2U5-16208-91588
5 vaccinations
4 coded responses
53 check-ins
4 free-text entries
0 call cases
- Sex
- Male
- Age at first dose
- 61-65
- ZIP prefix
- 173 / PA
- Registered
- 2021-03-29
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-03-29
Registered in v-safe
-
2021-03-29
Dose 1 — Moderna
- 2021-03-29
- 2021-03-30
-
2021-03-31
Survey response — days 1–6 daily, dose 1MedDRA: Diarrhoea, Nausea — Feeling: Good · DiarrheaFree text: Diarrhea and/or lose stools are common for me. However, since the vaccine 48 hours ago, the diarrhea MAY be more severe than usual. This may be coincidental since the vaccine but I felt I should mention it. However, its more of a nuisance than anything else and not effecting my normal activity.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-04-01
- 2021-04-02
- 2021-04-03
- 2021-04-04
- 2021-04-05
- 2021-04-12
- 2021-04-21
-
2021-04-26
Dose 2 — Moderna
- 2021-04-26
-
2021-04-27
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Site: Pain · Fatigue or tirednessAdult check-in
- 2021-04-28
- 2021-04-29
- 2021-04-30
- 2021-05-01
- 2021-05-02
- 2021-05-03
- 2021-05-10
- 2021-05-17
- 2021-05-24
- 2021-05-31
- 2021-06-07
- 2021-07-26
- 2021-10-25
-
2021-10-27
Dose 3 — ModernaCo-administered: Flu
- 2021-10-31
- 2021-11-02
- 2021-11-03
- 2021-11-10
- 2021-11-18
- 2021-11-24
- 2021-12-01
- 2021-12-08
-
2022-01-26
Survey response — 3 months, dose 3MedDRA: Head discomfort, Nasal congestion, Respiratory tract congestion, Sinusitis — Feeling: FairFree text: Head congestion likely a sinus infection. No other symptoms of CoVidother than pressure in the head / nasal congestion.MedDRA releases: 2024-11 · check-in free text available
-
2022-04-28
Survey response — 6 months, dose 3MedDRA: Bronchitis, Cough, Dyspnoea, Fall, Pneumonia, Rib fracture — Feeling: Good · Be unable to work or attend schoolFree text: Had pneumonia in March, likely related to a fall where I broke three ribs and I wasn't breathing correctly or coughing effectively while having bronchitis.MedDRA releases: 2024-11 · check-in free text available
-
2022-05-23
Dose 4 — Moderna
- 2022-05-23
-
2022-05-26
Survey response — days 1–6 daily, dose 4MedDRA: Fatigue, Pyrexia — Feeling: Good · Site: ItchingFree text: I had mild fever all night the day of the vaccine and felt a bit run down the day after, but that was it.MedDRA releases: 2024-11 · check-in free text available
- 2022-05-27
- 2022-05-28
- 2022-05-29
- 2022-05-30
- 2022-06-06
- 2022-06-13
- 2022-06-21
- 2022-06-27
- 2022-07-04
- 2022-08-22
-
2022-09-23
Dose 5 — Pfizer-BioNTech
- 2022-10-18
- 2022-10-21
- 2022-10-31
- 2022-11-04
- 2022-12-23
- 2023-03-24
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-03-29 | Moderna | |
| 2 | 2021-04-26 | Moderna | |
| 3 | 2021-10-27 | Moderna | Flu |
| 4 | 2022-05-23 | Moderna | No |
| 5 | 2022-09-23 | Pfizer-BioNTech | No |
Free text
Release 6 — days 1–6 daily, dose 1
Systemic reaction (other): Diarrhea and/or lose stools are common for me. However, since the vaccine 48 hours ago, the diarrhea MAY be more severe than usual. This may be coincidental since the vaccine but I felt I should mention it. However, its more of a nuisance than anything else and not effecting my normal activity.
Release 11 — 3 months, dose 3
Symptoms: Head congestion likely a sinus infection. No other symptoms of CoVidother than pressure in the head / nasal congestion.
Release 11 — 6 months, dose 3
Symptoms: Had pneumonia in March, likely related to a fall where I broke three ribs and I wasn't breathing correctly or coughing effectively while having bronchitis.
Release 11 — days 1–6 daily, dose 4
Systemic reaction (other): I had mild fever all night the day of the vaccine and felt a bit run down the day after, but that was it.
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 | Bronchitis | · | · | ✓ |
| SD | Cough | · | · | ✓ |
| SD | Dyspnoea | · | · | ✓ |
| SD | Fall | · | · | ✓ |
| SD | Head discomfort | · | · | ✓ |
| SD | Nasal congestion | · | · | ✓ |
| SD | Pneumonia | · | · | ✓ |
| SD | Respiratory tract congestion | · | · | ✓ |
| SD | Rib fracture | · | · | ✓ |
| SD | Sinusitis | · | · | ✓ |
| SRO | Diarrhoea | ✓ | ✓ | ✓ |
| SRO | Fatigue | · | · | ✓ |
| SRO | Nausea | ✓ | ✓ | ✓ |
| SRO | Pyrexia | · | · | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release