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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

  1. 2021-03-18
    Registered in v-safe
  2. 2021-03-18
    Dose 1 — Moderna
  3. 2021-03-19
    Survey response — days 1–6 daily, dose 1
    MedDRA: 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 activities
    Free 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 one
    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: Fair · Site: Pain · Headache, Fatigue or tiredness · Be unable to do your normal daily activities
    Adult check-in
  5. 2021-03-21
    Health check-in — days 1–6 daily, dose 1
    Feeling: Fair · Muscle or body aches, Fatigue or tiredness, Diarrhea · Be unable to do your normal daily activities
    Adult check-in
  6. 2021-03-22
    Survey response — days 1–6 daily, dose 1
    MedDRA: 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 activities
    Free 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
  7. 2021-03-23
    Survey response — days 1–6 daily, dose 1
    MedDRA: Malaise — Feeling: Fair · Fever · Fatigue or tiredness, Diarrhea · Be unable to work
    Free 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 vaccine
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  8. 2021-03-24
    Survey response — days 1–6 daily, dose 1
    MedDRA: Asthenia, Fatigue — Feeling: Fair · Fatigue or tiredness · Be unable to work, Be unable to do your normal daily activities
    Free text: This is ridiculous I was fine fir years now after 1 week still fatigued and weak and in bed
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  9. 2021-03-25
    Health check-in — day 7, dose 1
    Feeling: Fair · Fever · Fatigue or tiredness · Be unable to do your normal daily activities
    Adult check-in
  10. 2021-04-05
    Health check-in — day 14, dose 1
    Feeling: Good
    Adult check-in
  11. 2021-04-23
    Health check-in — day 35, dose 1
    Feeling: Good
    Adult check-in

Vaccinations

DoseDateManufacturerCo-administered
12021-03-18Moderna

Free text

Release 5 — days 1–6 daily, dose 1

2021-03-19

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

2021-03-22

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.

2021-03-23

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

2021-03-24

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

FieldPreferred term2021-092023-042024-11
SROAsthenia ✓ ✓ ✓
SROFatigue ✓ ✓ ✓
SROFeeling abnormal ✓ ✓ ✓
SROInsomnia ✓ ✓ ○
SROLoss of personal independence in daily activities ✓ ✓ ✓
SROMalaise ✓ ✓ ✓
SROMobility decreased · · ✓
SROPoor quality sleep · · ✓
SROSomnolence · · ✓

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