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2XY-22797-81129

4 vaccinations 11 coded responses 46 check-ins 11 free-text entries 1 call case
Sex
Male
Age at first dose
51-55
ZIP prefix
934 / CA
Registered
2021-03-19
Relationship
Self
Race
White
Ethnicity
Not Hispanic or Latino

Timeline

  1. 2021-03-18
    Dose 1 — Moderna
  2. 2021-03-19
    Registered in v-safe
  3. 2021-03-19
    Survey response — days 1–6 daily, dose 1
    MedDRA: Irritability — Feeling: Good · Fatigue or tiredness
    Free text: Irritable
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  4. 2021-03-20
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · Site: Pain · None
    Adult check-in
  5. 2021-03-21
    Survey response — days 1–6 daily, dose 1
    MedDRA: Chills, Pain — Feeling: Good · Site: Pain · Chills
    Free text: Soreness and chills came at night during sleep, not during waking hours
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  6. 2021-03-22
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · Site: Pain · None
    Adult check-in
  7. 2021-03-23
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · Site: Itching · None
    Adult check-in
  8. 2021-03-24
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · Fatigue or tiredness
    Adult check-in
  9. 2021-03-25
    Health check-in — day 7, dose 1
    Feeling: Good · None
    Adult check-in
  10. 2021-04-01
    Health check-in — day 14, dose 1
    Feeling: Good
    Adult check-in
  11. 2021-04-08
    Health check-in — day 21, dose 1
    Feeling: Good
    Adult check-in
  12. 2021-04-15
    Health check-in — day 28, dose 1
    Feeling: Good
    Adult check-in
  13. 2021-04-16
    Dose 2 — Moderna
  14. 2021-04-16
    Health check-in — day 0, dose 2
    Feeling: Good · Site: Pain · None
    Adult check-in
  15. 2021-04-17
    Survey response — days 1–6 daily, dose 2
    MedDRA: Oropharyngeal pain — Feeling: Fair · Site: Pain · Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities
    Free text: Sore throat (may be an unrelated symptom)
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  16. 2021-04-18
    Survey response — days 1–6 daily, dose 2
    MedDRA: Respiratory tract congestion — Feeling: Fair · Site: Pain · Fever · Fatigue or tiredness · Be unable to do your normal daily activities
    Free text: congestion (may have been due to cold)
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  17. 2021-04-19
    Survey response — days 1–6 daily, dose 2
    MedDRA: Cough, Nasopharyngitis, Respiratory tract congestion — Feeling: Fair · Site: Pain · Fatigue or tiredness, Vomiting
    Free text: May have a cold and am experiencing cough and some congestion too (I took COVID-19 rapid test to be sure and it was negative)
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  18. 2021-04-21
    Survey response — days 1–6 daily, dose 2
    MedDRA: Cough, Influenza virus test negative, Nasopharyngitis, Respiratory tract congestion, SARS-CoV-2 test negative — Feeling: Good
    Free text: mild cough, congestion from cold (tested negative for flu and COVID)
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  19. 2021-04-22
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · None
    Adult check-in
  20. 2021-04-23
    Health check-in — day 7, dose 2
    Feeling: Good · Fatigue or tiredness
    Adult check-in
  21. 2021-04-30
    Health check-in — day 14, dose 2
    Feeling: Good
    Adult check-in
  22. 2021-05-07
    Health check-in — day 21, dose 2
    Feeling: Good
    Adult check-in
  23. 2021-05-15
    Health check-in — day 28, dose 2
    Feeling: Good
    Adult check-in
  24. 2021-05-23
    Health check-in — day 35, dose 2
    Feeling: Good
    Adult check-in
  25. 2021-05-28
    Health check-in — day 42, dose 2
    Feeling: Good
    Adult check-in
  26. 2021-07-16
    Health check-in — 3 months, dose 2
    Feeling: Good
    Adult check-in
  27. 2021-10-15
    Survey response — 6 months, dose 2
    MedDRA: Nasopharyngitis, SARS-CoV-2 test negative — Feeling: Good · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit
    Free text: cold symptoms, covid test negative
    MedDRA releases: 2024-11 · check-in free text available
  28. 2021-10-15
    Report sent to call center — 6 months, dose 2
    Get care from a doctor or other healthcare professional
    Outpatient clinic or urgent care clinic visit · 1 call case(s)
  29. 2021-10-21
  30. 2021-10-29
    Dose 3 — Moderna
  31. 2021-10-29
    Health check-in — day 0, dose 3
    Feeling: Good · Site: Pain · None
    Adult check-in
  32. 2021-10-30
    Health check-in — days 1–6 daily, dose 3
    Feeling: Good · Site: Pain · None
    Adult check-in
  33. 2021-11-01
    Health check-in — days 1–6 daily, dose 3
    Feeling: Good · Site: Pain · None
    Adult check-in
  34. 2021-11-02
    Health check-in — days 1–6 daily, dose 3
    Feeling: Good · None
    Adult check-in
  35. 2021-11-03
    Survey response — days 1–6 daily, dose 3
    MedDRA: Rhinorrhoea, Throat irritation — Feeling: Fair
    Free text: Mild Sniffles, scratchy throat
    MedDRA releases: 2024-11 · check-in free text available
  36. 2021-11-04
    Health check-in — days 1–6 daily, dose 3
    Feeling: Good · None
    Adult check-in
  37. 2021-11-05
    Health check-in — day 7, dose 3
    Feeling: Good · None
    Adult check-in
  38. 2021-11-12
    Health check-in — day 14, dose 3
    Feeling: Good
    Adult check-in
  39. 2021-11-19
    Health check-in — day 21, dose 3
    Feeling: Good
    Adult check-in
  40. 2021-11-26
    Health check-in — day 28, dose 3
    Feeling: Good
    Adult check-in
  41. 2021-12-03
    Health check-in — day 35, dose 3
    Feeling: Good
    Adult check-in
  42. 2021-12-10
    Health check-in — day 42, dose 3
    Feeling: Good
    Adult check-in
  43. 2022-01-28
    Health check-in — 3 months, dose 3
    Feeling: Good
    Adult check-in
  44. 2022-04-29
    Health check-in — 6 months, dose 3
    Feeling: Good
    Adult check-in
  45. 2022-06-14
    Dose 4 — Pfizer-BioNTech
  46. 2022-06-25
    Health check-in — day 7, dose 4
    Feeling: Good · Site: Pain · Fatigue or tiredness
    Adult check-in
  47. 2022-06-28
    Health check-in — day 14, dose 4
    Feeling: Good
    Adult check-in
  48. 2022-07-05
    Survey response — day 21, dose 4
    MedDRA: Fatigue, Rhinorrhoea — Feeling: Good
    Free text: Some fatigue and runny nose, but no fever or other symptoms enough to affect performance
    MedDRA releases: 2024-11 · check-in free text available
  49. 2022-07-12
    Health check-in — day 28, dose 4
    Feeling: Good
    Adult check-in
  50. 2022-07-19
    Health check-in — day 35, dose 4
    Feeling: Good
    Adult check-in
  51. 2022-07-26
    Health check-in — day 42, dose 4
    Feeling: Good
    Adult check-in
  52. 2022-09-13
    Survey response — 3 months, dose 4
    MedDRA: Cough, Nasopharyngitis, Oropharyngeal pain, SARS-CoV-2 test negative, Upper-airway cough syndrome — Feeling: Fair · Be unable to do your normal daily activities
    Free text: Minor cold symptoms: mild sore throat, post nasal drip, mild cough. Kids had similar symptoms. Negative COVID tests for all.
    MedDRA releases: 2024-11 · check-in free text available
  53. 2022-12-14
    Survey response — 6 months, dose 4
    MedDRA: Nasopharyngitis — Feeling: Good
    Free text: Had mild Cold
    MedDRA releases: 2024-11 · check-in free text available

