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828-24005-08701

2 vaccinations 5 coded responses 12 check-ins 4 free-text entries 1 call case
Sex
Female
Age at first dose
26-30
ZIP prefix
980 / WA
Registered
2021-07-31
Relationship
Self
Race
Multiracial
Ethnicity
Not Hispanic or Latino

Timeline

  1. 2021-07-31
    Registered in v-safe
  2. 2021-07-31
    Dose 1 — Moderna
  3. 2021-07-31
    Health check-in — day 0, dose 1
    Feeling: Poor · Site: Redness · Fever · Chills, Headache, Fatigue or tiredness, Nausea, Diarrhea · Be unable to work or attend school, Be unable to do your normal daily activities
    Adult check-in
  4. 2021-08-01
    Survey response — days 1–6 daily, dose 1
    MedDRA: Tinnitus — Feeling: Fair · Site: Pain, Swelling · Headache · Be unable to work or attend school, Be unable to do your normal daily activities
    Free text: Pulsatile Tinnitus
    MedDRA releases: 2021-09,2024-11 · check-in free text available
  5. 2021-08-02
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · Site: Pain · Fatigue or tiredness
    Adult check-in
  6. 2021-08-03
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · None
    Adult check-in
  7. 2021-08-04
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · Muscle or body aches, Fatigue or tiredness · Be unable to work or attend school, Be unable to do your normal daily activities
    Adult check-in
  8. 2021-08-05
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · Abdominal pain
    Adult check-in
  9. 2021-08-06
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · None
    Adult check-in
  10. 2021-08-07
    Health check-in — day 7, dose 1
    Feeling: Good · Muscle or body aches, Fatigue or tiredness
    Adult check-in
  11. 2021-08-14
    Survey response — day 14, dose 1
    MedDRA: Dyspnoea — Feeling: Fair
    Free text: Shortness of breath
    MedDRA releases: 2021-09,2024-11 · check-in free text available
  12. 2021-08-22
    Survey response — day 21, dose 1
    MedDRA: Nausea — Feeling: Fair
    Free text: Severe Nausea
    MedDRA releases: 2021-09,2024-11 · check-in free text available
  13. 2021-09-12
    Survey response — day 42, dose 1
    MedDRA: Nausea — Feeling: Fair · Be unable to do your normal daily activities
    Free text: Still extreme nausea
    MedDRA releases: 2024-11 · check-in free text available
  14. 2022-02-28
    Dose 2 — Moderna
  15. 2023-03-01
    Survey response — 12 months, dose 2
    MedDRA: Congenital cystic kidney disease, Grip strength decreased, Pain in extremity, Palpitations — Feeling: Fair · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit, Emergency room or emergency department visit
    MedDRA releases: 2024-11
  16. 2023-03-01
    Report sent to call center — 12 months, dose 2
    Get care from a doctor or other healthcare professional
    Outpatient clinic or urgent care clinic visit · Emergency room or emergency department visit · 1 call case(s)
  17. 2023-03-02

Vaccinations

DoseDateManufacturerCo-administered
12021-07-31Moderna No
22022-02-28Moderna No

Call center

1 call center case

1 unsuccessful

See the call center timeline

Free text

Release 9 — days 1–6 daily, dose 1

2021-08-01

Systemic reaction (other): Pulsatile Tinnitus

Release 9 — day 14, dose 1

2021-08-14

Symptoms: Shortness of breath

Release 9 — day 21, dose 1

2021-08-22

Symptoms: Severe Nausea

Release 9 — day 42, dose 1

2021-09-12

Symptoms: Still extreme nausea

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
SDCongenital cystic kidney disease · · ✓
SDDyspnoea ✓ · ✓
SDGrip strength decreased · · ✓
SDNausea ✓ · ✓
SDPain in extremity · · ✓
SDPalpitations · · ✓
SROTinnitus ✓ · ✓

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