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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

  1. 2021-01-25
    Dose 1 — Moderna
  2. 2021-02-25
    Registered in v-safe
  3. 2021-02-25
    Dose 2 — Moderna
  4. 2021-02-26
    Survey response — days 1–6 daily, dose 2
    MedDRA: 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 activities
    Free 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
  5. 2021-02-27
    Survey response — days 1–6 daily, dose 2
    MedDRA: Ear pain — Feeling: Good · Site: Pain, Swelling · Chills, Headache, Fatigue or tiredness
    Free text: Slight right ear ache
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  6. 2021-02-28
    Survey response — days 1–6 daily, dose 2
    MedDRA: Ear pain, Self-medication — Feeling: Good · Headache
    Free 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
  7. 2021-03-01
    Survey response — days 1–6 daily, dose 2
    MedDRA: Ear pain — Feeling: Good
    Free text: All ear aches are gone. My appetite is back
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  8. 2021-03-03
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · None
    Adult check-in
  9. 2021-03-05
    Health check-in — day 7, dose 2
    Feeling: Good · None
    Adult check-in
  10. 2021-03-11
    Survey response — day 14, dose 2
    MedDRA: Reaction to previous exposure to any vaccine, Urticaria — Feeling: Good
    Free 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
  11. 2021-03-18
    Health check-in — day 21, dose 2
    Feeling: Good
    Adult check-in
  12. 2021-03-26
    Health check-in — day 28, dose 2
    Feeling: Good
    Adult check-in
  13. 2021-04-04
    Health check-in — day 35, dose 2
    Feeling: Good
    Adult check-in
  14. 2021-04-10
    Survey response — day 42, dose 2
    MedDRA: Urticaria — Feeling: Good
    Free 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
  15. 2021-05-29
    Survey response — 3 months, dose 2
    MedDRA: Rash — Feeling: Good
    Free 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
  16. 2021-08-26
    Survey response — 6 months, dose 2
    MedDRA: Urticaria — Feeling: Good
    Free text: My hives continue but only every three weeks .
    MedDRA releases: 2021-09,2024-11 · check-in free text available
  17. 2021-12-02
    Dose 3 — Moderna
  18. 2022-02-25
    Health check-in — 12 months, dose 2
    Feeling: Good
    Adult check-in
  19. 2022-04-05
    Dose 4 — Moderna
  20. 2022-04-25
    Health check-in — day 14, dose 4
    Feeling: Good
    Adult check-in
  21. 2022-04-26
    Health check-in — day 21, dose 4
    Feeling: Good
    Adult check-in
  22. 2022-05-10
    Health check-in — day 35, dose 4
    Feeling: Good
    Adult check-in
  23. 2022-05-17
    Health check-in — day 42, dose 4
    Feeling: Good
    Adult check-in
  24. 2022-07-06
    Health check-in — 3 months, dose 4
    Feeling: Good
    Adult check-in
  25. 2022-10-06
    Health check-in — 6 months, dose 4
    Feeling: Good
    Adult check-in
  26. 2023-04-05
    Health check-in — 12 months, dose 4
    Feeling: Good
    Adult check-in

Vaccinations

DoseDateManufacturerCo-administered
12021-01-25Moderna
22021-02-25Moderna
32021-12-02Moderna No
42022-04-05Moderna No

Free text

Release 4 — days 1–6 daily, dose 2

2021-02-26

Systemic reaction (other): Lack of appetite until 2pm and I had force myself to eat.

2021-02-27

Systemic reaction (other): Slight right ear ache

2021-02-28

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.

2021-03-01

Systemic reaction (other): All ear aches are gone. My appetite is back

Release 5 — day 14, dose 2

2021-03-11

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

2021-04-10

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

2021-05-29

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

2021-08-26

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

FieldPreferred term2021-092023-042024-11
SDRash ✓ ✓ ✓
SDReaction to previous exposure to any vaccine ✓ ✓ ✓
SDUrticaria ✓ ✓ ✓
SRODecreased appetite ✓ ✓ ✓
SROEar pain ✓ ✓ ✓
SROSelf-medication ✓ ✓ ✓

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