324-22164-01017
5 vaccinations
5 coded responses
49 check-ins
4 free-text entries
1 call case
- Sex
- Female
- Age at first dose
- 66+
- ZIP prefix
- 983 / WA
- Registered
- 2021-02-03
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-02-03
Registered in v-safe
-
2021-02-03
Dose 1 — Moderna
-
2021-02-03
Survey response — day 0, dose 1MedDRA: Injection site discomfort — Feeling: Good · Fatigue or tirednessFree text: Just mild soreness at injection site.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-02-04
Health check-in — days 1–6 daily, dose 1Feeling: Good · Fever · Fatigue or tirednessAdult check-in
- 2021-02-05
-
2021-02-06
Health check-in — days 1–6 daily, dose 1Feeling: Fair · Fever · Fatigue or tirednessAdult check-in
- 2021-02-07
- 2021-02-08
-
2021-02-09
Health check-in — days 1–6 daily, dose 1Feeling: Fair · Fever · Fatigue or tirednessAdult check-in
- 2021-02-10
- 2021-02-17
- 2021-02-24
- 2021-03-03
-
2021-03-04
Dose 2 — Moderna
-
2021-03-04
Health check-in — day 0, dose 2Feeling: Fair · Site: Pain · Fever · Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activitiesAdult check-in
-
2021-03-05
Health check-in — days 1–6 daily, dose 2Feeling: Poor · Fever · Chills, Headache, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activitiesAdult check-in
- 2021-03-06
- 2021-03-07
-
2021-03-08
Survey response — days 1–6 daily, dose 2MedDRA: Energy increased — Feeling: GoodFree text: I forgot to mention the big burst of sustained energy I felt all day after my temp returned to normal.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-03-09
- 2021-03-10
- 2021-03-11
- 2021-03-18
- 2021-03-25
- 2021-04-01
- 2021-04-08
- 2021-04-15
- 2021-06-03
-
2021-09-02
Survey response — 6 months, dose 2MedDRA: Nasal congestion, SARS-CoV-2 test — Feeling: FairFree text: Yesterday I awoke with some nasal congestion and had a slightly elevated temp over my normal 96.6--between 98.6 and 98.1. Today I got a PCR test as I had been around unvaccinated children Sat. No results yet.MedDRA releases: 2021-09,2024-11 · check-in free text available
-
2021-10-28
Dose 3 — Moderna
-
2022-03-04
Survey response — 12 months, dose 2MedDRA: Office visit, Rosacea — Feeling: Good · Get care from a doctor or other healthcare professionalFree text: Symptoms: rosacea since April 2021 · Healthcare visit (other): routine in-person dermatologist examMedDRA releases: 2024-11 · check-in free text available
-
2022-03-04
Report sent to call center — 12 months, dose 2Get care from a doctor or other healthcare professional1 call case(s)
- 2022-03-16
-
2022-03-16
Call successfulNot applicable (accidental reporting or does not believe symptoms are related to vaccine)
-
2022-04-25
Dose 4 — Moderna
- 2022-04-25
-
2022-04-26
Health check-in — days 1–6 daily, dose 4Feeling: Fair · Fever · Muscle or body aches, Fatigue or tirednessAdult check-in
- 2022-04-27
- 2022-04-28
-
2022-04-29
Health check-in — days 1–6 daily, dose 4Feeling: Fair · Fever · Muscle or body aches, Fatigue or tirednessAdult check-in
- 2022-04-30
- 2022-05-01
- 2022-05-02
- 2022-05-09
- 2022-05-16
- 2022-05-23
- 2022-05-30
- 2022-06-06
- 2022-07-25
-
2022-09-12
Dose 5 — Pfizer-BioNTech
- 2022-09-22
- 2022-09-26
- 2022-10-03
- 2022-10-10
- 2022-10-17
- 2022-10-24
- 2022-12-12
-
2023-03-13
Survey response — 6 months, dose 5MedDRA: Asthenia, Lethargy, Nasopharyngitis, Pyrexia — Feeling: Good · Be unable to do your normal daily activitiesMedDRA releases: 2024-11
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-02-03 | Moderna | |
| 2 | 2021-03-04 | Moderna | |
| 3 | 2021-10-28 | Moderna | No |
| 4 | 2022-04-25 | Moderna | No |
| 5 | 2022-09-12 | Pfizer-BioNTech | No |
Call center
1 call center case
1 successful
Free text
Release 3 — day 0, dose 1
Systemic reaction (other): Just mild soreness at injection site.
Release 5 — days 1–6 daily, dose 2
Systemic reaction (other): I forgot to mention the big burst of sustained energy I felt all day after my temp returned to normal.
Release 9 — 6 months, dose 2
Symptoms: Yesterday I awoke with some nasal congestion and had a slightly elevated temp over my normal 96.6--between 98.6 and 98.1. Today I got a PCR test as I had been around unvaccinated children Sat. No results yet.
Release 11 — 12 months, dose 2
Symptoms: rosacea since April 2021
Healthcare visit (other): routine in-person dermatologist exam
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 |
|---|---|---|---|---|
| HCVO | Office visit | · | · | ✓ |
| SD | Asthenia | · | · | ✓ |
| SD | Lethargy | · | · | ✓ |
| SD | Nasal congestion | ✓ | · | ✓ |
| SD | Nasopharyngitis | · | · | ✓ |
| SD | Pyrexia | · | · | ✓ |
| SD | Rosacea | · | · | ✓ |
| SD | SARS-CoV-2 test | ✓ | · | ✓ |
| SRO | Energy increased | ✓ | ✓ | ✓ |
| SRO | Injection site discomfort | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release