43K-16736-69252
4 vaccinations
11 coded responses
52 check-ins
10 free-text entries
0 call cases
- Sex
- Male
- Age at first dose
- 66+
- ZIP prefix
- 982 / WA
- Registered
- 2021-02-04
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-02-04
Registered in v-safe
-
2021-02-04
Dose 1 — Moderna
- 2021-02-04
-
2021-02-05
Health check-in — days 1–6 daily, dose 1Feeling: Good · Site: Pain · Muscle or body achesAdult check-in
- 2021-02-06
- 2021-02-07
- 2021-02-08
- 2021-02-09
- 2021-02-10
- 2021-02-12
- 2021-02-18
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2021-03-01
Survey response — day 21, dose 1MedDRA: Contusion, Pain in extremity, Tenderness — Feeling: GoodFree text: arm that had shot still experiencing tenderness and at times feels sore like a bad bruise.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-03-04
Dose 2 — Moderna
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2021-03-04
Survey response — day 0, dose 2MedDRA: Pain in extremity — Feeling: GoodFree text: upper arm is a little soreMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-03-05
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Site: Pain · Fatigue or tirednessAdult check-in
-
2021-03-06
Health check-in — days 1–6 daily, dose 2Feeling: Good · Site: Pain · Muscle or body achesAdult check-in
- 2021-03-07
- 2021-03-08
- 2021-03-09
- 2021-03-10
- 2021-03-11
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2021-03-18
Survey response — day 14, dose 2MedDRA: Contusion, Fatigue, Paraesthesia — Feeling: GoodFree text: Arm tingles at times and other times feels bruised and tired.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-03-25
- 2021-04-01
- 2021-04-08
- 2021-04-15
- 2021-06-03
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2021-09-02
Survey response — 6 months, dose 2MedDRA: Gastroenteritis viral — Feeling: GoodFree text: Stomack flu 24 hrMedDRA releases: 2021-09,2024-11 · check-in free text available
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2021-10-25
Dose 3 — Moderna
- 2021-10-25
- 2021-10-26
- 2021-10-27
- 2021-10-28
- 2021-10-29
- 2021-10-30
- 2021-10-31
- 2021-11-01
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2021-11-08
Survey response — day 14, dose 3MedDRA: Sinus congestion — Feeling: GoodFree text: sinus congestionMedDRA releases: 2024-11 · check-in free text available
- 2021-11-15
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2021-11-22
Survey response — day 28, dose 3MedDRA: Cough, Respiratory tract congestion, Self-medication, Upper-airway cough syndrome — Feeling: FairFree text: congestion, post nasal drip, occasional cough, no fever. Taking over the counter medication.MedDRA releases: 2024-11 · check-in free text available
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2021-11-29
Survey response — day 35, dose 3MedDRA: Cough, Muscle fatigue, Productive cough, Sinus congestion — Feeling: FairFree text: Cold? sinus congestion, cough, phlegm, muscle fatigueMedDRA releases: 2024-11 · check-in free text available
- 2021-12-06
- 2022-01-24
- 2022-04-25
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2022-10-20
Dose 4 — Moderna
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2022-10-20
Survey response — day 0, dose 4MedDRA: Pain in extremity — Feeling: Good · Site: PainFree text: Sore armMedDRA releases: 2024-11 · check-in free text available
- 2022-10-24
- 2022-10-25
- 2022-10-26
- 2022-10-27
- 2022-11-04
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2022-11-12
Survey response — day 21, dose 4MedDRA: Cough, Respiratory tract congestion, Rhinorrhoea — Feeling: GoodFree text: Congestion, runny nose, coughMedDRA releases: 2024-11 · check-in free text available
- 2022-11-17
- 2022-11-24
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2022-12-01
Survey response — day 42, dose 4MedDRA: Paranasal sinus discomfort — Feeling: FairFree text: Sinus pressureMedDRA releases: 2024-11 · check-in free text available
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2023-01-20
Survey response — 3 months, dose 4MedDRA: Respiratory tract congestion, Sinus headache — Feeling: FairMedDRA releases: 2024-11
- 2023-04-24
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-02-04 | Moderna | |
| 2 | 2021-03-04 | Moderna | |
| 3 | 2021-10-25 | Moderna | No |
| 4 | 2022-10-20 | Moderna | No |
Free text
Release 4 — day 21, dose 1
Symptoms: arm that had shot still experiencing tenderness and at times feels sore like a bad bruise.
Release 5 — day 0, dose 2
Systemic reaction (other): upper arm is a little sore
Release 5 — day 14, dose 2
Symptoms: Arm tingles at times and other times feels bruised and tired.
Release 9 — 6 months, dose 2
Symptoms: Stomack flu 24 hr
Release 10 — day 14, dose 3
Symptoms: sinus congestion
Release 10 — day 28, dose 3
Symptoms: congestion, post nasal drip, occasional cough, no fever. Taking over the counter medication.
Release 10 — day 35, dose 3
Symptoms: Cold? sinus congestion, cough, phlegm, muscle fatigue
Release 12 — day 0, dose 4
Systemic reaction (other): Sore arm
Release 12 — day 21, dose 4
Symptoms: Congestion, runny nose, cough
Release 12 — day 42, dose 4
Symptoms: Sinus pressure
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 | Contusion | ✓ | ✓ | ✓ |
| SD | Cough | · | · | ✓ |
| SD | Fatigue | ✓ | ✓ | ✓ |
| SD | Gastroenteritis viral | ✓ | · | ✓ |
| SD | Muscle fatigue | · | · | ✓ |
| SD | Pain in extremity | ✓ | ✓ | ✓ |
| SD | Paraesthesia | ✓ | ✓ | ✓ |
| SD | Paranasal sinus discomfort | · | · | ✓ |
| SD | Productive cough | · | · | ✓ |
| SD | Respiratory tract congestion | · | · | ✓ |
| SD | Rhinorrhoea | · | · | ✓ |
| SD | Self-medication | · | · | ✓ |
| SD | Sinus congestion | · | · | ✓ |
| SD | Sinus headache | · | · | ✓ |
| SD | Tenderness | ✓ | ✓ | ✓ |
| SD | Upper-airway cough syndrome | · | · | ✓ |
| SRO | Pain in extremity | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release