5PA-28102-99077
5 vaccinations
16 coded responses
59 check-ins
16 free-text entries
3 call cases
- Sex
- Female
- Age at first dose
- 66+
- ZIP prefix
- 982 / WA
- Registered
- 2021-01-21
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-01-21
Registered in v-safe
-
2021-01-21
Dose 1 — Moderna
-
2021-01-21
Survey response — day 0, dose 1MedDRA: Dizziness, Immediate post-injection reaction — Feeling: FairFree text: Lightheaded about 10 minutes after injectionMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-01-22
- 2021-01-23
- 2021-01-24
- 2021-01-25
- 2021-01-26
- 2021-01-27
- 2021-01-28
- 2021-02-04
- 2021-02-11
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2021-02-18
Dose 2 — Moderna
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2021-02-18
Survey response — day 0, dose 2MedDRA: Dizziness — Feeling: Poor · Fatigue or tiredness · Be unable to do your normal daily activitiesFree text: Lightheaded and woozy the first hourMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-02-19
- 2021-02-20
- 2021-02-21
-
2021-02-22
Survey response — days 1–6 daily, dose 2MedDRA: Urinary tract infection — Feeling: Fair · Fever · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visitFree text: UTIMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-02-22
Report sent to call center — days 1–6 daily, dose 2Get care from a doctor or other healthcare professional1 call case(s)
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2021-02-23
Survey response — days 1–6 daily, dose 2MedDRA: Urinary tract infection — Feeling: Fair · HeadacheFree text: UTIMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-02-24
Survey response — days 1–6 daily, dose 2MedDRA: Urinary tract infection — Feeling: FairFree text: UTIMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-02-25
Survey response — day 7, dose 2MedDRA: Urinary tract infection — Feeling: Fair · HeadacheFree text: UTIMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-03-04
- 2021-03-11
- 2021-03-18
- 2021-03-25
- 2021-04-01
- 2021-05-20
- 2021-08-16
- 2021-08-19
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2021-09-01
Dose 3 — Moderna
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2021-09-03
Survey response — days 1–6 daily, dose 3MedDRA: Lymphadenopathy — Feeling: Poor · Site: Pain, Swelling, Itching · Fever · Headache, Fatigue or tiredness · Be unable to do your normal daily activitiesFree text: Lymph node swelling in armpit on side of injection siteMedDRA releases: 2021-09,2024-11 · check-in free text available
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2021-09-04
Survey response — days 1–6 daily, dose 3MedDRA: Lymphadenopathy — Feeling: Fair · Site: Pain, Swelling · Fatigue or tiredness · Be unable to do your normal daily activitiesFree text: Lymph node swelling of underarm area on the same side as the injectionMedDRA releases: 2021-09,2024-11 · check-in free text available
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2021-09-05
Health check-in — days 1–6 daily, dose 3Feeling: Fair · Site: Swelling · Fatigue or tirednessAdult check-in
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2021-09-06
Survey response — days 1–6 daily, dose 3MedDRA: Suture insertion, Swelling — Feeling: Fair · Site: Swelling · Fatigue or tirednessFree text: A stitch in my side on the same side as injection and swellingMedDRA releases: 2021-09,2024-11 · check-in free text available
- 2021-09-07
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2021-09-08
Survey response — day 7, dose 3MedDRA: Dizziness, Presyncope — Feeling: Poor · Fatigue or tiredness, Diarrhea · Be unable to do your normal daily activitiesFree text: Lightheadedness near faintingMedDRA releases: 2024-11 · check-in free text available
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2021-09-15
Survey response — day 14, dose 3MedDRA: Food poisoning — Feeling: Fair · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultation, Outpatient clinic or urgent care clinic visit, Emergency room or emergency department visitFree text: Food poisoning over the last 7 daysMedDRA releases: 2024-11 · check-in free text available
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2021-09-15
Report sent to call center — day 14, dose 3Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional1 call case(s)
- 2021-09-21
- 2021-09-22
- 2021-09-29
- 2021-10-06
- 2021-10-13
