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2CU-27995-55643

4 vaccinations 9 coded responses 45 check-ins 9 free-text entries 0 call cases
Sex
Female
Age at first dose
51-55
ZIP prefix
992 / WA
Registered
2021-02-16
Relationship
Self
Race
White
Ethnicity
Not Hispanic or Latino

Timeline

  1. 2021-02-16
    Registered in v-safe
  2. 2021-02-16
    Dose 1 — Moderna
  3. 2021-02-16
    Health check-in — day 0, dose 1
    Feeling: Fair · Site: Pain · Headache, Joint pains, Muscle or body aches · Be unable to do your normal daily activities
    Adult check-in
  4. 2021-02-17
    Health check-in — days 1–6 daily, dose 1
    Feeling: Fair · Site: Pain · Headache, Fatigue or tiredness · Be unable to do your normal daily activities
    Adult check-in
  5. 2021-02-18
    Health check-in — days 1–6 daily, dose 1
    Feeling: Poor · Site: Pain · Headache, Joint pains, Fatigue or tiredness, Nausea · Be unable to do your normal daily activities
    Adult check-in
  6. 2021-02-19
    Health check-in — days 1–6 daily, dose 1
    Feeling: Fair · Headache · Be unable to work
    Adult check-in
  7. 2021-02-20
    Survey response — days 1–6 daily, dose 1
    MedDRA: Eye pain, Hordeolum — Feeling: Fair
    Free text: Developed a stye on my right eye, hurts
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  8. 2021-02-21
    Survey response — days 1–6 daily, dose 1
    MedDRA: Hordeolum — Feeling: Good
    Free text: Still have stye on right eye but getting bettet
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  9. 2021-02-22
    Survey response — days 1–6 daily, dose 1
    MedDRA: Eyelid cyst — Feeling: Good
    Free text: Cyst on eye but getting better
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  10. 2021-02-23
    Survey response — day 7, dose 1
    MedDRA: Cyst — Feeling: Good
    Free text: The stye on my eye is still there. I said cyst yesterday but stye
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  11. 2021-03-02
    Health check-in — day 14, dose 1
    Feeling: Good
    Adult check-in
  12. 2021-03-09
    Health check-in — day 21, dose 1
    Feeling: Good
    Adult check-in
  13. 2021-03-16
    Dose 2 — Moderna
  14. 2021-03-16
    Health check-in — day 0, dose 2
    Feeling: Fair · Site: Pain · None
    Adult check-in
  15. 2021-03-17
    Health check-in — days 1–6 daily, dose 2
    Feeling: Poor · Site: Pain · Chills, Headache, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities
    Adult check-in
  16. 2021-03-18
    Health check-in — days 1–6 daily, dose 2
    Feeling: Fair · Site: Pain, Swelling · Fever · Chills, Fatigue or tiredness, Diarrhea · Be unable to do your normal daily activities
    Adult check-in
  17. 2021-03-19
    Survey response — days 1–6 daily, dose 2
    MedDRA: Asthenia — Feeling: Poor · Site: Pain · Fever · Chills, Fatigue or tiredness, Nausea · Be unable to do your normal daily activities
    Free text: Weak
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  18. 2021-03-20
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · Site: Pain · Headache
    Adult check-in
  19. 2021-03-21
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · None
    Adult check-in
  20. 2021-03-22
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · None
    Adult check-in
  21. 2021-03-24
    Health check-in — day 7, dose 2
    Feeling: Good · None
    Adult check-in
  22. 2021-03-30
    Survey response — day 14, dose 2
    MedDRA: Headache, Pyrexia — Feeling: Good · Be unable to do your normal daily activities
    Free text: Got feverish, headache but went away by 10pm that night
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  23. 2021-04-06
    Survey response — day 21, dose 2
    MedDRA: Chills, Headache, Malaise, Respiratory tract congestion — Feeling: Good
    Free text: Off and on last week i kept feelibg sick, headaches, chills stuffy but all good this week. When i would feel sick i could continue my daily activities just not at my best. It was only a couple hours each day
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  24. 2021-04-14
    Health check-in — day 28, dose 2
    Feeling: Good
    Adult check-in
  25. 2021-04-20
    Health check-in — day 35, dose 2
    Feeling: Good
    Adult check-in
  26. 2021-04-27
    Health check-in — day 42, dose 2
    Feeling: Good
    Adult check-in
  27. 2021-06-15
    Health check-in — 3 months, dose 2
    Feeling: Good
    Adult check-in
  28. 2021-09-14
    Health check-in — 6 months, dose 2
    Feeling: Good
    Adult check-in
  29. 2021-10-23
    Dose 3 — Moderna
  30. 2021-10-24
    Survey response — days 1–6 daily, dose 3
    MedDRA: Corneal transplant, Eye pain, Herpes zoster, Ophthalmoplegia — Feeling: Poor · Site: Pain · Chills, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities
    Free text: Sharp pain in my right eye 3 hours after shot my eye is weak shingles 13x cornea transplant
    MedDRA releases: 2024-11 · check-in free text available
  31. 2021-10-26
    Health check-in — days 1–6 daily, dose 3
    Feeling: Fair · Site: Pain · Nausea, Diarrhea · Be unable to do your normal daily activities
    Adult check-in
  32. 2021-10-27
    Health check-in — days 1–6 daily, dose 3
    Feeling: Fair · Site: Pain · Fatigue or tiredness, Nausea, Diarrhea · Be unable to do your normal daily activities
    Adult check-in
  33. 2021-10-28
    Health check-in — days 1–6 daily, dose 3
    Feeling: Fair · Fatigue or tiredness · Be unable to do your normal daily activities
    Adult check-in
  34. 2021-10-29
    Health check-in — days 1–6 daily, dose 3
    Feeling: Good · None
    Adult check-in
  35. 2021-10-31
    Health check-in — day 7, dose 3
    Feeling: Good · None
    Adult check-in
  36. 2021-11-06
    Health check-in — day 14, dose 3
    Feeling: Good
    Adult check-in
  37. 2021-11-13
    Health check-in — day 21, dose 3
    Feeling: Good
    Adult check-in
  38. 2021-11-20
    Health check-in — day 28, dose 3
    Feeling: Good
    Adult check-in
  39. 2021-11-27
    Health check-in — day 35, dose 3
    Feeling: Good
    Adult check-in
  40. 2021-12-04
    Health check-in — day 42, dose 3
    Feeling: Good
    Adult check-in
  41. 2022-01-22
    Health check-in — 3 months, dose 3
    Feeling: Good
    Adult check-in
  42. 2022-04-15
    Dose 4 — Moderna
  43. 2022-04-23
    Health check-in — day 7, dose 4
    Feeling: Good · None
    Adult check-in
  44. 2022-04-29
    Health check-in — day 14, dose 4
    Feeling: Good
    Adult check-in
  45. 2022-05-06
    Health check-in — day 21, dose 4
    Feeling: Good
    Adult check-in
  46. 2022-05-13
    Health check-in — day 28, dose 4
    Feeling: Good
    Adult check-in
  47. 2022-05-20
    Health check-in — day 35, dose 4
    Feeling: Good
    Adult check-in
  48. 2022-05-29
    Health check-in — day 42, dose 4
    Feeling: Good
    Adult check-in
  49. 2022-07-15
    Survey response — 3 months, dose 4
    MedDRA: Asthenia, Dyspnoea, Exposure to SARS-CoV-2, Headache, SARS-CoV-2 test — Feeling: Poor · Be unable to do your normal daily activities
    Free text: Was exposed to someone with covid its been 9 days having symptoms of bad headaches, shortness of breathe. Low energy. Waiting for PCR test
    MedDRA releases: 2024-11 · check-in free text available
  50. 2022-10-14
    Health check-in — 6 months, dose 4
    Feeling: Good
    Adult check-in

