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3DE-12049-74223

2 vaccinations 4 coded responses 23 check-ins 4 free-text entries 1 call case
Sex
Female
Age at first dose
61-65
ZIP prefix
982 / WA
Registered
2021-01-14
Relationship
Self
Race
White
Ethnicity
Not Hispanic or Latino

Timeline

  1. 2021-01-14
    Registered in v-safe
  2. 2021-01-14
    Dose 1 — Moderna
  3. 2021-01-14
    Health check-in — day 0, dose 1
    Feeling: Good · None
    Adult check-in
  4. 2021-01-15
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · None
    Adult check-in
  5. 2021-01-16
    Health check-in — days 1–6 daily, dose 1
    Feeling: Fair · Fatigue or tiredness
    Adult check-in
  6. 2021-01-17
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · None
    Adult check-in
  7. 2021-01-18
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · None
    Adult check-in
  8. 2021-01-19
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · None
    Adult check-in
  9. 2021-01-21
    Health check-in — day 7, dose 1
    Feeling: Good · None
    Adult check-in
  10. 2021-01-28
    Health check-in — day 14, dose 1
    Feeling: Good
    Adult check-in
  11. 2021-02-05
    Health check-in — day 21, dose 1
    Feeling: Good
    Adult check-in
  12. 2021-02-10
    Dose 2 — Moderna
  13. 2021-02-12
    Survey response — days 1–6 daily, dose 2
    MedDRA: Body temperature increased, Chills, Headache, Malaise — Feeling: Poor · Fever · Headache, Muscle or body aches, Nausea, Diarrhea · Be unable to work, Be unable to do your normal daily activities
    Free text: I missed yesterdays check in, as I was quite sick. Chills, highest temp 102.4. Better today, but still terrible headache.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  14. 2021-02-13
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · Headache
    Adult check-in
  15. 2021-02-14
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · None
    Adult check-in
  16. 2021-02-15
    Survey response — days 1–6 daily, dose 2
    MedDRA: Headache — Feeling: Good · Headache
    Free text: Slight headache
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  17. 2021-02-16
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · None
    Adult check-in
  18. 2021-02-17
    Health check-in — day 7, dose 2
    Feeling: Good · None
    Adult check-in
  19. 2021-02-24
    Health check-in — day 14, dose 2
    Feeling: Good
    Adult check-in
  20. 2021-03-03
    Health check-in — day 21, dose 2
    Feeling: Good
    Adult check-in
  21. 2021-03-10
    Health check-in — day 28, dose 2
    Feeling: Good
    Adult check-in
  22. 2021-03-17
    Health check-in — day 35, dose 2
    Feeling: Good
    Adult check-in
  23. 2021-03-24
    Health check-in — day 42, dose 2
    Feeling: Good
    Adult check-in
  24. 2021-05-12
    Health check-in — 3 months, dose 2
    Feeling: Good
    Adult check-in
  25. 2021-08-11
    Survey response — 6 months, dose 2
    MedDRA: Herpes simplex, Pre-existing disease — Feeling: Good
    Free text: I generally get a herpes simplex outbreak once a year or so. I have had 4 since Feb. 2 of which were on my face, not my lip.
    MedDRA releases: 2021-09,2024-11 · check-in free text available
  26. 2022-02-10
    Survey response — 12 months, dose 2
    MedDRA: Herpes zoster, Pre-existing disease, Pustule, Rosacea — Feeling: Good · Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultation
    Free text: Symptoms: Developed shingles shortly after my booster shot of Moderna. Also, i have had rosacea for years, but since the booster I now have significant worsening of the condition. Never had the pustules before, only the red veins. · Healthcare visit (other): I was Rx an antiviral for Shingles
    MedDRA releases: 2024-11 · check-in free text available
  27. 2022-02-10
    Report sent to call center — 12 months, dose 2
    Get care from a doctor or other healthcare professional
    Telehealth, virtual health, or email health consultation · 1 call case(s)
  28. 2022-02-15
  29. 2022-02-18

Vaccinations

DoseDateManufacturerCo-administered
12021-01-14Moderna
22021-02-10Moderna

Call center

1 call center case

1 unsuccessful

See the call center timeline

Free text

Release 4 — days 1–6 daily, dose 2

2021-02-12

Systemic reaction (other): I missed yesterdays check in, as I was quite sick. Chills, highest temp 102.4. Better today, but still terrible headache.

2021-02-15

Systemic reaction (other): Slight headache

Release 9 — 6 months, dose 2

2021-08-11

Symptoms: I generally get a herpes simplex outbreak once a year or so. I have had 4 since Feb. 2 of which were on my face, not my lip.

Release 11 — 12 months, dose 2

2022-02-10

Symptoms: Developed shingles shortly after my booster shot of Moderna. Also, i have had rosacea for years, but since the booster I now have significant worsening of the condition. Never had the pustules before, only the red veins.
Healthcare visit (other): I was Rx an antiviral for Shingles

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
HCVOHerpes zoster · · ✓
SDHerpes simplex ✓ · ✓
SDHerpes zoster · · ✓
SDPre-existing disease ✓ · ✓
SDPustule · · ✓
SDRosacea · · ✓
SROBody temperature increased ✓ ✓ ✓
SROChills ✓ ✓ ✓
SROHeadache ✓ ✓ ✓
SROMalaise ✓ ✓ ✓

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

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