3H3-27215-66716
4 vaccinations
8 coded responses
21 check-ins
8 free-text entries
0 call cases
- Sex
- Female
- Age at first dose
- 66+
- ZIP prefix
- 982 / WA
- Registered
- 2021-02-25
- Relationship
- Self
- Race
- Asian
- Ethnicity
- Not Hispanic or Latino
Timeline
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2021-01-25
Dose 1 — Moderna
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2021-02-25
Registered in v-safe
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2021-02-25
Dose 2 — Moderna
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2021-02-26
Survey response — days 1–6 daily, dose 2MedDRA: Decreased appetite — Feeling: Poor · Site: Pain · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea, Rash, not including the immediate area around the injection site · Be unable to work, Be unable to do your normal daily activitiesFree text: Lack of appetite until 2pm and I had force myself to eat.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-02-27
Survey response — days 1–6 daily, dose 2MedDRA: Ear pain — Feeling: Good · Site: Pain, Swelling · Chills, Headache, Fatigue or tirednessFree text: Slight right ear acheMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-02-28
Survey response — days 1–6 daily, dose 2MedDRA: Ear pain, Self-medication — Feeling: Good · HeadacheFree text: The ache in my right ear bothered in the middle of the night so I took a Tylenol and it went away.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-03-01
Survey response — days 1–6 daily, dose 2MedDRA: Ear pain — Feeling: GoodFree text: All ear aches are gone. My appetite is backMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-03-03
- 2021-03-05
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2021-03-11
Survey response — day 14, dose 2MedDRA: Reaction to previous exposure to any vaccine, Urticaria — Feeling: GoodFree text: I started getting hives every day from my buttocks down to my legs for the last 4 days all of a sudden . I also got hives about 10 days after the first vaccine .MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-03-18
- 2021-03-26
- 2021-04-04
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2021-04-10
Survey response — day 42, dose 2MedDRA: Urticaria — Feeling: GoodFree text: The hives have continued : they occur now daily and located in new areas. They used to be on my belly , thighs , hips and buttock areas. Now they appear mainly in my thighs and legs. They last 30 minutes to an hour and disappear until the next day.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-05-29
Survey response — 3 months, dose 2MedDRA: Rash — Feeling: GoodFree text: I still get rashes but at a reduced frequency. Used to be at least once daily, then every other day, now maybe once or twice a week. last week, it was twice a week. The rash used to last an hour or more. Now in small new areas for less than 1/2 hr.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-08-26
Survey response — 6 months, dose 2MedDRA: Urticaria — Feeling: GoodFree text: My hives continue but only every three weeks .MedDRA releases: 2021-09,2024-11 · check-in free text available
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2021-12-02
Dose 3 — Moderna
- 2022-02-25
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2022-04-05
Dose 4 — Moderna
- 2022-04-25
- 2022-04-26
- 2022-05-10
- 2022-05-17
- 2022-07-06
- 2022-10-06
- 2023-04-05
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-01-25 | Moderna | |
| 2 | 2021-02-25 | Moderna | |
| 3 | 2021-12-02 | Moderna | No |
| 4 | 2022-04-05 | Moderna | No |
Free text
Release 4 — days 1–6 daily, dose 2
Systemic reaction (other): Lack of appetite until 2pm and I had force myself to eat.
Systemic reaction (other): Slight right ear ache
Systemic reaction (other): The ache in my right ear bothered in the middle of the night so I took a Tylenol and it went away.
Systemic reaction (other): All ear aches are gone. My appetite is back
Release 5 — day 14, dose 2
Symptoms: I started getting hives every day from my buttocks down to my legs for the last 4 days all of a sudden . I also got hives about 10 days after the first vaccine .
Release 7 — day 42, dose 2
Symptoms: The hives have continued : they occur now daily and located in new areas. They used to be on my belly , thighs , hips and buttock areas. Now they appear mainly in my thighs and legs. They last 30 minutes to an hour and disappear until the next day. cut off by CDC
Release 8 — 3 months, dose 2
Symptoms: I still get rashes but at a reduced frequency. Used to be at least once daily, then every other day, now maybe once or twice a week. last week, it was twice a week. The rash used to last an hour or more. Now in small new areas for less than 1/2 hr. cut off by CDC
Release 9 — 6 months, dose 2
Symptoms: My hives continue but only every three weeks .
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 | Rash | ✓ | ✓ | ✓ |
| SD | Reaction to previous exposure to any vaccine | ✓ | ✓ | ✓ |
| SD | Urticaria | ✓ | ✓ | ✓ |
| SRO | Decreased appetite | ✓ | ✓ | ✓ |
| SRO | Ear pain | ✓ | ✓ | ✓ |
| SRO | Self-medication | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release