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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

  1. 2021-01-15
    Registered in v-safe
  2. 2021-01-15
    Dose 1 — Moderna
  3. 2021-01-15
    Health check-in — day 0, dose 1
    Feeling: Good · Site: Pain · None
    Adult check-in
  4. 2021-01-16
    Survey response — days 1–6 daily, dose 1
    MedDRA: Dissociation, Dizziness, Feeling abnormal, Immediate post-injection reaction, Injection site pain, Paraesthesia oral — Feeling: Good · Site: Pain, Itching · Muscle or body aches
    Free 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.ot
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  5. 2021-01-17
    Survey response — days 1–6 daily, dose 1
    MedDRA: Oedema peripheral — Feeling: Fair · Site: Pain · Fatigue or tiredness
    Free 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
  6. 2021-01-18
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · Site: Pain · None
    Adult check-in
  7. 2021-01-19
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · Site: Pain · None
    Adult check-in
  8. 2021-01-21
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · None
    Adult check-in
  9. 2021-01-22
    Health check-in — day 7, dose 1
    Feeling: Good · None
    Adult check-in
  10. 2021-01-29
    Health check-in — day 14, dose 1
    Feeling: Good
    Adult check-in
  11. 2021-02-05
    Health check-in — day 21, dose 1
    Feeling: Good
    Adult check-in
  12. 2021-02-12
    Dose 2 — Moderna
  13. 2021-02-12
    Survey response — day 0, dose 2
    MedDRA: Chills, Pyrexia — Feeling: Fair · Chills
    Free 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
  14. 2021-02-13
    Survey response — days 1–6 daily, dose 2
    MedDRA: 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 activities
    Free 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
  15. 2021-02-14
    Survey response — days 1–6 daily, dose 2
    MedDRA: 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 activities
    Free 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
  16. 2021-02-15
    Survey response — days 1–6 daily, dose 2
    MedDRA: 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 activities
    Free text: Dizzy, brain fog... Both mild.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  17. 2021-02-16
    Survey response — days 1–6 daily, dose 2
    MedDRA: Dizziness, Hepatic pain, Nausea, Pallor — Feeling: Fair · Site: Pain · Headache, Fatigue or tiredness, Nausea · Be unable to do your normal daily activities
    Free 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
  18. 2021-02-17
    Survey response — days 1–6 daily, dose 2
    MedDRA: Rash — Feeling: Fair · Site: Pain · Fatigue or tiredness, Rash, not including the immediate area around the injection site · Be unable to work
    Free text: Weird rash above right knee, doesnt itch
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  19. 2021-02-18
    Survey response — days 1–6 daily, dose 2
    MedDRA: Fatigue — Feeling: Fair · Site: Pain · Fatigue or tiredness · Be unable to work
    Free text: Fatigue is deep. Surprising.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  20. 2021-02-19
    Health check-in — day 7, dose 2
    Feeling: Fair · Fatigue or tiredness
    Adult check-in
  21. 2021-08-13
    Health check-in — 6 months, dose 2
    Feeling: Good
    Adult check-in

Vaccinations

DoseDateManufacturerCo-administered
12021-01-15Moderna
22021-02-12Moderna

Free text

Release 2 — days 1–6 daily, dose 1

2021-01-16

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

2021-01-17

Systemic reaction (other): Left armput feels a little swollen. Shot was given in left deltoid.

Release 4 — day 0, dose 2

2021-02-12

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

2021-02-13

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.

2021-02-14

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.

2021-02-15

Systemic reaction (other): Dizzy, brain fog... Both mild.

2021-02-16

Systemic reaction (other): Dizzyness nonstop, pale complexion, nausea is intermittent and fleeting when present. My luver still aches.

2021-02-17

Systemic reaction (other): Weird rash above right knee, doesnt itch

2021-02-18

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

FieldPreferred term2021-092023-042024-11
SROAbdominal pain ✓ ✓ ✓
SROAbdominal pain lower ✓ ✓ ✓
SROAsthenia ✓ ✓ ✓
SROChills ✓ ✓ ✓
SROCrying ✓ ✓ ✓
SRODissociation ✓ ✓ ✓
SRODizziness ✓ ✓ ✓
SROFatigue ✓ ✓ ✓
SROFeeling abnormal ✓ ✓ ✓
SROHeadache ✓ ✓ ✓
SROHepatic pain ✓ ✓ ✓
SROImmediate post-injection reaction ✓ ✓ ✓
SROInjection site pain ✓ ✓ ✓
SROInsomnia ✓ ✓ ✓
SROMuscle spasms ✓ ✓ ✓
SRONausea ✓ ✓ ✓
SROOedema peripheral ✓ ✓ ✓
SROPallor ✓ ✓ ✓
SROParaesthesia oral ✓ ✓ ✓
SROPhotophobia ✓ ✓ ✓
SROPyrexia ✓ ✓ ✓
SRORash ✓ ✓ ✓
SROSelf-medication ✓ ✓ ✓
SROTinnitus ✓ ✓ ✓

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