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3G2-19994-97167

4 vaccinations 11 coded responses 32 check-ins 11 free-text entries 0 call cases
Sex
Female
Age at first dose
66+
ZIP prefix
983 / WA
Registered
2021-01-31
Relationship
Self
Race
White
Ethnicity
Not Hispanic or Latino

Timeline

  1. 2021-01-30
    Dose 1 — Moderna
  2. 2021-01-31
    Registered in v-safe
  3. 2021-01-31
    Survey response — days 1–6 daily, dose 1
    MedDRA: Fatigue, Pain — Feeling: Good · Site: Pain · Muscle or body aches, Fatigue or tiredness
    Free text: Im 73, body aches and tiredness not unusual
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  4. 2021-02-01
    Survey response — days 1–6 daily, dose 1
    MedDRA: Fatigue, Pain — Feeling: Good · Fatigue or tiredness
    Free text: Always tired and aches. 73 and active!
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  5. 2021-02-02
    Survey response — days 1–6 daily, dose 1
    MedDRA: Fatigue, Pain — Feeling: Good · Muscle or body aches, Fatigue or tiredness
    Free text: Fatigue and ache a part of life at 73
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  6. 2021-02-03
    Survey response — days 1–6 daily, dose 1
    MedDRA: Unevaluable event — Feeling: Good · Muscle or body aches, Fatigue or tiredness
    Free text: Typical day
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  7. 2021-02-04
    Survey response — days 1–6 daily, dose 1
    MedDRA: Unevaluable event — Feeling: Good · Fatigue or tiredness
    Free text: Normal for me
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  8. 2021-02-05
    Survey response — days 1–6 daily, dose 1
    MedDRA: Unevaluable event — Feeling: Good · Muscle or body aches, Fatigue or tiredness
    Free text: Both are typical daily
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  9. 2021-02-06
    Survey response — day 7, dose 1
    MedDRA: Unevaluable event — Feeling: Good · Muscle or body aches, Fatigue or tiredness
    Free text: Typical for me
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  10. 2021-02-13
    Health check-in — day 14, dose 1
    Feeling: Good
    Adult check-in
  11. 2021-02-20
    Survey response — day 21, dose 1
    MedDRA: Injection site erythema, Injection site induration, Injection site warmth — Feeling: Fair
    Free text: Week before, my arm had a hard spot,2-3 inches round, hot and red at the shot site. It has disappeared this week.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  12. 2021-02-27
    Dose 2 — Moderna
  13. 2021-02-27
    Health check-in — day 0, dose 2
    Feeling: Good · Site: Pain · None
    Adult check-in
  14. 2021-02-28
    Health check-in — days 1–6 daily, dose 2
    Feeling: Poor · Site: Pain, Redness, Itching · Fever · Chills, Headache, Muscle or body aches, Fatigue or tiredness, Diarrhea · Be unable to work, Be unable to do your normal daily activities
    Adult check-in
  15. 2021-03-01
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · None
    Adult check-in
  16. 2021-03-02
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · Diarrhea, Abdominal pain
    Adult check-in
  17. 2021-03-03
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · None
    Adult check-in
  18. 2021-03-04
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · None
    Adult check-in
  19. 2021-03-05
    Survey response — days 1–6 daily, dose 2
    MedDRA: Fatigue — Feeling: Fair · Fatigue or tiredness, Diarrhea · Be unable to do your normal daily activities
    Free text: Dog tired!
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  20. 2021-03-06
    Health check-in — day 7, dose 2
    Feeling: Good · Muscle or body aches, Fatigue or tiredness
    Adult check-in
  21. 2021-03-13
    Health check-in — day 14, dose 2
    Feeling: Good
    Adult check-in
  22. 2021-03-20
    Health check-in — day 21, dose 2
    Feeling: Good
    Adult check-in
  23. 2021-03-27
    Health check-in — day 28, dose 2
    Feeling: Good
    Adult check-in
  24. 2021-04-03
    Health check-in — day 35, dose 2
    Feeling: Good
    Adult check-in
  25. 2021-04-10
    Survey response — day 42, dose 2
    MedDRA: Asthenia, Fatigue, Herpes zoster, Tremor — Feeling: Good · Be unable to do your normal daily activities
    Free text: Exhausted all the time. No energy. Sometimes shaky. Maybe from shingles shot, or old age? Or too much to do?
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  26. 2021-05-29
    Health check-in — 3 months, dose 2
    Feeling: Good
    Adult check-in
  27. 2021-08-28
    Health check-in — 6 months, dose 2
    Feeling: Good
    Adult check-in
  28. 2021-11-27
    Dose 3 — Moderna
  29. 2022-02-27
    Health check-in — 12 months, dose 2
    Feeling: Good
    Adult check-in
  30. 2022-02-27
    Health check-in — 3 months, dose 3
    Feeling: Good
    Adult check-in
  31. 2022-04-08
    Dose 4 — Moderna
  32. 2022-04-15
    Survey response — day 7, dose 4
    MedDRA: Skin discolouration — Feeling: Fair · Site: Pain, Redness, Swelling, Itching · Joint pains, Muscle or body aches, Fatigue or tiredness, Abdominal pain
    Free text: It's been a week and the arm still has a 2x2in sq.spot
    MedDRA releases: 2024-11 · check-in free text available
  33. 2022-04-22
    Health check-in — day 14, dose 4
    Feeling: Fair
    Adult check-in
  34. 2022-04-30
    Health check-in — day 21, dose 4
    Feeling: Fair
    Adult check-in
  35. 2022-05-06
    Health check-in — day 28, dose 4
    Feeling: Fair
    Adult check-in
  36. 2022-05-13
    Health check-in — day 35, dose 4
    Feeling: Fair
    Adult check-in
  37. 2022-05-21
    Health check-in — day 42, dose 4
    Feeling: Fair
    Adult check-in

