QWB-23862-02122
3 vaccinations
4 coded responses
35 check-ins
4 free-text entries
0 call cases
- Sex
- Female
- Age at first dose
- 31-35
- ZIP prefix
- 986 / WA
- Registered
- 2020-12-31
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Registered dependents
7MQ-43112-70474
Child or adolescent in my care · Female · 2022-08-05
E86-24334-92764
Child or adolescent in my care · Female · 2022-08-05
Timeline
-
2020-12-31
Registered in v-safe
-
2020-12-31
Dose 1 — Moderna
- 2020-12-31
- 2021-01-01
- 2021-01-02
-
2021-01-03
Health check-in — days 1–6 daily, dose 1Feeling: Fair · Site: Pain · Headache, Fatigue or tiredness, NauseaAdult check-in
- 2021-01-04
-
2021-01-05
Health check-in — days 1–6 daily, dose 1Feeling: Fair · Headache, Fatigue or tiredness, NauseaAdult check-in
- 2021-01-06
- 2021-01-07
- 2021-01-14
- 2021-01-21
-
2021-01-24
Dose 2 — Moderna
-
2021-01-25
Survey response — days 1–6 daily, dose 2MedDRA: Dizziness — Feeling: Poor · Site: Pain, Swelling · Headache, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to workFree text: Faintness, "brain fogMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-01-26
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Site: Pain · Fatigue or tirednessAdult check-in
- 2021-01-27
- 2021-01-29
- 2021-01-30
- 2021-01-31
- 2021-02-07
- 2021-02-14
- 2021-02-21
- 2021-02-28
- 2021-03-07
- 2021-04-25
- 2021-07-25
-
2021-12-13
Dose 3 — Moderna
-
2021-12-14
Health check-in — days 1–6 daily, dose 3Feeling: Fair · Site: Pain, Swelling · Chills, Muscle or body aches, Fatigue or tirednessAdult check-in
- 2021-12-15
- 2021-12-16
- 2021-12-20
- 2021-12-27
- 2022-01-04
- 2022-01-10
- 2022-01-17
- 2022-01-24
-
2022-03-14
Survey response — 3 months, dose 3MedDRA: Cough, Fatigue, Headache, Malaise, Pain — Feeling: Fair · Be unable to work or attend schoolFree text: headache, cough, fatigue, malaise, body achesMedDRA releases: 2024-11 · check-in free text available
-
2022-06-13
Survey response — 6 months, dose 3MedDRA: Arthralgia, Chills, Cough, Diarrhoea, Dizziness, Fatigue, Headache, Malaise, Myalgia, Nausea, Oropharyngeal pain — Feeling: Good · Be unable to work or attend school, Be unable to do your normal daily activitiesFree text: sore throat, fatigue, dizziness, malaise, muscle aches, headache, joint pain, nausea, diarrhea, cough, chillsMedDRA releases: 2024-11 · check-in free text available
-
2022-12-13
Survey response — 12 months, dose 3MedDRA: Influenza, Nasopharyngitis, Respiratory tract infection viral — Feeling: Fair · Be unable to work or attend school, Be unable to do your normal daily activitiesFree text: Cold and flu symptoms, various respiratory virusesMedDRA releases: 2024-11 · check-in free text available
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2020-12-31 | Moderna | |
| 2 | 2021-01-24 | Moderna | |
| 3 | 2021-12-13 | Moderna | No |
Free text
Release 2 — days 1–6 daily, dose 2
Systemic reaction (other): Faintness, "brain fog
Release 11 — 3 months, dose 3
Symptoms: headache, cough, fatigue, malaise, body aches
Release 12 — 6 months, dose 3
Symptoms: sore throat, fatigue, dizziness, malaise, muscle aches, headache, joint pain, nausea, diarrhea, cough, chills
Release 12 — 12 months, dose 3
Symptoms: Cold and flu symptoms, various respiratory viruses
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 | Chills | · | · | ✓ |
| SD | Cough | · | · | ✓ |
| SD | Diarrhoea | · | · | ✓ |
| SD | Dizziness | · | · | ✓ |
| SD | Fatigue | · | · | ✓ |
| SD | Headache | · | · | ✓ |
| SD | Influenza | · | · | ✓ |
| SD | Malaise | · | · | ✓ |
| SD | Myalgia | · | · | ✓ |
| SD | Nasopharyngitis | · | · | ✓ |
| SD | Nausea | · | · | ✓ |
| SD | Oropharyngeal pain | · | · | ✓ |
| SD | Pain | · | · | ✓ |
| SD | Respiratory tract infection viral | · | · | ✓ |
| SRO | Dizziness | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release