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5YF-17622-64764

4 vaccinations 6 coded responses 30 check-ins 6 free-text entries 0 call cases
Sex
Female
Age at first dose
66+
ZIP prefix
982 / WA
Registered
2021-02-03
Relationship
Self
Race
White
Ethnicity
Not Hispanic or Latino

Timeline

  1. 2021-02-02
    Dose 1 — Moderna
  2. 2021-02-03
    Registered in v-safe
  3. 2021-02-03
    Survey response — days 1–6 daily, dose 1
    MedDRA: Headache — Feeling: Good · Site: Pain, Redness, Swelling · Headache
    Free text: Just a very mild headache but who knows if its from the vaccine.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  4. 2021-02-04
    Survey response — days 1–6 daily, dose 1
    MedDRA: Unevaluable event — Feeling: Good · Site: Redness, Swelling · Diarrhea
    Free text: Im not even 100% sure that the diarrhea was caused from the vaccine.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  5. 2021-02-05
    Survey response — days 1–6 daily, dose 1
    MedDRA: Fatigue — Feeling: Good · Site: Redness · Fatigue or tiredness
    Free text: Im not sure whether it was the vaccine or just a bad night sleep why I was tired and fatigued
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  6. 2021-02-06
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · None
    Adult check-in
  7. 2021-02-07
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · None
    Adult check-in
  8. 2021-02-08
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · None
    Adult check-in
  9. 2021-02-09
    Health check-in — day 7, dose 1
    Feeling: Good · Headache, Fatigue or tiredness, Abdominal pain
    Adult check-in
  10. 2021-02-16
    Health check-in — day 14, dose 1
    Feeling: Good
    Adult check-in
  11. 2021-02-23
    Health check-in — day 21, dose 1
    Feeling: Good
    Adult check-in
  12. 2021-03-02
    Dose 2 — Moderna
  13. 2021-05-06
    Health check-in — 3 months, dose 1
    Feeling: Good
    Adult check-in
  14. 2021-06-01
    Health check-in — 3 months, dose 2
    Feeling: Good
    Adult check-in
  15. 2021-08-31
    Health check-in — 6 months, dose 2
    Feeling: Good
    Adult check-in
  16. 2021-10-20
    Dose 3 — Moderna
    Co-administered: Flu
  17. 2022-03-02
    Health check-in — 12 months, dose 2
    Feeling: Good
    Adult check-in
  18. 2022-04-20
    Survey response — 6 months, dose 3
    MedDRA: Fatigue — Feeling: Good · Be unable to do your normal daily activities
    Free text: I'm not sure if this is really a health condition, but I have been more tired than normal.I'm hoping it's because it is spring now and I'm doing more outside and my body is adjusting.
    MedDRA releases: 2024-11 · check-in free text available
  19. 2022-05-14
    Dose 4 — Moderna
  20. 2022-05-14
    Survey response — day 0, dose 4
    MedDRA: No adverse event — Feeling: Good
    Free text: None!!!!!
    MedDRA releases: 2024-11 · check-in free text available
  21. 2022-05-15
    Survey response — days 1–6 daily, dose 4
    MedDRA: No adverse event — Feeling: Good
    Free text: None
    MedDRA releases: 2024-11 · check-in free text available
  22. 2022-05-16
    Health check-in — days 1–6 daily, dose 4
    Feeling: Good · None
    Adult check-in
  23. 2022-05-17
    Health check-in — days 1–6 daily, dose 4
    Feeling: Good · None
    Adult check-in
  24. 2022-05-18
    Health check-in — days 1–6 daily, dose 4
    Feeling: Good · None
    Adult check-in
  25. 2022-05-19
    Health check-in — days 1–6 daily, dose 4
    Feeling: Good · None
    Adult check-in
  26. 2022-05-20
    Health check-in — days 1–6 daily, dose 4
    Feeling: Good · None
    Adult check-in
  27. 2022-05-21
    Health check-in — day 7, dose 4
    Feeling: Good · None
    Adult check-in
  28. 2022-06-01
    Health check-in — day 14, dose 4
    Feeling: Good
    Adult check-in
  29. 2022-06-04
    Health check-in — day 21, dose 4
    Feeling: Good
    Adult check-in
  30. 2022-06-11
    Health check-in — day 28, dose 4
    Feeling: Good
    Adult check-in
  31. 2022-06-18
    Health check-in — day 35, dose 4
    Feeling: Good
    Adult check-in
  32. 2022-06-25
    Health check-in — day 42, dose 4
    Feeling: Good
    Adult check-in
  33. 2022-08-13
    Health check-in — 3 months, dose 4
    Feeling: Good
    Adult check-in
  34. 2022-11-12
    Health check-in — 6 months, dose 4
    Feeling: Good
    Adult check-in
  35. 2023-05-16
    Health check-in — 12 months, dose 4
    Feeling: Good
    Adult check-in

Vaccinations

DoseDateManufacturerCo-administered
12021-02-02Moderna
22021-03-02Moderna
32021-10-20Moderna Flu
42022-05-14Moderna No

Free text

Release 3 — days 1–6 daily, dose 1

2021-02-03

Systemic reaction (other): Just a very mild headache but who knows if its from the vaccine.

2021-02-04

Systemic reaction (other): Im not even 100% sure that the diarrhea was caused from the vaccine.

2021-02-05

Systemic reaction (other): Im not sure whether it was the vaccine or just a bad night sleep why I was tired and fatigued

Release 11 — 6 months, dose 3

2022-04-20

Symptoms: I'm not sure if this is really a health condition, but I have been more tired than normal.I'm hoping it's because it is spring now and I'm doing more outside and my body is adjusting.

Release 11 — day 0, dose 4

2022-05-14

Systemic reaction (other): None!!!!!

Release 11 — days 1–6 daily, dose 4

2022-05-15

Systemic reaction (other): None

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

FieldPreferred term2021-092023-042024-11
SDFatigue · · ✓
SROFatigue ✓ ✓ ✓
SROHeadache ✓ ✓ ✓
SRONo adverse event · · ✓
SROUnevaluable event ✓ ✓ ✓

✓ active code · ○ coded but marked inactive · blank = not in that release