeling: Good
    Adult check-in
  44. 2022-01-12
    Health check-in — day 42, dose 3
    Feeling: Fair
    Adult check-in
  45. 2022-03-02
    Health check-in — 3 months, dose 3
    Feeling: Fair
    Adult check-in
  46. 2022-05-16
    Dose 4 — Moderna
  47. 2022-05-16
    Health check-in — day 0, dose 4
    Feeling: Fair · Site: Pain · Fatigue or tiredness
    Adult check-in
  48. 2022-05-17
    Survey response — days 1–6 daily, dose 4
    MedDRA: Sinus congestion, Vertigo — Feeling: Poor · Site: Pain, Redness, Swelling · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Abdominal pain · Be unable to work or attend school, Be unable to do your normal daily activities
    Free text: Sinus congestion; vertigo
    MedDRA releases: 2024-11 · check-in free text available
  49. 2022-05-19
    Survey response — days 1–6 daily, dose 4
    MedDRA: Vertigo — Feeling: Poor · Site: Pain · Headache, Fatigue or tiredness, Nausea · Be unable to do your normal daily activities
    Free text: Vertigo
    MedDRA releases: 2024-11 · check-in free text available
  50. 2022-05-21
    Health check-in — days 1–6 daily, dose 4
    Feeling: Good · None
    Adult check-in
  51. 2022-05-22
    Health check-in — days 1–6 daily, dose 4
    Feeling: Good · None
    Adult check-in
  52. 2022-05-23
    Health check-in — day 7, dose 4
    Feeling: Fair · Site: Itching · Diarrhea, Abdominal pain
    Adult check-in
  53. 2022-05-30
    Health check-in — day 14, dose 4
    Feeling: Good
    Adult check-in
  54. 2022-06-06
    Health check-in — day 21, dose 4
    Feeling: Good
    Adult check-in
  55. 2022-06-14
    Health check-in — day 28, dose 4
    Feeling: Good
    Adult check-in
  56. 2022-06-20
    Health check-in — day 35, dose 4
    Feeling: Good
    Adult check-in
  57. 2022-06-27
    Health check-in — day 42, dose 4
    Feeling: Good
    Adult check-in
  58. 2022-08-15
    Health check-in — 3 months, dose 4
    Feeling: Fair
    Adult check-in
  59. 2022-10-05
    Dose 5 — Moderna
  60. 2022-10-06
    Survey response — days 1–6 daily, dose 5
    MedDRA: Eye pruritus, Sinus congestion — Feeling: Poor · Site: Pain · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities
    Free text: Itchy eyes; sinus type congestion
    MedDRA releases: 2024-11 · check-in free text available
  61. 2022-10-07
    Survey response — days 1–6 daily, dose 5
    MedDRA: Adverse reaction — Feeling: Fair · Site: Pain, Itching · Headache, Muscle or body aches, Fatigue or tiredness
    Free text: Allergy symptoms
    MedDRA releases: 2024-11 · check-in free text available
  62. 2022-10-08
    Health check-in — days 1–6 daily, dose 5
    Feeling: Good · Diarrhea
    Adult check-in
  63. 2022-10-09
    Health check-in — days 1–6 daily, dose 5
    Feeling: Good · None
    Adult check-in
  64. 2022-10-11
    Health check-in — days 1–6 daily, dose 5
    Feeling: Fair · Fatigue or tiredness · Be unable to do your normal daily activities
    Adult check-in
  65. 2022-10-12
    Health check-in — day 7, dose 5
    Feeling: Fair · Fatigue or tiredness
    Adult check-in
  66. 2022-10-19
    Health check-in — day 14, dose 5
    Feeling: Good
    Adult check-in
  67. 2022-10-26
    Survey response — day 21, dose 5
    MedDRA: Anxiety, Tinnitus — Feeling: Poor · Be unable to do your normal daily activities
    Free text: Ringing in my right ear. Anxiety.
    MedDRA releases: 2024-11 · check-in free text available
  68. 2022-11-02
    Health check-in — day 28, dose 5
    Feeling: Fair
    Adult check-in
  69. 2022-11-09
    Survey response — day 35, dose 5
    MedDRA: Abdominal discomfort, Fatigue — Feeling: Poor
    Free text: More tired. intestinal upset.
    MedDRA releases: 2024-11 · check-in free text available
  70. 2022-11-17
    Health check-in — day 42, dose 5
    Feeling: Fair
    Adult check-in
  71. 2023-01-04
    Health check-in — 3 months, dose 5
    Feeling: Fair
    Adult check-in
  72. 2023-04-05
    Health check-in — 6 months, dose 5
    Feeling: Good
    Adult check-in

