4TW-23750-37115
5 vaccinations
10 coded responses
54 check-ins
9 free-text entries
2 call cases
- Sex
- Female
- Age at first dose
- 46-50
- ZIP prefix
- 983 / WA
- Registered
- 2021-04-24
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-04-24
Registered in v-safe
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2021-04-24
Dose 1 — Moderna
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2021-04-24
Survey response — day 0, dose 1MedDRA: No adverse event — Feeling: Good · Headache, Joint painsFree text: noMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-04-25
Health check-in — days 1–6 daily, dose 1Feeling: Good · Joint pains, Muscle or body aches, Abdominal painAdult check-in
- 2021-04-26
- 2021-04-27
- 2021-04-28
- 2021-04-29
- 2021-04-30
- 2021-05-01
- 2021-05-08
- 2021-05-15
-
2021-05-19
Dose 2 — Moderna
- 2021-05-19
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2021-05-20
Survey response — days 1–6 daily, dose 2MedDRA: Euphoric mood — Feeling: Fair · Site: Pain, Itching · Fever · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea, Diarrhea, Abdominal pain · Be unable to workFree text: slight euphoria soon after the shot; it happened last time, too, but I didn't think it was relatedMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-05-21
Survey response — days 1–6 daily, dose 2MedDRA: Confusional state, Disturbance in attention, Memory impairment — Feeling: Poor · Site: Pain, Redness, Swelling · Fever · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea, Diarrhea, Abdominal pain · Be unable to work, Be unable to do your normal daily activitiesFree text: I forgot to mention a few side effects yesterday which I also had today: difficulty concentrating, easily confused, forgetfulness, all moderate both daysMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-05-22
Survey response — days 1–6 daily, dose 2MedDRA: Condition aggravated, Confusional state, Disturbance in attention, Dizziness, Memory impairment, Pre-existing disease — Feeling: Poor · Fever · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea, Diarrhea, Abdominal painFree text: I forgot to mention that I felt slightly light-headed on and off for about 6 hours after the shot on Wednesday night. difficulty concentrating, being easily confused and forgetfulness were better today but still present. it's probably important to note that my allergies kicked up this morning around 3am & I took 1200 guaifenesin which helped.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-05-23
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Abdominal painAdult check-in
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2021-05-24
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Fever · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Abdominal painAdult check-in
- 2021-05-25
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2021-05-26
Health check-in — day 7, dose 2Feeling: Fair · Headache, Joint pains, Abdominal painAdult check-in
- 2021-06-02
- 2021-06-09
- 2021-06-16
- 2021-06-23
- 2021-06-30
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2021-08-18
Survey response — 3 months, dose 2MedDRA: Burning sensation, Discharge, Disturbance in attention, Eye pruritus, Fatigue, Headache, Lacrimation increased, Oropharyngeal pain, Pain, Paranasal sinus discomfort, Pruritus, Sinus congestion, Smoke sensitivity — Feeling: Fair · Be unable to do your normal daily activitiesFree text: For several weeks, I've been feeling a lot of symptoms from the wildfire smoke: achy, burning, itchy, watery eyes, itchy, sore throat, swelled irritated sinuses, lots of drainage, fatigue, headache, difficulty concentrating. This is even when inside.MedDRA releases: 2021-09,2024-11 · check-in free text available
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2021-11-17
Survey response — 6 months, dose 2MedDRA: Anxiety, Dyspnoea, Ear pain, Headache, Hypertension, Office visit — Feeling: Fair · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professionalFree text: Symptoms: Difficulty breathing, headaches, ear aches, high blood pressure, anxiety · Healthcare visit (other): doctor visitsMedDRA releases: 2024-11 · check-in free text available
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2021-11-17
Report sent to call center — 6 months, dose 2Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional1 call case(s)
- 2021-11-18
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2021-12-16
Dose 3 — Moderna
- 2022-03-17
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2022-07-15
Dose 4 — Moderna
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2022-07-15
Health check-in — day 0, dose 4Feeling: Good · Headache, Joint pains, Muscle or body achesAdult check-in
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2022-07-16
Survey response — days 1–6 daily, dose 4MedDRA: Insomnia — Feeling: Fair · Site: Pain · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Abdominal pain · Be unable to do your normal daily activitiesFree text: insomniaMedDRA releases: 2024-11 · check-in free text available
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2022-07-17
