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6HR-25555-06044

2 vaccinations 7 coded responses 10 check-ins 7 free-text entries 2 call cases
Sex
Female
Age at first dose
56-60
ZIP prefix
980 / WA
Registered
2021-02-15
Relationship
Self
Race
Multiracial
Ethnicity
Not Hispanic or Latino

Timeline

  1. 2021-01-29
    Dose 1 — Moderna
  2. 2021-02-15
    Registered in v-safe
  3. 2021-02-15
    Survey response — day 14, dose 1
    MedDRA: Body temperature increased, Contusion, Immediate post-injection reaction, Office visit, Oral mucosal blistering, Rash — Feeling: Poor · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultation
    Free text: Symptoms: Since the 1/29/21 Vaccine, Ive had blister sores in my mouth that continueeven with Acyclovir and Valacyclovir. My Normal is 96.8 Yet, several hours after the shot, my temperature has been regularly 98.2-99.8 I have Rashes and Bruises. · Healthcare visit (other): Tomorrow, 2/16/21 at 5:15pm, I have an appointment with Dr. (b)(6), at (b)(6)
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  4. 2021-02-15
    Report sent to call center — day 14, dose 1
    Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional
    1 call case(s)
  5. 2021-02-21
    Health check-in — day 21, dose 1
    Feeling: Fair
    Adult check-in
  6. 2021-02-28
    Health check-in — day 28, dose 1
    Feeling: Fair
    Adult check-in
  7. 2021-03-08
    Dose 2 — Moderna
  8. 2021-03-10
    Health check-in — days 1–6 daily, dose 2
    Feeling: Poor · Site: Pain, Swelling · Fever · Chills, Headache, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities
    Adult check-in
  9. 2021-03-11
    Survey response — days 1–6 daily, dose 2
    MedDRA: Body temperature — Feeling: Fair · Site: Pain, Swelling, Itching · Fever · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to do your normal daily activities
    Free text: My Normal Temperature is 96.8 Degrees
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  10. 2021-03-12
    Survey response — days 1–6 daily, dose 2
    MedDRA: Unevaluable event — Feeling: Fair · Site: Pain, Swelling · Fever · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to do your normal daily activities
    Free text: My Normal Temperature is 96.8 degrees.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  11. 2021-03-24
    Survey response — day 14, dose 2
    MedDRA: Fatigue, Pyrexia — Feeling: Fair · Be unable to do your normal daily activities
    Free text: More tired. Still have slight Temperature.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  12. 2021-04-08
    Survey response — day 28, dose 2
    MedDRA: Abdominal pain upper, Diarrhoea, Fatigue — Feeling: Fair · Be unable to do your normal daily activities
    Free text: Constantly tired and having stomach and diarrheaand loose stool issues.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  13. 2021-04-14
    Survey response — day 35, dose 2
    MedDRA: Abdominal discomfort, Fatigue — Feeling: Fair · Be unable to do your normal daily activities
    Free text: Sick to my stomach and still tired.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  14. 2021-06-09
    Survey response — 3 months, dose 2
    MedDRA: Fatigue — Feeling: Fair · 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
    Free text: Overly tired some days, with bad Gastro issues.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  15. 2021-06-09
    Report sent to call center — 3 months, dose 2
    Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional
    1 call case(s)
  16. 2021-08-03
  17. 2021-08-03

Vaccinations

DoseDateManufacturerCo-administered
12021-01-29Moderna
22021-03-08Moderna

Call center

2 call center cases

2 unsuccessful

1 wait over 3 months for a first call

See the call center timeline

Free text

Release 4 — day 14, dose 1

2021-02-15

Symptoms: Since the 1/29/21 Vaccine, Ive had blister sores in my mouth that continueeven with Acyclovir and Valacyclovir. My Normal is 96.8 Yet, several hours after the shot, my temperature has been regularly 98.2-99.8 I have Rashes and Bruises.
Healthcare visit (other): Tomorrow, 2/16/21 at 5:15pm, I have an appointment with Dr. (b)(6), at (b)(6)
redacted (b)(6)

Release 5 — days 1–6 daily, dose 2

2021-03-11

Systemic reaction (other): My Normal Temperature is 96.8 Degrees

2021-03-12

Systemic reaction (other): My Normal Temperature is 96.8 degrees.

Release 6 — day 14, dose 2

2021-03-24

Symptoms: More tired. Still have slight Temperature.

Release 7 — day 28, dose 2

2021-04-08

Symptoms: Constantly tired and having stomach and diarrheaand loose stool issues.

Release 7 — day 35, dose 2

2021-04-14

Symptoms: Sick to my stomach and still tired.

Release 9 — 3 months, dose 2

2021-06-09

Symptoms: Overly tired some days, with bad Gastro issues.

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
HCVOOffice visit ✓ ✓ ✓
SDAbdominal discomfort ✓ ✓ ✓
SDAbdominal pain upper ✓ ✓ ✓
SDBody temperature increased ✓ ✓ ✓
SDContusion ✓ ✓ ✓
SDDiarrhoea ✓ ✓ ✓
SDFatigue ✓ ✓ ✓
SDImmediate post-injection reaction ✓ ✓ ✓
SDOral mucosal blistering ✓ ✓ ✓
SDPyrexia ✓ ✓ ✓
SDRash ✓ ✓ ✓
SROBody temperature ✓ ✓ ✓
SROUnevaluable event ✓ ✓ ✓

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