693-33004-47559
4 vaccinations
4 coded responses
44 check-ins
4 free-text entries
0 call cases
- Sex
- Female
- Age at first dose
- 66+
- ZIP prefix
- 980 / WA
- Registered
- 2021-02-11
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-02-11
Registered in v-safe
-
2021-02-11
Dose 1 — Moderna
- 2021-02-13
- 2021-02-14
- 2021-02-15
- 2021-02-16
- 2021-02-17
- 2021-02-18
- 2021-02-25
- 2021-03-04
-
2021-03-11
Dose 2 — Moderna
-
2021-03-11
Survey response — day 0, dose 2MedDRA: No adverse event — Feeling: Good · Site: PainFree text: NoMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-03-12
Survey response — days 1–6 daily, dose 2MedDRA: Diarrhoea, Sleep disorder — Feeling: Good · Site: Pain · Diarrhea · Be unable to do your normal daily activitiesFree text: Didnt sleep well because of diarrhea last niteMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-03-13
- 2021-03-14
- 2021-03-15
- 2021-03-16
- 2021-03-17
- 2021-03-18
- 2021-03-25
- 2021-04-01
- 2021-04-08
- 2021-04-15
- 2021-04-22
- 2021-06-10
- 2021-09-09
-
2021-10-22
Dose 3 — Moderna
- 2021-10-25
- 2021-10-26
- 2021-10-27
- 2021-10-28
- 2021-10-29
- 2021-11-05
- 2021-11-12
- 2021-11-19
- 2021-11-26
-
2021-12-03
Survey response — day 42, dose 3MedDRA: Bone contusion, Dizziness, Fall, Medical counselling — Feeling: Good · Be unable to do your normal daily activitiesFree text: I have chronic dzzyness. It cropped up a week or so ago. As a result I had a fall and bruised my rib. Called my regular physicians Feeling much better nowMedDRA releases: 2024-11 · check-in free text available
- 2022-01-21
- 2022-04-22
-
2022-05-06
Dose 4 — Moderna
-
2022-05-14
Survey response — day 7, dose 4MedDRA: Erythema, Mobility decreased — Feeling: Good · Site: Redness · Be unable to do your normal daily activitiesFree text: When received injection it affected my other srm which had had a cortisone injection about4 days earlier. Could not raise that arm for about 3 days. No reach in arm that received the injection other than rednessMedDRA releases: 2024-11 · check-in free text available
- 2022-05-20
- 2022-05-27
- 2022-06-03
- 2022-06-11
- 2022-06-17
- 2022-08-05
- 2022-11-04
- 2023-05-07
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-02-11 | Moderna | |
| 2 | 2021-03-11 | Moderna | |
| 3 | 2021-10-22 | Moderna | No |
| 4 | 2022-05-06 | Moderna | No |
Free text
Release 5 — day 0, dose 2
Systemic reaction (other): No
Release 5 — days 1–6 daily, dose 2
Systemic reaction (other): Didnt sleep well because of diarrhea last nite
Release 10 — day 42, dose 3
Symptoms: I have chronic dzzyness. It cropped up a week or so ago. As a result I had a fall and bruised my rib. Called my regular physicians Feeling much better now
Release 11 — day 7, dose 4
Systemic reaction (other): When received injection it affected my other srm which had had a cortisone injection about4 days earlier. Could not raise that arm for about 3 days. No reach in arm that received the injection other than redness
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 | Bone contusion | · | · | ✓ |
| SD | Dizziness | · | · | ✓ |
| SD | Fall | · | · | ✓ |
| SD | Medical counselling | · | · | ✓ |
| SRO | Diarrhoea | ✓ | ✓ | ✓ |
| SRO | Erythema | · | · | ✓ |
| SRO | Mobility decreased | · | · | ✓ |
| SRO | No adverse event | ✓ | ✓ | ✓ |
| SRO | Sleep disorder | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release