6HT-12778-78099
4 vaccinations
6 coded responses
46 check-ins
6 free-text entries
0 call cases
- Sex
- Female
- Age at first dose
- 41-45
- ZIP prefix
- 986 / WA
- Registered
- 2021-04-29
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-04-17
Dose 1 — Moderna
-
2021-04-29
Registered in v-safe
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2021-04-29
Health check-in — day 7, dose 1Feeling: Fair · Site: Pain, Redness, Swelling, Itching · Joint pains, Muscle or body achesAdult check-in
- 2021-05-01
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2021-05-08
Survey response — day 21, dose 1MedDRA: Mobility decreased, Musculoskeletal stiffness — Feeling: Good · Be unable to do your normal daily activitiesFree text: Shoulder stiffness & decreased range of motion in my vaccine arm.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-05-15
Dose 2 — Moderna
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2021-05-15
Health check-in — day 0, dose 2Feeling: Fair · Site: Pain, Swelling · Fatigue or tiredness · Be unable to do your normal daily activitiesAdult check-in
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2021-05-16
Survey response — days 1–6 daily, dose 2MedDRA: Dehydration, Dizziness, Headache, Loss of consciousness — Feeling: Poor · Site: Pain, Swelling · Fever · Chills, Headache, Muscle or body aches, Fatigue or tiredness, Nausea, Vomiting, Diarrhea · Be unable to work, Be unable to do your normal daily activitiesFree text: Dizziness & dehydration. I lost consciousness while walking to get fluids and hit my head on the floor. Monitoring for brain injury at home; so far just a minor headache.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-05-17
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Site: Pain, Redness, Swelling · Fever · Fatigue or tiredness · Be unable to work, Be unable to do your normal daily activitiesAdult check-in
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2021-05-18
Health check-in — days 1–6 daily, dose 2Feeling: Good · Site: Pain, Redness, Swelling, Itching · NoneAdult check-in
- 2021-05-19
- 2021-05-20
- 2021-05-21
- 2021-05-22
- 2021-05-29
- 2021-06-05
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2021-06-12
Survey response — day 28, dose 2MedDRA: Arthralgia, Musculoskeletal stiffness, Pain in extremity — Feeling: Good · Be unable to do your normal daily activitiesFree text: Worsening, lingering stiffness/soreness in the upper arm/shoulder of my vaccine armMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-06-19
- 2021-06-26
- 2021-08-14
- 2021-11-13
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2021-12-02
Dose 3 — Moderna
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2021-12-04
Survey response — days 1–6 daily, dose 3MedDRA: Lymph node pain, Lymphadenopathy — Feeling: Fair · Site: Pain, Redness, Swelling · Fever · Chills, Headache, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to work or attend school, Be unable to do your normal daily activitiesFree text: Swollen, painful underarm lymph node on injection sideMedDRA releases: 2024-11 · check-in free text available
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2021-12-05
Survey response — days 1–6 daily, dose 3MedDRA: Lymph node pain, Lymphadenopathy — Feeling: Fair · Site: Pain, Redness, Swelling, ItchingFree text: Lymph node pain/swellingMedDRA releases: 2024-11 · check-in free text available
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2021-12-06
Survey response — days 1–6 daily, dose 3MedDRA: Lymphadenopathy — Feeling: Good · Site: Redness, Swelling, ItchingFree text: Lymph node swellingMedDRA releases: 2024-11 · check-in free text available
- 2021-12-07
- 2021-12-08
- 2021-12-09
- 2021-12-16
- 2021-12-23
- 2021-12-30
- 2022-01-06
- 2022-01-13
- 2022-03-03
- 2022-06-02
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2022-11-19
Dose 4 — Pfizer-BioNTechCo-administered: Flu
- 2022-11-19
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2022-11-20
Health check-in — days 1–6 daily, dose 4Feeling: Poor · Site: Pain · Fever · Chills, Headache, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to work or attend school, Be unable to do your normal daily activitiesAdult check-in
- 2022-11-21
- 2022-11-22
- 2022-11-23
- 2022-11-24
- 2022-11-25
- 2022-11-26
- 2022-12-03
- 2022-12-10
- 2022-12-17
- 2022-12-24
- 2022-12-31
- 2023-02-18
- 2023-05-20
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-04-17 | Moderna | |
| 2 | 2021-05-15 | Moderna | |
| 3 | 2021-12-02 | Moderna | No |
| 4 | 2022-11-19 | Pfizer-BioNTech | Flu |
Free text
Release 8 — day 21, dose 1
Symptoms: Shoulder stiffness & decreased range of motion in my vaccine arm.
Release 8 — days 1–6 daily, dose 2
Systemic reaction (other): Dizziness & dehydration. I lost consciousness while walking to get fluids and hit my head on the floor. Monitoring for brain injury at home; so far just a minor headache.
Release 9 — day 28, dose 2
Symptoms: Worsening, lingering stiffness/soreness in the upper arm/shoulder of my vaccine arm
Release 10 — days 1–6 daily, dose 3
Systemic reaction (other): Swollen, painful underarm lymph node on injection side
Systemic reaction (other): Lymph node pain/swelling
Systemic reaction (other): Lymph node swelling
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 | Arthralgia | ✓ | ✓ | ✓ |
| SD | Mobility decreased | ✓ | ✓ | ✓ |
| SD | Musculoskeletal stiffness | ✓ | ✓ | ✓ |
| SD | Pain in extremity | ✓ | ✓ | ✓ |
| SRO | Dehydration | ✓ | ✓ | ✓ |
| SRO | Dizziness | ✓ | ✓ | ✓ |
| SRO | Headache | ✓ | ✓ | ✓ |
| SRO | Loss of consciousness | ✓ | ✓ | ✓ |
| SRO | Lymph node pain | · | · | ✓ |
| SRO | Lymphadenopathy | · | · | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release