6WR-17815-87175
3 vaccinations
4 coded responses
27 check-ins
4 free-text entries
0 call cases
- Sex
- Female
- Age at first dose
- 66+
- ZIP prefix
- 992 / WA
- Registered
- 2021-01-28
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-01-28
Registered in v-safe
-
2021-01-28
Dose 1 — Moderna
- 2021-01-28
-
2021-01-29
Survey response — days 1–6 daily, dose 1MedDRA: Nausea — Feeling: Good · Fatigue or tiredness, NauseaFree text: nausea sensation late morning, lasted maybe an hr.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-01-30
- 2021-01-31
- 2021-02-01
- 2021-02-02
- 2021-02-04
- 2021-02-11
- 2021-02-18
-
2021-02-24
Dose 2 — Moderna
- 2021-02-24
-
2021-02-25
Health check-in — days 1–6 daily, dose 2Feeling: Good · Site: Pain · Fatigue or tirednessAdult check-in
-
2021-02-26
Health check-in — days 1–6 daily, dose 2Feeling: Good · Site: Redness · Fatigue or tirednessAdult check-in
- 2021-02-27
- 2021-02-28
- 2021-03-01
- 2021-03-02
- 2021-03-03
-
2021-03-10
Survey response — day 14, dose 2MedDRA: Fatigue, Headache, Self-medication — Feeling: Good · Be unable to do your normal daily activitiesFree text: Very fatigued the last few days. Headache for a few hours yesterday morning, took tylenol & it helped.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-03-17
Survey response — day 21, dose 2MedDRA: Cough, Nasopharyngitis, Oropharyngeal pain, Rhinorrhoea — Feeling: Poor · Be unable to do your normal daily activitiesFree text: cold symptoms...sore throat, runny nose, cough. Caught it from my grandaughter who had a bad cold.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-03-24
- 2021-03-31
- 2021-04-07
- 2021-05-26
- 2021-08-25
-
2021-11-22
Dose 3 — Moderna
-
2022-02-24
Survey response — 12 months, dose 2MedDRA: Arthralgia, Back pain, Electrocardiogram abnormal, Fatigue, Heart rate irregular, Meniscus injury — Feeling: FairFree text: A recent EKG determined heart irregularities. I am scheduled for an echocardiogram now. I've been feeling fatigued the past months but have also been experiencing lumbar and knee pain ( a diagnosed torn meniscus, nothing vaccine related.MedDRA releases: 2024-11 · check-in free text available
- 2022-05-23
- 2022-11-22
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-01-28 | Moderna | |
| 2 | 2021-02-24 | Moderna | |
| 3 | 2021-11-22 | Moderna | No |
Free text
Release 3 — days 1–6 daily, dose 1
Systemic reaction (other): nausea sensation late morning, lasted maybe an hr.
Release 5 — day 14, dose 2
Symptoms: Very fatigued the last few days. Headache for a few hours yesterday morning, took tylenol & it helped.
Release 5 — day 21, dose 2
Symptoms: cold symptoms...sore throat, runny nose, cough. Caught it from my grandaughter who had a bad cold.
Release 11 — 12 months, dose 2
Symptoms: A recent EKG determined heart irregularities. I am scheduled for an echocardiogram now. I've been feeling fatigued the past months but have also been experiencing lumbar and knee pain ( a diagnosed torn meniscus, nothing vaccine related.
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 | Arthralgia | · | · | ✓ |
| SD | Back pain | · | · | ✓ |
| SD | Cough | ✓ | ✓ | ✓ |
| SD | Electrocardiogram abnormal | · | · | ✓ |
| SD | Fatigue | ✓ | ✓ | ✓ |
| SD | Headache | ✓ | ✓ | ✓ |
| SD | Heart rate irregular | · | · | ✓ |
| SD | Meniscus injury | · | · | ✓ |
| SD | Nasopharyngitis | ✓ | ✓ | ✓ |
| SD | Oropharyngeal pain | ✓ | ✓ | ✓ |
| SD | Rhinorrhoea | ✓ | ✓ | ✓ |
| SD | Self-medication | ✓ | ✓ | ✓ |
| SRO | Nausea | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release