67Z-35608-61109
2 vaccinations
14 coded responses
26 check-ins
14 free-text entries
1 call case
- Sex
- Female
- Age at first dose
- 56-60
- ZIP prefix
- 982 / WA
- Registered
- 2021-04-20
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
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2021-04-20
Registered in v-safe
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2021-04-20
Dose 1 — Moderna
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2021-04-20
Survey response — day 0, dose 1MedDRA: Dizziness — Feeling: Good · ChillsFree text: A little dizzy after the shotMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-04-21
Health check-in — days 1–6 daily, dose 1Feeling: Fair · Site: Pain · Fatigue or tirednessAdult check-in
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2021-04-22
Health check-in — days 1–6 daily, dose 1Feeling: Good · Site: Pain · Headache, Muscle or body achesAdult check-in
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2021-04-23
Survey response — days 1–6 daily, dose 1MedDRA: Chest discomfort — Feeling: Fair · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visitFree text: Pressure on my chest can still breath ... pressure goes up and down between a 2-6 can still breathMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-04-23
Report sent to call center — days 1–6 daily, dose 1Get care from a doctor or other healthcare professional1 call case(s)
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2021-04-24
Survey response — days 1–6 daily, dose 1MedDRA: Dizziness — Feeling: Fair · Fatigue or tiredness · Be unable to do your normal daily activitiesFree text: Dizziness & Pressure on my chestMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-04-25
Survey response — days 1–6 daily, dose 1MedDRA: Chest discomfort — Feeling: Fair · Chills, Headache, Fatigue or tirednessFree text: Still a little pressure on my chestMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-04-26
Health check-in — days 1–6 daily, dose 1Feeling: Good · Headache, Fatigue or tirednessAdult check-in
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2021-04-27
Survey response — day 7, dose 1MedDRA: Chest discomfort — Feeling: Fair · Chills, Muscle or body achesFree text: Pressure on my chestMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-05-04
Survey response — day 14, dose 1MedDRA: Chest discomfort — Feeling: GoodFree text: Still getting pressure on my chest but it comes & goes and not as bad as it was the first day it happened ... on a scale of 1-10 maybe a 1-2 and only for a short time & not every day & not all day maybe 1-3 times over the course of a dayMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-05-11
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2021-05-18
Dose 2 — Moderna
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2021-05-18
Survey response — day 0, dose 2MedDRA: Chest discomfort — Feeling: Fair · Site: Pain · Chills, Fatigue or tiredness · Be unable to do your normal daily activitiesFree text: Pressure on my chestMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-05-19
Survey response — days 1–6 daily, dose 2MedDRA: Chest discomfort, Chills, Dizziness, Headache — Feeling: Poor · Site: Pain, Redness · Fever · Chills, Headache, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activitiesFree text: Pressure on chest & dizzy... chills lasted from 11pm - 9 am... bad headache from 4 am-11 amMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-05-20
Survey response — days 1–6 daily, dose 2MedDRA: Rash — Feeling: Fair · Site: Pain · Chills, Rash, not including the immediate area around the injection siteFree text: A little pressure on my chest Rash under breasts and in between and 2 spots on left breast and another rash4 inches below the right breastMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-05-21
Survey response — days 1–6 daily, dose 2MedDRA: Rash — Feeling: Fair · Site: Redness, Swelling · Fatigue or tiredness, Rash, not including the immediate area around the injection siteFree text: Rash around and under breasts still there but not as bright of pink/ red colorMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-05-22
Survey response — days 1–6 daily, dose 2MedDRA: Injection site rash, Rash — Feeling: Fair · Site: Redness · Chills, Fatigue or tirednessFree text: The rash that was around my breasts is gone ... the only rash is by the injection sight but very lite pinkMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-05-23
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2021-05-24
Survey response — days 1–6 daily, dose 2MedDRA: Chest discomfort — Feeling: Fair · Site: Pain · ChillsFree text: Pressure on my chestMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-05-25
Survey response — day 7, dose 2MedDRA: Chest discomfort — Feeling: Fair · ChillsFree text: Pressure on chestMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-06-01
- 2021-06-08
- 2021-06-15
- 2021-06-22
- 2021-07-01
- 2021-08-17
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2021-11-16
Survey response — 6 months, dose 2MedDRA: Viral infection — Feeling: Good · Be unable to work or attend school, Be unable to do your normal daily activitiesFree text: VirusMedDRA releases: 2024-11 · check-in free text available
- 2022-04-05
- 2022-05-20
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-04-20 | Moderna | |
| 2 | 2021-05-18 | Moderna |
Call center
1 call center case
1 unsuccessful
1 wait over 3 months for a first call
Free text
Release 7 — day 0, dose 1
Systemic reaction (other): A little dizzy after the shot
Release 7 — days 1–6 daily, dose 1
Systemic reaction (other): Pressure on my chest can still breath ... pressure goes up and down between a 2-6 can still breath
Systemic reaction (other): Dizziness & Pressure on my chest
Systemic reaction (other): Still a little pressure on my chest
Release 8 — day 7, dose 1
Systemic reaction (other): Pressure on my chest
Release 8 — day 14, dose 1
Symptoms: Still getting pressure on my chest but it comes & goes and not as bad as it was the first day it happened ... on a scale of 1-10 maybe a 1-2 and only for a short time & not every day & not all day maybe 1-3 times over the course of a day
Release 8 — day 0, dose 2
Systemic reaction (other): Pressure on my chest
Release 8 — days 1–6 daily, dose 2
Systemic reaction (other): Pressure on chest & dizzy... chills lasted from 11pm - 9 am... bad headache from 4 am-11 am
Systemic reaction (other): A little pressure on my chest Rash under breasts and in between and 2 spots on left breast and another rash4 inches below the right breast
Systemic reaction (other): Rash around and under breasts still there but not as bright of pink/ red color
Systemic reaction (other): The rash that was around my breasts is gone ... the only rash is by the injection sight but very lite pink
Systemic reaction (other): Pressure on my chest
Release 8 — day 7, dose 2
Systemic reaction (other): Pressure on chest
Release 10 — 6 months, dose 2
Symptoms: Virus
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 | Chest discomfort | ✓ | ✓ | ✓ |
| SD | Viral infection | · | · | ✓ |
| SRO | Chest discomfort | ✓ | ✓ | ✓ |
| SRO | Chills | ✓ | ✓ | ✓ |
| SRO | Dizziness | ✓ | ✓ | ✓ |
| SRO | Headache | ✓ | ✓ | ✓ |
| SRO | Injection site rash | ✓ | ✓ | ✓ |
| SRO | Rash | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release