Vaccinations

DoseDateManufacturerCo-administered
12021-03-18Moderna
22021-04-16Moderna
32021-10-29Moderna No
42022-06-14Pfizer-BioNTech No

Call center

1 call center case

1 unsuccessful

See the call center timeline

Free text

Release 5 — days 1–6 daily, dose 1

2021-03-19

Systemic reaction (other): Irritable

Release 6 — days 1–6 daily, dose 1

2021-03-21

Systemic reaction (other): Soreness and chills came at night during sleep, not during waking hours

Release 7 — days 1–6 daily, dose 2

2021-04-17

Systemic reaction (other): Sore throat (may be an unrelated symptom)

2021-04-18

Systemic reaction (other): congestion (may have been due to cold)

2021-04-19

Systemic reaction (other): May have a cold and am experiencing cough and some congestion too (I took COVID-19 rapid test to be sure and it was negative)

2021-04-21

Systemic reaction (other): mild cough, congestion from cold (tested negative for flu and COVID)

Release 10 — 6 months, dose 2

2021-10-15

Symptoms: cold symptoms, covid test negative

Release 10 — days 1–6 daily, dose 3

2021-11-03

Systemic reaction (other): Mild Sniffles, scratchy throat

Release 12 — day 21, dose 4

2022-07-05

Symptoms: Some fatigue and runny nose, but no fever or other symptoms enough to affect performance

Release 12 — 3 months, dose 4

2022-09-13

Symptoms: Minor cold symptoms: mild sore throat, post nasal drip, mild cough. Kids had similar symptoms. Negative COVID tests for all.

Release 12 — 6 months, dose 4

2022-12-14

Symptoms: Had mild Cold

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
SDCough · · ✓
SDFatigue · · ✓
SDNasopharyngitis · · ✓
SDOropharyngeal pain · · ✓
SDRhinorrhoea · · ✓
SDSARS-CoV-2 test negative · · ✓
SDUpper-airway cough syndrome · · ✓
SROChills ✓ ✓ ✓
SROCough ✓ ✓ ✓
SROInfluenza virus test negative ✓ ✓ ✓
SROIrritability ✓ ✓ ✓
SRONasopharyngitis ✓ ✓ ✓
SROOropharyngeal pain ✓ ✓ ✓
SROPain ✓ ✓ ✓
SRORespiratory tract congestion ✓ ✓ ✓
SRORhinorrhoea · · ✓
SROSARS-CoV-2 test negative ✓ ✓ ✓
SROThroat irritation · · ✓

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

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