39J-82486-77366
3 vaccinations
7 coded responses
18 check-ins
7 free-text entries
0 call cases
- Sex
- Female
- Age at first dose
- 61-65
- ZIP prefix
- 983 / WA
- Registered
- 2021-02-25
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
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2021-01-19
Dose 1 — Moderna
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2021-02-24
Dose 2 — Moderna
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2021-02-25
Registered in v-safe
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2021-02-26
Survey response — days 1–6 daily, dose 2MedDRA: No adverse event — Feeling: Poor · Site: Pain · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to work, Be unable to do your normal daily activitiesFree text: NoMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-02-27
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Site: Pain, Itching · Fatigue or tirednessAdult check-in
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2021-02-28
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Site: Itching · Fatigue or tirednessAdult check-in
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2021-03-02
Health check-in — days 1–6 daily, dose 2Feeling: Poor · Site: Itching · Headache · Be unable to do your normal daily activitiesAdult check-in
- 2021-03-03
- 2021-03-10
- 2021-03-17
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2021-03-24
Survey response — day 28, dose 2MedDRA: Fatigue, Headache, Lichen planus, Nasopharyngitis, Stomatitis — Feeling: Poor · Be unable to do your normal daily activitiesFree text: Fatigue, headache, like head cold feeling. Just not myself. Earlyer 3 days after 2nd vac.my lichen planus acted up in my mouth.mouth was completely inflamed & sores(Autoimmune condition). I was able to calm it with my medicine took 5-6 day's or so.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-03-31
- 2021-04-07
- 2021-05-26
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2022-02-25
Survey response — 12 months, dose 2MedDRA: Fatigue, Influenza like illness, Lichen planus, Malaise, Nasopharyngitis, Pre-existing disease — Feeling: Fair · Be unable to do your normal daily activitiesFree text: Some general fatigue.Had one full day of feeling I had a bad flu after booster.And general fatigue after. The second vaccine made me very ill for 5 days,my autoimmune condition lichen planus flared up bad. Then felt like a head cold for 2 months.MedDRA releases: 2024-11 · check-in free text available
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2022-10-28
Dose 3 — Moderna
- 2022-11-13
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2022-11-18
Survey response — day 21, dose 3MedDRA: Fatigue, Headache, Influenza like illness, Tenderness — Feeling: Fair · Be unable to do your normal daily activitiesFree text: So after the shot- flu like symptoms, in bed day and 1/2. Headache for 8-9 days every morning after. Some fatigue, arm tender for couple of days. Still headache off and on, just not every day (anymore).MedDRA releases: 2024-11 · check-in free text available
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2022-11-25
Survey response — day 28, dose 3MedDRA: Headache — Feeling: FairFree text: More headaches, all day type of headache. I'm thinking that I am allergic to propalene glycol? I have avoided it when ever possible. The next question about symptoms : l had to work l am self employed, is difficult - but have to.MedDRA releases: 2024-11 · check-in free text available
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2022-12-04
Survey response — day 35, dose 3MedDRA: Fatigue, Headache, Nausea — Feeling: Poor · Be unable to do your normal daily activitiesFree text: Bad headache, last all day into the night. Fatigue with it, and some nausea.MedDRA releases: 2024-11 · check-in free text available
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2022-12-10
Survey response — day 42, dose 3MedDRA: Fatigue, Headache — Feeling: Fair · Be unable to do your normal daily activitiesFree text: Frequent headaches, and fatigue.MedDRA releases: 2024-11 · check-in free text available
- 2023-04-29
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-01-19 | Moderna | |
| 2 | 2021-02-24 | Moderna | |
| 3 | 2022-10-28 | Moderna | No |
Free text
Release 4 — days 1–6 daily, dose 2
Systemic reaction (other): No
Release 6 — day 28, dose 2
Symptoms: Fatigue, headache, like head cold feeling. Just not myself. Earlyer 3 days after 2nd vac.my lichen planus acted up in my mouth.mouth was completely inflamed & sores(Autoimmune condition). I was able to calm it with my medicine took 5-6 day's or so. cut off by CDC
Release 11 — 12 months, dose 2
Symptoms: Some general fatigue.Had one full day of feeling I had a bad flu after booster.And general fatigue after. The second vaccine made me very ill for 5 days,my autoimmune condition lichen planus flared up bad. Then felt like a head cold for 2 months.
Release 12 — day 21, dose 3
Symptoms: So after the shot- flu like symptoms, in bed day and 1/2. Headache for 8-9 days every morning after. Some fatigue, arm tender for couple of days. Still headache off and on, just not every day (anymore).
Release 12 — day 28, dose 3
Symptoms: More headaches, all day type of headache. I'm thinking that I am allergic to propalene glycol? I have avoided it when ever possible. The next question about symptoms : l had to work l am self employed, is difficult - but have to.
Release 12 — day 35, dose 3
Symptoms: Bad headache, last all day into the night. Fatigue with it, and some nausea.
Release 12 — day 42, dose 3
Symptoms: Frequent headaches, and fatigue.
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 | Fatigue | ✓ | ✓ | ✓ |
| SD | Headache | ✓ | ✓ | ✓ |
| SD | Influenza like illness | · | · | ✓ |
| SD | Lichen planus | ✓ | ✓ | ✓ |
| SD | Malaise | · | · | ✓ |
| SD | Nasopharyngitis | ✓ | ✓ | ✓ |
| SD | Nausea | · | · | ✓ |
| SD | Pre-existing disease | · | · | ✓ |
| SD | Stomatitis | ✓ | ✓ | ✓ |
| SD | Tenderness | · | · | ✓ |
| SRO | No adverse event | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release