4WC-65164-60449
4 vaccinations
6 coded responses
20 check-ins
6 free-text entries
0 call cases
- Sex
- Female
- Age at first dose
- 66+
- ZIP prefix
- 983 / WA
- Registered
- 2021-01-18
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-01-16
Dose 1 — Moderna
-
2021-01-18
Registered in v-safe
- 2021-01-19
-
2021-01-22
Survey response — days 1–6 daily, dose 1MedDRA: Pain of skin — Feeling: Good · Muscle or body achesFree text: Second and third day experienced moderate soreness in the top rear part of scalpMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-01-23
- 2021-01-31
- 2021-02-06
-
2021-02-13
Dose 2 — Moderna
- 2021-02-21
-
2021-02-28
Survey response — day 14, dose 2MedDRA: Diarrhoea, Self-medication — Feeling: GoodFree text: Diarrhea on 27th from about 12am to 4am, took anti-diarrhea pill and had no further problems, no other symptoms such as fever or pain. Feel fine now.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-03-07
-
2021-03-15
Survey response — day 28, dose 2MedDRA: Body temperature normal, Rhinorrhoea, Sinus pain — Feeling: FairFree text: Runny nose, achy sinus, normal temp and no headache.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-03-28
- 2021-08-15
-
2021-11-09
Dose 3 — Moderna
-
2022-02-13
Survey response — 12 months, dose 2MedDRA: Fatigue, Insomnia — Feeling: FairFree text: More tired then normal, not sleeping well.MedDRA releases: 2024-11 · check-in free text available
-
2022-04-15
Dose 4 — Moderna
- 2022-05-01
- 2022-05-10
- 2022-05-14
- 2022-05-20
- 2022-05-27
-
2022-07-15
Survey response — 3 months, dose 4MedDRA: Diarrhoea, Oropharyngeal pain, Respiratory tract congestion, SARS-CoV-2 test positive — Feeling: Fair · Be unable to do your normal daily activitiesFree text: Tested positive for Covid on July12. Diarrhea, heavy chest congestion and sore throat.MedDRA releases: 2024-11 · check-in free text available
-
2022-10-15
Survey response — 6 months, dose 4MedDRA: COVID-19 — Feeling: Good · Be unable to do your normal daily activitiesFree text: Covid July 12MedDRA releases: 2024-11 · check-in free text available
- 2023-04-19
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-01-16 | Moderna | |
| 2 | 2021-02-13 | Moderna | |
| 3 | 2021-11-09 | Moderna | No |
| 4 | 2022-04-15 | Moderna | No |
Free text
Release 2 — days 1–6 daily, dose 1
Systemic reaction (other): Second and third day experienced moderate soreness in the top rear part of scalp
Release 4 — day 14, dose 2
Symptoms: Diarrhea on 27th from about 12am to 4am, took anti-diarrhea pill and had no further problems, no other symptoms such as fever or pain. Feel fine now.
Release 5 — day 28, dose 2
Symptoms: Runny nose, achy sinus, normal temp and no headache.
Release 11 — 12 months, dose 2
Symptoms: More tired then normal, not sleeping well.
Release 12 — 3 months, dose 4
Symptoms: Tested positive for Covid on July12. Diarrhea, heavy chest congestion and sore throat.
Release 12 — 6 months, dose 4
Symptoms: Covid July 12
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 | Body temperature normal | ✓ | ✓ | ✓ |
| SD | COVID-19 | · | · | ✓ |
| SD | Diarrhoea | ✓ | ✓ | ✓ |
| SD | Fatigue | · | · | ✓ |
| SD | Insomnia | · | · | ✓ |
| SD | Oropharyngeal pain | · | · | ✓ |
| SD | Respiratory tract congestion | · | · | ✓ |
| SD | Rhinorrhoea | ✓ | ✓ | ✓ |
| SD | SARS-CoV-2 test positive | · | · | ✓ |
| SD | Self-medication | ✓ | ✓ | ✓ |
| SD | Sinus pain | ✓ | ✓ | ✓ |
| SRO | Pain of skin | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release