368-24909-40135
4 vaccinations
12 coded responses
40 check-ins
12 free-text entries
1 call case
- Sex
- Female
- Age at first dose
- 66+
- ZIP prefix
- 980 / WA
- Registered
- 2021-02-02
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-01-29
Dose 1 — Moderna
-
2021-02-02
Registered in v-safe
-
2021-02-02
Survey response — days 1–6 daily, dose 1MedDRA: Tremor — Feeling: Fair · Site: Pain · ChillsFree text: ShakyMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-02-04
-
2021-02-05
Survey response — day 7, dose 1MedDRA: Asthma — Feeling: Fair · ChillsFree text: Slight asthmaMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-02-15
- 2021-02-23
-
2021-02-25
Dose 2 — Moderna
-
2021-02-25
Survey response — day 0, dose 2MedDRA: Tremor — Feeling: Fair · Site: Pain · Fatigue or tirednessFree text: ShakeyMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-02-26
Survey response — days 1–6 daily, dose 2MedDRA: Oropharyngeal pain — Feeling: Poor · Site: Pain · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activitiesFree text: Sore throat .MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-02-27
Survey response — days 1–6 daily, dose 2MedDRA: Epistaxis — Feeling: Fair · Site: Pain, Redness · Joint pains, Fatigue or tiredness · Be unable to do your normal daily activitiesFree text: Nose bleed about 1:35 am while asleep. Thought it was a runny nose. When I awoke this morning the tissues were bloody.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-02-28
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Site: Pain · Chills, Muscle or body aches · Be unable to do your normal daily activitiesAdult check-in
-
2021-03-02
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Site: Redness · Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activitiesAdult check-in
-
2021-03-03
Survey response — days 1–6 daily, dose 2MedDRA: Feeling cold, Peripheral swelling, Tremor — Feeling: Fair · Site: Itching · Chills, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activitiesFree text: Shakey, extremely cold, hands swollenMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-03-04
Survey response — day 7, dose 2MedDRA: Tremor — Feeling: Fair · Site: Redness · Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activitiesFree text: Shakey whole body Shakey hard too perform daily activities.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-03-11
- 2021-03-18
- 2021-03-26
- 2021-04-01
- 2021-04-08
-
2021-05-29
Survey response — 3 months, dose 2MedDRA: Blood pressure increased, Office visit, Tendon pain — Feeling: Fair · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professionalFree text: Symptoms: Bp elevated. Tendon in finger very painful. Went to doctor. He wrote for consult with hand surgeon. · Healthcare visit (other): MD officeMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-05-29
Report sent to call center — 3 months, dose 2Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional1 call case(s)
- 2021-08-26
-
2021-10-28
Dose 3 — Moderna
-
2021-10-28
Survey response — day 0, dose 3MedDRA: Dyspnoea — Feeling: Fair · Fatigue or tirednessFree text: Little trouble breathing not seriouslyMedDRA releases: 2024-11 · check-in free text available
-
2021-10-29
Survey response — days 1–6 daily, dose 3MedDRA: Respiratory tract congestion — Feeling: Good · Site: PainFree text: Stuffy head .MedDRA releases: 2024-11 · check-in free text available
-
2021-10-31
Survey response — days 1–6 daily, dose 3MedDRA: Urticaria — Feeling: Good · Site: Pain, Redness, SwellingFree text: Hives yesterday and today intermittentlyMedDRA releases: 2024-11 · check-in free text available
- 2021-11-01
-
2021-11-03
Health check-in — days 1–6 daily, dose 3Feeling: Poor · Site: Redness · Fever · Chills, Headache, Fatigue or tirednessAdult check-in
-
2021-11-04
Survey response — day 7, dose 3MedDRA: Dizziness, Unevaluable event — Feeling: Poor · Fever · Chills, Headache, Joint pains, Fatigue or tiredness, Nausea, Abdominal pain · Be unable to do your normal daily activitiesFree text: Dizziness, sensitive to lightMedDRA releases: 2024-11 · check-in free text available
- 2021-11-11
- 2021-11-20
- 2021-11-25
- 2021-12-02
- 2021-12-09
- 2022-01-27
-
2022-04-08
Dose 4 — Moderna
- 2022-04-15
- 2022-04-22
- 2022-04-29
- 2022-05-06
- 2022-05-11
- 2022-05-13
- 2022-05-21
- 2022-07-08
- 2022-10-07
- 2023-04-09
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-01-29 | Moderna | |
| 2 | 2021-02-25 | Moderna | |
| 3 | 2021-10-28 | Moderna | No |
| 4 | 2022-04-08 | Moderna | No |
Call center
1 call center case
1 unsuccessful
1 wait over 3 months for a first call
Free text
Release 3 — days 1–6 daily, dose 1
Systemic reaction (other): Shaky
Release 3 — day 7, dose 1
Systemic reaction (other): Slight asthma
Release 4 — day 0, dose 2
Systemic reaction (other): Shakey
Release 4 — days 1–6 daily, dose 2
Systemic reaction (other): Sore throat .
Systemic reaction (other): Nose bleed about 1:35 am while asleep. Thought it was a runny nose. When I awoke this morning the tissues were bloody.
Release 5 — days 1–6 daily, dose 2
Systemic reaction (other): Shakey, extremely cold, hands swollen
Release 5 — day 7, dose 2
Systemic reaction (other): Shakey whole body Shakey hard too perform daily activities.
Release 8 — 3 months, dose 2
Symptoms: Bp elevated. Tendon in finger very painful. Went to doctor. He wrote for consult with hand surgeon.
Healthcare visit (other): MD office
Release 10 — day 0, dose 3
Systemic reaction (other): Little trouble breathing not seriously
Release 10 — days 1–6 daily, dose 3
Systemic reaction (other): Stuffy head .
Systemic reaction (other): Hives yesterday and today intermittently
Release 10 — day 7, dose 3
Systemic reaction (other): Dizziness, sensitive to light
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 | Blood pressure increased | ✓ | ✓ | ✓ |
| SD | Office visit | ✓ | ✓ | ✓ |
| SD | Tendon pain | ✓ | ✓ | ✓ |
| SRO | Asthma | ✓ | ✓ | ✓ |
| SRO | Dizziness | · | · | ✓ |
| SRO | Dyspnoea | · | · | ✓ |
| SRO | Epistaxis | ✓ | ✓ | ✓ |
| SRO | Feeling cold | ✓ | ✓ | ✓ |
| SRO | Oropharyngeal pain | ✓ | ✓ | ✓ |
| SRO | Peripheral swelling | ✓ | ✓ | ✓ |
| SRO | Respiratory tract congestion | · | · | ✓ |
| SRO | Tremor | ✓ | ✓ | ✓ |
| SRO | Unevaluable event | · | · | ✓ |
| SRO | Urticaria | · | · | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release