TU5-90236-68473
1 vaccination
4 coded responses
15 check-ins
4 free-text entries
1 call case
- Sex
- Female
- Age at first dose
- 36-40
- ZIP prefix
- 986 / WA
- Registered
- 2020-12-30
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2020-12-30
Registered in v-safe
-
2020-12-30
Dose 1 — Moderna
- 2020-12-30
-
2020-12-31
Health check-in — days 1–6 daily, dose 1Feeling: Fair · Site: Pain, Swelling · Muscle or body achesAdult check-in
- 2021-01-01
-
2021-01-02
Survey response — days 1–6 daily, dose 1MedDRA: Heart rate increased — Feeling: Fair · Chills, Muscle or body aches, Fatigue or tiredness, Nausea, DiarrheaFree text: Rapid heart rateMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-01-03
- 2021-01-04
- 2021-01-06
-
2021-01-15
Survey response — day 14, dose 1MedDRA: Back pain, Erythema, Fatigue, Peripheral swelling — Feeling: Good · Be unable to workFree text: Fatigue, upper back pain, redness and swelling in left arm.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-01-15
- 2021-01-22
- 2021-01-27
- 2021-02-03
- 2021-02-10
- 2021-03-31
-
2021-06-30
Survey response — 6 months, dose 1MedDRA: Pregnancy — Feeling: GoodFree text: PregnancyMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-12-31
Survey response — 12 months, dose 1MedDRA: Fatigue, Rash, Rash pruritic, Secretion discharge, Sneezing, Throat irritation — Feeling: GoodFree text: Itchy rash on hips, shoulders, lower back, forearms Fatigue Sneezing Itchy throat with a lot of mucus in the morningMedDRA releases: 2024-11 · check-in free text available
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2020-12-30 | Moderna |
Call center
1 call center case
1 priority 2/3 (triaged and no follow up)
Free text
Release 1 — days 1–6 daily, dose 1
Systemic reaction (other): Rapid heart rate
Release 2 — day 14, dose 1
Symptoms: Fatigue, upper back pain, redness and swelling in left arm.
Release 9 — 6 months, dose 1
Symptoms: Pregnancy
Release 10 — 12 months, dose 1
Symptoms: Itchy rash on hips, shoulders, lower back, forearms Fatigue Sneezing Itchy throat with a lot of mucus in the morning
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 | Back pain | ✓ | ✓ | ✓ |
| SD | Erythema | ✓ | ✓ | ✓ |
| SD | Fatigue | ✓ | ✓ | ✓ |
| SD | Peripheral swelling | ✓ | ✓ | ✓ |
| SD | Pregnancy | ✓ | ✓ | ✓ |
| SD | Rash | · | · | ✓ |
| SD | Rash pruritic | · | · | ✓ |
| SD | Secretion discharge | · | · | ✓ |
| SD | Sneezing | · | · | ✓ |
| SD | Throat irritation | · | · | ✓ |
| SRO | Heart rate increased | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release