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3XK-29867-67030

2 vaccinations 4 coded responses 21 check-ins 4 free-text entries 0 call cases
Sex
Female
Age at first dose
61-65
ZIP prefix
982 / WA
Registered
2020-12-28
Relationship
Self
Race
White
Ethnicity
Not Hispanic or Latino

Timeline

  1. 2020-12-26
    Dose 1 — Moderna
  2. 2020-12-28
    Registered in v-safe
  3. 2020-12-28
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · Site: Pain, Redness, Swelling · None
    Adult check-in
  4. 2020-12-30
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · Site: Pain, Swelling, Itching · None
    Adult check-in
  5. 2020-12-31
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · None
    Adult check-in
  6. 2021-01-01
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · None
    Adult check-in
  7. 2021-01-02
    Health check-in — day 7, dose 1
    Feeling: Good · None
    Adult check-in
  8. 2021-01-16
    Survey response — day 21, dose 1
    MedDRA: Injection site erythema, Injection site pain, Injection site pruritus, Injection site rash — Feeling: Good
    Free text: Around Jan.4, approx. 4 in. red rash & itching developed at site, lasting approx. 3-4 days. Resolved. Jan. 13 noticed muscle, at site, tender during pushups. Since resolved. Ok today.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  9. 2021-01-23
    Dose 2 — Moderna
  10. 2021-01-24
    Survey response — days 1–6 daily, dose 2
    MedDRA: Influenza like illness — Feeling: Poor · Site: Pain, Swelling · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to do your normal daily activities
    Free text: Horrendous flu like sx. Feels like GI maybe coming on.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  11. 2021-01-25
    Health check-in — days 1–6 daily, dose 2
    Feeling: Fair · Site: Pain · Headache, Muscle or body aches, Fatigue or tiredness
    Adult check-in
  12. 2021-01-26
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · Site: Pain, Swelling, Itching · Muscle or body aches, Fatigue or tiredness
    Adult check-in
  13. 2021-01-27
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · Site: Pain, Itching · Muscle or body aches, Fatigue or tiredness
    Adult check-in
  14. 2021-01-28
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · Site: Itching · Headache, Fatigue or tiredness
    Adult check-in
  15. 2021-01-29
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · Headache, Muscle or body aches, Fatigue or tiredness, Abdominal pain
    Adult check-in
  16. 2021-01-30
    Health check-in — day 7, dose 2
    Feeling: Good · None
    Adult check-in
  17. 2021-02-06
    Health check-in — day 14, dose 2
    Feeling: Good
    Adult check-in
  18. 2021-02-13
    Health check-in — day 21, dose 2
    Feeling: Good
    Adult check-in
  19. 2021-02-20
    Health check-in — day 28, dose 2
    Feeling: Good
    Adult check-in
  20. 2021-02-27
    Health check-in — day 35, dose 2
    Feeling: Good
    Adult check-in
  21. 2021-03-06
    Health check-in — day 42, dose 2
    Feeling: Good
    Adult check-in
  22. 2021-04-24
    Survey response — 3 months, dose 2
    MedDRA: Asthenia, Diarrhoea, Dizziness, Headache, Plantar fasciitis — Feeling: Good · Be unable to work, Be unable to do your normal daily activities
    Free text: Other than onset of Plantar fasciitis, ok up until last Wed. woke up very dizzy, had diarrhea for 5 hrs. Dizziness diminished over 2 days then had a headache. Felt very weak for those days then ok. Ok today.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  23. 2021-07-24
    Health check-in — 6 months, dose 2
    Feeling: Good
    Adult check-in
  24. 2022-01-23
    Survey response — 12 months, dose 2
    MedDRA: Adverse reaction, Breast pain, Breast swelling, Muscle twitching, Pruritus, Pyrexia — Feeling: Good · Be unable to work or attend school, Be unable to do your normal daily activities
    Free text: Had the booster on Nov. 30,2021. 9 hrs later had full sx's of 2nd vac. with 101.7 fever, plus breast aching, swelling & fullness,also urethral, clitoral twitching for 1+hrs. In the weeks since have had breast itching & aching.
    MedDRA releases: 2024-11 · check-in free text available

Vaccinations

DoseDateManufacturerCo-administered
12020-12-26Moderna
22021-01-23Moderna

Free text

Release 2 — day 21, dose 1

2021-01-16

Symptoms: Around Jan.4, approx. 4 in. red rash & itching developed at site, lasting approx. 3-4 days. Resolved. Jan. 13 noticed muscle, at site, tender during pushups. Since resolved. Ok today.

Release 2 — days 1–6 daily, dose 2

2021-01-24

Systemic reaction (other): Horrendous flu like sx. Feels like GI maybe coming on.

Release 7 — 3 months, dose 2

2021-04-24

Symptoms: Other than onset of Plantar fasciitis, ok up until last Wed. woke up very dizzy, had diarrhea for 5 hrs. Dizziness diminished over 2 days then had a headache. Felt very weak for those days then ok. Ok today.

Release 11 — 12 months, dose 2

2022-01-23

Symptoms: Had the booster on Nov. 30,2021. 9 hrs later had full sx's of 2nd vac. with 101.7 fever, plus breast aching, swelling & fullness,also urethral, clitoral twitching for 1+hrs. In the weeks since have had breast itching & aching.

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
SDAdverse reaction · · ✓
SDAsthenia ✓ ✓ ✓
SDBreast pain · · ✓
SDBreast swelling · · ✓
SDDiarrhoea ✓ ✓ ✓
SDDizziness ✓ ✓ ✓
SDHeadache ✓ ✓ ✓
SDInjection site erythema ✓ ✓ ✓
SDInjection site pain ✓ ✓ ✓
SDInjection site pruritus ✓ ✓ ✓
SDInjection site rash ✓ ✓ ✓
SDMuscle twitching · · ✓
SDPlantar fasciitis ✓ ✓ ✓
SDPruritus · · ✓
SDPyrexia · · ✓
SROInfluenza like illness ✓ ✓ ✓

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