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2WJ-94685-32927

2 vaccinations 8 coded responses 16 check-ins 8 free-text entries 2 call cases
Sex
Female
Age at first dose
61-65
ZIP prefix
982 / WA
Registered
2021-04-24
Relationship
Self
Race
White
Ethnicity
Not Hispanic or Latino

Timeline

  1. 2021-03-27
    Dose 1 — Moderna
  2. 2021-04-24
    Registered in v-safe
  3. 2021-04-24
    Dose 2 — Moderna
  4. 2021-04-24
    Survey response — day 0, dose 2
    MedDRA: Oral pain, Palatal swelling, Pruritus — Feeling: Fair · Site: Pain · Headache
    Free text: Roof of my mouth is tender, but I might have burned it on lunch. Right hand unexpectedly itchy (shot in left arm)
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  5. 2021-04-25
    Survey response — days 1–6 daily, dose 2
    MedDRA: Unevaluable event — Feeling: Fair · Site: Pain · Fever · Chills, Joint pains, Muscle or body aches, Fatigue or tiredness, Abdominal pain · Be unable to do your normal daily activities
    Free text: My temperature is consistently 96.9, so 99.9 is high for me.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  6. 2021-04-26
    Survey response — days 1–6 daily, dose 2
    MedDRA: Feeling abnormal — Feeling: Good · Site: Pain · Fever · Fatigue or tiredness, Abdominal pain · Be unable to do your normal daily activities
    Free text: A little fuzzy-headed
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  7. 2021-04-27
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · Site: Pain · Fatigue or tiredness · Be unable to do your normal daily activities
    Adult check-in
  8. 2021-04-28
    Health check-in — days 1–6 daily, dose 2
    Feeling: Fair · Fever · Fatigue or tiredness, Abdominal pain · Be unable to do your normal daily activities
    Adult check-in
  9. 2021-04-29
    Survey response — days 1–6 daily, dose 2
    MedDRA: Unevaluable event — Feeling: Good
    Free text: Mowed the lawn last night - no problem!
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  10. 2021-04-30
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · None
    Adult check-in
  11. 2021-05-01
    Health check-in — day 7, dose 2
    Feeling: Good · None
    Adult check-in
  12. 2021-05-08
    Health check-in — day 14, dose 2
    Feeling: Good
    Adult check-in
  13. 2021-05-15
    Health check-in — day 21, dose 2
    Feeling: Good
    Adult check-in
  14. 2021-05-22
    Health check-in — day 28, dose 2
    Feeling: Good
    Adult check-in
  15. 2021-05-29
    Survey response — day 35, dose 2
    MedDRA: Lip pain, Lip swelling — Feeling: Good
    Free text: My lips got puffy and sore on Tuesday, however it might have been a food allergy. Much better now.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  16. 2021-06-05
    Health check-in — day 42, dose 2
    Feeling: Good
    Adult check-in
  17. 2021-07-24
    Survey response — 3 months, dose 2
    MedDRA: Dental restoration failure, Office visit — Feeling: Good · Get care from a doctor or other healthcare professional
    Free text: Symptoms: Lost a tooth crown and will need root extracted. · Healthcare visit (other): Visited dentist.
    MedDRA releases: 2021-09,2024-11 · check-in free text available
  18. 2021-07-24
    Report sent to call center — 3 months, dose 2
    Get care from a doctor or other healthcare professional
    1 call case(s)
  19. 2021-08-08
  20. 2021-10-25
    Survey response — 6 months, dose 2
    MedDRA: Conjunctivitis — Feeling: Good · Be unable to do your normal daily activities
    Free text: I had pinkeye (conjunctivitis).
    MedDRA releases: 2024-11 · check-in free text available
  21. 2022-04-24
    Survey response — 12 months, dose 2
    MedDRA: Asthenia, Fatigue, Respiratory tract congestion, SARS-CoV-2 test positive — Feeling: Poor · Be unable to work or attend school, 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: Tested positive for COVID on April 19. Congested and fatigued, though more energetic daily.
    MedDRA releases: 2024-11 · check-in free text available
  22. 2022-04-24
    Report sent to call center — 12 months, dose 2
    Be unable to work or attend school · Be unable to do your normal daily activities · Get care from a doctor or other healthcare pr
    Telehealth, virtual health, or email health consultation · 1 call case(s)
  23. 2022-04-25

Vaccinations

DoseDateManufacturerCo-administered
12021-03-27Moderna
22021-04-24Moderna

Call center

2 call center cases

2 unsuccessful

See the call center timeline

Free text

Release 7 — day 0, dose 2

2021-04-24

Systemic reaction (other): Roof of my mouth is tender, but I might have burned it on lunch. Right hand unexpectedly itchy (shot in left arm)

Release 7 — days 1–6 daily, dose 2

2021-04-25

Systemic reaction (other): My temperature is consistently 96.9, so 99.9 is high for me.

Release 8 — days 1–6 daily, dose 2

2021-04-26

Systemic reaction (other): A little fuzzy-headed

2021-04-29

Systemic reaction (other): Mowed the lawn last night - no problem!

Release 8 — day 35, dose 2

2021-05-29

Symptoms: My lips got puffy and sore on Tuesday, however it might have been a food allergy. Much better now.

Release 9 — 3 months, dose 2

2021-07-24

Symptoms: Lost a tooth crown and will need root extracted.
Healthcare visit (other): Visited dentist.

Release 10 — 6 months, dose 2

2021-10-25

Symptoms: I had pinkeye (conjunctivitis).

Release 11 — 12 months, dose 2

2022-04-24

Symptoms: Tested positive for COVID on April 19. Congested and fatigued, though more energetic daily.

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 ✓ · ✓
SDAsthenia · · ✓
SDConjunctivitis · · ✓
SDDental restoration failure ✓ · ✓
SDFatigue · · ✓
SDLip pain ✓ ✓ ✓
SDLip swelling ✓ ✓ ✓
SDRespiratory tract congestion · · ✓
SDSARS-CoV-2 test positive · · ✓
SROFeeling abnormal ✓ ✓ ✓
SROOral pain ✓ ✓ ✓
SROPalatal swelling ✓ ✓ ✓
SROPruritus ✓ ✓ ✓
SROUnevaluable event ✓ ✓ ✓

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