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4SV-28969-06245

2 vaccinations 6 coded responses 22 check-ins 6 free-text entries 0 call cases
Sex
Female
Age at first dose
61-65
ZIP prefix
989 / WA
Registered
2021-01-26
Relationship
Self
Race
White
Ethnicity
Not Hispanic or Latino

Timeline

  1. 2021-01-22
    Dose 1 — Moderna
  2. 2021-01-26
    Registered in v-safe
  3. 2021-01-26
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · Site: Pain · Muscle or body aches
    Adult check-in
  4. 2021-01-27
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · None
    Adult check-in
  5. 2021-01-28
    Survey response — days 1–6 daily, dose 1
    MedDRA: Pruritus, Rash — Feeling: Fair · Chills
    Free text: Itching both my arms last 3 days... then small bumps arise. I have to take allergy pills to stop the itching.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  6. 2021-01-29
    Health check-in — day 7, dose 1
    Feeling: Good · None
    Adult check-in
  7. 2021-02-05
    Health check-in — day 14, dose 1
    Feeling: Good
    Adult check-in
  8. 2021-02-12
    Survey response — day 21, dose 1
    MedDRA: Chills, Decreased appetite, Nausea, Pain, Pyrexia — Feeling: Fair · Be unable to do your normal daily activities
    Free text: Put in my stomach... couldnt eat for like 26 hours. Low grade fever, chills, body aches slight nausea.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  9. 2021-02-19
    Dose 2 — Moderna
  10. 2021-02-19
    Health check-in — day 0, dose 2
    Feeling: Fair · Site: Pain · Headache, Fatigue or tiredness
    Adult check-in
  11. 2021-02-20
    Health check-in — days 1–6 daily, dose 2
    Feeling: Poor · Site: Pain, Swelling · Fever · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to do your normal daily activities
    Adult check-in
  12. 2021-02-21
    Health check-in — days 1–6 daily, dose 2
    Feeling: Fair · Site: Pain · Joint pains, Muscle or body aches, Fatigue or tiredness
    Adult check-in
  13. 2021-02-22
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · Site: Pain · Fatigue or tiredness
    Adult check-in
  14. 2021-02-23
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · None
    Adult check-in
  15. 2021-02-24
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · None
    Adult check-in
  16. 2021-02-25
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · None
    Adult check-in
  17. 2021-02-26
    Health check-in — day 7, dose 2
    Feeling: Good · None
    Adult check-in
  18. 2021-03-05
    Health check-in — day 14, dose 2
    Feeling: Good
    Adult check-in
  19. 2021-03-12
    Health check-in — day 21, dose 2
    Feeling: Good
    Adult check-in
  20. 2021-03-19
    Survey response — day 28, dose 2
    MedDRA: Headache, Oropharyngeal pain, Respiratory tract congestion — Feeling: Fair
    Free text: Headache, congestion, sore throat.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  21. 2021-03-26
    Health check-in — day 35, dose 2
    Feeling: Good
    Adult check-in
  22. 2021-04-02
    Survey response — day 42, dose 2
    MedDRA: Back pain, Fatigue, Oropharyngeal pain, Rhinorrhoea — Feeling: Fair
    Free text: Sore throat- runny nose. Tiredness
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  23. 2021-05-21
    Survey response — 3 months, dose 2
    MedDRA: Cough, Headache, Oropharyngeal pain, Respiratory tract congestion, Rhinorrhoea — Feeling: Fair · Be unable to work, Be unable to do your normal daily activities
    Free text: Sore throat, headache, congestion, runny nose, cough
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  24. 2021-08-22
    Health check-in — 6 months, dose 2
    Feeling: Fair
    Adult check-in
  25. 2022-02-19
    Survey response — 12 months, dose 2
    MedDRA: Cough, Eye discharge, Pain, Rhinorrhoea — Feeling: Poor · Be unable to work or attend school
    Free text: Horrible cough. Body aches everywhere. Nasal drainage. Eye mucous both eyes!
    MedDRA releases: 2024-11 · check-in free text available

Vaccinations

DoseDateManufacturerCo-administered
12021-01-22Moderna
22021-02-19Moderna

Free text

Release 3 — days 1–6 daily, dose 1

2021-01-28

Systemic reaction (other): Itching both my arms last 3 days... then small bumps arise. I have to take allergy pills to stop the itching.

Release 4 — day 21, dose 1

2021-02-12

Symptoms: Put in my stomach... couldnt eat for like 26 hours. Low grade fever, chills, body aches slight nausea.

Release 5 — day 28, dose 2

2021-03-19

Symptoms: Headache, congestion, sore throat.

Release 6 — day 42, dose 2

2021-04-02

Symptoms: Sore throat- runny nose. Tiredness

Release 8 — 3 months, dose 2

2021-05-21

Symptoms: Sore throat, headache, congestion, runny nose, cough

Release 11 — 12 months, dose 2

2022-02-19

Symptoms: Horrible cough. Body aches everywhere. Nasal drainage. Eye mucous both eyes!

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
SDBack pain ✓ ✓ ○
SDChills ✓ ✓ ✓
SDCough ✓ ✓ ✓
SDDecreased appetite ✓ ✓ ✓
SDEye discharge · · ✓
SDFatigue ✓ ✓ ✓
SDHeadache ✓ ✓ ✓
SDNausea ✓ ✓ ✓
SDOropharyngeal pain ✓ ✓ ✓
SDPain ✓ ✓ ✓
SDPyrexia ✓ ✓ ✓
SDRespiratory tract congestion ✓ ✓ ✓
SDRhinorrhoea ✓ ✓ ✓
SROPruritus ✓ ✓ ✓
SRORash ✓ ✓ ✓

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