5WW-11047-76541
5 vaccinations
9 coded responses
38 check-ins
9 free-text entries
0 call cases
- Sex
- Female
- Age at first dose
- 66+
- ZIP prefix
- 981 / WA
- Registered
- 2021-02-01
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-01-30
Dose 1 — Moderna
-
2021-02-01
Registered in v-safe
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2021-02-01
Survey response — days 1–6 daily, dose 1MedDRA: No adverse event — Feeling: Good · Site: Pain, Redness, Swelling · Fever · Chills, Fatigue or tiredness · Be unable to do your normal daily activitiesFree text: NoMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-02-02
Survey response — days 1–6 daily, dose 1MedDRA: No adverse event — Feeling: Good · Site: PainFree text: NoMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-02-03
Survey response — days 1–6 daily, dose 1MedDRA: Back pain — Feeling: Good · Site: PainFree text: I have back pain last few day it is getting worse. Since I did not this pain before I think may be it is related to this vaccine. I have not taken any Tylenol or anything. I dont know when I can get some pain reliver?MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-02-04
Survey response — days 1–6 daily, dose 1MedDRA: Back pain — Feeling: Good · Site: PainFree text: A little back painMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-02-06
- 2021-02-13
- 2021-02-20
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2021-02-24
Dose 2 — Moderna
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2021-02-24
Survey response — day 0, dose 2MedDRA: No adverse event — Feeling: Good · Site: Pain · Fatigue or tirednessFree text: NoneMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-02-26
Survey response — days 1–6 daily, dose 2MedDRA: Back pain, Decreased appetite — Feeling: Good · Site: Pain, Itching · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea, Abdominal pain · Be unable to do your normal daily activitiesFree text: Pain in my back was so much I hardly get up. No appetite I did not eat anything yesterdayMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-02-27
Health check-in — days 1–6 daily, dose 2Feeling: Good · Site: Pain · Muscle or body achesAdult check-in
- 2021-02-28
- 2021-03-01
- 2021-03-02
- 2021-03-03
- 2021-03-10
- 2021-03-17
- 2021-03-24
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2021-03-31
Survey response — day 35, dose 2MedDRA: Myalgia — Feeling: GoodFree text: I still have pain of the muscles of my left hand below the elbow and recently some days it becomes so bad that hardly can use my left hand. I believe it is related to the injection I had and cant think or guess of any other reason .MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-04-07
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2021-10-27
Dose 3 — Moderna
- 2021-10-27
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2021-10-30
Survey response — days 1–6 daily, dose 3MedDRA: Asthenia, Headache, Hyperhidrosis, Malaise, Pyrexia — Feeling: Fair · Site: Pain · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to do your normal daily activitiesFree text: Yesterday I was really sick with high fever and very bad headaches. To day I am much much better only I feel week and sweating.MedDRA releases: 2024-11 · check-in free text available
- 2021-11-02
- 2021-11-03
- 2022-01-26
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2022-04-19
Dose 4 — Moderna
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2022-04-20
Survey response — days 1–6 daily, dose 4MedDRA: Ear pain, Neck pain, Pain in extremity, Toothache — Feeling: Poor · Site: Pain, Redness, Swelling · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activitiesFree text: The pain from my arm went to my neck and teeth and left earMedDRA releases: 2024-11 · check-in free text available
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2022-04-21
Health check-in — days 1–6 daily, dose 4Feeling: Fair · Site: Pain · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activitiesAdult check-in
- 2022-04-22
- 2022-04-24
- 2022-04-25
- 2022-04-26
- 2022-05-03
- 2022-05-10
- 2022-05-17
- 2022-05-24
- 2022-05-31
- 2022-07-19
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2022-10-14
Dose 5 — Moderna
- 2022-10-18
- 2023-04-14
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-01-30 | Moderna | |
| 2 | 2021-02-24 | Moderna | |
| 3 | 2021-10-27 | Moderna | No |
| 4 | 2022-04-19 | Moderna | No |
| 5 | 2022-10-14 | Moderna | No |
Free text
Release 3 — days 1–6 daily, dose 1
Systemic reaction (other): No
Systemic reaction (other): No
Systemic reaction (other): I have back pain last few day it is getting worse. Since I did not this pain before I think may be it is related to this vaccine. I have not taken any Tylenol or anything. I dont know when I can get some pain reliver?
Systemic reaction (other): A little back pain
Release 4 — day 0, dose 2
Systemic reaction (other): None
Release 4 — days 1–6 daily, dose 2
Systemic reaction (other): Pain in my back was so much I hardly get up. No appetite I did not eat anything yesterday
Release 6 — day 35, dose 2
Symptoms: I still have pain of the muscles of my left hand below the elbow and recently some days it becomes so bad that hardly can use my left hand. I believe it is related to the injection I had and cant think or guess of any other reason .
Release 10 — days 1–6 daily, dose 3
Systemic reaction (other): Yesterday I was really sick with high fever and very bad headaches. To day I am much much better only I feel week and sweating.
Release 11 — days 1–6 daily, dose 4
Systemic reaction (other): The pain from my arm went to my neck and teeth and left ear
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 | Myalgia | ✓ | ✓ | ✓ |
| SRO | Asthenia | · | · | ✓ |
| SRO | Back pain | ✓ | ✓ | ✓ |
| SRO | Decreased appetite | ✓ | ✓ | ✓ |
| SRO | Ear pain | · | · | ✓ |
| SRO | Headache | · | · | ✓ |
| SRO | Hyperhidrosis | · | · | ✓ |
| SRO | Malaise | · | · | ✓ |
| SRO | Neck pain | · | · | ✓ |
| SRO | No adverse event | ✓ | ✓ | ✓ |
| SRO | Pain in extremity | · | · | ✓ |
| SRO | Pyrexia | · | · | ✓ |
| SRO | Toothache | · | · | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release