337-15702-50126
1 vaccination
4 coded responses
9 check-ins
4 free-text entries
0 call cases
- Sex
- Male
- Age at first dose
- 61-65
- ZIP prefix
- 932 / CA
- Registered
- 2021-03-18
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-03-18
Registered in v-safe
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2021-03-18
Dose 1 — Moderna
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2021-03-19
Survey response — days 1–6 daily, dose 1MedDRA: Fatigue, Insomnia, Mobility decreased, Poor quality sleep, Somnolence — Feeling: Poor · Site: Pain · Fever · Headache, Fatigue or tiredness · Be unable to work, Be unable to do your normal daily activitiesFree text: I have been good fir years. Today I took my conference call from my bed. Very fatigue, didnt sleep well and not worth a dam today. Took nap in my truck at lunch. Is now 5:00 pm and I still fell louder. If I knew I would have felt like this I would never have taken this shot. I bypassed the virus fir a year and then voluntary took this lousy unproven shot. Never had a reaction to any flu shot and do not take any medication. I will be thinking twice before I return fir the second oneMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-03-20
Health check-in — days 1–6 daily, dose 1Feeling: Fair · Site: Pain · Headache, Fatigue or tiredness · Be unable to do your normal daily activitiesAdult check-in
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2021-03-21
Health check-in — days 1–6 daily, dose 1Feeling: Fair · Muscle or body aches, Fatigue or tiredness, Diarrhea · Be unable to do your normal daily activitiesAdult check-in
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2021-03-22
Survey response — days 1–6 daily, dose 1MedDRA: Asthenia, Fatigue, Feeling abnormal, Loss of personal independence in daily activities, Malaise — Feeling: Poor · Fever · Muscle or body aches, Fatigue or tiredness, Nausea, Diarrhea · Be unable to work, Be unable to do your normal daily activitiesFree text: Day 4 still feel horrible, weak and tired cannot function for whole day. This vaccine is terrible unbelievable how bad I feel.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-03-23
Survey response — days 1–6 daily, dose 1MedDRA: Malaise — Feeling: Fair · Fever · Fatigue or tiredness, Diarrhea · Be unable to workFree text: 5 days still sick would rather had actual Covid then this. Will tell the rest of my family wife and 4 kids to avoid this experiment vaccineMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-03-24
Survey response — days 1–6 daily, dose 1MedDRA: Asthenia, Fatigue — Feeling: Fair · Fatigue or tiredness · Be unable to work, Be unable to do your normal daily activitiesFree text: This is ridiculous I was fine fir years now after 1 week still fatigued and weak and in bedMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-03-25
Health check-in — day 7, dose 1Feeling: Fair · Fever · Fatigue or tiredness · Be unable to do your normal daily activitiesAdult check-in
- 2021-04-05
- 2021-04-23
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-03-18 | Moderna |
Free text
Release 5 — days 1–6 daily, dose 1
Systemic reaction (other): I have been good fir years. Today I took my conference call from my bed. Very fatigue, didnt sleep well and not worth a dam today. Took nap in my truck at lunch. Is now 5:00 pm and I still fell louder. If I knew I would have felt like this I would never have taken this shot. I bypassed the virus fir a year and then voluntary took this lousy unproven shot. Never had a reaction to any flu shot and do not take any medication. I will be thinking twice before I return fir the second one
Release 6 — days 1–6 daily, dose 1
Systemic reaction (other): Day 4 still feel horrible, weak and tired cannot function for whole day. This vaccine is terrible unbelievable how bad I feel.
Systemic reaction (other): 5 days still sick would rather had actual Covid then this. Will tell the rest of my family wife and 4 kids to avoid this experiment vaccine
Systemic reaction (other): This is ridiculous I was fine fir years now after 1 week still fatigued and weak and in bed
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 |
|---|---|---|---|---|
| SRO | Asthenia | ✓ | ✓ | ✓ |
| SRO | Fatigue | ✓ | ✓ | ✓ |
| SRO | Feeling abnormal | ✓ | ✓ | ✓ |
| SRO | Insomnia | ✓ | ✓ | ○ |
| SRO | Loss of personal independence in daily activities | ✓ | ✓ | ✓ |
| SRO | Malaise | ✓ | ✓ | ✓ |
| SRO | Mobility decreased | · | · | ✓ |
| SRO | Poor quality sleep | · | · | ✓ |
| SRO | Somnolence | · | · | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release