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
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2021-01-29
Dose 1 — Moderna
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2021-02-15
Registered in v-safe
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2021-02-15
Survey response — day 14, dose 1MedDRA: 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 consultationFree 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
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2021-02-15
Report sent to call center — day 14, dose 1Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional1 call case(s)
- 2021-02-21
- 2021-02-28
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2021-03-08
Dose 2 — Moderna
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2021-03-10
Health check-in — days 1–6 daily, dose 2Feeling: Poor · Site: Pain, Swelling · Fever · Chills, Headache, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activitiesAdult check-in
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2021-03-11
Survey response — days 1–6 daily, dose 2MedDRA: 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 activitiesFree text: My Normal Temperature is 96.8 DegreesMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-03-12
Survey response — days 1–6 daily, dose 2MedDRA: 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 activitiesFree text: My Normal Temperature is 96.8 degrees.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-03-24
Survey response — day 14, dose 2MedDRA: Fatigue, Pyrexia — Feeling: Fair · Be unable to do your normal daily activitiesFree text: More tired. Still have slight Temperature.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-04-08
Survey response — day 28, dose 2MedDRA: Abdominal pain upper, Diarrhoea, Fatigue — Feeling: Fair · Be unable to do your normal daily activitiesFree text: Constantly tired and having stomach and diarrheaand loose stool issues.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-04-14
Survey response — day 35, dose 2MedDRA: Abdominal discomfort, Fatigue — Feeling: Fair · Be unable to do your normal daily activitiesFree text: Sick to my stomach and still tired.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-06-09
Survey response — 3 months, dose 2MedDRA: 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 visitFree text: Overly tired some days, with bad Gastro issues.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-06-09
Report sent to call center — 3 months, dose 2Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional1 call case(s)
- 2021-08-03
- 2021-08-03
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-01-29 | Moderna | |
| 2 | 2021-03-08 | Moderna |
Call center
2 call center cases
2 unsuccessful
1 wait over 3 months for a first call
Free text
Release 4 — day 14, dose 1
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
Systemic reaction (other): My Normal Temperature is 96.8 Degrees
Systemic reaction (other): My Normal Temperature is 96.8 degrees.
Release 6 — day 14, dose 2
Symptoms: More tired. Still have slight Temperature.
Release 7 — day 28, dose 2
Symptoms: Constantly tired and having stomach and diarrheaand loose stool issues.
Release 7 — day 35, dose 2
Symptoms: Sick to my stomach and still tired.
Release 9 — 3 months, dose 2
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
| Field | Preferred term | 2021-09 | 2023-04 | 2024-11 |
|---|---|---|---|---|
| HCVO | Office visit | ✓ | ✓ | ✓ |
| SD | Abdominal discomfort | ✓ | ✓ | ✓ |
| SD | Abdominal pain upper | ✓ | ✓ | ✓ |
| SD | Body temperature increased | ✓ | ✓ | ✓ |
| SD | Contusion | ✓ | ✓ | ✓ |
| SD | Diarrhoea | ✓ | ✓ | ✓ |
| SD | Fatigue | ✓ | ✓ | ✓ |
| SD | Immediate post-injection reaction | ✓ | ✓ | ✓ |
| SD | Oral mucosal blistering | ✓ | ✓ | ✓ |
| SD | Pyrexia | ✓ | ✓ | ✓ |
| SD | Rash | ✓ | ✓ | ✓ |
| SRO | Body temperature | ✓ | ✓ | ✓ |
| SRO | Unevaluable event | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release