344-95686-12564
6 vaccinations
11 coded responses
80 check-ins
10 free-text entries
0 call cases
- Sex
- Male
- Age at first dose
- 66+
- ZIP prefix
- 981 / WA
- Registered
- 2021-01-25
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-01-25
Registered in v-safe
-
2021-01-25
Dose 1 — Moderna
-
2021-01-25
Survey response — day 0, dose 1MedDRA: Pain in extremity — Feeling: Good · Site: PainFree text: Sore armMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-01-26
- 2021-01-27
-
2021-01-28
Survey response — days 1–6 daily, dose 1MedDRA: Fatigue, Insomnia — Feeling: Good · Fatigue or tirednessFree text: Fatigue due to lack of sleep.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-01-29
Survey response — days 1–6 daily, dose 1MedDRA: Back pain, Chest pain, Pre-existing disease — Feeling: Good · Joint pains, Muscle or body achesFree text: Nothing new. Back ache plus sternum aches due to CABG-3X in July 2020.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-01-30
- 2021-01-31
-
2021-02-01
Survey response — day 7, dose 1MedDRA: Fatigue, Insomnia — Feeling: Good · Fatigue or tirednessFree text: Tired due to lack of sleep. Do not believe it is related to vaccine.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-02-08
- 2021-02-15
- 2021-02-22
-
2021-02-24
Dose 2 — Moderna
-
2021-02-24
Survey response — day 0, dose 2MedDRA: Pain — Feeling: Good · Site: Pain · Joint painsFree text: Normal aches and psinsMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-02-25
Survey response — days 1–6 daily, dose 2MedDRA: Headache — Feeling: Fair · Site: Pain · Headache, Muscle or body aches, Fatigue or tirednessFree text: Mild subtle headacheMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-02-26
- 2021-02-27
-
2021-02-28
Survey response — days 1–6 daily, dose 2MedDRA: Insomnia — Feeling: GoodFree text: Lack of sleep but not due to vaccine.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-03-01
Survey response — days 1–6 daily, dose 2MedDRA: Chest pain, Pain — Feeling: Good · Fatigue or tirednessFree text: Chest cavity stingingMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-03-02
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Muscle or body aches, Fatigue or tirednessAdult check-in
-
2021-03-03
Health check-in — day 7, dose 2Feeling: Good · Muscle or body aches, Fatigue or tirednessAdult check-in
- 2021-03-11
- 2021-03-17
- 2021-03-24
- 2021-03-31
- 2021-04-07
- 2021-05-26
- 2021-08-25
-
2021-10-25
Dose 3 — Moderna
- 2021-10-25
-
2021-10-26
Survey response — days 1–6 daily, dose 3MedDRA: Fatigue, Sleep deficit — Feeling: Good · Site: RednessFree text: Tired but I feel it is related to sleep deprivation the night before vaccination.MedDRA releases: 2024-11 · check-in free text available
-
2021-10-27
Survey response — days 1–6 daily, dose 3MedDRA: Pain, Pre-existing disease — Feeling: Good · Site: Pain, RednessFree text: Chest cavity stings. This normally occurs after I pick up an object and a perk of open hear surgery.MedDRA releases: 2024-11 · check-in free text available
- 2021-10-28
- 2021-10-29
- 2021-10-30
- 2021-10-31
- 2021-11-01
- 2021-11-08
- 2021-11-15
- 2021-11-22
- 2021-11-29
- 2021-12-06
- 2022-01-24
-
2022-04-01
Dose 4 — Moderna
- 2022-04-01
- 2022-04-02
- 2022-04-03
- 2022-04-04
- 2022-04-05
- 2022-04-06
- 2022-04-07
- 2022-04-08
- 2022-04-15
- 2022-04-22
- 2022-04-29
- 2022-05-06
- 2022-05-13
- 2022-07-01
-
2022-09-20
Dose 5 — Moderna
- 2022-09-20
- 2022-09-21
- 2022-09-22
- 2022-09-23
- 2022-09-24
- 2022-09-25
- 2022-09-26
- 2022-09-27
- 2022-10-04
- 2022-10-11
- 2022-10-18
- 2022-10-25
- 2022-11-01
- 2022-12-20
- 2023-03-21
-
2023-04-26
Dose 6 — Moderna
-
2023-04-27
Health check-in — days 1–6 daily, dose 6Feeling: Good · Site: Pain, Redness, Swelling · NoneAdult check-in
-
2023-04-28
Survey response — days 1–6 daily, dose 6MedDRA: Pain in extremity — Feeling: Good · Site: PainMedDRA releases: 2024-11
- 2023-04-29
- 2023-04-30
- 2023-05-01
- 2023-05-03
- 2023-05-10
- 2023-05-17
- 2023-05-24
- 2023-05-31
- 2023-06-07
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-01-25 | Moderna | |
| 2 | 2021-02-24 | Moderna | |
| 3 | 2021-10-25 | Moderna | No |
| 4 | 2022-04-01 | Moderna | No |
| 5 | 2022-09-20 | Moderna | No |
| 6 | 2023-04-26 | Moderna | No |
Free text
Release 2 — day 0, dose 1
Systemic reaction (other): Sore arm
Release 3 — days 1–6 daily, dose 1
Systemic reaction (other): Fatigue due to lack of sleep.
Systemic reaction (other): Nothing new. Back ache plus sternum aches due to CABG-3X in July 2020.
Release 3 — day 7, dose 1
Systemic reaction (other): Tired due to lack of sleep. Do not believe it is related to vaccine.
Release 4 — day 0, dose 2
Systemic reaction (other): Normal aches and psins
Release 4 — days 1–6 daily, dose 2
Systemic reaction (other): Mild subtle headache
Systemic reaction (other): Lack of sleep but not due to vaccine.
Systemic reaction (other): Chest cavity stinging
Release 10 — days 1–6 daily, dose 3
Systemic reaction (other): Tired but I feel it is related to sleep deprivation the night before vaccination.
Systemic reaction (other): Chest cavity stings. This normally occurs after I pick up an object and a perk of open hear surgery.
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 | Back pain | ✓ | ✓ | ✓ |
| SRO | Chest pain | ✓ | ✓ | ✓ |
| SRO | Fatigue | ✓ | ✓ | ✓ |
| SRO | Headache | ✓ | ✓ | ✓ |
| SRO | Insomnia | ✓ | ✓ | ✓ |
| SRO | Pain | ✓ | ✓ | ✓ |
| SRO | Pain in extremity | ✓ | ✓ | ✓ |
| SRO | Pre-existing disease | ✓ | ✓ | ✓ |
| SRO | Sleep deficit | · | · | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release