Vaccinations

DoseDateManufacturerCo-administered
12021-01-30Moderna
22021-02-27Moderna
32021-11-27Moderna No
42022-04-08Moderna No

Free text

Release 3 — days 1–6 daily, dose 1

2021-01-31

Systemic reaction (other): Im 73, body aches and tiredness not unusual

2021-02-01

Systemic reaction (other): Always tired and aches. 73 and active!

2021-02-02

Systemic reaction (other): Fatigue and ache a part of life at 73

2021-02-03

Systemic reaction (other): Typical day

2021-02-04

Systemic reaction (other): Normal for me

2021-02-05

Systemic reaction (other): Both are typical daily

Release 3 — day 7, dose 1

2021-02-06

Systemic reaction (other): Typical for me

Release 4 — day 21, dose 1

2021-02-20

Symptoms: Week before, my arm had a hard spot,2-3 inches round, hot and red at the shot site. It has disappeared this week.

Release 5 — days 1–6 daily, dose 2

2021-03-05

Systemic reaction (other): Dog tired!

Release 7 — day 42, dose 2

2021-04-10

Symptoms: Exhausted all the time. No energy. Sometimes shaky. Maybe from shingles shot, or old age? Or too much to do?

Release 11 — day 7, dose 4

2022-04-15

Systemic reaction (other): It's been a week and the arm still has a 2x2in sq.spot

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
SDAsthenia ✓ ✓ ✓
SDFatigue ✓ ✓ ✓
SDHerpes zoster ✓ ✓ ✓
SDInjection site erythema ✓ ✓ ✓
SDInjection site induration ✓ ✓ ✓
SDInjection site warmth ✓ ✓ ✓
SDTremor ✓ ✓ ✓
SROFatigue ✓ ✓ ✓
SROPain ✓ ✓ ✓
SROSkin discolouration · · ✓
SROUnevaluable event ✓ ✓ ✓

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