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2TD-28733-36708

4 vaccinations 7 coded responses 22 check-ins 7 free-text entries 0 call cases
Sex
Male
Age at first dose
46-50
ZIP prefix
981 / WA
Registered
2021-03-21
Relationship
Self
Race
White
Ethnicity
Not Hispanic or Latino

Timeline

  1. 2021-03-21
    Registered in v-safe
  2. 2021-03-21
    Dose 1 — Janssen/Johnson & Johnson
  3. 2021-03-21
    Health check-in — day 0, dose 1
    Feeling: Fair · None
    Adult check-in
  4. 2021-03-22
    Health check-in — days 1–6 daily, dose 1
    Feeling: Fair · Headache
    Adult check-in
  5. 2021-03-23
    Survey response — days 1–6 daily, dose 1
    MedDRA: Pre-existing disease — Feeling: Fair · Fatigue or tiredness · Be unable to work
    Free text: I have RA and chronic fatigue so I am trying to rule out the "normal" symptoms
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  6. 2021-03-24
    Survey response — days 1–6 daily, dose 1
    MedDRA: Fatigue — Feeling: Fair · Fatigue or tiredness · Be unable to work
    Free text: I have chronic fatigue, today has been a tired day but probably not specific to vaccine
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  7. 2021-03-25
    Survey response — days 1–6 daily, dose 1
    MedDRA: Fatigue — Feeling: Fair · Fatigue or tiredness · Be unable to work
    Free text: Same disclaimer as last check-in, chronic fatigue but have been extra fatigued
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  8. 2021-03-26
    Survey response — days 1–6 daily, dose 1
    MedDRA: Hypersensitivity — Feeling: Poor · Fatigue or tiredness · Be unable to work, Be unable to do your normal daily activities
    Free text: Bad sinus allergies overnight. Probably unrelated.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  9. 2021-03-27
    Survey response — days 1–6 daily, dose 1
    MedDRA: Diarrhoea, Fatigue, Hypersensitivity — Feeling: Fair · Fatigue or tiredness, Diarrhea · Be unable to work
    Free text: Allergies are better today. Diarrhea likely from Indian food. Fatigue is recovering from yesterday
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  10. 2021-03-28
    Survey response — day 7, dose 1
    MedDRA: Unevaluable event — Feeling: Fair · Fatigue or tiredness · Be unable to work
    Free text: The usual
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  11. 2021-04-04
    Health check-in — day 14, dose 1
    Feeling: Fair
    Adult check-in
  12. 2021-04-11
    Health check-in — day 21, single dose
    Feeling: Fair
    Adult check-in
  13. 2021-04-19
    Health check-in — day 28, single dose
    Feeling: Fair
    Adult check-in
  14. 2021-05-02
    Health check-in — day 42, single dose
    Feeling: Fair
    Adult check-in
  15. 2021-06-20
    Health check-in — 3 months, dose 1
    Feeling: Fair
    Adult check-in
  16. 2021-09-21
    Health check-in — 6 months, dose 1
    Feeling: Fair
    Adult check-in
  17. 2021-11-17
    Dose 2 — Moderna
    Co-administered: Flu
  18. 2022-03-03
    Dose 3 — Moderna
  19. 2022-03-21
    Health check-in — 12 months, dose 1
    Feeling: Fair
    Adult check-in
  20. 2022-11-03
    Dose 4 — Moderna
  21. 2022-11-17
    Health check-in — 12 months, dose 2
    Feeling: Fair
    Adult check-in
  22. 2022-11-17
    Health check-in — day 14, dose 4
    Feeling: Fair
    Adult check-in
  23. 2022-11-24
    Health check-in — day 21, dose 4
    Feeling: Fair
    Adult check-in
  24. 2022-12-08
    Survey response — day 35, dose 4
    MedDRA: Nasopharyngitis, Oropharyngeal pain, SARS-CoV-2 test negative — Feeling: Poor · Be unable to do your normal daily activities
    Free text: I had a cold. Lingering sore throat. Several at home covid tests are negative.
    MedDRA releases: 2024-11 · check-in free text available
  25. 2022-12-15
    Health check-in — day 42, dose 4
    Feeling: Fair
    Adult check-in
  26. 2023-02-04
    Health check-in — 3 months, dose 4
    Feeling: Fair
    Adult check-in
  27. 2023-05-06
    Health check-in — 6 months, dose 4
    Feeling: Fair
    Adult check-in

Vaccinations

DoseDateManufacturerCo-administered
12021-03-21Janssen/Johnson & Johnson
22021-11-17Moderna Flu
32022-03-03Moderna No
42022-11-03Moderna No

Free text

Release 6 — days 1–6 daily, dose 1

2021-03-23

Systemic reaction (other): I have RA and chronic fatigue so I am trying to rule out the "normal" symptoms

2021-03-24

Systemic reaction (other): I have chronic fatigue, today has been a tired day but probably not specific to vaccine

2021-03-25

Systemic reaction (other): Same disclaimer as last check-in, chronic fatigue but have been extra fatigued

2021-03-26

Systemic reaction (other): Bad sinus allergies overnight. Probably unrelated.

2021-03-27

Systemic reaction (other): Allergies are better today. Diarrhea likely from Indian food. Fatigue is recovering from yesterday

Release 6 — day 7, dose 1

2021-03-28

Systemic reaction (other): The usual

Release 12 — day 35, dose 4

2022-12-08

Symptoms: I had a cold. Lingering sore throat. Several at home covid tests are negative.

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
SDNasopharyngitis · · ✓
SDOropharyngeal pain · · ✓
SDSARS-CoV-2 test negative · · ✓
SRODiarrhoea ✓ ✓ ✓
SROFatigue ✓ ✓ ✓
SROHypersensitivity ✓ ✓ ✓
SROPre-existing disease ✓ ✓ ✓
SROUnevaluable event ✓ ✓ ✓

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