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6CP-19714-98134

4 vaccinations 6 coded responses 53 check-ins 4 free-text entries 1 call case
Sex
Female
Age at first dose
61-65
ZIP prefix
975 / OR
Registered
2021-03-30
Relationship
Self
Race
Multiracial
Ethnicity
Not Hispanic or Latino

Timeline

  1. 2021-03-30
    Registered in v-safe
  2. 2021-03-30
    Dose 1 — Moderna
  3. 2021-04-01
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · None
    Adult check-in
  4. 2021-04-02
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · None
    Adult check-in
  5. 2021-04-03
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · None
    Adult check-in
  6. 2021-04-04
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · None
    Adult check-in
  7. 2021-04-05
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · None
    Adult check-in
  8. 2021-04-06
    Health check-in — day 7, dose 1
    Feeling: Good · None
    Adult check-in
  9. 2021-04-13
    Health check-in — day 14, dose 1
    Feeling: Good
    Adult check-in
  10. 2021-04-21
    Health check-in — day 21, dose 1
    Feeling: Fair
    Adult check-in
  11. 2021-04-30
    Dose 2 — Moderna
  12. 2021-04-30
    Survey response — day 0, dose 2
    MedDRA: Arthralgia, Fatigue, Gastric disorder, Hyperhidrosis, Paraesthesia, Respiratory disorder, Self-medication, Sluggishness — Feeling: Fair · Site: Pain · Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea
    Free text: Went in store with mask a few hours after shot. Felt sudden tiredness, sluggish, joint aches, some gastric and respiratory discomfort, light sweat and odd prickling sensation. Got my things and out quickly. Took drop of peppermint essential oil on tongue and most of these symptoms quickly subsided. Nothing more after several hours but sore shoulder and general fatigue
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  13. 2021-05-01
    Survey response — days 1–6 daily, dose 2
    MedDRA: Fatigue, Hostility, Insomnia, Unevaluable event — Feeling: Poor · Site: Pain, Swelling · Joint pains, Muscle or body aches, Fatigue or tiredness
    Free text: I feel like I rode a horse for Pony Express 50 miles nonstop while pursued by bandits and hostile natives, then climbed to top of nearby 9500' mountain peak all with no preparation for such strenuous effort. Also despite fatigue I was wide awake last night, difficult to sleep. Now I feel like the evil witch who cursed Sleeping Beauty did a number on me and I would love to sleep for a hundred years.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  14. 2021-05-02
    Health check-in — days 1–6 daily, dose 2
    Feeling: Fair · Site: Pain · Joint pains, Muscle or body aches, Fatigue or tiredness, Rash, not including the immediate area around the injection site
    Adult check-in
  15. 2021-05-03
    Survey response — days 1–6 daily, dose 2
    MedDRA: Fatigue, Insomnia, Night sweats — Feeling: Fair · Site: Pain · Joint pains, Muscle or body aches, Fatigue or tiredness, Rash, not including the immediate area around the injection site · Be unable to work
    Free text: Very fatigued, with insomnia again. When I finally fell asleep I soon woke at 3 am in a sweat despite the room being quite chilly.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  16. 2021-05-04
    Health check-in — days 1–6 daily, dose 2
    Feeling: Fair · Joint pains, Muscle or body aches, Fatigue or tiredness, Diarrhea, Rash, not including the immediate area around the injection site · Be unable to work or attend school
    Adult check-in
  17. 2021-05-05
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · Fatigue or tiredness
    Adult check-in
  18. 2021-05-06
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · None
    Adult check-in
  19. 2021-05-07
    Health check-in — day 7, dose 2
    Feeling: Good · None
    Adult check-in
  20. 2021-05-14
    Health check-in — day 14, dose 2
    Feeling: Good
    Adult check-in
  21. 2021-05-22
    Health check-in — day 21, dose 2
    Feeling: Good
    Adult check-in
  22. 2021-05-28
    Health check-in — day 28, dose 2
    Feeling: Good
    Adult check-in
  23. 2021-06-07
    Health check-in — day 35, dose 2
    Feeling: Good
    Adult check-in
  24. 2021-06-13
    Health check-in — day 42, dose 2
    Feeling: Good
    Adult check-in
  25. 2021-07-31
    Health check-in — 3 months, dose 2
    Feeling: Good
    Adult check-in
  26. 2021-10-29
    Health check-in — 6 months, dose 2
    Feeling: Good
    Adult check-in
  27. 2021-12-02
    Dose 3 — Moderna
  28. 2021-12-02
    Health check-in — day 0, dose 3
    Feeling: Good · Site: Pain · Muscle or body aches, Fatigue or tiredness