Vaccinations

DoseDateManufacturerCo-administered
12021-02-16Moderna
22021-03-16Moderna
32021-10-23Moderna No
42022-04-15Moderna No

Free text

Release 4 — days 1–6 daily, dose 1

2021-02-20

Systemic reaction (other): Developed a stye on my right eye, hurts

2021-02-21

Systemic reaction (other): Still have stye on right eye but getting bettet

2021-02-22

Systemic reaction (other): Cyst on eye but getting better

Release 4 — day 7, dose 1

2021-02-23

Systemic reaction (other): The stye on my eye is still there. I said cyst yesterday but stye

Release 6 — days 1–6 daily, dose 2

2021-03-19

Systemic reaction (other): Weak

Release 6 — day 14, dose 2

2021-03-30

Symptoms: Got feverish, headache but went away by 10pm that night

Release 7 — day 21, dose 2

2021-04-06

Symptoms: Off and on last week i kept feelibg sick, headaches, chills stuffy but all good this week. When i would feel sick i could continue my daily activities just not at my best. It was only a couple hours each day

Release 10 — days 1–6 daily, dose 3

2021-10-24

Systemic reaction (other): Sharp pain in my right eye 3 hours after shot my eye is weak shingles 13x cornea transplant

Release 12 — 3 months, dose 4

2022-07-15

Symptoms: Was exposed to someone with covid its been 9 days having symptoms of bad headaches, shortness of breathe. Low energy. Waiting for PCR test

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
SDAsthenia · · ✓
SDChills ✓ ✓ ✓
SDDyspnoea · · ✓
SDExposure to SARS-CoV-2 · · ✓
SDHeadache ✓ ✓ ✓
SDMalaise ✓ ✓ ✓
SDPyrexia ✓ ✓ ✓
SDRespiratory tract congestion · · ✓
SDSARS-CoV-2 test · · ✓
SROAsthenia ✓ ✓ ✓
SROCorneal transplant · · ✓
SROCyst ✓ ✓ ✓
SROEye pain ✓ ✓ ✓
SROEyelid cyst ✓ ✓ ✓
SROHerpes zoster · · ✓
SROHordeolum ✓ ✓ ✓
SROOphthalmoplegia · · ✓

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