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4Y3-19655-03945

2 vaccinations 4 coded responses 23 check-ins 4 free-text entries 0 call cases
Sex
Female
Age at first dose
66+
ZIP prefix
981 / WA
Registered
2021-01-24
Relationship
Self
Race
White
Ethnicity
Not Hispanic or Latino

Timeline

  1. 2021-01-24
    Registered in v-safe
  2. 2021-01-24
    Dose 1 — Moderna
  3. 2021-01-24
    Health check-in — day 0, dose 1
    Feeling: Good · None
    Adult check-in
  4. 2021-01-25
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · Site: Pain, Redness, Swelling · Fatigue or tiredness
    Adult check-in
  5. 2021-01-26
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · Site: Pain, Redness, Swelling · Fever · None
    Adult check-in
  6. 2021-01-27
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · Site: Pain, Redness, Swelling · Fatigue or tiredness
    Adult check-in
  7. 2021-01-28
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · Site: Pain, Redness, Swelling · Fatigue or tiredness
    Adult check-in
  8. 2021-01-30
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · Fatigue or tiredness
    Adult check-in
  9. 2021-01-31
    Survey response — day 7, dose 1
    MedDRA: Ocular hyperaemia — Feeling: Good
    Free text: My left eye is very bloodshot today. My husbands left eye was blood shot a week ago. We received our first shot a week ago. Although my husband has had bloodshot eyes before, I never have.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  10. 2021-02-07
    Survey response — day 14, dose 1
    MedDRA: Injection site erythema, Injection site pruritus, Injection site swelling, Office visit — Feeling: Good
    Free text: My injection sight became swollen, red & itchy for a day or two. I happened to see a doc at the same time & he said it wasnt infected & was probably a secondary reaction. It has resolve now but is still red.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  11. 2021-02-14
    Survey response — day 21, dose 1
    MedDRA: Injection site discolouration, Injection site erythema, Injection site pruritus, Injection site rash, Injection site swelling, Rash erythematous — Feeling: Good
    Free text: The inoculation was raised & white, the arm around it was red & swollen & around the site was a red rash about 4x3 & ran down my arm. This disappeared the next day. I can send you a photo if youd like. Oh, & it itched.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  12. 2021-02-21
    Health check-in — day 28, dose 1
    Feeling: Good
    Adult check-in
  13. 2021-02-26
    Dose 2 — Moderna
  14. 2021-02-28
    Survey response — days 1–6 daily, dose 2
    MedDRA: Arthralgia, Dizziness, Fatigue, Headache, Nausea, Pain — Feeling: Good · Site: Pain, Swelling, Itching · Fatigue or tiredness · Be unable to do your normal daily activities
    Free text: Yesterday I had lightheaded ness, headache, body aches, joint pain, nausea & fatigue
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  15. 2021-03-01
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · Site: Pain, Itching · Headache
    Adult check-in
  16. 2021-03-02
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · Site: Pain · Headache, Fatigue or tiredness
    Adult check-in
  17. 2021-03-03
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · Site: Pain · Fatigue or tiredness
    Adult check-in
  18. 2021-03-05
    Health check-in — day 7, dose 2
    Feeling: Good · None
    Adult check-in
  19. 2021-03-12
    Health check-in — day 14, dose 2
    Feeling: Good
    Adult check-in
  20. 2021-03-19
    Health check-in — day 21, dose 2
    Feeling: Good
    Adult check-in
  21. 2021-03-26
    Health check-in — day 28, dose 2
    Feeling: Good
    Adult check-in
  22. 2021-04-02
    Health check-in — day 35, dose 2
    Feeling: Good
    Adult check-in
  23. 2021-04-09
    Health check-in — day 42, dose 2
    Feeling: Good
    Adult check-in
  24. 2021-05-28
    Health check-in — 3 months, dose 2
    Feeling: Good
    Adult check-in
  25. 2021-08-27
    Health check-in — 6 months, dose 2
    Feeling: Good
    Adult check-in
  26. 2022-02-26
    Health check-in — 12 months, dose 2
    Feeling: Good
    Adult check-in

Vaccinations

DoseDateManufacturerCo-administered
12021-01-24Moderna
22021-02-26Moderna

Free text

Release 3 — day 7, dose 1

2021-01-31

Systemic reaction (other): My left eye is very bloodshot today. My husbands left eye was blood shot a week ago. We received our first shot a week ago. Although my husband has had bloodshot eyes before, I never have.

Release 3 — day 14, dose 1

2021-02-07

Symptoms: My injection sight became swollen, red & itchy for a day or two. I happened to see a doc at the same time & he said it wasnt infected & was probably a secondary reaction. It has resolve now but is still red.

Release 4 — day 21, dose 1

2021-02-14

Symptoms: The inoculation was raised & white, the arm around it was red & swollen & around the site was a red rash about 4x3 & ran down my arm. This disappeared the next day. I can send you a photo if youd like. Oh, & it itched.

Release 4 — days 1–6 daily, dose 2

2021-02-28

Systemic reaction (other): Yesterday I had lightheaded ness, headache, body aches, joint pain, nausea & fatigue

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
SDInjection site discolouration ✓ ✓ ✓
SDInjection site erythema ✓ ✓ ✓
SDInjection site pruritus ✓ ✓ ✓
SDInjection site rash ✓ ✓ ✓
SDInjection site swelling ✓ ✓ ✓
SDOffice visit ✓ ✓ ✓
SDRash erythematous ✓ ✓ ✓
SROArthralgia ✓ ✓ ✓
SRODizziness ✓ ✓ ✓
SROFatigue ✓ ✓ ✓
SROHeadache ✓ ✓ ✓
SRONausea ✓ ✓ ✓
SROOcular hyperaemia ✓ ✓ ✓
SROPain ✓ ✓ ✓

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