4PU-30728-94515
2 vaccinations
4 coded responses
14 check-ins
4 free-text entries
0 call cases
- Sex
- Female
- Age at first dose
- 61-65
- ZIP prefix
- 981 / WA
- Registered
- 2021-01-30
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
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2021-01-22
Dose 1 — Moderna
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2021-01-30
Registered in v-safe
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2021-01-30
Survey response — day 7, dose 1MedDRA: Injection site hypoaesthesia, Injection site paraesthesia, Injection site warmth — Feeling: Fair · Site: Pain, Redness, Swelling · Fatigue or tirednessFree text: Skin area around shot site is very warm, a little tingling and minor numbness in the arm I got the shot.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-02-05
Survey response — day 14, dose 1MedDRA: Fatigue, Influenza like illness — Feeling: Fair · Be unable to do your normal daily activitiesFree text: Total exhaustion with slight flu like aches but NO fever. Today I feel much better than yesterday. This started 4 days ago but I think I'm on the other side of it!MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-02-14
Survey response — day 21, dose 1MedDRA: Fatigue, Feeling abnormal, Pain — Feeling: Good · Be unable to do your normal daily activitiesFree text: Major exhaustion, aches, just foggy too. But today has been good... Sleep had a lot to do with it I think. I've been surprised that it's taken so long to bounce back... But maybe I actually did have a little flu exhaustion!!MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-02-19
Dose 2 — Moderna
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2021-02-19
Health check-in — day 0, dose 2Feeling: Good · Site: Pain · None · Be unable to do your normal daily activitiesAdult check-in
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2021-02-20
Health check-in — days 1–6 daily, dose 2Feeling: Poor · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to work, Be unable to do your normal daily activitiesAdult check-in
- 2021-02-21
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2021-02-22
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Fatigue or tiredness · Be unable to do your normal daily activitiesAdult check-in
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2021-02-23
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Fatigue or tiredness · Be unable to do your normal daily activitiesAdult check-in
- 2021-02-24
- 2021-02-26
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2021-03-05
Survey response — day 14, dose 2MedDRA: Adverse reaction — Feeling: GoodFree text: Ear fluttering from a slight cold I believe. Was chilled outside a few days ago!MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-03-13
- 2021-08-21
- 2022-02-21
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-01-22 | Moderna | |
| 2 | 2021-02-19 | Moderna |
Free text
Release 3 — day 7, dose 1
Systemic reaction (other): Skin area around shot site is very warm, a little tingling and minor numbness in the arm I got the shot.
Release 3 — day 14, dose 1
Symptoms: Total exhaustion with slight flu like aches but NO fever. Today I feel much better than yesterday. This started 4 days ago but I think I'm on the other side of it!
Release 4 — day 21, dose 1
Symptoms: Major exhaustion, aches, just foggy too. But today has been good... Sleep had a lot to do with it I think. I've been surprised that it's taken so long to bounce back... But maybe I actually did have a little flu exhaustion!!
Release 5 — day 14, dose 2
Symptoms: Ear fluttering from a slight cold I believe. Was chilled outside a few days ago!
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 | Adverse reaction | ✓ | ✓ | ✓ |
| SD | Fatigue | ✓ | ✓ | ✓ |
| SD | Feeling abnormal | ✓ | ✓ | ✓ |
| SD | Influenza like illness | ✓ | ✓ | ✓ |
| SD | Pain | ✓ | ✓ | ✓ |
| SRO | Injection site hypoaesthesia | ✓ | ✓ | ✓ |
| SRO | Injection site paraesthesia | ✓ | ✓ | ✓ |
| SRO | Injection site warmth | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release