336-21695-67978
2 vaccinations
2 coded responses
19 check-ins
2 free-text entries
1 call case
- Sex
- Female
- Age at first dose
- 66+
- ZIP prefix
- 982 / WA
- Registered
- 2021-01-26
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-01-26
Registered in v-safe
-
2021-01-26
Dose 1 — Moderna
- 2021-01-27
- 2021-01-28
- 2021-01-29
- 2021-01-30
- 2021-02-01
- 2021-02-02
- 2021-02-11
- 2021-02-16
- 2021-02-23
-
2021-02-25
Dose 2 — Moderna
-
2021-03-02
Survey response — days 1–6 daily, dose 2MedDRA: Decreased appetite, Fatigue, Headache, Influenza like illness, Injection site pain, Pain, Pyrexia, Somnolence — Feeling: Good · Be unable to work, Be unable to do your normal daily activitiesFree text: I received the vaccine 5 days ago. I had pain at the site for 3 days. The day after the shot, I felt fluey. Headache, slight fever, body aches, extreme fatigue. Slept all day, ate only a couple of crackers. 2nd day, felt better but still quite fatigued. Ate a little, sat in recliner for the whole day. Ate dinner for the first meal. 3rd day felt mostly well though felt a kind of body fatigue that kept me from doing much physical. 4th day finally felt well.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-03-04
- 2021-03-11
- 2021-03-18
- 2021-03-25
- 2021-04-01
- 2021-04-08
- 2021-05-27
- 2021-08-28
-
2022-02-25
Survey response — 12 months, dose 2MedDRA: Brain fog, COVID-19, Condition aggravated, Fatigue, Laboratory test abnormal, Oropharyngeal pain, Pain, Pre-existing disease, Pyrexia — Feeling: Good · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultation, Outpatient clinic or urgent care clinic visitFree text: I got Covid in late December. I had a mild fever for a day and aches, sore throat, fatigue and brain fuzziness for 4 or 5 days. I tested positive a second time a week after my first positive test. Some heart symptoms have gotten worse: frequent PACs.MedDRA releases: 2024-11 · check-in free text available
-
2022-02-25
Report sent to call center — 12 months, dose 2Be unable to do your normal daily activities · Get care from a doctor or other healthcare professionalTelehealth, virtual health, or email health consultation · Outpatient clinic or urgent care clinic visit · 1 call case(s)
- 2022-03-07
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-01-26 | Moderna | |
| 2 | 2021-02-25 | Moderna |
Call center
1 call center case
1 unsuccessful
Free text
Release 4 — days 1–6 daily, dose 2
Systemic reaction (other): I received the vaccine 5 days ago. I had pain at the site for 3 days. The day after the shot, I felt fluey. Headache, slight fever, body aches, extreme fatigue. Slept all day, ate only a couple of crackers. 2nd day, felt better but still quite fatigued. Ate a little, sat in recliner for the whole day. Ate dinner for the first meal. 3rd day felt mostly well though felt a kind of body fatigue that kept me from doing much physical. 4th day finally felt well.
Release 11 — 12 months, dose 2
Symptoms: I got Covid in late December. I had a mild fever for a day and aches, sore throat, fatigue and brain fuzziness for 4 or 5 days. I tested positive a second time a week after my first positive test. Some heart symptoms have gotten worse: frequent PACs. cut off by CDC
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 | Brain fog | · | · | ✓ |
| SD | Condition aggravated | · | · | ✓ |
| SD | COVID-19 | · | · | ✓ |
| SD | Fatigue | · | · | ✓ |
| SD | Laboratory test abnormal | · | · | ✓ |
| SD | Oropharyngeal pain | · | · | ✓ |
| SD | Pain | · | · | ✓ |
| SD | Pre-existing disease | · | · | ✓ |
| SD | Pyrexia | · | · | ✓ |
| SRO | Decreased appetite | ✓ | ✓ | ✓ |
| SRO | Fatigue | ✓ | ✓ | ✓ |
| SRO | Headache | ✓ | ✓ | ✓ |
| SRO | Influenza like illness | ✓ | ✓ | ✓ |
| SRO | Injection site pain | ✓ | ✓ | ✓ |
| SRO | Pain | ✓ | ✓ | ✓ |
| SRO | Pyrexia | ✓ | ✓ | ✓ |
| SRO | Somnolence | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release