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3ME-64928-97541

4 vaccinations 8 coded responses 26 check-ins 8 free-text entries 0 call cases
Sex
—
Age at first dose
66+
ZIP prefix
945 / CA
Registered
2021-02-09
Relationship
Self
Race
White
Ethnicity
Not Hispanic or Latino

Timeline

  1. 2021-02-09
    Registered in v-safe
  2. 2021-02-09
    Dose 1 — Moderna
  3. 2021-02-09
    Health check-in — day 0, dose 1
    Feeling: Fair · None
    Adult check-in
  4. 2021-02-11
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · Site: Pain · None
    Adult check-in
  5. 2021-02-12
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · None
    Adult check-in
  6. 2021-02-13
    Survey response — days 1–6 daily, dose 1
    MedDRA: Cough — Feeling: Fair · Fatigue or tiredness · Be unable to do your normal daily activities
    Free text: Bronchial coughing session
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  7. 2021-02-14
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · None
    Adult check-in
  8. 2021-02-15
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · None
    Adult check-in
  9. 2021-02-17
    Health check-in — day 7, dose 1
    Feeling: Good · None
    Adult check-in
  10. 2021-02-23
    Health check-in — day 14, dose 1
    Feeling: Good
    Adult check-in
  11. 2021-03-04
    Health check-in — day 21, dose 1
    Feeling: Good
    Adult check-in
  12. 2021-03-09
    Dose 2 — Moderna
  13. 2021-03-09
    Survey response — day 0, dose 2
    MedDRA: Fatigue — Feeling: Good · Site: Pain, Swelling · Fatigue or tiredness
    Free text: Took early long nap so maybe some fatigue
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  14. 2021-03-10
    Survey response — days 1–6 daily, dose 2
    MedDRA: Feeling cold, Malaise — Feeling: Fair · Site: Pain, Swelling · Chills, Headache, Fatigue or tiredness · Be unable to do your normal daily activities
    Free text: Just chilly most of the day, feeling off balance
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  15. 2021-03-11
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · None
    Adult check-in
  16. 2021-03-13
    Survey response — days 1–6 daily, dose 2
    MedDRA: Unevaluable event — Feeling: Fair · Fatigue or tiredness
    Free text: On a gentle walk found myself somewhat short of breath- chest expansion difficult.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  17. 2021-03-14
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · None
    Adult check-in
  18. 2021-03-15
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · None
    Adult check-in
  19. 2021-03-16
    Health check-in — day 7, dose 2
    Feeling: Good · None
    Adult check-in
  20. 2021-03-23
    Survey response — day 14, dose 2
    MedDRA: Sinus headache — Feeling: Good
    Free text: Sinus headache
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  21. 2021-09-07
    Survey response — 6 months, dose 2
    MedDRA: Palpitations — Feeling: Good
    Free text: Palpitations. Slight increase using an inhaler.
    MedDRA releases: 2024-11 · check-in free text available
  22. 2021-10-29
    Dose 3 — Moderna
    Co-administered: Flu
  23. 2022-03-11
    Health check-in — 12 months, dose 2
    Feeling: Good
    Adult check-in
  24. 2022-04-14
    Dose 4 — Moderna
  25. 2022-04-25
    Health check-in — day 7, dose 4
    Feeling: Good · Site: Pain, Swelling · None
    Adult check-in
  26. 2022-04-30
    Health check-in — day 14, dose 4
    Feeling: Fair
    Adult check-in
  27. 2022-05-06
    Survey response — day 21, dose 4
    MedDRA: Arthralgia, Asthenia, Fatigue, Knee arthroplasty, Osteoarthritis — Feeling: Poor
    Free text: TKR for Osteoarthritis of knee pain causing regular lack of sleep. And that leads to fatigue and feelings of weakness and less healthy.
    MedDRA releases: 2024-11 · check-in free text available
  28. 2022-05-12
    Health check-in — day 28, dose 4
    Feeling: Good
    Adult check-in
  29. 2022-05-19
    Health check-in — day 35, dose 4
    Feeling: Fair
    Adult check-in
  30. 2022-05-26
    Health check-in — day 42, dose 4
    Feeling: Fair
    Adult check-in
  31. 2022-07-14
    Survey response — 3 months, dose 4
    MedDRA: Knee arthroplasty, Pain — Feeling: Good · Be unable to do your normal daily activities
    Free text: Knee replacement. Pain ,
    MedDRA releases: 2024-11 · check-in free text available

Vaccinations

DoseDateManufacturerCo-administered
12021-02-09Moderna
22021-03-09Moderna
32021-10-29Moderna Flu
42022-04-14Moderna No

Free text

Release 4 — days 1–6 daily, dose 1

2021-02-13

Systemic reaction (other): Bronchial coughing session

Release 5 — day 0, dose 2

2021-03-09

Systemic reaction (other): Took early long nap so maybe some fatigue

Release 5 — days 1–6 daily, dose 2

2021-03-10

Systemic reaction (other): Just chilly most of the day, feeling off balance

2021-03-13

Systemic reaction (other): On a gentle walk found myself somewhat short of breath- chest expansion difficult.

Release 6 — day 14, dose 2

2021-03-23

Symptoms: Sinus headache

Release 9 — 6 months, dose 2

2021-09-07

Symptoms: Palpitations. Slight increase using an inhaler.

Release 11 — day 21, dose 4

2022-05-06

Symptoms: TKR for Osteoarthritis of knee pain causing regular lack of sleep. And that leads to fatigue and feelings of weakness and less healthy.

Release 12 — 3 months, dose 4

2022-07-14

Symptoms: Knee replacement. Pain ,

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
SDArthralgia · · ✓
SDAsthenia · · ✓
SDFatigue · · ✓
SDKnee arthroplasty · · ✓
SDOsteoarthritis · · ✓
SDPain · · ✓
SDPalpitations · · ✓
SDSinus headache ✓ ✓ ✓
SROCough ✓ ✓ ✓
SROFatigue ✓ ✓ ✓
SROFeeling cold ✓ ✓ ✓
SROMalaise ✓ ✓ ✓
SROUnevaluable event ✓ ✓ ✓

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