42F-58210-84862
4 vaccinations
5 coded responses
54 check-ins
4 free-text entries
0 call cases
- Sex
- Male
- Age at first dose
- 56-60
- ZIP prefix
- 956 / CA
- Registered
- 2021-01-27
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-01-27
Registered in v-safe
-
2021-01-27
Dose 1 — Moderna
- 2021-01-27
- 2021-01-28
- 2021-01-29
- 2021-01-30
- 2021-01-31
- 2021-02-01
- 2021-02-02
- 2021-02-03
- 2021-02-10
- 2021-02-17
-
2021-02-24
Dose 2 — Moderna
- 2021-02-24
-
2021-02-25
Survey response — days 1–6 daily, dose 2MedDRA: Fatigue — Feeling: Good · Site: Pain · Fatigue or tirednessFree text: Mild fatigue last evening. Back to normal today.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-02-26
- 2021-02-27
- 2021-02-28
- 2021-03-01
- 2021-03-02
- 2021-03-03
- 2021-03-10
- 2021-03-17
- 2021-03-24
- 2021-03-31
- 2021-04-07
- 2021-05-26
- 2021-08-25
-
2021-11-22
Dose 3 — Moderna
-
2021-11-22
Survey response — day 0, dose 3MedDRA: Injection site pain — Feeling: Good · Site: PainFree text: Just normal mild pain at the injection site. Nothing worse.MedDRA releases: 2024-11 · check-in free text available
- 2021-11-23
- 2021-11-24
- 2021-11-25
- 2021-11-27
- 2021-11-28
- 2021-11-29
- 2021-12-06
- 2021-12-13
-
2021-12-20
Survey response — day 28, dose 3MedDRA: Nasal congestion, Nasopharyngitis, Oropharyngeal pain, SARS-CoV-2 test negative — Feeling: GoodFree text: Mild cold caught from my grand-daughter. Covid tests were negative. Stuffy nose and sore throat only lasted a couple of days. Just a normal winter cold.MedDRA releases: 2024-11 · check-in free text available
- 2021-12-27
- 2022-01-03
-
2022-02-21
Survey response — 3 months, dose 3MedDRA: Nasopharyngitis, Patient isolation, SARS-CoV-2 test positive — Feeling: GoodFree text: Experienced head cold symptoms on January 21, 2022. Positive Covid test on 1/22/2022. Mild symptoms which lasted only 3 days. My wife and I isolated for 10 days. No other exposures. Health was back to normal after the 3 days.MedDRA releases: 2024-11 · check-in free text available
- 2022-05-23
-
2022-10-09
Dose 4 — Pfizer-BioNTech
- 2022-10-09
- 2022-10-10
- 2022-10-11
- 2022-10-12
- 2022-10-13
- 2022-10-14
- 2022-10-15
- 2022-10-16
- 2022-10-23
- 2022-10-30
- 2022-11-06
- 2022-11-13
- 2022-11-20
-
2023-01-10
Survey response — 3 months, dose 4MedDRA: Cough, Influenza like illness, SARS-CoV-2 test positive — Feeling: GoodMedDRA releases: 2024-11
- 2023-04-09
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-01-27 | Moderna | |
| 2 | 2021-02-24 | Moderna | |
| 3 | 2021-11-22 | Moderna | No |
| 4 | 2022-10-09 | Pfizer-BioNTech | No |
Free text
Release 4 — days 1–6 daily, dose 2
Systemic reaction (other): Mild fatigue last evening. Back to normal today.
Release 10 — day 0, dose 3
Systemic reaction (other): Just normal mild pain at the injection site. Nothing worse.
Release 10 — day 28, dose 3
Symptoms: Mild cold caught from my grand-daughter. Covid tests were negative. Stuffy nose and sore throat only lasted a couple of days. Just a normal winter cold.
Release 11 — 3 months, dose 3
Symptoms: Experienced head cold symptoms on January 21, 2022. Positive Covid test on 1/22/2022. Mild symptoms which lasted only 3 days. My wife and I isolated for 10 days. No other exposures. Health was back to normal after the 3 days.
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 |
|---|---|---|---|---|
| SD | Cough | · | · | ✓ |
| SD | Influenza like illness | · | · | ✓ |
| SD | Nasal congestion | · | · | ✓ |
| SD | Nasopharyngitis | · | · | ✓ |
| SD | Oropharyngeal pain | · | · | ✓ |
| SD | Patient isolation | · | · | ✓ |
| SD | SARS-CoV-2 test negative | · | · | ✓ |
| SD | SARS-CoV-2 test positive | · | · | ✓ |
| SRO | Fatigue | ✓ | ✓ | ✓ |
| SRO | Injection site pain | · | · | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release