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6AR-15422-17771

3 vaccinations 14 coded responses 36 check-ins 14 free-text entries 0 call cases
Sex
Female
Age at first dose
36-40
ZIP prefix
980 / WA
Registered
2021-01-02
Relationship
Self
Race
White
Ethnicity
Not Hispanic or Latino

Timeline

  1. 2021-01-02
    Registered in v-safe
  2. 2021-01-02
    Dose 1 — Moderna
  3. 2021-01-02
    Health check-in — day 0, dose 1
    Feeling: Good · None
    Adult check-in
  4. 2021-01-03
    Survey response — days 1–6 daily, dose 1
    MedDRA: Cough, Nasal congestion, Oropharyngeal pain — Feeling: Fair · Site: Pain · Fever · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Diarrhea
    Free text: Stuffy nose, intermittent cough and sore throat
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  5. 2021-01-04
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · Site: Pain, Redness · Headache
    Adult check-in
  6. 2021-01-05
    Survey response — days 1–6 daily, dose 1
    MedDRA: Oropharyngeal pain, Respiratory tract congestion — Feeling: Fair · Headache, Joint pains
    Free text: Mild sore throat and congestion
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  7. 2021-01-06
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · Site: Pain · Headache, Fatigue or tiredness
    Adult check-in
  8. 2021-01-07
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · None
    Adult check-in
  9. 2021-01-08
    Survey response — days 1–6 daily, dose 1
    MedDRA: Respiratory tract congestion — Feeling: Good
    Free text: Mild occasional congestion
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  10. 2021-01-11
    Health check-in — day 7, dose 1
    Feeling: Good · Site: Pain, Redness · None
    Adult check-in
  11. 2021-01-16
    Survey response — day 14, dose 1
    MedDRA: Chills, Fatigue, Hyperhidrosis, Injection site pain — Feeling: Good
    Free text: Arm became sore again at the injection site, chills and sweats with exhaustion. Only lasted about 12 hours. Still have some tenderness at the injection site
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  12. 2021-01-25
    Health check-in — day 21, dose 1
    Feeling: Good
    Adult check-in
  13. 2021-01-30
    Dose 2 — Moderna
  14. 2021-01-30
    Health check-in — day 0, dose 2
    Feeling: Good · None
    Adult check-in
  15. 2021-01-30
    Survey response — day 28, dose 1
    MedDRA: Fatigue, Oropharyngeal pain — Feeling: Good
    Free text: Fatigue mild sore throat
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  16. 2021-01-31
    Health check-in — days 1–6 daily, dose 2
    Feeling: Fair · Site: Pain · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to work, Be unable to do your normal daily activities
    Adult check-in
  17. 2021-02-01
    Health check-in — days 1–6 daily, dose 2
    Feeling: Fair · Site: Pain · Fever · Headache, Muscle or body aches
    Adult check-in
  18. 2021-02-03
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · Fatigue or tiredness
    Adult check-in
  19. 2021-02-04
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · Headache
    Adult check-in
  20. 2021-02-05
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · Headache
    Adult check-in
  21. 2021-02-06
    Health check-in — day 7, dose 2
    Feeling: Good · None
    Adult check-in
  22. 2021-02-13
    Health check-in — day 14, dose 2
    Feeling: Good
    Adult check-in
  23. 2021-02-20
    Health check-in — day 21, dose 2
    Feeling: Good
    Adult check-in
  24. 2021-02-27
    Survey response — day 28, dose 2
    MedDRA: Headache, Hot flush, Oropharyngeal pain — Feeling: Fair
    Free text: Sore throat, hot flashes, headache
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  25. 2021-03-06
    Health check-in — day 35, dose 2
    Feeling: Good
    Adult check-in
  26. 2021-03-13
    Health check-in — day 42, dose 2
    Feeling: Good
    Adult check-in
  27. 2021-05-03
    Survey response — 3 months, dose 2
    MedDRA: Asthenia, Blood iron decreased, Headache — Feeling: Fair
    Free text: Low iron, energy, headache
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  28. 2021-07-31
    Survey response — 6 months, dose 2
    MedDRA: Headache, Oropharyngeal pain — Feeling: Good
    Free text: Sore throat, headache occasionally
    MedDRA releases: 2021-09,2024-11 · check-in free text available
  29. 2021-11-02
    Dose 3 — Moderna
  30. 2021-11-02
    Survey response — day 0, dose 3
    MedDRA: Dizziness — Feeling: Good · Site: Pain · Headache
    Free text: Mild dizziness
    MedDRA releases: 2024-11 · check-in free text available
  31. 2021-11-03
    Health check-in — days 1–6 daily, dose 3
    Feeling: Poor · Site: Pain · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to work or attend school
    Adult check-in
  32. 2021-11-04
    Survey response — days 1–6 daily, dose 3
    MedDRA: SARS-CoV-2 test positive — Feeling: Fair · Site: Pain · Fever · Headache, Joint pains, Fatigue or tiredness · Be unable to work or attend school
    Free text: Positive rapid Covid test
    MedDRA releases: 2024-11 · check-in free text available
  33. 2021-11-05
    Survey response — days 1–6 daily, dose 3
    MedDRA: COVID-19 — Feeling: Fair · Site: Pain · Fever · Headache, Muscle or body aches, Fatigue or tiredness · Be unable to work or attend school
    Free text: Covid +
    MedDRA releases: 2024-11 · check-in free text available
  34. 2021-11-06
    Health check-in — days 1–6 daily, dose 3
    Feeling: Fair · Site: Pain · Fever · Headache, Fatigue or tiredness · Be unable to work or attend school
    Adult check-in
  35. 2021-11-07
    Survey response — days 1–6 daily, dose 3
    MedDRA: Anosmia, Cough, Respiratory tract congestion, Sinus pain — Feeling: Fair · Site: Pain · Headache, Fatigue or tiredness · Be unable to work or attend school
    Free text: Congestion, cough, sinus pain, loss of smell
    MedDRA releases: 2024-11 · check-in free text available
  36. 2021-11-09
    Survey response — day 7, dose 3
    MedDRA: Cough, Respiratory tract congestion — Feeling: Fair · Fatigue or tiredness, Diarrhea · Be unable to work or attend school
    Free text: Cough, Congestion
    MedDRA releases: 2024-11 · check-in free text available
  37. 2021-11-16
    Health check-in — day 14, dose 3
    Feeling: Fair
    Adult check-in
  38. 2021-11-25
    Health check-in — day 21, dose 3
    Feeling: Good
    Adult check-in
  39. 2022-02-01
    Health check-in — 3 months, dose 3
    Feeling: Good
    Adult check-in
  40. 2022-11-04
    Survey response — 12 months, dose 3
    MedDRA: Musculoskeletal chest pain — Feeling: Fair
    Free text: Pain under Left rib cage
    MedDRA releases: 2024-11 · check-in free text available

