3YG-18836-68891
5 vaccinations
7 coded responses
63 check-ins
7 free-text entries
0 call cases
- Sex
- Female
- Age at first dose
- 61-65
- ZIP prefix
- 980 / WA
- Registered
- 2021-01-25
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-01-25
Registered in v-safe
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2021-02-03
Dose 1 — Moderna
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2021-02-03
Survey response — day 0, dose 1MedDRA: Dizziness — Feeling: Poor · Headache, Fatigue or tirednessFree text: Little DizzyMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-02-04
Health check-in — days 1–6 daily, dose 1Feeling: Fair · Site: Pain · Fatigue or tiredness, Nausea · Be unable to do your normal daily activitiesAdult check-in
- 2021-02-05
- 2021-02-06
- 2021-02-07
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2021-02-08
Survey response — days 1–6 daily, dose 1MedDRA: Condition aggravated, Dyspepsia, Pre-existing disease — Feeling: Fair · NauseaFree text: I have had a sour stomach and it has caused my herd to flair badly every day. It seems to be on and off daily, I have just never reported it.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-02-10
- 2021-02-17
- 2021-02-24
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2021-03-03
Dose 2 — Moderna
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2021-03-03
Health check-in — day 0, dose 2Feeling: Fair · Chills, Headache, Fatigue or tiredness · Be unable to workAdult check-in
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2021-03-04
Survey response — days 1–6 daily, dose 2MedDRA: Chills, Dyspnoea, Feeling abnormal, Hyperacusis, Photophobia — Feeling: Fair · Fever · Chills, Headache, Fatigue or tiredness, Nausea · Be unable to work, Be unable to do your normal daily activitiesFree text: I had severe chills all night long, brain fog, sounds sensitive, light sensitive, shortness of breath, Are these things happened Last night an early morningMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-03-05
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Headache, Joint pains, Fatigue or tiredness, Nausea · Be unable to workAdult check-in
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2021-03-06
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Headache, Fatigue or tiredness, Nausea · Be unable to workAdult check-in
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2021-03-07
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Fatigue or tiredness · Be unable to workAdult check-in
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2021-03-08
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Headache · Be unable to do your normal daily activitiesAdult check-in
- 2021-03-09
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2021-03-10
Health check-in — day 7, dose 2Feeling: Fair · Fatigue or tiredness · Be unable to do your normal daily activitiesAdult check-in
- 2021-03-17
- 2021-03-24
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2021-03-31
Survey response — day 28, dose 2MedDRA: Fatigue — Feeling: Fair · Be unable to do your normal daily activitiesFree text: Extreme fatigueMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-04-07
- 2021-04-14
- 2021-06-02
- 2021-09-01
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2021-10-23
Dose 3 — Moderna
- 2021-10-25
- 2021-10-26
- 2021-10-27
- 2021-10-28
- 2021-10-29
- 2021-10-30
- 2021-11-06
- 2021-11-13
- 2021-11-20
- 2021-11-27
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2021-12-04
Survey response — day 42, dose 3MedDRA: Rhinorrhoea — Feeling: GoodFree text: My nose runs several times a day. It has since I received the booster, but unfortunately I forgot to mention it.MedDRA releases: 2024-11 · check-in free text available
- 2022-01-22
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2022-04-15
Dose 4 — Moderna
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2022-04-15
Health check-in — day 0, dose 4Feeling: Poor · Chills, Headache, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activitiesAdult check-in
- 2022-04-16
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2022-04-17
Health check-in — days 1–6 daily, dose 4Feeling: Good · None · Be unable to work or attend schoolAdult check-in
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2022-04-18
Health check-in — days 1–6 daily, dose 4Feeling: Good · Nausea · Be unable to do your normal daily activitiesAdult check-in
- 2022-04-19
- 2022-04-20
- 2022-04-21
- 2022-04-22
- 2022-04-29
- 2022-05-06
- 2022-05-13
- 2022-05-20
- 2022-05-27
- 2022-07-15
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2022-09-11
Dose 5 — Moderna
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2022-09-12
Health check-in — days 1–6 daily, dose 5Feeling: Fair · Site: Pain · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to do your normal daily activitiesAdult check-in
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2022-09-13
Survey response — days 1–6 daily, dose 5MedDRA: Abdominal distension, Dyspepsia — Feeling: Poor · Site: Pain · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to work or attend schoolFree text: Bloating, sour stomachMedDRA releases: 2024-11 · check-in free text available
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2022-09-14
Survey response — days 1–6 daily, dose 5MedDRA: Dyspepsia — Feeling: Poor · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Vomiting · Be unable to work or attend schoolFree text: Sour stomachMedDRA releases: 2024-11 · check-in free text available
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2022-09-16
Health check-in — days 1–6 daily, dose 5Feeling: Fair · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to work or attend schoolAdult check-in
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2022-09-17
Health check-in — days 1–6 daily, dose 5Feeling: Fair · Headache, Fatigue or tiredness, Nausea · Be unable to work or attend schoolAdult check-in
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2022-09-20
Health check-in — day 7, dose 5Feeling: Fair · Headache, Fatigue or tiredness, Nausea · Be unable to work or attend schoolAdult check-in
- 2022-09-25
- 2022-10-02
- 2022-10-09
- 2022-10-16
- 2022-10-23
- 2022-12-11
- 2023-03-12
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-02-03 | Moderna | |
| 2 | 2021-03-03 | Moderna | |
| 3 | 2021-10-23 | Moderna | No |
| 4 | 2022-04-15 | Moderna | No |
| 5 | 2022-09-11 | Moderna | No |
Free text
Release 3 — day 0, dose 1
Systemic reaction (other): Little Dizzy
Release 3 — days 1–6 daily, dose 1
Systemic reaction (other): I have had a sour stomach and it has caused my herd to flair badly every day. It seems to be on and off daily, I have just never reported it.
Release 5 — days 1–6 daily, dose 2
Systemic reaction (other): I had severe chills all night long, brain fog, sounds sensitive, light sensitive, shortness of breath, Are these things happened Last night an early morning
Release 6 — day 28, dose 2
Symptoms: Extreme fatigue
Release 10 — day 42, dose 3
Symptoms: My nose runs several times a day. It has since I received the booster, but unfortunately I forgot to mention it.
Release 12 — days 1–6 daily, dose 5
Systemic reaction (other): Bloating, sour stomach
Systemic reaction (other): Sour stomach
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 | Fatigue | ✓ | ✓ | ✓ |
| SD | Rhinorrhoea | · | · | ✓ |
| SRO | Abdominal distension | · | · | ✓ |
| SRO | Chills | ✓ | ✓ | ✓ |
| SRO | Condition aggravated | ✓ | ✓ | ✓ |
| SRO | Dizziness | ✓ | ✓ | ✓ |
| SRO | Dyspepsia | ✓ | ✓ | ✓ |
| SRO | Dyspnoea | ✓ | ✓ | ✓ |
| SRO | Feeling abnormal | ✓ | ✓ | ✓ |
| SRO | Hyperacusis | ✓ | ✓ | ✓ |
| SRO | Photophobia | ✓ | ✓ | ✓ |
| SRO | Pre-existing disease | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release