2BD-63698-31041
4 vaccinations
7 coded responses
50 check-ins
7 free-text entries
0 call cases
- Sex
- Male
- Age at first dose
- 66+
- ZIP prefix
- 920 / CA
- Registered
- 2021-01-23
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-01-23
Registered in v-safe
-
2021-01-23
Dose 1 — Moderna
- 2021-01-23
- 2021-01-24
- 2021-01-25
- 2021-01-26
- 2021-01-27
- 2021-01-28
- 2021-01-29
- 2021-01-30
- 2021-02-06
- 2021-02-13
- 2021-02-20
-
2021-02-24
Dose 2 — Moderna
- 2021-02-24
-
2021-02-25
Survey response — days 1–6 daily, dose 2MedDRA: Fatigue, Somnolence — Feeling: Good · Site: Pain · Fatigue or tiredness · Be unable to do your normal daily activitiesFree text: Tired: Mild- but slept all dayMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-02-26
-
2021-02-27
Health check-in — days 1–6 daily, dose 2Feeling: Good · Site: Pain · Fatigue or tirednessAdult check-in
- 2021-02-28
- 2021-03-01
- 2021-03-02
- 2021-03-03
- 2021-03-10
- 2021-03-17
-
2021-03-24
Survey response — day 28, dose 2MedDRA: Fatigue — Feeling: GoodFree text: I went thru a 4-5 day period of extreme fatigue, that ended several days ago. On hindsight I suspect it was a shot reaction, not any activity I was doing.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-03-31
- 2021-04-07
- 2021-05-26
- 2021-08-25
-
2021-08-28
Dose 3 — Moderna
-
2021-08-28
Survey response — day 0, dose 3MedDRA: No adverse event — Feeling: GoodFree text: Nope, All good so far.MedDRA releases: 2021-09,2024-11 · check-in free text available
-
2021-08-29
Survey response — days 1–6 daily, dose 3MedDRA: Injection site pain, Self-medication — Feeling: Good · Site: Pain, Swelling · Be unable to do your normal daily activitiesFree text: Moderate pain at injection site came on about 12 hours after injection received. Was moderate for about 4 hours, then began to leases. Treated with Advil. Today pain has been mild.MedDRA releases: 2021-09,2024-11 · check-in free text available
-
2021-08-30
Survey response — days 1–6 daily, dose 3MedDRA: Fatigue — Feeling: Good · Site: PainFree text: Am tired. This mirrored my reaction to the second shot.MedDRA releases: 2021-09,2024-11 · check-in free text available
- 2021-08-31
- 2021-09-01
- 2021-09-02
- 2021-09-03
- 2021-09-04
- 2021-09-11
- 2021-09-18
- 2021-09-25
- 2021-10-02
- 2021-10-09
- 2021-11-27
- 2022-02-26
-
2022-04-01
Dose 4 — Moderna
- 2022-04-14
- 2022-04-15
- 2022-04-22
- 2022-04-29
- 2022-05-06
-
2022-05-13
Survey response — day 42, dose 4MedDRA: Diarrhoea, Influenza — Feeling: GoodFree text: Diarrhea. I have had this for several weeks after what seemed a 24 hr flu bug. It got better, but has worsened this past week.MedDRA releases: 2024-11 · check-in free text available
-
2022-07-01
Survey response — 3 months, dose 4MedDRA: Colitis, Pre-existing disease — Feeling: GoodFree text: Mildly active chronic colitisMedDRA releases: 2024-11 · check-in free text available
- 2022-09-30
- 2023-04-01
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-01-23 | Moderna | |
| 2 | 2021-02-24 | Moderna | |
| 3 | 2021-08-28 | Moderna | No |
| 4 | 2022-04-01 | Moderna | No |
Free text
Release 4 — days 1–6 daily, dose 2
Systemic reaction (other): Tired: Mild- but slept all day
Release 6 — day 28, dose 2
Symptoms: I went thru a 4-5 day period of extreme fatigue, that ended several days ago. On hindsight I suspect it was a shot reaction, not any activity I was doing.
Release 9 — day 0, dose 3
Systemic reaction (other): Nope, All good so far.
Release 9 — days 1–6 daily, dose 3
Systemic reaction (other): Moderate pain at injection site came on about 12 hours after injection received. Was moderate for about 4 hours, then began to leases. Treated with Advil. Today pain has been mild.
Systemic reaction (other): Am tired. This mirrored my reaction to the second shot.
Release 11 — day 42, dose 4
Symptoms: Diarrhea. I have had this for several weeks after what seemed a 24 hr flu bug. It got better, but has worsened this past week.
Release 12 — 3 months, dose 4
Symptoms: Mildly active chronic colitis
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 | Colitis | · | · | ✓ |
| SD | Diarrhoea | · | · | ✓ |
| SD | Fatigue | ✓ | ✓ | ✓ |
| SD | Influenza | · | · | ✓ |
| SD | Pre-existing disease | · | · | ✓ |
| SRO | Fatigue | ✓ | ✓ | ✓ |
| SRO | Injection site pain | ✓ | · | ✓ |
| SRO | No adverse event | ✓ | · | ✓ |
| SRO | Self-medication | ✓ | · | ✓ |
| SRO | Somnolence | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release