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4AZ-25835-01553

2 vaccinations 6 coded responses 18 check-ins 6 free-text entries 0 call cases
Sex
Female
Age at first dose
66+
ZIP prefix
983 / WA
Registered
2021-02-17
Relationship
Self
Race
White
Ethnicity
Not Hispanic or Latino

Timeline

  1. 2021-02-09
    Dose 1 — Moderna
  2. 2021-02-17
    Registered in v-safe
  3. 2021-02-17
    Survey response — day 7, dose 1
    MedDRA: Adverse reaction — Feeling: Fair · Site: Pain, Redness, Swelling, Itching
    Free text: I had many of the above symptoms within 12 hours of the shot but most only lasted for 48 hours.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  4. 2021-02-23
    Survey response — day 14, dose 1
    MedDRA: Asthenia, Fatigue — Feeling: Fair
    Free text: I have no energy what so ever. I feel very tired all day long. It is hard to take my daily walk and talk at the same time.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  5. 2021-03-02
    Health check-in — day 21, dose 1
    Feeling: Fair
    Adult check-in
  6. 2021-03-10
    Dose 2 — Moderna
  7. 2021-03-10
    Survey response — day 0, dose 2
    MedDRA: Neck pain, Wheezing — Feeling: Good · Site: Pain · Muscle or body aches
    Free text: Wheezing just a little bit and sore neck on the vaccine side of body.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  8. 2021-03-11
    Health check-in — days 1–6 daily, dose 2
    Feeling: Fair · Site: Pain, Swelling · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities
    Adult check-in
  9. 2021-03-12
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · Site: Pain, Redness · Joint pains, Fatigue or tiredness
    Adult check-in
  10. 2021-03-13
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · None
    Adult check-in
  11. 2021-03-14
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · Site: Pain, Redness, Itching · None
    Adult check-in
  12. 2021-03-15
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · Site: Pain · None
    Adult check-in
  13. 2021-03-17
    Health check-in — day 7, dose 2
    Feeling: Good · Fatigue or tiredness
    Adult check-in
  14. 2021-03-24
    Survey response — day 14, dose 2
    MedDRA: Fatigue, Headache, Oropharyngeal pain, Pruritus — Feeling: Fair · Be unable to do your normal daily activities
    Free text: Very sore throat, itchy arm, and very tired. I also feel as though a headache is starting but never gets to be full blown.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  15. 2021-03-31
    Health check-in — day 21, dose 2
    Feeling: Fair
    Adult check-in
  16. 2021-04-07
    Health check-in — day 28, dose 2
    Feeling: Fair
    Adult check-in
  17. 2021-04-14
    Health check-in — day 35, dose 2
    Feeling: Fair
    Adult check-in
  18. 2021-04-21
    Survey response — day 42, dose 2
    MedDRA: Fatigue, Oropharyngeal pain — Feeling: Poor · Be unable to do your normal daily activities
    Free text: Exhausted. Very sore throat.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  19. 2021-06-09
    Health check-in — 3 months, dose 2
    Feeling: Good
    Adult check-in
  20. 2021-09-11
    Survey response — 6 months, dose 2
    MedDRA: Nasopharyngitis, Oropharyngeal pain — Feeling: Good · Be unable to do your normal daily activities
    Free text: Very sore throat and cold symptoms. I got tested but the test was negative.
    MedDRA releases: 2024-11 · check-in free text available
  21. 2022-03-10
    Health check-in — 12 months, dose 2
    Feeling: Fair
    Adult check-in

Vaccinations

DoseDateManufacturerCo-administered
12021-02-09Moderna
22021-03-10Moderna

Free text

Release 4 — day 7, dose 1

2021-02-17

Systemic reaction (other): I had many of the above symptoms within 12 hours of the shot but most only lasted for 48 hours.

Release 4 — day 14, dose 1

2021-02-23

Symptoms: I have no energy what so ever. I feel very tired all day long. It is hard to take my daily walk and talk at the same time.

Release 5 — day 0, dose 2

2021-03-10

Systemic reaction (other): Wheezing just a little bit and sore neck on the vaccine side of body.

Release 6 — day 14, dose 2

2021-03-24

Symptoms: Very sore throat, itchy arm, and very tired. I also feel as though a headache is starting but never gets to be full blown.

Release 7 — day 42, dose 2

2021-04-21

Symptoms: Exhausted. Very sore throat.

Release 9 — 6 months, dose 2

2021-09-11

Symptoms: Very sore throat and cold symptoms. I got tested but the test was 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
SDAsthenia ✓ ✓ ✓
SDFatigue ✓ ✓ ✓
SDHeadache ✓ ✓ ✓
SDNasopharyngitis · · ✓
SDOropharyngeal pain ✓ ✓ ✓
SDPruritus ✓ ✓ ✓
SROAdverse reaction ✓ ✓ ✓
SRONeck pain ✓ ✓ ✓
SROWheezing ✓ ✓ ✓

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