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427-31904-03084

2 vaccinations 5 coded responses 9 check-ins 5 free-text entries 0 call cases
Sex
Female
Age at first dose
51-55
ZIP prefix
981 / WA
Registered
2021-03-27
Relationship
Self
Race
Black or African American
Ethnicity
Not Hispanic or Latino

Timeline

  1. 2021-03-27
    Registered in v-safe
  2. 2021-03-27
    Dose 1 — Moderna
  3. 2021-03-27
    Health check-in — day 0, dose 1
    Feeling: Good · None
    Adult check-in
  4. 2021-03-28
    Survey response — days 1–6 daily, dose 1
    MedDRA: Pain — Feeling: Good
    Free text: Just a tiny bit of soreness thats it
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  5. 2021-03-29
    Survey response — days 1–6 daily, dose 1
    MedDRA: Pain in extremity — Feeling: Good
    Free text: The little soreness in my shot arm is a little less sore
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  6. 2021-03-30
    Survey response — days 1–6 daily, dose 1
    MedDRA: Pain in extremity — Feeling: Good
    Free text: Soreness in that arm is gone
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  7. 2021-04-01
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · None
    Adult check-in
  8. 2021-04-02
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · None
    Adult check-in
  9. 2021-04-24
    Dose 2 — Moderna
  10. 2021-04-24
    Health check-in — day 0, dose 2
    Feeling: Good · None
    Adult check-in
  11. 2021-07-24
    Survey response — 3 months, dose 2
    MedDRA: Respiratory tract congestion, Sneezing — Feeling: Good · Be unable to work or attend school
    Free text: I think it was more so some sort of allergic reaction to a medication or hair product that occurred last week. Just to be sure I got a test which was negative. No fever, no loss of smell. Some sneezing and congestion. Its done
    MedDRA releases: 2021-09,2024-11 · check-in free text available
  12. 2021-10-25
    Survey response — 6 months, dose 2
    MedDRA: Impaired work ability, SARS-CoV-2 test negative, Viral infection — Feeling: Good · Be unable to work or attend school
    Free text: It started with me babysitting a coworkers dog but after that the doc said I had a viral infection. I did take a covid test. Also in august I called out sick. I got a covid test., negative
    MedDRA releases: 2024-11 · check-in free text available

Vaccinations

DoseDateManufacturerCo-administered
12021-03-27Moderna
22021-04-24Moderna

Free text

Release 6 — days 1–6 daily, dose 1

2021-03-28

Systemic reaction (other): Just a tiny bit of soreness thats it

2021-03-29

Systemic reaction (other): The little soreness in my shot arm is a little less sore

2021-03-30

Systemic reaction (other): Soreness in that arm is gone

Release 9 — 3 months, dose 2

2021-07-24

Symptoms: I think it was more so some sort of allergic reaction to a medication or hair product that occurred last week. Just to be sure I got a test which was negative. No fever, no loss of smell. Some sneezing and congestion. Its done

Release 10 — 6 months, dose 2

2021-10-25

Symptoms: It started with me babysitting a coworkers dog but after that the doc said I had a viral infection. I did take a covid test. Also in august I called out sick. I got a covid test., negative

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
SDImpaired work ability · · ✓
SDRespiratory tract congestion ✓ · ✓
SDSARS-CoV-2 test negative · · ✓
SDSneezing ✓ · ✓
SDViral infection · · ✓
SROPain ✓ ✓ ✓
SROPain in extremity ✓ ✓ ✓

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