6TL-38388-36875
3 vaccinations
4 coded responses
21 check-ins
4 free-text entries
0 call cases
- Sex
- Female
- Age at first dose
- 66+
- ZIP prefix
- 985 / WA
- Registered
- 2021-02-23
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-02-06
Dose 1 — Moderna
-
2021-02-23
Registered in v-safe
-
2021-02-23
Survey response — day 14, dose 1MedDRA: Pruritus, Rash erythematous, Vaccination site reaction — Feeling: FairFree text: Covid arm. Rash was first noticed 02/19/2021. This was 13 days after vaccine received. Red rash with definite border. Approx 3 wide and 4 long. Very mild itching along border. No pain. Fading gradually. No fever.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-03-01
-
2021-03-06
Dose 2 — Moderna
-
2021-03-13
Health check-in — day 7, dose 2Feeling: Poor · Site: Pain, Redness · Fever · Chills, Headache, Fatigue or tiredness, Diarrhea · Be unable to do your normal daily activitiesAdult check-in
-
2021-03-20
Survey response — day 14, dose 2MedDRA: Dyspnoea, Pulmonary pain — Feeling: Fair · Be unable to do your normal daily activitiesFree text: Pain in lungs. A bit of trouble breathing.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-03-27
- 2021-04-03
- 2021-04-10
- 2021-04-17
- 2021-06-05
- 2021-09-04
-
2021-10-22
Dose 3 — Moderna
-
2021-10-26
Survey response — days 1–6 daily, dose 3MedDRA: Chills, Headache, Pyrexia — Feeling: Fair · Site: Pain · Be unable to do your normal daily activitiesFree text: Had booster Friday. Fever, chills, headache Sat and Sun. Headache persisted into Mon. Today (Tues.) much better.MedDRA releases: 2024-11 · check-in free text available
- 2021-10-28
-
2021-10-29
Survey response — day 7, dose 3MedDRA: Chills, Headache, Pyrexia — Feeling: FairFree text: Survey sent too late. I had fever, chills, headache most of last week. Fine now.MedDRA releases: 2024-11 · check-in free text available
- 2021-11-05
- 2021-11-12
- 2021-11-19
- 2021-11-26
- 2021-12-03
- 2022-01-21
- 2022-04-22
- 2022-10-24
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-02-06 | Moderna | |
| 2 | 2021-03-06 | Moderna | |
| 3 | 2021-10-22 | Moderna | No |
Free text
Release 4 — day 14, dose 1
Symptoms: Covid arm. Rash was first noticed 02/19/2021. This was 13 days after vaccine received. Red rash with definite border. Approx 3 wide and 4 long. Very mild itching along border. No pain. Fading gradually. No fever.
Release 6 — day 14, dose 2
Symptoms: Pain in lungs. A bit of trouble breathing.
Release 10 — days 1–6 daily, dose 3
Systemic reaction (other): Had booster Friday. Fever, chills, headache Sat and Sun. Headache persisted into Mon. Today (Tues.) much better.
Release 10 — day 7, dose 3
Systemic reaction (other): Survey sent too late. I had fever, chills, headache most of last week. Fine now.
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 | Dyspnoea | ✓ | ✓ | ✓ |
| SD | Pruritus | ✓ | ✓ | ✓ |
| SD | Pulmonary pain | ✓ | ✓ | ✓ |
| SD | Rash erythematous | ✓ | ✓ | ✓ |
| SD | Vaccination site reaction | ✓ | ✓ | ✓ |
| SRO | Chills | · | · | ✓ |
| SRO | Headache | · | · | ✓ |
| SRO | Pyrexia | · | · | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release