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Z7W-28045-22715

1 vaccination 5 coded responses 5 check-ins 5 free-text entries 0 call cases
Sex
Female
Age at first dose
61-65
ZIP prefix
992 / WA
Registered
2021-04-23
Relationship
Self
Race
White
Ethnicity
Not Hispanic or Latino

Timeline

  1. 2021-04-16
    Dose 1 — Moderna
  2. 2021-04-23
    Registered in v-safe
  3. 2021-04-23
    Survey response — day 7, dose 1
    MedDRA: Arthralgia, Chills, Decreased appetite, Fatigue, Headache, Illness, Myalgia — Feeling: Good · Be unable to do your normal daily activities
    Free text: 2 days after vaccine I got chills headache joint pain muscle body aches fatigue didnt eat for a day, only 1 day of sickness.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  4. 2021-05-02
    Survey response — day 14, dose 1
    MedDRA: Chills, Fatigue, Feeding disorder, Malaise, Pain — Feeling: Good · Be unable to do your normal daily activities
    Free text: After my vaccination I got really sick the third day. body aches all over, tired, chills, didnt eat for a day.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  5. 2021-07-16
    Survey response — 3 months, dose 1
    MedDRA: Stomatitis — Feeling: Good · Be unable to do your normal daily activities
    Free text: Sores all over in my mouth after last moderna vaccine.
    MedDRA releases: 2021-09,2024-11 · check-in free text available
  6. 2021-10-15
    Survey response — 6 months, dose 1
    MedDRA: Pre-existing disease — Feeling: Good
    Free text: My hair was falling out. From the beginning but I didn't know it was from Covid. Now I do because I haven't done anything different and then it suddenly stopped.
    MedDRA releases: 2024-11 · check-in free text available
  7. 2022-04-16
    Survey response — 12 months, dose 1
    MedDRA: Catarrh, Chills, Feeling of body temperature change, Nasal discomfort, Oral herpes, Oropharyngeal pain, Rhinorrhoea — Feeling: Poor · Be unable to do your normal daily activities
    Free text: Snuffy runny nose phlegm build up n sore throat. Last 4 days had hot n cold chills but those are gone. Have cold sore on lip.
    MedDRA releases: 2024-11 · check-in free text available

Vaccinations

DoseDateManufacturerCo-administered
12021-04-16Moderna

Free text

Release 7 — day 7, dose 1

2021-04-23

Systemic reaction (other): 2 days after vaccine I got chills headache joint pain muscle body aches fatigue didnt eat for a day, only 1 day of sickness.

Release 8 — day 14, dose 1

2021-05-02

Symptoms: After my vaccination I got really sick the third day. body aches all over, tired, chills, didnt eat for a day.

Release 9 — 3 months, dose 1

2021-07-16

Symptoms: Sores all over in my mouth after last moderna vaccine.

Release 10 — 6 months, dose 1

2021-10-15

Symptoms: My hair was falling out. From the beginning but I didn't know it was from Covid. Now I do because I haven't done anything different and then it suddenly stopped.

Release 11 — 12 months, dose 1

2022-04-16

Symptoms: Snuffy runny nose phlegm build up n sore throat. Last 4 days had hot n cold chills but those are gone. Have cold sore on lip.

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
SDCatarrh · · ✓
SDChills ✓ ✓ ✓
SDFatigue ✓ ✓ ✓
SDFeeding disorder ✓ ✓ ✓
SDFeeling of body temperature change · · ✓
SDMalaise ✓ ✓ ✓
SDNasal discomfort · · ✓
SDOral herpes · · ✓
SDOropharyngeal pain · · ✓
SDPain ✓ ✓ ✓
SDPre-existing disease · · ✓
SDRhinorrhoea · · ✓
SDStomatitis ✓ · ✓
SROArthralgia ✓ ✓ ✓
SROChills ✓ ✓ ✓
SRODecreased appetite ✓ ✓ ✓
SROFatigue ✓ ✓ ✓
SROHeadache ✓ ✓ ✓
SROIllness ✓ ✓ ✓
SROMyalgia ✓ ✓ ✓

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