Survey response — days 1–6 daily, dose 4MedDRA: Hyperhidrosis — Feeling: Fair · Site: Pain · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Abdominal pain · Be unable to do your normal daily activitiesFree text: sweatingMedDRA releases: 2024-11 · check-in free text available
- 2022-07-18
- 2022-07-19
- 2022-07-20
- 2022-07-21
- 2022-07-22
- 2022-07-29
-
2022-08-05
Survey response — day 21, dose 4MedDRA: Abdominal discomfort — Feeling: FairFree text: Digestive upset, but it's probably food and female cycle related.MedDRA releases: 2024-11 · check-in free text available
- 2022-08-12
- 2022-08-19
- 2022-08-26
-
2022-11-11
Dose 5 — Moderna
- 2022-11-11
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2022-11-12
Health check-in — days 1–6 daily, dose 5Feeling: Good · Site: Swelling, Itching · Muscle or body achesAdult check-in
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2022-11-13
Health check-in — days 1–6 daily, dose 5Feeling: Good · Site: Swelling · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Abdominal painAdult check-in
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2022-11-14
Health check-in — days 1–6 daily, dose 5Feeling: Good · Site: Itching · Headache, Fatigue or tirednessAdult check-in
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2022-11-15
Health check-in — days 1–6 daily, dose 5Feeling: Good · Site: Itching · Headache, Muscle or body achesAdult check-in
- 2022-11-16
- 2022-11-17
- 2022-11-18
- 2022-11-25
- 2022-12-02
- 2022-12-09
- 2022-12-16
- 2022-12-23
- 2023-02-10
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2023-05-12
Survey response — 6 months, dose 5MedDRA: Pre-existing disease — Feeling: Good · Be unable to work or attend school, Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultationMedDRA releases: 2024-11
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2023-05-12
Report sent to call center — 6 months, dose 5Be unable to work or attend school · Be unable to do your normal daily activities · Get care from a doctor or other healthcare prTelehealth, virtual health, or email health consultation · 1 call case(s)
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2023-05-15
Call successfulNot applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill
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2023-05-15
Call successfulNot applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-04-24 | Moderna | |
| 2 | 2021-05-19 | Moderna | |
| 3 | 2021-12-16 | Moderna | No |
| 4 | 2022-07-15 | Moderna | No |
| 5 | 2022-11-11 | Moderna | No |
Call center
2 call center cases
2 successful
Free text
Release 7 — day 0, dose 1
Systemic reaction (other): no
Release 8 — days 1–6 daily, dose 2
Systemic reaction (other): slight euphoria soon after the shot; it happened last time, too, but I didn't think it was related
Systemic reaction (other): I forgot to mention a few side effects yesterday which I also had today: difficulty concentrating, easily confused, forgetfulness, all moderate both days
Systemic reaction (other): I forgot to mention that I felt slightly light-headed on and off for about 6 hours after the shot on Wednesday night. difficulty concentrating, being easily confused and forgetfulness were better today but still present. it's probably important to note that my allergies kicked up this morning around 3am & I took 1200 guaifenesin which helped.
Release 9 — 3 months, dose 2
Symptoms: For several weeks, I've been feeling a lot of symptoms from the wildfire smoke: achy, burning, itchy, watery eyes, itchy, sore throat, swelled irritated sinuses, lots of drainage, fatigue, headache, difficulty concentrating. This is even when inside. cut off by CDC
Release 10 — 6 months, dose 2
Symptoms: Difficulty breathing, headaches, ear aches, high blood pressure, anxiety
Healthcare visit (other): doctor visits
Release 12 — days 1–6 daily, dose 4
Systemic reaction (other): insomnia
Systemic reaction (other): sweating
Release 12 — day 21, dose 4
Symptoms: Digestive upset, but it's probably food and female cycle related.
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 |
|---|---|---|---|---|
| HCVO | Office visit | · | · | ✓ |
| SD | Abdominal discomfort | · | · | ✓ |
| SD | Anxiety | · | · | ✓ |
| SD | Burning sensation | ✓ | · | ✓ |
| SD | Discharge | ✓ | · | ✓ |
| SD | Disturbance in attention | ✓ | · | ✓ |
| SD | Dyspnoea | · | · | ✓ |
| SD | Ear pain | · | · | ✓ |
| SD | Eye pruritus | ✓ | · | ✓ |
| SD | Fatigue | ✓ | · | ✓ |
| SD | Headache | ✓ | · | ✓ |
| SD | Hypertension | · | · | ✓ |
| SD | Lacrimation increased | ✓ | · | ✓ |
| SD | Oropharyngeal pain | ✓ | · | ✓ |
| SD | Pain | ✓ | · | ✓ |
| SD | Paranasal sinus discomfort | ✓ | · | ✓ |
| SD | Pre-existing disease | · | · | ✓ |
| SD | Pruritus | ✓ | · | ✓ |
| SD | Sinus congestion | ✓ | · | ✓ |
| SD | Smoke sensitivity | ✓ | · | ✓ |
| SRO | Condition aggravated | ✓ | ✓ | ✓ |
| SRO | Confusional state | ✓ | ✓ | ✓ |
| SRO | Disturbance in attention | ✓ | ✓ | ✓ |
| SRO | Dizziness | ✓ | ✓ | ✓ |
| SRO | Euphoric mood | ✓ | ✓ | ✓ |
| SRO | Hyperhidrosis | · | · | ✓ |
| SRO | Insomnia | · | · | ✓ |
| SRO | Memory impairment | ✓ | ✓ | ✓ |
| SRO | No adverse event | ✓ | ✓ | ✓ |
| SRO | Pre-existing disease | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release