4NW-16168-16907
3 vaccinations
4 coded responses
42 check-ins
4 free-text entries
1 call case
- Sex
- Female
- Age at first dose
- 41-45
- ZIP prefix
- 982 / WA
- Registered
- 2020-12-31
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2020-12-31
Registered in v-safe
-
2020-12-31
Dose 1 — Moderna
- 2020-12-31
- 2021-01-01
- 2021-01-02
- 2021-01-03
- 2021-01-04
- 2021-01-05
- 2021-01-06
- 2021-01-07
- 2021-01-14
- 2021-01-21
- 2021-01-28
-
2021-01-29
Dose 2 — Moderna
- 2021-01-29
-
2021-01-30
Health check-in — days 1–6 daily, dose 2Feeling: Poor · Site: Pain · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activitiesAdult check-in
-
2021-01-31
Health check-in — days 1–6 daily, dose 2Feeling: Good · Site: Pain · Fatigue or tirednessAdult check-in
-
2021-02-01
Health check-in — days 1–6 daily, dose 2Feeling: Good · Site: Redness, Itching · Rash, not including the immediate area around the injection siteAdult check-in
- 2021-02-02
- 2021-02-03
-
2021-02-04
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Headache · Be unable to do your normal daily activitiesAdult check-in
- 2021-02-05
- 2021-02-12
- 2021-02-19
- 2021-02-26
- 2021-03-05
-
2021-03-12
Survey response — day 42, dose 2MedDRA: Lymphadenopathy — Feeling: GoodFree text: Little swollen lymph node noticed under left arm. Will watch it.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-04-30
- 2021-07-30
-
2021-11-12
Dose 3 — Moderna
- 2021-11-12
-
2021-11-13
Health check-in — days 1–6 daily, dose 3Feeling: Poor · Site: Pain · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activitiesAdult check-in
-
2021-11-14
Health check-in — days 1–6 daily, dose 3Feeling: Fair · Site: Pain, Swelling, Itching · Fever · Fatigue or tirednessAdult check-in
- 2021-11-15
- 2021-11-16
-
2021-11-17
Health check-in — days 1–6 daily, dose 3Feeling: Fair · Site: Redness, Itching · HeadacheAdult check-in
-
2021-11-18
Survey response — days 1–6 daily, dose 3MedDRA: Pain of skin, Skin swelling — Feeling: Fair · HeadacheFree text: Noticed sore bump on scalp about 4 days ago. Don't know if it's related to the vaccine or not but thought I'd just list it here.MedDRA releases: 2024-11 · check-in free text available
- 2021-11-19
- 2021-11-26
- 2021-12-03
- 2021-12-10
- 2021-12-17
- 2021-12-24
-
2022-02-11
Survey response — 3 months, dose 3MedDRA: Pain of skin — Feeling: GoodFree text: Have 2 spots on scalp that are tender and flare up ever since getting the booster.MedDRA releases: 2024-11 · check-in free text available
-
2022-05-13
Survey response — 6 months, dose 3MedDRA: Office visit, Rash — Feeling: Fair · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visitFree text: Shortly after my booster I developed a couple sore bumps on my scalp which I still have. I've seen 2 different doctors who don't know what they are however are not concerned. I may go get a 3rd opinion as they are sore and seem to flare up.MedDRA releases: 2024-11 · check-in free text available
-
2022-05-13
Report sent to call center — 6 months, dose 3Get care from a doctor or other healthcare professionalOutpatient clinic or urgent care clinic visit · 1 call case(s)
-
2022-05-16
Call successfulNot applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill
- 2022-11-12
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2020-12-31 | Moderna | |
| 2 | 2021-01-29 | Moderna | |
| 3 | 2021-11-12 | Moderna | No |
Call center
1 call center case
1 successful
Free text
Release 5 — day 42, dose 2
Symptoms: Little swollen lymph node noticed under left arm. Will watch it.
Release 10 — days 1–6 daily, dose 3
Systemic reaction (other): Noticed sore bump on scalp about 4 days ago. Don't know if it's related to the vaccine or not but thought I'd just list it here.
Release 11 — 3 months, dose 3
Symptoms: Have 2 spots on scalp that are tender and flare up ever since getting the booster.
Release 11 — 6 months, dose 3
Symptoms: Shortly after my booster I developed a couple sore bumps on my scalp which I still have. I've seen 2 different doctors who don't know what they are however are not concerned. I may go get a 3rd opinion as they are sore and seem to flare up.
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 | Lymphadenopathy | ✓ | ✓ | ✓ |
| SD | Office visit | · | · | ✓ |
| SD | Pain of skin | · | · | ✓ |
| SD | Rash | · | · | ✓ |
| SRO | Pain of skin | · | · | ✓ |
| SRO | Skin swelling | · | · | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release