    Adult check-in
  29. 2021-12-03
    Health check-in — days 1–6 daily, dose 3
    Feeling: Fair · Site: Pain, Itching · Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to work or attend school, Be unable to do your normal daily activities
    Adult check-in
  30. 2021-12-04
    Health check-in — days 1–6 daily, dose 3
    Feeling: Fair · Site: Pain, Itching · Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to work or attend school, Be unable to do your normal daily activities
    Adult check-in
  31. 2021-12-05
    Health check-in — days 1–6 daily, dose 3
    Feeling: Good · Site: Pain, Itching · Joint pains, Muscle or body aches, Fatigue or tiredness
    Adult check-in
  32. 2021-12-06
    Health check-in — days 1–6 daily, dose 3
    Feeling: Good · Site: Itching · Joint pains, Muscle or body aches, Fatigue or tiredness
    Adult check-in
  33. 2021-12-07
    Health check-in — days 1–6 daily, dose 3
    Feeling: Good · Joint pains, Muscle or body aches, Fatigue or tiredness
    Adult check-in
  34. 2021-12-08
    Health check-in — days 1–6 daily, dose 3
    Feeling: Good · None
    Adult check-in
  35. 2021-12-09
    Health check-in — day 7, dose 3
    Feeling: Good · Muscle or body aches, Fatigue or tiredness
    Adult check-in
  36. 2021-12-16
    Health check-in — day 14, dose 3
    Feeling: Good
    Adult check-in
  37. 2021-12-23
    Health check-in — day 21, dose 3
    Feeling: Good
    Adult check-in
  38. 2021-12-30
    Health check-in — day 28, dose 3
    Feeling: Good
    Adult check-in
  39. 2022-01-06
    Health check-in — day 35, dose 3
    Feeling: Good
    Adult check-in
  40. 2022-01-13
    Health check-in — day 42, dose 3
    Feeling: Good
    Adult check-in
  41. 2022-03-03
    Health check-in — 3 months, dose 3
    Feeling: Good
    Adult check-in
  42. 2022-06-02
    Health check-in — 6 months, dose 3
    Feeling: Good
    Adult check-in
  43. 2022-11-12
    Dose 4 — Moderna
  44. 2022-11-12
    Survey response — day 0, dose 4
    MedDRA: Paraesthesia — Feeling: Fair · Site: Pain, Swelling
    Free text: Tingling in arm
    MedDRA releases: 2024-11 · check-in free text available
  45. 2022-11-13
    Health check-in — days 1–6 daily, dose 4
    Feeling: Fair · Site: Pain, Redness, Swelling · Fever · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea, Abdominal pain · Be unable to do your normal daily activities
    Adult check-in
  46. 2022-11-14
    Health check-in — days 1–6 daily, dose 4
    Feeling: Fair · Site: Pain, Swelling · Joint pains, Muscle or body aches, Fatigue or tiredness
    Adult check-in
  47. 2022-11-15
    Health check-in — days 1–6 daily, dose 4
    Feeling: Good · Joint pains, Muscle or body aches, Fatigue or tiredness
    Adult check-in
  48. 2022-11-16
    Health check-in — days 1–6 daily, dose 4
    Feeling: Good · Joint pains, Muscle or body aches, Fatigue or tiredness
    Adult check-in
  49. 2022-11-17
    Health check-in — days 1–6 daily, dose 4
    Feeling: Good · Joint pains, Fatigue or tiredness
    Adult check-in
  50. 2022-11-18
    Health check-in — days 1–6 daily, dose 4
    Feeling: Good · Joint pains
    Adult check-in
  51. 2022-11-19
    Health check-in — day 7, dose 4
    Feeling: Good · Fatigue or tiredness
    Adult check-in
  52. 2022-11-26
    Health check-in — day 14, dose 4
    Feeling: Good
    Adult check-in
  53. 2022-12-04
    Health check-in — day 21, dose 4
    Feeling: Good
    Adult check-in
  54. 2022-12-10
    Health check-in — day 28, dose 4
    Feeling: Good
    Adult check-in
  55. 2022-12-17
    Health check-in — day 35, dose 4
    Feeling: Good
    Adult check-in
  56. 2022-12-24
    Health check-in — day 42, dose 4
    Feeling: Good
    Adult check-in
  57. 2023-02-11
    Survey response — 3 months, dose 4
    MedDRA: Costochondritis — Feeling: Fair
    MedDRA releases: 2024-11
  58. 2023-05-15
    Survey response — 6 months, dose 4
    MedDRA: Breast cancer metastatic, Breast cancer stage IV, Metastases to bone, Metastases to lymph nodes — Feeling: Poor · Be unable to work or attend school, Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultation, Outpatient clinic or urgent care clinic visit
    MedDRA releases: 2024-11
  59. 2023-05-15
    Report sent to call center — 6 months, dose 4
    Be unable to work or attend school · Be unable to do your normal daily activities · Get care from a doctor or other healthcare pr
    Telehealth, virtual health, or email health consultation · Outpatient clinic or urgent care clinic visit · 1 call case(s)
  60. 2023-05-16
    Call successful
    Not applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill

Vaccinations

DoseDateManufacturerCo-administered
12021-03-30Moderna
22021-04-30Moderna
32021-12-02Moderna No
42022-11-12Moderna No

Call center

1 call center case

1 successful

See the call center timeline

Free text

Release 8 — day 0, dose 2

2021-04-30

Systemic reaction (other): Went in store with mask a few hours after shot. Felt sudden tiredness, sluggish, joint aches, some gastric and respiratory discomfort, light sweat and odd prickling sensation. Got my things and out quickly. Took drop of peppermint essential oil on tongue and most of these symptoms quickly subsided. Nothing more after several hours but sore shoulder and general fatigue

Release 8 — days 1–6 daily, dose 2

2021-05-01

Systemic reaction (other): I feel like I rode a horse for Pony Express 50 miles nonstop while pursued by bandits and hostile natives, then climbed to top of nearby 9500' mountain peak all with no preparation for such strenuous effort. Also despite fatigue I was wide awake last night, difficult to sleep. Now I feel like the evil witch who cursed Sleeping Beauty did a number on me and I would love to sleep for a hundred years.

2021-05-03

Systemic reaction (other): Very fatigued, with insomnia again. When I finally fell asleep I soon woke at 3 am in a sweat despite the room being quite chilly.

Release 12 — day 0, dose 4

2022-11-12

Systemic reaction (other): Tingling in arm

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
SDBreast cancer metastatic · · ✓
SDBreast cancer stage IV · · ✓
SDCostochondritis · · ✓
SDMetastases to bone · · ✓
SDMetastases to lymph nodes · · ✓
SROArthralgia ✓ ✓ ✓
SROFatigue ✓ ✓ ✓
SROGastric disorder ✓ ✓ ✓
SROHostility ○ ✓ ○
SROHyperhidrosis ✓ ✓ ✓
SROInsomnia ✓ ✓ ✓
SRONight sweats ✓ ✓ ✓
SROParaesthesia ✓ ✓ ✓
SRORespiratory disorder ✓ ✓ ✓
SROSelf-medication ✓ ✓ ✓
SROSluggishness ✓ ✓ ✓
SROUnevaluable event ✓ · ✓

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

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