59F-11262-22955
3 vaccinations
4 coded responses
38 check-ins
4 free-text entries
0 call cases
- Sex
- Female
- Age at first dose
- 41-45
- ZIP prefix
- 980 / WA
- Registered
- 2021-01-15
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-01-15
Registered in v-safe
-
2021-01-15
Dose 1 — Moderna
-
2021-01-15
Survey response — day 0, dose 1MedDRA: Paraesthesia — Feeling: Good · Site: PainFree text: Tingling in fingertips and toes on the left side (infection side) of my body.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-01-16
- 2021-01-17
- 2021-01-18
- 2021-01-19
- 2021-01-22
- 2021-01-29
- 2021-02-05
- 2021-02-12
-
2021-02-17
Dose 2 — Moderna
- 2021-02-17
-
2021-02-18
Health check-in — days 1–6 daily, dose 2Feeling: Good · Site: Pain · Muscle or body achesAdult check-in
- 2021-02-20
- 2021-02-21
- 2021-02-22
- 2021-02-23
- 2021-02-26
- 2021-03-03
-
2021-03-10
Survey response — day 21, dose 2MedDRA: Headache — Feeling: GoodFree text: Slight headaches for about a week. Not bad but not a normal occurence for me.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-03-17
- 2021-03-24
- 2021-03-31
- 2021-05-19
- 2021-08-18
-
2021-12-20
Dose 3 — Moderna
- 2021-12-21
- 2021-12-22
- 2021-12-23
- 2021-12-24
- 2021-12-25
- 2021-12-26
- 2021-12-27
- 2022-01-03
- 2022-01-10
-
2022-01-17
Survey response — day 28, dose 3MedDRA: Feeling abnormal, Headache — Feeling: FairFree text: A little fuzzy in the head and a slight headache for the past two days.MedDRA releases: 2024-11 · check-in free text available
-
2022-01-24
Survey response — day 35, dose 3MedDRA: Ear pain, Headache, Noninfective gingivitis, Oral herpes zoster, Pain in jaw, Pharyngeal ulceration, Stomatitis — Feeling: Fair · Be unable to do your normal daily activitiesFree text: Came down with Oral Shingles. Sores all over one side of the roof of my mouth, gums and throat. Very localized on the left side of my mouth and throat. With that came sharp headaches, sore jaw, and ear pain on the effected side.MedDRA releases: 2024-11 · check-in free text available
- 2022-01-31
- 2022-03-21
- 2022-06-20
- 2022-12-20
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-01-15 | Moderna | |
| 2 | 2021-02-17 | Moderna | |
| 3 | 2021-12-20 | Moderna | No |
Free text
Release 2 — day 0, dose 1
Systemic reaction (other): Tingling in fingertips and toes on the left side (infection side) of my body.
Release 5 — day 21, dose 2
Symptoms: Slight headaches for about a week. Not bad but not a normal occurence for me.
Release 10 — day 28, dose 3
Symptoms: A little fuzzy in the head and a slight headache for the past two days.
Release 11 — day 35, dose 3
Symptoms: Came down with Oral Shingles. Sores all over one side of the roof of my mouth, gums and throat. Very localized on the left side of my mouth and throat. With that came sharp headaches, sore jaw, and ear pain on the effected side.
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 | Ear pain | · | · | ✓ |
| SD | Feeling abnormal | · | · | ✓ |
| SD | Headache | ✓ | ✓ | ✓ |
| SD | Noninfective gingivitis | · | · | ✓ |
| SD | Oral herpes zoster | · | · | ✓ |
| SD | Pain in jaw | · | · | ✓ |
| SD | Pharyngeal ulceration | · | · | ✓ |
| SD | Stomatitis | · | · | ✓ |
| SRO | Paraesthesia | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release