4UX-23591-14187
2 vaccinations
9 coded responses
18 check-ins
9 free-text entries
0 call cases
- Sex
- Female
- Age at first dose
- 56-60
- ZIP prefix
- 982 / WA
- Registered
- 2021-01-15
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
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2021-01-15
Registered in v-safe
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2021-01-15
Dose 1 — Moderna
- 2021-01-15
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2021-01-16
Survey response — days 1–6 daily, dose 1MedDRA: Dissociation, Dizziness, Feeling abnormal, Immediate post-injection reaction, Injection site pain, Paraesthesia oral — Feeling: Good · Site: Pain, Itching · Muscle or body achesFree text: Yesterday, january 15, is when i received tge first shot. I signed up for this survey immediateky while waiting the 15 minutes pist shot. AFTER i respinded to rbis survey yesterday, at around the 12-minute post shot mark, i experienced. MILD tingling and swelling of both lips and tongue, mild dizziness. My arms felt detached from my body as if floating. It took about 20 minutes for these symptoms to subside. I felt like i had been hit wirh a baseball bat all over for about 20 hours. Injection site very sore and aching. Today. January 16, body aches nearly gone and soreness in arm is mild.otMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-01-17
Survey response — days 1–6 daily, dose 1MedDRA: Oedema peripheral — Feeling: Fair · Site: Pain · Fatigue or tirednessFree text: Left armput feels a little swollen. Shot was given in left deltoid.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-01-18
- 2021-01-19
- 2021-01-21
- 2021-01-22
- 2021-01-29
- 2021-02-05
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2021-02-12
Dose 2 — Moderna
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2021-02-12
Survey response — day 0, dose 2MedDRA: Chills, Pyrexia — Feeling: Fair · ChillsFree text: No allergic reaction so far like i had with with first shot. I had my second shot today at 2:15 p.m. mild chills coming and going as i write this but no fever based on my foreheaf thermometer.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-02-13
Survey response — days 1–6 daily, dose 2MedDRA: Feeling abnormal, Headache, Insomnia, Self-medication, Tinnitus — Feeling: Poor · Site: Pain · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea, Abdominal pain · Be unable to work, Be unable to do your normal daily activitiesFree text: This is just awful. Feel like im being stabbed all over since 9::00 last night. Ringing in ears. cant sleep im in so much pain. Pounding on top of head. Ibuprofen doesnt touch it.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-02-14
Survey response — days 1–6 daily, dose 2MedDRA: Abdominal pain, Abdominal pain lower, Asthenia, Crying, Dizziness, Headache, Muscle spasms, Photophobia — Feeling: Fair · Site: Pain · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea, Abdominal pain · Be unable to work, Be unable to do your normal daily activitiesFree text: Spleen aches, headache with light sensitivity ongoing, muscle spasms--very mild and infrequent. Dizzy. Weak. Keep crying and i dont know why. Lower abdominal pain.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-02-15
Survey response — days 1–6 daily, dose 2MedDRA: Dizziness, Feeling abnormal — Feeling: Fair · Site: Pain · Headache, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to work, Be unable to do your normal daily activitiesFree text: Dizzy, brain fog... Both mild.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-02-16
Survey response — days 1–6 daily, dose 2MedDRA: Dizziness, Hepatic pain, Nausea, Pallor — Feeling: Fair · Site: Pain · Headache, Fatigue or tiredness, Nausea · Be unable to do your normal daily activitiesFree text: Dizzyness nonstop, pale complexion, nausea is intermittent and fleeting when present. My luver still aches.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-02-17
Survey response — days 1–6 daily, dose 2MedDRA: Rash — Feeling: Fair · Site: Pain · Fatigue or tiredness, Rash, not including the immediate area around the injection site · Be unable to workFree text: Weird rash above right knee, doesnt itchMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-02-18
Survey response — days 1–6 daily, dose 2MedDRA: Fatigue — Feeling: Fair · Site: Pain · Fatigue or tiredness · Be unable to workFree text: Fatigue is deep. Surprising.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-02-19
- 2021-08-13
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-01-15 | Moderna | |
| 2 | 2021-02-12 | Moderna |
Free text
Release 2 — days 1–6 daily, dose 1
Systemic reaction (other): Yesterday, january 15, is when i received tge first shot. I signed up for this survey immediateky while waiting the 15 minutes pist shot. AFTER i respinded to rbis survey yesterday, at around the 12-minute post shot mark, i experienced. MILD tingling and swelling of both lips and tongue, mild dizziness. My arms felt detached from my body as if floating. It took about 20 minutes for these symptoms to subside. I felt like i had been hit wirh a baseball bat all over for about 20 hours. Injection site very sore and aching. Today. January 16, body aches nearly gone and soreness in arm is mild.ot
Systemic reaction (other): Left armput feels a little swollen. Shot was given in left deltoid.
Release 4 — day 0, dose 2
Systemic reaction (other): No allergic reaction so far like i had with with first shot. I had my second shot today at 2:15 p.m. mild chills coming and going as i write this but no fever based on my foreheaf thermometer.
Release 4 — days 1–6 daily, dose 2
Systemic reaction (other): This is just awful. Feel like im being stabbed all over since 9::00 last night. Ringing in ears. cant sleep im in so much pain. Pounding on top of head. Ibuprofen doesnt touch it.
Systemic reaction (other): Spleen aches, headache with light sensitivity ongoing, muscle spasms--very mild and infrequent. Dizzy. Weak. Keep crying and i dont know why. Lower abdominal pain.
Systemic reaction (other): Dizzy, brain fog... Both mild.
Systemic reaction (other): Dizzyness nonstop, pale complexion, nausea is intermittent and fleeting when present. My luver still aches.
Systemic reaction (other): Weird rash above right knee, doesnt itch
Systemic reaction (other): Fatigue is deep. Surprising.
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 |
|---|---|---|---|---|
| SRO | Abdominal pain | ✓ | ✓ | ✓ |
| SRO | Abdominal pain lower | ✓ | ✓ | ✓ |
| SRO | Asthenia | ✓ | ✓ | ✓ |
| SRO | Chills | ✓ | ✓ | ✓ |
| SRO | Crying | ✓ | ✓ | ✓ |
| SRO | Dissociation | ✓ | ✓ | ✓ |
| SRO | Dizziness | ✓ | ✓ | ✓ |
| SRO | Fatigue | ✓ | ✓ | ✓ |
| SRO | Feeling abnormal | ✓ | ✓ | ✓ |
| SRO | Headache | ✓ | ✓ | ✓ |
| SRO | Hepatic pain | ✓ | ✓ | ✓ |
| SRO | Immediate post-injection reaction | ✓ | ✓ | ✓ |
| SRO | Injection site pain | ✓ | ✓ | ✓ |
| SRO | Insomnia | ✓ | ✓ | ✓ |
| SRO | Muscle spasms | ✓ | ✓ | ✓ |
| SRO | Nausea | ✓ | ✓ | ✓ |
| SRO | Oedema peripheral | ✓ | ✓ | ✓ |
| SRO | Pallor | ✓ | ✓ | ✓ |
| SRO | Paraesthesia oral | ✓ | ✓ | ✓ |
| SRO | Photophobia | ✓ | ✓ | ✓ |
| SRO | Pyrexia | ✓ | ✓ | ✓ |
| SRO | Rash | ✓ | ✓ | ✓ |
| SRO | Self-medication | ✓ | ✓ | ✓ |
| SRO | Tinnitus | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release