845-14124-83702
2 vaccinations
5 coded responses
26 check-ins
5 free-text entries
0 call cases
- Sex
- Female
- Age at first dose
- 31-35
- ZIP prefix
- 982 / WA
- Registered
- 2021-09-18
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-09-18
Registered in v-safe
-
2021-09-18
Dose 1 — Moderna
- 2021-09-18
-
2021-09-19
Health check-in — days 1–6 daily, dose 1Feeling: Good · Site: Pain, Swelling · Headache, Fatigue or tiredness · Be unable to do your normal daily activitiesAdult check-in
-
2021-09-20
Health check-in — days 1–6 daily, dose 1Feeling: Fair · Site: Pain · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activitiesAdult check-in
-
2021-09-21
Survey response — days 1–6 daily, dose 1MedDRA: Pain, Pre-existing disease — Feeling: Good · Site: Pain · Joint painsFree text: Had what seemed like a fibromyalgia flare up on the second day. All trigger point spots were in pain.MedDRA releases: 2024-11 · check-in free text available
- 2021-09-22
- 2021-09-23
- 2021-09-24
- 2021-09-25
- 2021-10-03
- 2021-10-09
-
2021-10-16
Dose 2 — Moderna
-
2021-10-16
Survey response — day 0, dose 2MedDRA: Paraesthesia — Feeling: Fair · Site: Pain, Swelling · Be unable to do your normal daily activitiesFree text: Feeling tingling like I might black out after the shotMedDRA releases: 2024-11 · check-in free text available
-
2021-10-17
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Site: Pain, Swelling · Fever · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea, Abdominal pain · Be unable to do your normal daily activitiesAdult check-in
-
2021-10-18
Survey response — days 1–6 daily, dose 2MedDRA: Heart rate increased — Feeling: Fair · Site: Pain, Swelling · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Abdominal pain · Be unable to work or attend schoolFree text: High resting heart rate of 100-120MedDRA releases: 2024-11 · check-in free text available
-
2021-10-19
Health check-in — days 1–6 daily, dose 2Feeling: Good · Site: Pain · Headache, Fatigue or tiredness, Abdominal painAdult check-in
-
2021-10-20
Health check-in — days 1–6 daily, dose 2Feeling: Good · Site: Pain · Fatigue or tirednessAdult check-in
-
2021-10-21
Health check-in — days 1–6 daily, dose 2Feeling: Good · Site: Pain · Fatigue or tirednessAdult check-in
-
2021-10-22
Health check-in — days 1–6 daily, dose 2Feeling: Good · Site: Pain · Fatigue or tirednessAdult check-in
- 2021-10-23
- 2021-10-30
- 2021-11-06
-
2021-11-13
Survey response — day 28, dose 2MedDRA: Chest discomfort, Panic attack — Feeling: GoodFree text: Increased panic attacks and chest tightening.MedDRA releases: 2024-11 · check-in free text available
- 2021-11-20
- 2021-11-27
- 2022-01-15
- 2022-04-16
-
2022-10-16
Survey response — 12 months, dose 2MedDRA: Pregnancy — Feeling: GoodFree text: PregnancyMedDRA releases: 2024-11 · check-in free text available
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-09-18 | Moderna | No |
| 2 | 2021-10-16 | Moderna | No |
Free text
Release 9 — days 1–6 daily, dose 1
Systemic reaction (other): Had what seemed like a fibromyalgia flare up on the second day. All trigger point spots were in pain.
Release 10 — day 0, dose 2
Systemic reaction (other): Feeling tingling like I might black out after the shot
Release 10 — days 1–6 daily, dose 2
Systemic reaction (other): High resting heart rate of 100-120
Release 10 — day 28, dose 2
Symptoms: Increased panic attacks and chest tightening.
Release 12 — 12 months, dose 2
Symptoms: Pregnancy
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 | Chest discomfort | · | · | ✓ |
| SD | Panic attack | · | · | ✓ |
| SD | Pregnancy | · | · | ✓ |
| SRO | Heart rate increased | · | · | ✓ |
| SRO | Pain | · | · | ✓ |
| SRO | Paraesthesia | · | · | ✓ |
| SRO | Pre-existing disease | · | · | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release