ZXA-95578-84129
5 vaccinations
8 coded responses
65 check-ins
8 free-text entries
2 call cases
- Sex
- Female
- Age at first dose
- 66+
- ZIP prefix
- 981 / WA
- Registered
- 2021-02-04
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-02-04
Registered in v-safe
-
2021-02-04
Dose 1 — Moderna
- 2021-02-04
-
2021-02-05
Health check-in — days 1–6 daily, dose 1Feeling: Good · Site: Pain · Fatigue or tirednessAdult check-in
- 2021-02-06
- 2021-02-07
- 2021-02-08
-
2021-02-09
Survey response — days 1–6 daily, dose 1MedDRA: Injection site bruising — Feeling: Good · Fatigue or tirednessFree text: A small bruise like discoloration at the injection site appeared a day or so after the injection and has not resolved, maybe even got darker in the last few days.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-02-10
- 2021-02-11
-
2021-02-18
Survey response — day 14, dose 1MedDRA: Herpes simplex, Pre-existing disease — Feeling: Good · Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultationFree text: Herpes outbreak-first in a long time.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-02-18
Report sent to call center — day 14, dose 1Get care from a doctor or other healthcare professional1 call case(s)
- 2021-02-25
-
2021-03-04
Dose 2 — Moderna
- 2021-03-04
-
2021-03-05
Survey response — days 1–6 daily, dose 2MedDRA: Adverse reaction — Feeling: Poor · Site: Pain, Swelling · Fever · Headache, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activitiesFree text: My symptoms actually started yesterday (after submitting my report) about 7 hrs after my jab. They were worse thru the evening and thru the night.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-03-06
Survey response — days 1–6 daily, dose 2MedDRA: Night sweats — Feeling: Good · Site: Pain, SwellingFree text: Woke up twice last night soaking wet. I dont have hot flashes. I assumed I must have had a fever that broke. Thats the only time that happens for me.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-03-07
- 2021-03-08
- 2021-03-10
- 2021-03-11
- 2021-03-18
-
2021-03-25
Survey response — day 21, dose 2MedDRA: Rhinitis — Feeling: GoodFree text: I notice I seem to have had a very slight rhinitis for the past several weeks. Not sure if connected to spring or vaccine. Unusual for me. No other symptoms.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-04-01
- 2021-04-08
- 2021-04-15
- 2021-06-05
- 2021-08-06
- 2021-08-09
-
2021-09-02
Survey response — 6 months, dose 2MedDRA: Oropharyngeal pain, Respiratory tract congestion, Rhinorrhoea, SARS-CoV-2 test negative — Feeling: Good · Get care from a doctor or other healthcare professionalFree text: Symptoms: Sniffles, sore throat, congestion · Healthcare visit (other): I went for a COVID PCR test which was negative.MedDRA releases: 2021-09,2024-11 · check-in free text available
-
2021-09-02
Report sent to call center — 6 months, dose 2Get care from a doctor or other healthcare professional1 call case(s)
- 2021-09-08
-
2021-09-13
Call successfulNot applicable (accidental reporting or does not believe symptoms are related to vaccine)
-
2021-10-25
Dose 3 — Moderna
- 2021-10-25
-
2021-10-26
Health check-in — days 1–6 daily, dose 3Feeling: Poor · Site: Pain · Fever · Chills, Headache, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activitiesAdult check-in
-
2021-10-27
Health check-in — days 1–6 daily, dose 3Feeling: Good · Site: Pain · Muscle or body achesAdult check-in
- 2021-10-28
- 2021-10-29
- 2021-10-30
- 2021-10-31
- 2021-11-01
- 2021-11-08
- 2021-11-15
- 2021-11-23
- 2021-11-29
- 2021-12-06
-
2022-04-21
Dose 4 — Moderna
- 2022-04-21
-
2022-04-22
Health check-in — days 1–6 daily, dose 4Feeling: Fair · Site: Pain, Swelling · Fever · Chills, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activitiesAdult check-in
- 2022-04-23
-
2022-04-24
Survey response — days 1–6 daily, dose 4MedDRA: Fatigue — Feeling: Good · Fatigue or tirednessFree text: I stayed u too late last night. I'm pretty sure that's why I'm tired todayMedDRA releases: 2024-11 · check-in free text available
- 2022-04-25
- 2022-04-26
- 2022-04-27
- 2022-04-28
- 2022-05-05
- 2022-05-12
- 2022-05-19
- 2022-05-26
- 2022-06-02
- 2022-07-21
-
2022-10-17
Dose 5 — Pfizer-BioNTechCo-administered: Flu
-
2022-10-17
Survey response — day 0, dose 5MedDRA: Injection site pain — Feeling: GoodFree text: The flu shot site is already sore.MedDRA releases: 2024-11 · check-in free text available
-
2022-10-18
Health check-in — days 1–6 daily, dose 5Feeling: Fair · Site: Pain · Fever · Chills, Headache, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activitiesAdult check-in
- 2022-10-19
- 2022-10-20
- 2022-10-21
- 2022-10-22
- 2022-10-23
- 2022-10-24
- 2022-10-31
- 2022-11-07
- 2022-11-14
- 2022-11-21
- 2022-11-28
- 2023-04-17
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-02-04 | Moderna | |
| 2 | 2021-03-04 | Moderna | |
| 3 | 2021-10-25 | Moderna | No |
| 4 | 2022-04-21 | Moderna | No |
| 5 | 2022-10-17 | Pfizer-BioNTech | Flu |
Call center
2 call center cases
2 successful
1 wait over 3 months for a first call
Free text
Release 3 — days 1–6 daily, dose 1
Systemic reaction (other): A small bruise like discoloration at the injection site appeared a day or so after the injection and has not resolved, maybe even got darker in the last few days.
Release 4 — day 14, dose 1
Symptoms: Herpes outbreak-first in a long time.
Release 5 — days 1–6 daily, dose 2
Systemic reaction (other): My symptoms actually started yesterday (after submitting my report) about 7 hrs after my jab. They were worse thru the evening and thru the night.
Systemic reaction (other): Woke up twice last night soaking wet. I dont have hot flashes. I assumed I must have had a fever that broke. Thats the only time that happens for me.
Release 6 — day 21, dose 2
Symptoms: I notice I seem to have had a very slight rhinitis for the past several weeks. Not sure if connected to spring or vaccine. Unusual for me. No other symptoms.
Release 9 — 6 months, dose 2
Symptoms: Sniffles, sore throat, congestion
Healthcare visit (other): I went for a COVID PCR test which was negative.
Release 11 — days 1–6 daily, dose 4
Systemic reaction (other): I stayed u too late last night. I'm pretty sure that's why I'm tired today
Release 12 — day 0, dose 5
Systemic reaction (other): The flu shot site is already sore.
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 |
|---|---|---|---|---|
| HCVO | SARS-CoV-2 test negative | ✓ | · | ✓ |
| SD | Herpes simplex | ✓ | ✓ | ✓ |
| SD | Oropharyngeal pain | ✓ | · | ✓ |
| SD | Pre-existing disease | ✓ | ✓ | ✓ |
| SD | Respiratory tract congestion | ✓ | · | ✓ |
| SD | Rhinitis | ✓ | ✓ | ✓ |
| SD | Rhinorrhoea | ✓ | · | ✓ |
| SRO | Adverse reaction | ✓ | ✓ | ✓ |
| SRO | Fatigue | · | · | ✓ |
| SRO | Injection site bruising | ✓ | ✓ | ✓ |
| SRO | Injection site pain | · | · | ✓ |
| SRO | Night sweats | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release