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2021-12-01
Survey response — 3 months, dose 3MedDRA: Urinary tract infection — Feeling: Good · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visitFree text: UTIMedDRA releases: 2024-11 · check-in free text available
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2021-12-01
Report sent to call center — 3 months, dose 3Get care from a doctor or other healthcare professionalOutpatient clinic or urgent care clinic visit · 1 call case(s)
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2021-12-02
Call successfulNot applicable (accidental reporting or does not believe symptoms are related to vaccine)
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2022-03-02
Survey response — 6 months, dose 3MedDRA: Cough, Nasopharyngitis — Feeling: Good · Be unable to do your normal daily activitiesFree text: Mild cold and coughMedDRA releases: 2024-11 · check-in free text available
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2022-04-11
Dose 4 — Moderna
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2022-04-14
Survey response — days 1–6 daily, dose 4MedDRA: Lymphadenopathy — Feeling: Good · Site: SwellingFree text: Underarm lymph node swelling on injection side beginning day after injection and now receding.MedDRA releases: 2024-11 · check-in free text available
- 2022-04-16
- 2022-04-17
- 2022-04-18
- 2022-04-25
- 2022-05-02
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2022-05-09
Survey response — day 28, dose 4MedDRA: Fatigue — Feeling: FairFree text: More Fatigued every day over the last week.MedDRA releases: 2024-11 · check-in free text available
- 2022-05-16
- 2022-07-11
-
2022-09-15
Dose 5 — Pfizer-BioNTech
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2022-09-15
Survey response — day 0, dose 5MedDRA: Heart rate increased, Immediate post-injection reaction — Feeling: Fair · Site: PainFree text: Rapid heart rate occurring about 15 minutes after the injection. It lasted a couple of minutes.MedDRA releases: 2024-11 · check-in free text available
- 2022-09-16
- 2022-09-17
- 2022-09-19
- 2022-09-20
- 2022-09-21
- 2022-09-22
- 2022-09-29
- 2022-10-06
- 2022-10-20
- 2022-10-27
- 2022-12-15
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-01-21 | Moderna | |
| 2 | 2021-02-18 | Moderna | |
| 3 | 2021-09-01 | Moderna | No |
| 4 | 2022-04-11 | Moderna | No |
| 5 | 2022-09-15 | Pfizer-BioNTech | No |
Call center
3 call center cases
1 successful · 2 unsuccessful
1 wait over 3 months for a first call
Free text
Release 2 — day 0, dose 1
Systemic reaction (other): Lightheaded about 10 minutes after injection
Release 4 — day 0, dose 2
Systemic reaction (other): Lightheaded and woozy the first hour
Release 4 — days 1–6 daily, dose 2
Systemic reaction (other): UTI
Systemic reaction (other): UTI
Systemic reaction (other): UTI
Release 4 — day 7, dose 2
Systemic reaction (other): UTI
Release 9 — days 1–6 daily, dose 3
Systemic reaction (other): Lymph node swelling in armpit on side of injection site
Systemic reaction (other): Lymph node swelling of underarm area on the same side as the injection
Systemic reaction (other): A stitch in my side on the same side as injection and swelling
Release 9 — day 7, dose 3
Systemic reaction (other): Lightheadedness near fainting
Release 9 — day 14, dose 3
Symptoms: Food poisoning over the last 7 days
Release 10 — 3 months, dose 3
Symptoms: UTI
Release 11 — 6 months, dose 3
Symptoms: Mild cold and cough
Release 11 — days 1–6 daily, dose 4
Systemic reaction (other): Underarm lymph node swelling on injection side beginning day after injection and now receding.
Release 11 — day 28, dose 4
Symptoms: More Fatigued every day over the last week.
Release 12 — day 0, dose 5
Systemic reaction (other): Rapid heart rate occurring about 15 minutes after the injection. It lasted a couple of minutes.
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 | Cough | · | · | ✓ |
| SD | Fatigue | · | · | ✓ |
| SD | Food poisoning | · | · | ✓ |
| SD | Nasopharyngitis | · | · | ✓ |
| SD | Urinary tract infection | · | · | ✓ |
| SRO | Dizziness | ✓ | ✓ | ✓ |
| SRO | Heart rate increased | · | · | ✓ |
| SRO | Immediate post-injection reaction | ✓ | ✓ | ✓ |
| SRO | Lymphadenopathy | ✓ | · | ✓ |
| SRO | Presyncope | · | · | ✓ |
| SRO | Suture insertion | ✓ | · | ✓ |
| SRO | Swelling | ✓ | · | ✓ |
| SRO | Urinary tract infection | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release