5VW-32106-86732
2 vaccinations
7 coded responses
15 check-ins
7 free-text entries
2 call cases
- Sex
- Female
- Age at first dose
- 61-65
- ZIP prefix
- 985 / WA
- Registered
- 2021-01-06
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-01-05
Dose 1 — Moderna
-
2021-01-06
Registered in v-safe
-
2021-01-06
Survey response — days 1–6 daily, dose 1MedDRA: Unevaluable event — Feeling: Fair · Site: Pain · Fever · Chills, Headache, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to work, Be unable to do your normal daily activitiesFree text: Lymph nodes affected armMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-01-06
Report sent to call center — days 1–6 daily, dose 1Be unable to work · Be unable to do your normal daily activities1 call case(s)
- 2021-01-07
- 2021-01-08
-
2021-01-09
Survey response — days 1–6 daily, dose 1MedDRA: Dizziness, Hyperhidrosis — Feeling: Fair · Fever · Chills, Nausea · Be unable to do your normal daily activitiesFree text: Sweats, dizzinessMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-01-09
Report sent to call center — days 1–6 daily, dose 1Be unable to do your normal daily activities1 call case(s)
-
2021-01-14
Survey response — day 7, dose 1MedDRA: Dizziness, Fear, Nausea — Feeling: Fair · Fatigue or tiredness, NauseaFree text: Been having nausea and dizziness all week. Just letting up now. Afraid to get second dose.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-01-19
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2021-01-26
Survey response — day 21, dose 1MedDRA: Dizziness, Ear infection, Otorrhoea, Pre-existing disease — Feeling: Good · Be unable to do your normal daily activitiesFree text: Dizziness decreased but ear is draining now. I have immune system issues. Vaccine probably just distracted it from an already present ear infection.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-02-02
-
2021-02-04
Dose 2 — Moderna
-
2021-02-08
Survey response — days 1–6 daily, dose 2MedDRA: Chills, Diarrhoea, Headache, Hyperhidrosis, Myalgia, Nausea, Pyrexia, Vision blurred — Feeling: Fair · Site: Pain, Redness · Headache · Be unable to work, Be unable to do your normal daily activitiesFree text: Day 1 nausea diarrhea fever chills sweats headache vision blurry muscle aches. Day 2 vision clear other symptoms better day 3 big improvement day 4 greatMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-02-09
Survey response — days 1–6 daily, dose 2MedDRA: Oropharyngeal pain — Feeling: Fair · Site: Pain, Redness · HeadacheFree text: Achy throatMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-02-10
- 2021-02-11
- 2021-02-18
- 2021-08-05
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2022-02-04
Survey response — 12 months, dose 2MedDRA: Abdominal pain, Diarrhoea, Eating disorder — Feeling: Fair · Be unable to do your normal daily activitiesFree text: Been having trouble eating and abdominal pain with some diarrhea.MedDRA releases: 2024-11 · check-in free text available
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-01-05 | Moderna | |
| 2 | 2021-02-04 | Moderna |
Call center
2 call center cases
2 priority 2/3 (triaged and no follow up)
Free text
Release 1 — days 1–6 daily, dose 1
Systemic reaction (other): Lymph nodes affected arm
Systemic reaction (other): Sweats, dizziness
Release 1 — day 7, dose 1
Systemic reaction (other): Been having nausea and dizziness all week. Just letting up now. Afraid to get second dose.
Release 2 — day 21, dose 1
Symptoms: Dizziness decreased but ear is draining now. I have immune system issues. Vaccine probably just distracted it from an already present ear infection.
Release 3 — days 1–6 daily, dose 2
Systemic reaction (other): Day 1 nausea diarrhea fever chills sweats headache vision blurry muscle aches. Day 2 vision clear other symptoms better day 3 big improvement day 4 great
Systemic reaction (other): Achy throat
Release 11 — 12 months, dose 2
Symptoms: Been having trouble eating and abdominal pain with some diarrhea.
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 pain | · | · | ✓ |
| SD | Diarrhoea | · | · | ✓ |
| SD | Dizziness | ✓ | ✓ | ✓ |
| SD | Ear infection | ✓ | ✓ | ✓ |
| SD | Eating disorder | · | · | ✓ |
| SD | Otorrhoea | ✓ | ✓ | ✓ |
| SD | Pre-existing disease | ✓ | ✓ | ✓ |
| SRO | Chills | ✓ | ✓ | ✓ |
| SRO | Diarrhoea | ✓ | ✓ | ✓ |
| SRO | Dizziness | ✓ | ✓ | ✓ |
| SRO | Fear | ✓ | ✓ | ✓ |
| SRO | Headache | ✓ | ✓ | ✓ |
| SRO | Hyperhidrosis | ✓ | ✓ | ✓ |
| SRO | Lymphadenopathy | ○ | ○ | ○ |
| SRO | Myalgia | ✓ | ✓ | ✓ |
| SRO | Nausea | ✓ | ✓ | ✓ |
| SRO | Oropharyngeal pain | ✓ | ✓ | ✓ |
| SRO | Pyrexia | ✓ | ✓ | ✓ |
| SRO | Unevaluable event | ✓ | ✓ | ✓ |
| SRO | Vision blurred | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release