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6SH-87789-90172

2 vaccinations 8 coded responses 25 check-ins 8 free-text entries 0 call cases
Sex
Female
Age at first dose
61-65
ZIP prefix
981 / WA
Registered
2021-02-01
Relationship
Self
Race
Other
Ethnicity
Hispanic or Latino

Timeline

  1. 2021-01-31
    Dose 1 — Moderna
  2. 2021-02-01
    Registered in v-safe
  3. 2021-02-01
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · Site: Pain · Fatigue or tiredness
    Adult check-in
  4. 2021-02-02
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · Site: Pain · Fatigue or tiredness
    Adult check-in
  5. 2021-02-03
    Survey response — days 1–6 daily, dose 1
    MedDRA: Musculoskeletal stiffness — Feeling: Good
    Free text: Slightly stiff neck
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  6. 2021-02-04
    Survey response — days 1–6 daily, dose 1
    MedDRA: Musculoskeletal stiffness — Feeling: Good · Headache
    Free text: Slight stiff neck,
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  7. 2021-02-05
    Survey response — days 1–6 daily, dose 1
    MedDRA: Musculoskeletal stiffness — Feeling: Good
    Free text: Stiff neck
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  8. 2021-02-06
    Survey response — days 1–6 daily, dose 1
    MedDRA: Musculoskeletal stiffness — Feeling: Fair · Headache
    Free text: Stiff neck
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  9. 2021-02-07
    Health check-in — day 7, dose 1
    Feeling: Good · None
    Adult check-in
  10. 2021-02-14
    Health check-in — day 14, dose 1
    Feeling: Good
    Adult check-in
  11. 2021-02-21
    Health check-in — day 21, dose 1
    Feeling: Good
    Adult check-in
  12. 2021-02-28
    Survey response — day 28, dose 1
    MedDRA: Migraine — Feeling: Poor · Be unable to do your normal daily activities
    Free text: Migraine, so I cancelled my 2nd vaccination that was to be today.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  13. 2021-03-06
    Dose 2 — Moderna
  14. 2021-03-07
    Survey response — days 1–6 daily, dose 2
    MedDRA: Cough — Feeling: Poor · Site: Pain, Swelling · Fever · Chills, Headache, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities
    Free text: Mild cough
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  15. 2021-03-08
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · Site: Pain · None
    Adult check-in
  16. 2021-03-09
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · Site: Pain · None
    Adult check-in
  17. 2021-03-10
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · None
    Adult check-in
  18. 2021-03-11
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · None
    Adult check-in
  19. 2021-03-12
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · None
    Adult check-in
  20. 2021-03-13
    Health check-in — day 7, dose 2
    Feeling: Good · Headache
    Adult check-in
  21. 2021-03-20
    Survey response — day 14, dose 2
    MedDRA: Abdominal pain upper, Fatigue, Pain — Feeling: Fair · Be unable to do your normal daily activities
    Free text: Stomach ache, tired, general aching, head feels hot, but no fever
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  22. 2021-03-27
    Health check-in — day 21, dose 2
    Feeling: Good
    Adult check-in
  23. 2021-04-03
    Health check-in — day 28, dose 2
    Feeling: Good
    Adult check-in
  24. 2021-04-10
    Health check-in — day 35, dose 2
    Feeling: Good
    Adult check-in
  25. 2021-04-17
    Health check-in — day 42, dose 2
    Feeling: Good
    Adult check-in
  26. 2021-06-05
    Health check-in — 3 months, dose 2
    Feeling: Good
    Adult check-in
  27. 2021-09-04
    Health check-in — 6 months, dose 2
    Feeling: Good
    Adult check-in
  28. 2022-03-08
    Survey response — 12 months, dose 2
    MedDRA: Breast engorgement, Breast enlargement — Feeling: Fair
    Free text: Enlarged left breast, feels engorged. Diagnostic Mammogram and ultrasound have not detected breast cancer. Left arm was used for all vaccine and booster injection. Symptoms occurred one week after booster injection. I continue to have flare ups.
    MedDRA releases: 2024-11 · check-in free text available

Vaccinations

DoseDateManufacturerCo-administered
12021-01-31Moderna
22021-03-06Moderna

Free text

Release 3 — days 1–6 daily, dose 1

2021-02-03

Systemic reaction (other): Slightly stiff neck

2021-02-04

Systemic reaction (other): Slight stiff neck,

2021-02-05

Systemic reaction (other): Stiff neck

2021-02-06

Systemic reaction (other): Stiff neck

Release 4 — day 28, dose 1

2021-02-28

Symptoms: Migraine, so I cancelled my 2nd vaccination that was to be today.

Release 5 — days 1–6 daily, dose 2

2021-03-07

Systemic reaction (other): Mild cough

Release 6 — day 14, dose 2

2021-03-20

Symptoms: Stomach ache, tired, general aching, head feels hot, but no fever

Release 11 — 12 months, dose 2

2022-03-08

Symptoms: Enlarged left breast, feels engorged. Diagnostic Mammogram and ultrasound have not detected breast cancer. Left arm was used for all vaccine and booster injection. Symptoms occurred one week after booster injection. I continue to have flare ups. cut off by CDC

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
SDAbdominal pain upper ✓ ✓ ✓
SDBreast engorgement · · ✓
SDBreast enlargement · · ✓
SDFatigue ✓ ✓ ✓
SDMigraine ✓ ✓ ✓
SDPain ✓ ✓ ✓
SROCough ✓ ✓ ✓
SROMusculoskeletal stiffness ✓ ✓ ✓

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

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