56Q-21117-72230
4 vaccinations
6 coded responses
30 check-ins
6 free-text entries
3 call cases
- Sex
- Female
- Age at first dose
- 51-55
- ZIP prefix
- 986 / WA
- Registered
- 2020-12-29
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2020-12-28
Dose 1 — Moderna
-
2020-12-29
Registered in v-safe
- 2020-12-29
- 2020-12-30
-
2020-12-31
Survey response — days 1–6 daily, dose 1MedDRA: Fatigue, Radiotherapy — Feeling: Fair · Fatigue or tirednessFree text: Fatigue is due to radiation tx, not the vaccineMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-01-01
- 2021-01-02
- 2021-01-03
- 2021-01-04
- 2021-01-18
-
2021-01-25
Dose 2 — Moderna
-
2021-02-01
Health check-in — day 7, dose 2Feeling: Fair · Site: Pain · Fever · Headache, Fatigue or tirednessAdult check-in
- 2021-02-08
- 2021-02-15
-
2021-02-22
Survey response — day 28, dose 2MedDRA: Chills, Pyrexia — Feeling: GoodFree text: One fever of 100.8 with chills. Only lasted one eveningMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-03-01
- 2021-03-08
- 2021-04-26
-
2021-07-26
Survey response — 6 months, dose 2MedDRA: Pyrexia — Feeling: Good · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visitFree text: Persistent, cyclical low grade fever believed to be a side effect of targeted chemotherapy drug (Kadcyla).MedDRA releases: 2021-09,2024-11 · check-in free text available
-
2021-07-26
Report sent to call center — 6 months, dose 2Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional1 call case(s)
-
2021-08-04
Call successfulNot applicable - Accidental Reporting
-
2021-08-17
Dose 3 — Moderna
- 2021-11-16
-
2022-02-17
Survey response — 6 months, dose 3MedDRA: Adverse drug reaction, Neoplasm malignant — Feeling: Good · Be unable to work or attend school, Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visitFree text: Extreme fatigue, diarrhea and constipation from starting a new drug (Nerlynx for cancer)MedDRA releases: 2024-11 · check-in free text available
-
2022-02-17
Report sent to call center — 6 months, dose 3Be unable to work or attend school · Be unable to do your normal daily activities · Get care from a doctor or other healthcare prOutpatient clinic or urgent care clinic visit · 1 call case(s)
- 2022-02-18
-
2022-02-18
Call successfulNot applicable - Accidental Reporting
-
2022-04-29
Dose 4 — Moderna
-
2022-05-03
Survey response — days 1–6 daily, dose 4MedDRA: Fatigue, Pyrexia — Feeling: Good · Site: Pain · Be unable to do your normal daily activitiesFree text: Fever and extreme fatigue day after the shotMedDRA releases: 2024-11 · check-in free text available
- 2022-05-04
- 2022-05-05
- 2022-05-06
- 2022-05-13
- 2022-05-20
- 2022-05-27
-
2022-06-03
Survey response — day 35, dose 4MedDRA: Cough, Dyspnoea, Headache, Respiratory tract congestion, Rhinorrhoea — Feeling: Poor · Be unable to work or attend school, Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultationFree text: Cough, headache, congestion, runny nose, shortness of breathMedDRA releases: 2024-11 · check-in free text available
-
2022-06-03
Report sent to call center — day 35, dose 4Be unable to work or attend school · Be unable to do your normal daily activities · Get care from a doctor or other healthcare prTelehealth, virtual health, or email health consultation · 1 call case(s)
- 2022-06-06
-
2022-06-06
Call successfulNot applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill
- 2022-06-12
- 2022-07-29
- 2022-10-28
- 2023-04-30
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2020-12-28 | Moderna | |
| 2 | 2021-01-25 | Moderna | |
| 3 | 2021-08-17 | Moderna | No |
| 4 | 2022-04-29 | Moderna | No |
Call center
3 call center cases
3 successful
Free text
Release 1 — days 1–6 daily, dose 1
Systemic reaction (other): Fatigue is due to radiation tx, not the vaccine
Release 4 — day 28, dose 2
Symptoms: One fever of 100.8 with chills. Only lasted one evening
Release 9 — 6 months, dose 2
Symptoms: Persistent, cyclical low grade fever believed to be a side effect of targeted chemotherapy drug (Kadcyla).
Release 11 — 6 months, dose 3
Symptoms: Extreme fatigue, diarrhea and constipation from starting a new drug (Nerlynx for cancer)
Release 11 — days 1–6 daily, dose 4
Systemic reaction (other): Fever and extreme fatigue day after the shot
Release 11 — day 35, dose 4
Symptoms: Cough, headache, congestion, runny nose, 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 | Adverse drug reaction | · | · | ✓ |
| SD | Chills | ✓ | ✓ | ✓ |
| SD | Cough | · | · | ✓ |
| SD | Dyspnoea | · | · | ✓ |
| SD | Headache | · | · | ✓ |
| SD | Neoplasm malignant | · | · | ✓ |
| SD | Pyrexia | ✓ | ✓ | ✓ |
| SD | Respiratory tract congestion | · | · | ✓ |
| SD | Rhinorrhoea | · | · | ✓ |
| SRO | Fatigue | ✓ | ✓ | ✓ |
| SRO | Pyrexia | · | · | ✓ |
| SRO | Radiotherapy | ✓ | ✓ | ✓ |
| SRO | Unevaluable event | ○ | ○ | ○ |
✓ active code · ○ coded but marked inactive · blank = not in that release