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2UT-11631-30156

5 vaccinations 6 coded responses 19 check-ins 6 free-text entries 0 call cases
Sex
Male
Age at first dose
66+
ZIP prefix
500 / IA
Registered
2020-12-22
Relationship
Self
Race
White
Ethnicity
Not Hispanic or Latino

Timeline

  1. 2020-12-22
    Registered in v-safe
  2. 2020-12-22
    Dose 1 — Moderna
  3. 2020-12-22
    Health check-in — day 0, dose 1
    Feeling: Good · None
    Adult check-in
  4. 2020-12-27
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · None
    Adult check-in
  5. 2020-12-29
    Health check-in — day 7, dose 1
    Feeling: Good · None
    Adult check-in
  6. 2021-01-05
    Health check-in — day 14, dose 1
    Feeling: Good
    Adult check-in
  7. 2021-01-12
    Health check-in — day 21, dose 1
    Feeling: Good
    Adult check-in
  8. 2021-01-19
    Dose 2 — Moderna
  9. 2021-02-20
    Survey response — day 28, dose 2
    MedDRA: Chills, Lethargy, Nasopharyngitis, Pain in extremity, Peripheral swelling — Feeling: Fair
    Free text: I have a cold but this not related to the vaccine. With the vaccine had arm pain and swelling and 2 nights of chills and 2 days of feeling lethargic.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  10. 2021-02-23
    Health check-in — day 35, dose 2
    Feeling: Good
    Adult check-in
  11. 2021-03-02
    Health check-in — day 42, dose 2
    Feeling: Good
    Adult check-in
  12. 2021-04-20
    Health check-in — 3 months, dose 2
    Feeling: Good
    Adult check-in
  13. 2021-07-22
    Health check-in — 6 months, dose 2
    Feeling: Good
    Adult check-in
  14. 2021-11-09
    Dose 3 — Moderna
  15. 2022-01-19
    Survey response — 12 months, dose 2
    MedDRA: Nasopharyngitis, SARS-CoV-2 test negative — Feeling: Good
    Free text: Colds but neg for covid
    MedDRA releases: 2024-11 · check-in free text available
  16. 2022-04-19
    Dose 4 — Moderna
  17. 2022-04-26
    Survey response — day 7, dose 4
    MedDRA: Vertigo — Feeling: Fair · Site: Pain · Fatigue or tiredness
    Free text: Vertigo
    MedDRA releases: 2024-11 · check-in free text available
  18. 2022-05-04
    Health check-in — day 14, dose 4
    Feeling: Good
    Adult check-in
  19. 2022-05-10
    Health check-in — day 21, dose 4
    Feeling: Good
    Adult check-in
  20. 2022-05-17
    Survey response — day 28, dose 4
    MedDRA: Cough, Fatigue, Headache, Oropharyngeal pain, Quarantine, Sneezing — Feeling: Good · Be unable to work or attend school
    Free text: Increased sneezing, cough,headaches, sore throat, occasional fatigue. No fevers and all symptoms are mild. Have been able to work in gardens and mow and help wife who is having many more symptoms. Could not work because required quarantine.
    MedDRA releases: 2024-11 · check-in free text available
  21. 2022-05-24
    Health check-in — day 35, dose 4
    Feeling: Good
    Adult check-in
  22. 2022-05-31
    Survey response — day 42, dose 4
    MedDRA: Abdominal distension, Abdominal pain — Feeling: Fair
    Free text: Abd pain and bloating; not sure of cause.
    MedDRA releases: 2024-11 · check-in free text available
  23. 2022-07-19
    Survey response — 3 months, dose 4
    MedDRA: Vertigo — Feeling: Good · Be unable to do your normal daily activities
    Free text: Vertigo
    MedDRA releases: 2024-11 · check-in free text available
  24. 2022-09-27
    Dose 5 — Pfizer-BioNTech
  25. 2022-10-18
    Health check-in — 6 months, dose 4
    Feeling: Good
    Adult check-in

Vaccinations

DoseDateManufacturerCo-administered
12020-12-22Moderna
22021-01-19Moderna
32021-11-09Moderna No
42022-04-19Moderna No
52022-09-27Pfizer-BioNTech No

Free text

Release 4 — day 28, dose 2

2021-02-20

Symptoms: I have a cold but this not related to the vaccine. With the vaccine had arm pain and swelling and 2 nights of chills and 2 days of feeling lethargic.

Release 10 — 12 months, dose 2

2022-01-19

Symptoms: Colds but neg for covid

Release 11 — day 7, dose 4

2022-04-26

Systemic reaction (other): Vertigo

Release 11 — day 28, dose 4

2022-05-17

Symptoms: Increased sneezing, cough,headaches, sore throat, occasional fatigue. No fevers and all symptoms are mild. Have been able to work in gardens and mow and help wife who is having many more symptoms. Could not work because required quarantine.

Release 11 — day 42, dose 4

2022-05-31

Symptoms: Abd pain and bloating; not sure of cause.

Release 12 — 3 months, dose 4

2022-07-19

Symptoms: Vertigo

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
SDAbdominal distension · · ✓
SDAbdominal pain · · ✓
SDChills ✓ ✓ ✓
SDCough · · ✓
SDFatigue · · ✓
SDHeadache · · ✓
SDLethargy ✓ ✓ ✓
SDNasopharyngitis ✓ ✓ ✓
SDOropharyngeal pain · · ✓
SDPain in extremity ✓ ✓ ✓
SDPeripheral swelling ✓ ✓ ✓
SDQuarantine · · ✓
SDSARS-CoV-2 test negative · · ✓
SDSneezing · · ✓
SDVertigo · · ✓
SROVertigo · · ✓

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