57X-26644-72055
4 vaccinations
3 coded responses
32 check-ins
3 free-text entries
0 call cases
- Sex
- Female
- Age at first dose
- 56-60
- ZIP prefix
- 984 / WA
- Registered
- 2021-02-05
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-02-04
Dose 1 — Moderna
-
2021-02-05
Registered in v-safe
-
2021-02-05
Health check-in — days 1–6 daily, dose 1Feeling: Fair · Site: Pain · Fatigue or tirednessAdult check-in
- 2021-02-06
- 2021-02-07
- 2021-02-08
- 2021-02-09
- 2021-02-10
- 2021-02-11
- 2021-02-18
- 2021-02-25
-
2021-03-04
Dose 2 — Moderna
- 2021-03-04
-
2021-03-05
Health check-in — days 1–6 daily, dose 2Feeling: Poor · Site: Pain, Redness, Swelling · Fever · Chills, Headache, Joint pains, Fatigue or tiredness · Be unable to do your normal daily activitiesAdult check-in
-
2021-03-06
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Site: Pain, Redness, Swelling · Fatigue or tirednessAdult check-in
- 2021-03-07
- 2021-03-08
-
2021-03-09
Survey response — days 1–6 daily, dose 2MedDRA: Night sweats — Feeling: GoodFree text: Forgot to report night sweats for the first few night after receiving the second vaccine.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-03-10
- 2021-03-11
-
2021-03-18
Survey response — day 14, dose 2MedDRA: Abdominal discomfort, Fatigue, Headache, Nasal congestion — Feeling: Fair · Be unable to do your normal daily activitiesFree text: Fatigue, tender stomach, little bit stuffed up. Kinda headachey. Don't think it's related to the vaccine. Two other members of my household have been under the weather too. Neither has been vaccinated and both are under 30 years old.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-03-25
- 2021-04-01
- 2021-04-08
- 2021-04-15
- 2021-06-03
- 2021-09-02
-
2021-11-12
Dose 3 — Pfizer-BioNTech
- 2022-03-04
-
2022-03-31
Dose 4 — Pfizer-BioNTech
- 2022-04-25
- 2022-04-28
-
2022-05-05
Survey response — day 35, dose 4MedDRA: Cough, Fatigue, Nasopharyngitis, Respiratory tract congestion, SARS-CoV-2 test negative — Feeling: Fair · Be unable to do your normal daily activitiesFree text: Head cold, stuffy, coughing, fatigue. Did two rapid tests at home and one you send in to the lab. All negative for COVID-19.MedDRA releases: 2024-11 · check-in free text available
- 2022-05-12
- 2022-06-30
- 2022-09-29
- 2023-04-02
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-02-04 | Moderna | |
| 2 | 2021-03-04 | Moderna | |
| 3 | 2021-11-12 | Pfizer-BioNTech | No |
| 4 | 2022-03-31 | Pfizer-BioNTech | No |
Free text
Release 5 — days 1–6 daily, dose 2
Systemic reaction (other): Forgot to report night sweats for the first few night after receiving the second vaccine.
Release 5 — day 14, dose 2
Symptoms: Fatigue, tender stomach, little bit stuffed up. Kinda headachey. Don't think it's related to the vaccine. Two other members of my household have been under the weather too. Neither has been vaccinated and both are under 30 years old.
Release 11 — day 35, dose 4
Symptoms: Head cold, stuffy, coughing, fatigue. Did two rapid tests at home and one you send in to the lab. All negative for COVID-19.
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 | Abdominal discomfort | ✓ | ✓ | ✓ |
| SD | Cough | · | · | ✓ |
| SD | Fatigue | ✓ | ✓ | ✓ |
| SD | Headache | ✓ | ✓ | ✓ |
| SD | Nasal congestion | ✓ | ✓ | ✓ |
| SD | Nasopharyngitis | · | · | ✓ |
| SD | Respiratory tract congestion | · | · | ✓ |
| SD | SARS-CoV-2 test negative | · | · | ✓ |
| SRO | Night sweats | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release