289-15118-50991
4 vaccinations
12 coded responses
43 check-ins
12 free-text entries
0 call cases
- Sex
- Male
- Age at first dose
- 66+
- ZIP prefix
- 970 / OR
- Registered
- 2021-01-25
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-01-25
Registered in v-safe
-
2021-01-25
Dose 1 — Moderna
- 2021-01-25
-
2021-01-26
Survey response — days 1–6 daily, dose 1MedDRA: Nasopharyngitis — Feeling: Fair · Site: PainFree text: Feel like I am getting a cold. No big deal though.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-01-27
- 2021-01-28
- 2021-01-29
- 2021-01-30
- 2021-01-31
- 2021-02-08
- 2021-02-15
-
2021-02-22
Dose 2 — Moderna
-
2021-02-24
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Site: Pain · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea, Abdominal pain · Be unable to do your normal daily activitiesAdult check-in
- 2021-02-25
- 2021-02-26
- 2021-02-27
-
2021-02-28
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Fever · Chills, Headache, Muscle or body aches · Be unable to do your normal daily activitiesAdult check-in
- 2021-03-01
-
2021-03-08
Survey response — day 14, dose 2MedDRA: Pyrexia — Feeling: GoodFree text: FeverMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-03-15
Survey response — day 21, dose 2MedDRA: Abdominal pain upper, Headache, Malaise, Nasopharyngitis — Feeling: FairFree text: Have a cold with a little stomach cramping and headache. Not blaming the shot , but feel crummy just the same .MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-03-22
- 2021-03-29
-
2021-04-05
Survey response — day 42, dose 2MedDRA: Headache, Pyrexia — Feeling: Fair · Be unable to do your normal daily activitiesFree text: Fever , headache. Fatigue.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-05-24
-
2021-08-23
Survey response — 6 months, dose 2MedDRA: Pre-existing disease — Feeling: FairFree text: Gout , doubt it is anything to do with vaccines.MedDRA releases: 2021-09,2024-11 · check-in free text available
-
2021-09-25
Dose 3 — ModernaCo-administered: Flu
- 2021-10-25
- 2021-10-30
-
2021-11-06
Survey response — day 42, dose 3MedDRA: Headache, Nasal congestion, Nasopharyngitis — Feeling: Fair · Be unable to do your normal daily activitiesFree text: Have a cold . Stuffy nose and headache.MedDRA releases: 2024-11 · check-in free text available
- 2021-12-25
-
2022-03-26
Survey response — 6 months, dose 3MedDRA: Nasopharyngitis — Feeling: Good · Be unable to do your normal daily activitiesFree text: Just a cold.MedDRA releases: 2024-11 · check-in free text available
-
2022-04-14
Dose 4 — Moderna
-
2022-04-14
Survey response — day 0, dose 4MedDRA: Chills, Malaise, Nausea, Pyrexia — Feeling: Fair · FeverFree text: No , but I got pretty sick . Fever, chills , nausea etc . Still better than tangling with Covid .MedDRA releases: 2024-11 · check-in free text available
- 2022-04-15
- 2022-04-16
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2022-04-17
Survey response — days 1–6 daily, dose 4MedDRA: Chills, Injection site pain, Malaise, Mobility decreased, Nasopharyngitis, Nausea, Pre-existing disease, Pyrexia — Feeling: Good · Be unable to do your normal daily activitiesFree text: I got my 4th booster a month ago . Somehow you just started checking on me . I did get very I'll for about 3 days after the booster . Fever over 102 , chills , nausea, site pain and was in bed those days . Have heart failure, so even a cold is toughMedDRA releases: 2024-11 · check-in free text available
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2022-04-18
