2WR-66480-82754
5 vaccinations
4 coded responses
57 check-ins
4 free-text entries
0 call cases
- Sex
- Male
- Age at first dose
- 66+
- ZIP prefix
- 146 / NY
- Registered
- 2021-02-11
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-02-11
Registered in v-safe
-
2021-02-11
Dose 1 — Moderna
- 2021-02-11
- 2021-02-12
- 2021-02-13
- 2021-02-14
- 2021-02-15
- 2021-02-16
- 2021-02-17
- 2021-02-18
- 2021-02-25
- 2021-03-04
-
2021-03-11
Dose 2 — Moderna
- 2021-03-11
-
2021-03-12
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Site: Pain · Fatigue or tiredness · Be unable to do your normal daily activitiesAdult check-in
-
2021-03-13
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Site: Pain · Nausea, Vomiting · Be unable to do your normal daily activitiesAdult check-in
-
2021-03-14
Survey response — days 1–6 daily, dose 2MedDRA: Fatigue, Loss of consciousness, Nausea, Vomiting — Feeling: Fair · Site: Pain · Nausea, Vomiting · Be unable to do your normal daily activitiesFree text: 29 hours after getting the injection I passed out for a few minutes and was immobilized by nausea and vomiting for an hour. I went to bed and for the next 24 hours was tired. Today, Sunday, 72 hours after the injection I feel ok.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-03-15
- 2021-03-16
- 2021-03-17
-
2021-03-18
Survey response — day 7, dose 2MedDRA: Sinus headache — Feeling: Good · HeadacheFree text: The headache is a sinus headache and therefore I assume not related to my vaccination reactionMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-03-25
Survey response — day 14, dose 2MedDRA: Headache, Sinus headache — Feeling: GoodFree text: Headaches have become common. I usually do not have headaches. They are concentrated in my sinusesMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-04-01
- 2021-04-08
- 2021-04-15
- 2021-04-22
- 2021-06-10
- 2021-09-09
-
2021-10-27
Dose 3 — Moderna
- 2021-10-28
- 2021-10-29
- 2021-10-30
- 2021-11-01
- 2021-11-02
- 2021-11-03
- 2021-11-12
- 2021-11-17
- 2021-11-26
- 2021-12-01
- 2021-12-08
- 2022-01-26
-
2022-04-19
Dose 4 — Pfizer-BioNTech
- 2022-04-19
-
2022-04-20
Health check-in — days 1–6 daily, dose 4Feeling: Good · Site: Pain · Fatigue or tirednessAdult check-in
- 2022-04-21
- 2022-04-22
- 2022-04-23
- 2022-04-24
- 2022-04-25
- 2022-04-26
- 2022-05-03
- 2022-05-10
- 2022-05-17
- 2022-05-24
- 2022-05-31
-
2022-07-19
Survey response — 3 months, dose 4MedDRA: Eye irritation, Nasal congestion, Paranasal sinus discomfort, Viral upper respiratory tract infection — Feeling: GoodFree text: Upper respiratory virus symptoms, stuffy nose, irritation in sinuses and eyesMedDRA releases: 2024-11 · check-in free text available
-
2022-09-10
Dose 5 — Pfizer-BioNTech
- 2022-10-05
- 2022-10-08
- 2022-10-15
- 2022-10-22
- 2022-12-10
- 2023-03-13
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-02-11 | Moderna | |
| 2 | 2021-03-11 | Moderna | |
| 3 | 2021-10-27 | Moderna | No |
| 4 | 2022-04-19 | Pfizer-BioNTech | No |
| 5 | 2022-09-10 | Pfizer-BioNTech | No |
Free text
Release 5 — days 1–6 daily, dose 2
Systemic reaction (other): 29 hours after getting the injection I passed out for a few minutes and was immobilized by nausea and vomiting for an hour. I went to bed and for the next 24 hours was tired. Today, Sunday, 72 hours after the injection I feel ok.
Release 5 — day 7, dose 2
Systemic reaction (other): The headache is a sinus headache and therefore I assume not related to my vaccination reaction
Release 6 — day 14, dose 2
Symptoms: Headaches have become common. I usually do not have headaches. They are concentrated in my sinuses
Release 12 — 3 months, dose 4
Symptoms: Upper respiratory virus symptoms, stuffy nose, irritation in sinuses and eyes
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 | Eye irritation | · | · | ✓ |
| SD | Headache | ✓ | ✓ | ✓ |
| SD | Nasal congestion | · | · | ✓ |
| SD | Paranasal sinus discomfort | · | · | ✓ |
| SD | Sinus headache | ✓ | ✓ | ✓ |
| SD | Viral upper respiratory tract infection | · | · | ✓ |
| SRO | Fatigue | ✓ | ✓ | ✓ |
| SRO | Loss of consciousness | ✓ | ✓ | ✓ |
| SRO | Nausea | ✓ | ✓ | ✓ |
| SRO | Sinus headache | ✓ | ✓ | ✓ |
| SRO | Vomiting | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release