Vaccinations

DoseDateManufacturerCo-administered
12021-01-21Moderna
22021-02-18Moderna
32021-12-01Moderna No
42022-05-16Moderna No
52022-10-05Moderna No

Call center

3 call center cases

3 unsuccessful

See the call center timeline

Free text

Release 2 — days 1–6 daily, dose 1

2021-01-22

Systemic reaction (other): Itchy eyes; sinus congestion; slightly swollen around eyes

2021-01-23

Systemic reaction (other): Area around eyes swollen. Other allergy symptoms of itchy eyes, clogged sinus

Release 4 — days 1–6 daily, dose 2

2021-02-19

Systemic reaction (other): Sore neck. Feeling anxious. Fast heartbeat

2021-02-20

Systemic reaction (other): Sinus. Itchy eyes

2021-02-21

Systemic reaction (other): Dehydration, dizziness

2021-02-22

Systemic reaction (other): Nightmares, feeling unsettled/anxious

2021-02-23

Systemic reaction (other): Sinus

Release 5 — day 14, dose 2

2021-03-04

Symptoms: Neck spasms on same side as vaccine

Release 5 — day 21, dose 2

2021-03-11

Symptoms: Neck muscle spasm, tightness and pain on same side as covid vaccine #2
Healthcare visit (other): PCP dr visit in person

Release 6 — day 42, dose 2

2021-04-01

Symptoms: Skin rash on scalp
Healthcare visit (other): Visit with PCP

Release 10 — days 1–6 daily, dose 3

2021-12-04

Systemic reaction (other): Sinus and allergy like symptoms.

2021-12-05

Systemic reaction (other): Itching; discouraged

2021-12-06

Systemic reaction (other): Sinus; itchy eyes; itching scalp

Release 10 — day 28, dose 3

2021-12-31

Symptoms: Sinus clogged. Itchy eyes.

Release 11 — days 1–6 daily, dose 4

2022-05-17

Systemic reaction (other): Sinus congestion; vertigo

2022-05-19

Systemic reaction (other): Vertigo

Release 12 — days 1–6 daily, dose 5

2022-10-06

Systemic reaction (other): Itchy eyes; sinus type congestion

2022-10-07

Systemic reaction (other): Allergy symptoms

Release 12 — day 21, dose 5

2022-10-26

Symptoms: Ringing in my right ear. Anxiety.

Release 12 — day 35, dose 5

2022-11-09

Symptoms: More tired. intestinal upset.

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
HCVOOffice visit ✓ ✓ ✓
SDAbdominal discomfort · · ✓
SDAnxiety · · ✓
SDEye pruritus · · ✓
SDFatigue · · ✓
SDMuscle spasms ✓ ✓ ✓
SDMuscle tightness ✓ ✓ ✓
SDNeck pain ✓ ✓ ✓
SDRash ✓ ✓ ✓
SDSinus congestion · · ✓
SDTinnitus · · ✓
SROAdverse reaction · · ✓
SROAnxiety ✓ ✓ ✓
SRODehydration ✓ ✓ ✓
SRODiscouragement · · ✓
SRODizziness ✓ ✓ ✓
SROEye pruritus ✓ ✓ ✓
SROEye swelling ✓ ✓ ○
SROFeeling abnormal ✓ ✓ ✓
SROHeart rate increased ✓ ✓ ✓
SRONeck pain ✓ ✓ ✓
SRONightmare ✓ ✓ ✓
SROPeriorbital swelling · · ✓
SROPre-existing disease · · ✓
SROPruritus · · ✓
SROSinus congestion ✓ ✓ ✓
SROSinus disorder ✓ ✓ ✓
SROSinusitis ✓ ✓ ○
SROVertigo · · ✓

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