Survey response — days 1–6 daily, dose 4MedDRA: Malaise, Unevaluable event — Feeling: GoodFree text: U realize I got the booster 4 weeks ago and got I'll for a few days . The first 3 full dose shots , no big deal . Low dose booster made me very sick . Will do it all again to avoid vivid . Am comprised.MedDRA releases: 2024-11 · check-in free text available
- 2022-04-19
-
2022-04-20
Survey response — days 1–6 daily, dose 4MedDRA: Unevaluable event — Feeling: GoodFree text: Not today .MedDRA releases: 2024-11 · check-in free text available
- 2022-04-21
-
2022-04-28
Survey response — day 14, dose 4MedDRA: Abdominal pain, Muscle spasms, Nausea, Pre-existing disease, Pyrexia, Vomiting — Feeling: Poor · Be unable to work or attend school, Be unable to do your normal daily activitiesFree text: 103 fever, nausea , pain in abdomen ( cramps ) vomiting . I have heart failure , so it was scary.MedDRA releases: 2024-11 · check-in free text available
- 2022-05-05
- 2022-05-12
- 2022-05-19
- 2022-05-26
- 2022-07-14
- 2022-10-13
- 2023-04-14
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-01-25 | Moderna | |
| 2 | 2021-02-22 | Moderna | |
| 3 | 2021-09-25 | Moderna | Flu |
| 4 | 2022-04-14 | Moderna | No |
Free text
Release 2 — days 1–6 daily, dose 1
Systemic reaction (other): Feel like I am getting a cold. No big deal though.
Release 5 — day 14, dose 2
Symptoms: Fever
Release 5 — day 21, dose 2
Symptoms: Have a cold with a little stomach cramping and headache. Not blaming the shot , but feel crummy just the same .
Release 6 — day 42, dose 2
Symptoms: Fever , headache. Fatigue.
Release 9 — 6 months, dose 2
Symptoms: Gout , doubt it is anything to do with vaccines.
Release 10 — day 42, dose 3
Symptoms: Have a cold . Stuffy nose and headache.
Release 11 — 6 months, dose 3
Symptoms: Just a cold.
Release 11 — day 0, dose 4
Systemic reaction (other): No , but I got pretty sick . Fever, chills , nausea etc . Still better than tangling with Covid .
Release 11 — days 1–6 daily, dose 4
Systemic reaction (other): I got my 4th booster a month ago . Somehow you just started checking on me . I did get very I'll for about 3 days after the booster . Fever over 102 , chills , nausea, site pain and was in bed those days . Have heart failure, so even a cold is tough cut off by CDC
Systemic reaction (other): U realize I got the booster 4 weeks ago and got I'll for a few days . The first 3 full dose shots , no big deal . Low dose booster made me very sick . Will do it all again to avoid vivid . Am comprised.
Systemic reaction (other): Not today .
Release 11 — day 14, dose 4
Symptoms: 103 fever, nausea , pain in abdomen ( cramps ) vomiting . I have heart failure , so it was scary.
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 | Abdominal pain | · | · | ✓ |
| SD | Abdominal pain upper | ✓ | ✓ | ✓ |
| SD | Headache | ✓ | ✓ | ✓ |
| SD | Malaise | ✓ | ✓ | ✓ |
| SD | Muscle spasms | · | · | ✓ |
| SD | Nasal congestion | · | · | ✓ |
| SD | Nasopharyngitis | ✓ | ✓ | ✓ |
| SD | Nausea | · | · | ✓ |
| SD | Pre-existing disease | ✓ | · | ✓ |
| SD | Pyrexia | ✓ | ✓ | ✓ |
| SD | Vomiting | · | · | ✓ |
| SRO | Chills | · | · | ✓ |
| SRO | Injection site pain | · | · | ✓ |
| SRO | Malaise | · | · | ✓ |
| SRO | Mobility decreased | · | · | ✓ |
| SRO | Nasopharyngitis | ✓ | ✓ | ✓ |
| SRO | Nausea | · | · | ✓ |
| SRO | Pre-existing disease | · | · | ✓ |
| SRO | Pyrexia | · | · | ✓ |
| SRO | Unevaluable event | · | · | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release