59R-29167-76113
5 vaccinations
5 coded responses
49 check-ins
5 free-text entries
0 call cases
- Sex
- Female
- Age at first dose
- 66+
- ZIP prefix
- 971 / OR
- Registered
- 2021-03-18
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-03-18
Registered in v-safe
-
2021-03-18
Dose 1 — Moderna
- 2021-03-18
-
2021-03-19
Health check-in — days 1–6 daily, dose 1Feeling: Fair · Site: Pain · Fatigue or tirednessAdult check-in
-
2021-03-20
Health check-in — days 1–6 daily, dose 1Feeling: Poor · Site: Pain · Muscle or body aches, Fatigue or tiredness, Rash, not including the immediate area around the injection siteAdult check-in
-
2021-03-21
Health check-in — days 1–6 daily, dose 1Feeling: Fair · Site: Pain · Fatigue or tirednessAdult check-in
- 2021-03-22
- 2021-03-23
- 2021-03-24
- 2021-03-25
- 2021-04-01
- 2021-04-08
-
2021-04-14
Dose 2 — Moderna
-
2021-04-15
Health check-in — days 1–6 daily, dose 2Feeling: Poor · Site: Pain · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Abdominal pain · Be unable to do your normal daily activitiesAdult check-in
-
2021-04-16
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Site: Pain · Fever · Joint pains, Muscle or body aches, Fatigue or tiredness, NauseaAdult check-in
-
2021-04-17
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Site: Pain, Swelling · Fatigue or tiredness, Nausea, Abdominal painAdult check-in
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2021-04-18
Survey response — days 1–6 daily, dose 2MedDRA: Ageusia, Decreased appetite — Feeling: Fair · Site: Pain · Fatigue or tirednessFree text: A slight loss of taste the past few days. No hunger.and nothing tastes good.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-04-19
-
2021-04-20
Survey response — days 1–6 daily, dose 2MedDRA: Herpes virus infection, Pre-existing disease, Vaccine positive rechallenge — Feeling: GoodFree text: Like with the last vaccination, I developed a small herpe about a week after. Nothing major, but just curious. The first one went away quickly and I would bet this one will too. Havent had one of these for over a year.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-04-21
Survey response — day 7, dose 2MedDRA: Herpes simplex, Pre-existing disease, Vaccine positive rechallenge — Feeling: GoodFree text: Just the tail end of a small herpe, which came about because of the shot. I got one after my first vaccination as well.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-04-28
-
2021-05-05
Survey response — day 21, dose 2MedDRA: Fatigue — Feeling: GoodFree text: Just feel more tired than I usually feel. Get tired quicker than usual. Otherwise I feel just fine.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-05-12
- 2021-05-19
- 2021-05-26
- 2021-07-14
-
2021-10-11
Dose 3 — Moderna
- 2021-10-13
- 2022-04-14
-
2022-04-29
Dose 4 — Moderna
- 2022-04-29
-
2022-04-30
Health check-in — days 1–6 daily, dose 4Feeling: Poor · Site: Pain, Swelling · Fever · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activitiesAdult check-in
-
2022-05-01
Health check-in — days 1–6 daily, dose 4Feeling: Fair · Site: Pain, Swelling · Headache, Fatigue or tirednessAdult check-in
- 2022-05-02
-
2022-05-03
Survey response — days 1–6 daily, dose 4MedDRA: Injection site pain — Feeling: Good · Site: PainFree text: Very mild soreness at injection siteMedDRA releases: 2024-11 · check-in free text available
- 2022-05-04
- 2022-05-06
- 2022-05-13
- 2022-05-20
- 2022-05-27
- 2022-06-03
- 2022-06-10
- 2022-07-31
-
2022-09-12
Dose 5 — ModernaCo-administered: Flu
- 2022-09-14
- 2022-09-16
- 2022-09-17
- 2022-09-18
- 2022-09-19
- 2022-09-26
- 2022-10-03
- 2022-10-10
- 2022-10-17
- 2022-12-12
- 2023-03-13
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-03-18 | Moderna | |
| 2 | 2021-04-14 | Moderna | |
| 3 | 2021-10-11 | Moderna | No |
| 4 | 2022-04-29 | Moderna | No |
| 5 | 2022-09-12 | Moderna | Flu |
Free text
Release 7 — days 1–6 daily, dose 2
Systemic reaction (other): A slight loss of taste the past few days. No hunger.and nothing tastes good.
Systemic reaction (other): Like with the last vaccination, I developed a small herpe about a week after. Nothing major, but just curious. The first one went away quickly and I would bet this one will too. Havent had one of these for over a year.
Release 7 — day 7, dose 2
Systemic reaction (other): Just the tail end of a small herpe, which came about because of the shot. I got one after my first vaccination as well.
Release 8 — day 21, dose 2
Symptoms: Just feel more tired than I usually feel. Get tired quicker than usual. Otherwise I feel just fine.
Release 11 — days 1–6 daily, dose 4
Systemic reaction (other): Very mild soreness at injection site
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 | Fatigue | ✓ | ✓ | ✓ |
| SRO | Ageusia | ✓ | ✓ | ✓ |
| SRO | Decreased appetite | ✓ | ✓ | ✓ |
| SRO | Herpes simplex | ✓ | ✓ | ✓ |
| SRO | Herpes virus infection | ✓ | ✓ | ✓ |
| SRO | Injection site pain | · | · | ✓ |
| SRO | Pre-existing disease | ✓ | ✓ | ✓ |
| SRO | Vaccine positive rechallenge | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release