664-16162-86764
4 vaccinations
9 coded responses
29 check-ins
9 free-text entries
0 call cases
- Sex
- Female
- Age at first dose
- 66+
- ZIP prefix
- 981 / WA
- Registered
- 2021-01-22
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-01-22
Registered in v-safe
-
2021-01-22
Dose 1 — Moderna
- 2021-01-22
-
2021-01-23
Health check-in — days 1–6 daily, dose 1Feeling: Good · Site: Pain · Muscle or body achesAdult check-in
- 2021-01-25
- 2021-01-26
- 2021-01-27
- 2021-02-06
- 2021-02-13
- 2021-02-19
-
2021-02-24
Dose 2 — Moderna
- 2021-02-24
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2021-02-25
Survey response — days 1–6 daily, dose 2MedDRA: Decreased appetite — Feeling: Poor · Site: Pain · Fever · Chills, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activitiesFree text: Poor appetite, not actual nauseaMedDRA 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: Nasopharyngitis, Oropharyngeal pain, Throat irritation, Throat tightness — Feeling: Good · Site: PainFree text: Tight or "scratchy" throat in the evening, as if a sore throat or cold coming onMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-02-27
Survey response — days 1–6 daily, dose 2MedDRA: Ear pain, Oropharyngeal pain — Feeling: Fair · Site: Pain · Fatigue or tiredness · Be unable to do your normal daily activitiesFree text: Sore throat, mild, and right ear acheMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-03-02
Survey response — days 1–6 daily, dose 2MedDRA: Ear pain — Feeling: GoodFree text: Slight eat acheMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-03-03
Survey response — day 7, dose 2MedDRA: Throat irritation — Feeling: GoodFree text: Slight scratchy throatMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-03-10
- 2021-03-17
- 2021-03-24
- 2021-03-31
- 2021-04-07
- 2021-05-26
- 2021-08-25
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2021-10-27
Dose 3 — Pfizer-BioNTech
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2022-02-24
Survey response — 12 months, dose 2MedDRA: Unevaluable event — Feeling: GoodFree text: My health has been good, but I think I should report I had a booster in October, it was Pfizer. You don't give any chance to report this, so I used this text box.MedDRA releases: 2024-11 · check-in free text available
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2022-04-11
Dose 4 — Moderna
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2022-04-25
Survey response — day 14, dose 4MedDRA: Chills, Pain — Feeling: Good · Be unable to do your normal daily activitiesFree text: The evening of my 4th vaccination and the following day I had chills and body aches. After that I have been well.MedDRA releases: 2024-11 · check-in free text available
- 2022-05-09
- 2022-05-16
- 2022-05-23
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2022-07-11
Survey response — 3 months, dose 4MedDRA: Cough, Fatigue, Oropharyngeal pain, Pyrexia — Feeling: Good · Be unable to do your normal daily activitiesFree text: Cough for weeks. sore throat on June 12, fever on June 15, fatigue. I was NAAT negative on June 13. I was PCR negative on June 22. Now I better.MedDRA releases: 2024-11 · check-in free text available
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2022-10-10
Survey response — 6 months, dose 4MedDRA: Dizziness, Fatigue — Feeling: Good · Be unable to do your normal daily activitiesFree text: Sept 14 I felt dizzy and tired. Was better in about 3 or 4 daysMedDRA releases: 2024-11 · check-in free text available
- 2023-04-11
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-01-22 | Moderna | |
| 2 | 2021-02-24 | Moderna | |
| 3 | 2021-10-27 | Pfizer-BioNTech | No |
| 4 | 2022-04-11 | Moderna | No |
Free text
Release 4 — days 1–6 daily, dose 2
Systemic reaction (other): Poor appetite, not actual nausea
Systemic reaction (other): Tight or "scratchy" throat in the evening, as if a sore throat or cold coming on
Systemic reaction (other): Sore throat, mild, and right ear ache
Systemic reaction (other): Slight eat ache
Release 5 — day 7, dose 2
Systemic reaction (other): Slight scratchy throat
Release 11 — 12 months, dose 2
Symptoms: My health has been good, but I think I should report I had a booster in October, it was Pfizer. You don't give any chance to report this, so I used this text box.
Release 11 — day 14, dose 4
Symptoms: The evening of my 4th vaccination and the following day I had chills and body aches. After that I have been well.
Release 12 — 3 months, dose 4
Symptoms: Cough for weeks. sore throat on June 12, fever on June 15, fatigue. I was NAAT negative on June 13. I was PCR negative on June 22. Now I better.
Release 12 — 6 months, dose 4
Symptoms: Sept 14 I felt dizzy and tired. Was better in about 3 or 4 days
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 | Chills | · | · | ✓ |
| SD | Cough | · | · | ✓ |
| SD | Dizziness | · | · | ✓ |
| SD | Fatigue | · | · | ✓ |
| SD | Oropharyngeal pain | · | · | ✓ |
| SD | Pain | · | · | ✓ |
| SD | Pyrexia | · | · | ✓ |
| SD | Unevaluable event | · | · | ✓ |
| SRO | Decreased appetite | ✓ | ✓ | ✓ |
| SRO | Ear pain | ✓ | ✓ | ✓ |
| SRO | Nasopharyngitis | ✓ | ✓ | ✓ |
| SRO | Oropharyngeal pain | ✓ | ✓ | ✓ |
| SRO | Throat irritation | ✓ | ✓ | ✓ |
| SRO | Throat tightness | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release