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6W5-14576-42998

2 vaccinations 5 coded responses 18 check-ins 5 free-text entries 2 call cases
Sex
Female
Age at first dose
66+
ZIP prefix
986 / WA
Registered
2021-01-04
Relationship
Self
Race
White
Ethnicity
Not Hispanic or Latino

Timeline

  1. 2021-01-04
    Registered in v-safe
  2. 2021-01-04
    Dose 1 — Moderna
  3. 2021-01-04
    Health check-in — day 0, dose 1
    Feeling: Good · Site: Pain · None
    Adult check-in
  4. 2021-01-05
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · Site: Pain · None
    Adult check-in
  5. 2021-01-06
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · Site: Pain · None
    Adult check-in
  6. 2021-01-07
    Health check-in — days 1–6 daily, dose 1
    Feeling: Fair · Site: Pain · Headache, Fatigue or tiredness
    Adult check-in
  7. 2021-01-08
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · Site: Pain · Fever · None
    Adult check-in
  8. 2021-01-13
    Health check-in — day 7, dose 1
    Feeling: Good · Site: Pain · Headache, Muscle or body aches, Fatigue or tiredness, Diarrhea
    Adult check-in
  9. 2021-01-20
    Health check-in — day 14, dose 1
    Feeling: Good
    Adult check-in
  10. 2021-02-01
    Dose 2 — Moderna
  11. 2021-02-05
    Health check-in — days 1–6 daily, dose 2
    Feeling: Poor · Fever · Chills, Headache, Fatigue or tiredness, Nausea · Be unable to work
    Adult check-in
  12. 2021-02-06
    Health check-in — days 1–6 daily, dose 2
    Feeling: Poor · Site: Pain · Headache, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities
    Adult check-in
  13. 2021-02-07
    Health check-in — days 1–6 daily, dose 2
    Feeling: Poor · Site: Pain · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to work
    Adult check-in
  14. 2021-02-08
    Health check-in — day 7, dose 2
    Feeling: Fair · Site: Pain · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to work
    Adult check-in
  15. 2021-02-15
    Survey response — day 14, dose 2
    MedDRA: Abdominal pain upper, Headache — Feeling: Poor · Be unable to work
    Free text: Eye ads headache in left upper left quarter of my face. Terrible headachesick stomach, ache joints and muscles
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  16. 2021-02-22
    Survey response — day 21, dose 2
    MedDRA: Arthralgia, Fatigue, Headache, Myalgia, Office visit — Feeling: Poor · Be unable to work
    Free text: Headache, muscle aches,joint aches, exhaustion, exhaustion. Am now on prednisone 20mg 0ne a day for 5 days. Will check back with my Doctor on thursday
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  17. 2021-03-03
    Health check-in — day 28, dose 2
    Feeling: Poor
    Adult check-in
  18. 2021-03-10
    Survey response — day 35, dose 2
    MedDRA: Fatigue, Malaise, Sinus disorder — Feeling: Fair · Be unable to work
    Free text: Today i have a sinuses problem as well as feeling just crappy. Still having fatigue.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  19. 2021-03-17
    Health check-in — day 42, dose 2
    Feeling: Fair
    Adult check-in
  20. 2021-05-03
    Survey response — 3 months, dose 2
    MedDRA: Muscle spasms — Feeling: Poor · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit
    Free text: Spasms in my bicep and tricep in both arms when I lift anything. This has been going on since my last shot February 4th.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  21. 2021-05-03
    Report sent to call center — 3 months, dose 2
    Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional
    1 call case(s)
  22. 2021-08-04
    Survey response — 6 months, dose 2
    MedDRA: Unevaluable event — Feeling: Poor · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit
    Free text: The same ones from the last visit
    MedDRA releases: 2021-09,2024-11 · check-in free text available
  23. 2021-08-04
    Report sent to call center — 6 months, dose 2
    Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional
    1 call case(s)
  24. 2021-08-11

Vaccinations

DoseDateManufacturerCo-administered
12021-01-04Moderna
22021-02-01Moderna

Call center

2 call center cases

2 unsuccessful

See the call center timeline

Free text

Release 4 — day 14, dose 2

2021-02-15

Symptoms: Eye ads headache in left upper left quarter of my face. Terrible headachesick stomach, ache joints and muscles

Release 4 — day 21, dose 2

2021-02-22

Symptoms: Headache, muscle aches,joint aches, exhaustion, exhaustion. Am now on prednisone 20mg 0ne a day for 5 days. Will check back with my Doctor on thursday

Release 5 — day 35, dose 2

2021-03-10

Symptoms: Today i have a sinuses problem as well as feeling just crappy. Still having fatigue.

Release 8 — 3 months, dose 2

2021-05-03

Symptoms: Spasms in my bicep and tricep in both arms when I lift anything. This has been going on since my last shot February 4th.

Release 9 — 6 months, dose 2

2021-08-04

Symptoms: The same ones from the last visit

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 ✓ ✓ ✓
SDArthralgia ✓ ✓ ✓
SDFatigue ✓ ✓ ✓
SDHeadache ✓ ✓ ✓
SDMalaise ✓ ✓ ✓
SDMuscle spasms ✓ ✓ ✓
SDMyalgia ✓ ✓ ✓
SDOffice visit ✓ ✓ ✓
SDSinus disorder ✓ ✓ ✓
SDUnevaluable event ✓ · ✓

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