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
-
2021-01-04
Registered in v-safe
-
2021-01-04
Dose 1 — Moderna
- 2021-01-04
- 2021-01-05
- 2021-01-06
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2021-01-07
Health check-in — days 1–6 daily, dose 1Feeling: Fair · Site: Pain · Headache, Fatigue or tirednessAdult check-in
- 2021-01-08
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2021-01-13
Health check-in — day 7, dose 1Feeling: Good · Site: Pain · Headache, Muscle or body aches, Fatigue or tiredness, DiarrheaAdult check-in
- 2021-01-20
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2021-02-01
Dose 2 — Moderna
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2021-02-05
Health check-in — days 1–6 daily, dose 2Feeling: Poor · Fever · Chills, Headache, Fatigue or tiredness, Nausea · Be unable to workAdult check-in
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2021-02-06
Health check-in — days 1–6 daily, dose 2Feeling: Poor · Site: Pain · Headache, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activitiesAdult check-in
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2021-02-07
Health check-in — days 1–6 daily, dose 2Feeling: Poor · Site: Pain · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to workAdult check-in
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2021-02-08
Health check-in — day 7, dose 2Feeling: Fair · Site: Pain · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to workAdult check-in
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2021-02-15
Survey response — day 14, dose 2MedDRA: Abdominal pain upper, Headache — Feeling: Poor · Be unable to workFree text: Eye ads headache in left upper left quarter of my face. Terrible headachesick stomach, ache joints and musclesMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-02-22
Survey response — day 21, dose 2MedDRA: Arthralgia, Fatigue, Headache, Myalgia, Office visit — Feeling: Poor · Be unable to workFree 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 thursdayMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-03-03
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2021-03-10
Survey response — day 35, dose 2MedDRA: Fatigue, Malaise, Sinus disorder — Feeling: Fair · Be unable to workFree 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
- 2021-03-17
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2021-05-03
Survey response — 3 months, dose 2MedDRA: 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 visitFree 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
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2021-05-03
Report sent to call center — 3 months, dose 2Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional1 call case(s)
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2021-08-04
Survey response — 6 months, dose 2MedDRA: 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 visitFree text: The same ones from the last visitMedDRA releases: 2021-09,2024-11 · check-in free text available
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2021-08-04
Report sent to call center — 6 months, dose 2Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional1 call case(s)
- 2021-08-11
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-01-04 | Moderna | |
| 2 | 2021-02-01 | Moderna |
Call center
2 call center cases
2 unsuccessful
Free text
Release 4 — day 14, dose 2
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
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
Symptoms: Today i have a sinuses problem as well as feeling just crappy. Still having fatigue.
Release 8 — 3 months, dose 2
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
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
| Field | Preferred term | 2021-09 | 2023-04 | 2024-11 |
|---|---|---|---|---|
| SD | Abdominal pain upper | ✓ | ✓ | ✓ |
| SD | Arthralgia | ✓ | ✓ | ✓ |
| SD | Fatigue | ✓ | ✓ | ✓ |
| SD | Headache | ✓ | ✓ | ✓ |
| SD | Malaise | ✓ | ✓ | ✓ |
| SD | Muscle spasms | ✓ | ✓ | ✓ |
| SD | Myalgia | ✓ | ✓ | ✓ |
| SD | Office visit | ✓ | ✓ | ✓ |
| SD | Sinus disorder | ✓ | ✓ | ✓ |
| SD | Unevaluable event | ✓ | · | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release