53P-13084-97896
2 vaccinations
4 coded responses
17 check-ins
4 free-text entries
1 call case
- Sex
- Female
- Age at first dose
- 36-40
- ZIP prefix
- 985 / WA
- Registered
- 2021-01-12
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2020-12-31
Dose 1 — Moderna
-
2021-01-12
Registered in v-safe
- 2021-01-12
- 2021-01-14
-
2021-01-21
Survey response — day 21, dose 1MedDRA: Herpes zoster — Feeling: Poor · Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultation, Outpatient clinic or urgent care clinic visitFree text: Shingles.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-01-21
Report sent to call center — day 21, dose 1Get care from a doctor or other healthcare professional1 call case(s)
-
2021-01-27
Dose 2 — Moderna
- 2021-01-28
- 2021-01-29
-
2021-01-30
Survey response — days 1–6 daily, dose 2MedDRA: Insomnia — Feeling: GoodFree text: sleeplessness. This also happened on the third night after my first shot. Literally stay awake all night and all the next day without any fatigue. It's not bad but it is weird.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-01-31
Health check-in — days 1–6 daily, dose 2Feeling: Poor · Site: Pain · Headache, Fatigue or tiredness · Be unable to do your normal daily activitiesAdult check-in
- 2021-02-01
- 2021-02-02
- 2021-02-03
-
2021-02-10
Survey response — day 14, dose 2MedDRA: Insomnia — Feeling: FairFree text: Another 2 nights I'm almost completely sleeplessness. This has happened four times since getting my first shot. The only experience I have ever had close to this was during pregnancy 8 years ago.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-02-17
- 2021-02-24
- 2021-03-03
- 2021-03-10
- 2021-03-26
- 2021-04-30
-
2022-01-30
Survey response — 12 months, dose 2MedDRA: Dyspnoea, Ear pain, Fatigue, Headache, Oropharyngeal pain, Sinus pain — Feeling: Good · Be unable to work or attend school, Be unable to do your normal daily activitiesFree text: Sore throat/ears/sinuses, headache, fatigue, shortness of breath.MedDRA releases: 2024-11 · check-in free text available
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2020-12-31 | Moderna | |
| 2 | 2021-01-27 | Moderna |
Call center
1 call center case
1 unsuccessful
Free text
Release 2 — day 21, dose 1
Symptoms: Shingles.
Release 3 — days 1–6 daily, dose 2
Systemic reaction (other): sleeplessness. This also happened on the third night after my first shot. Literally stay awake all night and all the next day without any fatigue. It's not bad but it is weird.
Release 4 — day 14, dose 2
Symptoms: Another 2 nights I'm almost completely sleeplessness. This has happened four times since getting my first shot. The only experience I have ever had close to this was during pregnancy 8 years ago.
Release 11 — 12 months, dose 2
Symptoms: Sore throat/ears/sinuses, headache, fatigue, shortness of breath.
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 | Dyspnoea | · | · | ✓ |
| SD | Ear pain | · | · | ✓ |
| SD | Fatigue | · | · | ✓ |
| SD | Headache | · | · | ✓ |
| SD | Herpes zoster | ✓ | ✓ | ✓ |
| SD | Insomnia | ✓ | ✓ | ✓ |
| SD | Oropharyngeal pain | · | · | ✓ |
| SD | Sinus pain | · | · | ✓ |
| SRO | Insomnia | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release