2E9-14326-66611
5 vaccinations
4 coded responses
46 check-ins
4 free-text entries
2 call cases
- Sex
- Female
- Age at first dose
- 66+
- ZIP prefix
- 986 / WA
- Registered
- 2021-01-19
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-01-19
Registered in v-safe
-
2021-01-19
Dose 1 — Moderna
- 2021-01-19
- 2021-01-22
- 2021-01-24
- 2021-01-25
- 2021-01-26
- 2021-02-02
- 2021-02-09
-
2021-02-16
Dose 2 — Moderna
- 2021-02-16
-
2021-02-17
Health check-in — days 1–6 daily, dose 2Feeling: Poor · Site: Pain · Fever · Chills, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activitiesAdult check-in
- 2021-02-18
-
2021-02-19
Survey response — days 1–6 daily, dose 2MedDRA: Terminal insomnia — Feeling: GoodFree text: Awake since 3am.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-02-20
- 2021-02-21
- 2021-02-22
- 2021-02-23
- 2021-03-02
- 2021-03-09
- 2021-03-17
- 2021-03-30
- 2021-05-18
-
2021-08-16
Dose 3 — Moderna
- 2021-08-17
-
2021-08-17
Health check-in — days 1–6 daily, dose 3Feeling: Good · Site: Pain, Swelling · Headache, Fatigue or tirednessAdult check-in
-
2021-08-18
Health check-in — days 1–6 daily, dose 3Feeling: Fair · Site: Redness, Swelling · Headache, Fatigue or tirednessAdult check-in
-
2021-08-19
Health check-in — days 1–6 daily, dose 3Feeling: Good · Site: Redness, Swelling · NoneAdult check-in
- 2021-08-20
- 2021-08-21
- 2021-08-22
- 2021-08-23
- 2021-08-30
- 2021-09-06
- 2021-09-13
-
2021-09-20
Survey response — day 35, dose 3MedDRA: Headache — Feeling: FairFree text: Headaches seem worse. Especially in late afternoon.MedDRA releases: 2024-11 · check-in free text available
-
2021-09-27
Survey response — day 42, dose 3MedDRA: Abdominal pain, Chest pain, Chills, Hypersensitivity — Feeling: Good · Be unable to do your normal daily activitiesFree text: After having a flu shot I had a bad reaction about nine hours later. Chills , chest pain and abdominal pain. So bad I almost called an ambulance. The only thing that stopped me was I didnt want to leave my dog alone. I have never had a reactionMedDRA releases: 2024-11 · check-in free text available
- 2021-11-15
-
2022-02-16
Survey response — 6 months, dose 3MedDRA: Chills, Decreased appetite, Fatigue, Heart rate increased, Insomnia, Night sweats, Oxygen saturation decreased, Tremor — Feeling: Fair · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Emergency room or emergency department visitFree text: Shaking chills , low o2 , increased pulse, tired, unable to sleep, no appetite, night sweatsMedDRA releases: 2024-11 · check-in free text available
-
2022-02-16
Report sent to call center — 6 months, dose 3Be unable to do your normal daily activities · Get care from a doctor or other healthcare professionalEmergency room or emergency department visit · 1 call case(s)
- 2022-02-28
-
2022-03-21
Dose 4 — Moderna
- 2022-06-20
- 2022-09-19
-
2022-09-20
Dose 5 — ModernaCo-administered: Flu
-
2022-09-26
Health check-in — days 1–6 daily, dose 5Feeling: Fair · Chills, Headache, Muscle or body aches, Fatigue or tiredness · Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultationAdult check-in
-
2022-09-26
Report sent to call center — days 1–6 daily, dose 5Get care from a doctor or other healthcare professionalTelehealth, virtual health, or email health consultation · 1 call case(s)
- 2022-09-27
-
2022-09-27
Call successfulNot applicable - Accidental Reporting
-
2022-09-27
Call successfulCompleted over the phone
- 2022-10-05
- 2022-10-13
- 2022-10-18
- 2022-10-25
- 2022-11-01
- 2022-12-20
- 2023-03-21
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-01-19 | Moderna | |
| 2 | 2021-02-16 | Moderna | |
| 3 | 2021-08-16 | Moderna | No |
| 4 | 2022-03-21 | Moderna | No |
| 5 | 2022-09-20 | Moderna | Flu |
Call center
2 call center cases
2 successful
VAERS report filed, before or during a call: 1
Free text
Release 4 — days 1–6 daily, dose 2
Systemic reaction (other): Awake since 3am.
Release 9 — day 35, dose 3
Symptoms: Headaches seem worse. Especially in late afternoon.
Release 9 — day 42, dose 3
Symptoms: After having a flu shot I had a bad reaction about nine hours later. Chills , chest pain and abdominal pain. So bad I almost called an ambulance. The only thing that stopped me was I didnt want to leave my dog alone. I have never had a reaction
Release 11 — 6 months, dose 3
Symptoms: Shaking chills , low o2 , increased pulse, tired, unable to sleep, no appetite, night sweats
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 |
|---|---|---|---|---|
| SD | Abdominal pain | · | · | ✓ |
| SD | Chest pain | · | · | ✓ |
| SD | Chills | · | · | ✓ |
| SD | Decreased appetite | · | · | ✓ |
| SD | Fatigue | · | · | ✓ |
| SD | Headache | · | · | ✓ |
| SD | Heart rate increased | · | · | ✓ |
| SD | Hypersensitivity | · | · | ✓ |
| SD | Insomnia | · | · | ✓ |
| SD | Night sweats | · | · | ✓ |
| SD | Oxygen saturation decreased | · | · | ✓ |
| SD | Tremor | · | · | ✓ |
| SRO | Terminal insomnia | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release