Vaccinations

DoseDateManufacturerCo-administered
12021-01-02Moderna
22021-01-30Moderna
32021-11-02Moderna No

Free text

Release 1 — days 1–6 daily, dose 1

2021-01-03

Systemic reaction (other): Stuffy nose, intermittent cough and sore throat

2021-01-05

Systemic reaction (other): Mild sore throat and congestion

2021-01-08

Systemic reaction (other): Mild occasional congestion

Release 2 — day 14, dose 1

2021-01-16

Symptoms: Arm became sore again at the injection site, chills and sweats with exhaustion. Only lasted about 12 hours. Still have some tenderness at the injection site

Release 3 — day 28, dose 1

2021-01-30

Symptoms: Fatigue mild sore throat

Release 4 — day 28, dose 2

2021-02-27

Symptoms: Sore throat, hot flashes, headache

Release 8 — 3 months, dose 2

2021-05-03

Symptoms: Low iron, energy, headache

Release 9 — 6 months, dose 2

2021-07-31

Symptoms: Sore throat, headache occasionally

Release 10 — day 0, dose 3

2021-11-02

Systemic reaction (other): Mild dizziness

Release 10 — days 1–6 daily, dose 3

2021-11-04

Systemic reaction (other): Positive rapid Covid test

2021-11-05

Systemic reaction (other): Covid +

2021-11-07

Systemic reaction (other): Congestion, cough, sinus pain, loss of smell

Release 10 — day 7, dose 3

2021-11-09

Systemic reaction (other): Cough, Congestion

Release 12 — 12 months, dose 3

2022-11-04

Symptoms: Pain under Left rib cage

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
SDAsthenia ✓ ✓ ✓
SDBlood iron decreased ✓ ✓ ✓
SDChills ✓ ✓ ✓
SDFatigue ✓ ✓ ✓
SDHeadache ✓ ✓ ✓
SDHot flush ✓ ✓ ✓
SDHyperhidrosis ✓ ✓ ✓
SDInjection site pain ✓ ✓ ✓
SDMusculoskeletal chest pain · · ✓
SDOropharyngeal pain ✓ ✓ ✓
SROAnosmia · · ✓
SROCough ✓ ✓ ✓
SROCOVID-19 · · ✓
SRODizziness · · ✓
SRONasal congestion ✓ ✓ ✓
SROOropharyngeal pain ✓ ✓ ✓
SRORespiratory tract congestion ✓ ✓ ✓
SROSARS-CoV-2 test positive · · ✓
SROSinus pain · · ✓

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

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