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
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2021-01-24
Registered in v-safe
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2021-01-24
Dose 1 — Moderna
- 2021-01-24
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2021-01-25
Health check-in — days 1–6 daily, dose 1Feeling: Good · Site: Pain, Redness, Swelling · Fatigue or tirednessAdult check-in
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2021-01-26
Health check-in — days 1–6 daily, dose 1Feeling: Good · Site: Pain, Redness, Swelling · Fever · NoneAdult check-in
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2021-01-27
Health check-in — days 1–6 daily, dose 1Feeling: Good · Site: Pain, Redness, Swelling · Fatigue or tirednessAdult check-in
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2021-01-28
Health check-in — days 1–6 daily, dose 1Feeling: Good · Site: Pain, Redness, Swelling · Fatigue or tirednessAdult check-in
- 2021-01-30
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2021-01-31
Survey response — day 7, dose 1MedDRA: Ocular hyperaemia — Feeling: GoodFree 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
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2021-02-07
Survey response — day 14, dose 1MedDRA: Injection site erythema, Injection site pruritus, Injection site swelling, Office visit — Feeling: GoodFree 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
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2021-02-14
Survey response — day 21, dose 1MedDRA: Injection site discolouration, Injection site erythema, Injection site pruritus, Injection site rash, Injection site swelling, Rash erythematous — Feeling: GoodFree 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
- 2021-02-21
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2021-02-26
Dose 2 — Moderna
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2021-02-28
Survey response — days 1–6 daily, dose 2MedDRA: Arthralgia, Dizziness, Fatigue, Headache, Nausea, Pain — Feeling: Good · Site: Pain, Swelling, Itching · Fatigue or tiredness · Be unable to do your normal daily activitiesFree text: Yesterday I had lightheaded ness, headache, body aches, joint pain, nausea & fatigueMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-03-01
Health check-in — days 1–6 daily, dose 2Feeling: Good · Site: Pain, Itching · HeadacheAdult check-in
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2021-03-02
Health check-in — days 1–6 daily, dose 2Feeling: Good · Site: Pain · Headache, Fatigue or tirednessAdult check-in
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2021-03-03
Health check-in — days 1–6 daily, dose 2Feeling: Good · Site: Pain · Fatigue or tirednessAdult check-in
- 2021-03-05
- 2021-03-12
- 2021-03-19
- 2021-03-26
- 2021-04-02
- 2021-04-09
- 2021-05-28
- 2021-08-27
- 2022-02-26
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-01-24 | Moderna | |
| 2 | 2021-02-26 | Moderna |
Free text
Release 3 — day 7, dose 1
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
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
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
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
| Field | Preferred term | 2021-09 | 2023-04 | 2024-11 |
|---|---|---|---|---|
| SD | Injection site discolouration | ✓ | ✓ | ✓ |
| SD | Injection site erythema | ✓ | ✓ | ✓ |
| SD | Injection site pruritus | ✓ | ✓ | ✓ |
| SD | Injection site rash | ✓ | ✓ | ✓ |
| SD | Injection site swelling | ✓ | ✓ | ✓ |
| SD | Office visit | ✓ | ✓ | ✓ |
| SD | Rash erythematous | ✓ | ✓ | ✓ |
| SRO | Arthralgia | ✓ | ✓ | ✓ |
| SRO | Dizziness | ✓ | ✓ | ✓ |
| SRO | Fatigue | ✓ | ✓ | ✓ |
| SRO | Headache | ✓ | ✓ | ✓ |
| SRO | Nausea | ✓ | ✓ | ✓ |
| SRO | Ocular hyperaemia | ✓ | ✓ | ✓ |
| SRO | Pain | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release