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6HW-15612-69976

2 vaccinations 7 coded responses 22 check-ins 7 free-text entries 0 call cases
Sex
Male
Age at first dose
66+
ZIP prefix
980 / WA
Registered
2021-01-20
Relationship
Self
Race
White
Ethnicity
Not Hispanic or Latino

Timeline

  1. 2021-01-20
    Registered in v-safe
  2. 2021-01-20
    Dose 1 — Moderna
  3. 2021-01-20
    Health check-in — day 0, dose 1
    Feeling: Good · None
    Adult check-in
  4. 2021-01-21
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · None
    Adult check-in
  5. 2021-01-22
    Survey response — days 1–6 daily, dose 1
    MedDRA: Rhinorrhoea — Feeling: Good
    Free text: On the evening of the day I was vaccinated I had a runny nose that lasted about two hours, then went away as suddenly as it started.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  6. 2021-01-23
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · None
    Adult check-in
  7. 2021-01-24
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · None
    Adult check-in
  8. 2021-01-25
    Survey response — days 1–6 daily, dose 1
    MedDRA: Anxiety — Feeling: Good
    Free text: Anxiety about not getting the second dose on time because of the Washington State screwed up registration/appointment system
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  9. 2021-01-26
    Survey response — days 1–6 daily, dose 1
    MedDRA: Anxiety — Feeling: Good
    Free text: Anxiety continues regarding getting the follow up shot because of the appointment methodology imposed within Washington State
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  10. 2021-01-27
    Survey response — day 7, dose 1
    MedDRA: Unevaluable event — Feeling: Good
    Free text: Anxiety about being able to obtain follow up dose in the state of Washington remains a concern
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  11. 2021-02-03
    Health check-in — day 14, dose 1
    Feeling: Good
    Adult check-in
  12. 2021-02-10
    Survey response — day 21, dose 1
    MedDRA: Adverse reaction — Feeling: Good
    Free text: Anxiety remains high because of the apparent inability of the state of Washington to procure enough vaccine to assure a second dose for those given the first dose
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  13. 2021-02-15
    Dose 2 — Moderna
  14. 2021-02-17
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · Site: Pain · None
    Adult check-in
  15. 2021-02-18
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · Site: Itching · None
    Adult check-in
  16. 2021-02-19
    Survey response — days 1–6 daily, dose 2
    MedDRA: Ear discomfort — Feeling: Good · Site: Pain · Muscle or body aches
    Free text: My ears feel like they may have fluid, like after swimming
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  17. 2021-02-20
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · Fatigue or tiredness
    Adult check-in
  18. 2021-02-21
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · Fatigue or tiredness
    Adult check-in
  19. 2021-02-22
    Health check-in — day 7, dose 2
    Feeling: Good · Site: Itching · Fatigue or tiredness
    Adult check-in
  20. 2021-03-01
    Survey response — day 14, dose 2
    MedDRA: Fatigue — Feeling: Good
    Free text: Just more tired than usual.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  21. 2021-03-08
    Health check-in — day 21, dose 2
    Feeling: Good
    Adult check-in
  22. 2021-03-15
    Health check-in — day 28, dose 2
    Feeling: Good
    Adult check-in
  23. 2021-03-22
    Health check-in — day 35, dose 2
    Feeling: Good
    Adult check-in
  24. 2021-03-29
    Health check-in — day 42, dose 2
    Feeling: Good
    Adult check-in
  25. 2021-05-17
    Health check-in — 3 months, dose 2
    Feeling: Good
    Adult check-in

Vaccinations

DoseDateManufacturerCo-administered
12021-01-20Moderna
22021-02-15Moderna

Free text

Release 2 — days 1–6 daily, dose 1

2021-01-22

Systemic reaction (other): On the evening of the day I was vaccinated I had a runny nose that lasted about two hours, then went away as suddenly as it started.

2021-01-25

Systemic reaction (other): Anxiety about not getting the second dose on time because of the Washington State screwed up registration/appointment system

2021-01-26

Systemic reaction (other): Anxiety continues regarding getting the follow up shot because of the appointment methodology imposed within Washington State

Release 2 — day 7, dose 1

2021-01-27

Systemic reaction (other): Anxiety about being able to obtain follow up dose in the state of Washington remains a concern

Release 4 — day 21, dose 1

2021-02-10

Symptoms: Anxiety remains high because of the apparent inability of the state of Washington to procure enough vaccine to assure a second dose for those given the first dose

Release 4 — days 1–6 daily, dose 2

2021-02-19

Systemic reaction (other): My ears feel like they may have fluid, like after swimming

Release 4 — day 14, dose 2

2021-03-01

Symptoms: Just more tired than usual.

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
SDAdverse reaction ✓ ✓ ✓
SDFatigue ✓ ✓ ✓
SROAnxiety ✓ ✓ ✓
SROEar discomfort ✓ ✓ ✓
SRORhinorrhoea ✓ ✓ ✓
SROUnevaluable event ✓ ✓ ✓

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

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