446-20624-79466
4 vaccinations
7 coded responses
39 check-ins
7 free-text entries
0 call cases
- Sex
- Male
- Age at first dose
- 66+
- ZIP prefix
- 320 / FL
- Registered
- 2021-01-15
- Relationship
- Self
- Race
- N/A
- Ethnicity
- N/A
Timeline
-
2021-01-14
Dose 1 — Moderna
-
2021-01-15
Registered in v-safe
- 2021-01-15
- 2021-01-16
- 2021-01-17
-
2021-01-18
Survey response — days 1–6 daily, dose 1MedDRA: Sinus congestion — Feeling: Good · NauseaFree text: sinus congestionMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-01-19
Survey response — days 1–6 daily, dose 1MedDRA: Sinus congestion — Feeling: Fair · Headache, Fatigue or tirednessFree text: Sinus congestionMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-01-20
- 2021-01-21
- 2021-01-28
- 2021-02-04
-
2021-02-11
Dose 2 — Moderna
- 2021-02-11
- 2021-02-12
- 2021-02-15
- 2021-02-16
- 2021-02-17
- 2021-02-18
- 2021-02-25
- 2021-03-04
- 2021-03-11
- 2021-03-18
- 2021-03-26
- 2021-05-15
- 2021-08-12
-
2021-10-22
Dose 3 — Moderna
-
2021-10-26
Health check-in — days 1–6 daily, dose 3Feeling: Good · Site: Redness, Swelling · NoneAdult check-in
-
2021-10-27
Survey response — days 1–6 daily, dose 3MedDRA: Insomnia — Feeling: Fair · Muscle or body achesFree text: Trouble sleeping last two nightsMedDRA releases: 2024-11 · check-in free text available
-
2021-10-28
Survey response — days 1–6 daily, dose 3MedDRA: Body temperature increased — Feeling: Fair · Site: Pain, Redness · Headache, Muscle or body achesFree text: Took temperature yesterday a while after doing my vsage report. Had a low grade temperature about one degree above normalMedDRA releases: 2024-11 · check-in free text available
- 2021-10-29
- 2021-11-05
- 2021-11-12
- 2021-12-03
- 2022-01-21
-
2022-04-09
Dose 4 — Moderna
-
2022-04-18
Survey response — day 7, dose 4MedDRA: Abdominal discomfort — Feeling: Good · Site: Pain · Headache, Fatigue or tirednessFree text: Upset stomachMedDRA releases: 2024-11 · check-in free text available
- 2022-04-23
-
2022-05-02
Survey response — day 21, dose 4MedDRA: Motion sickness — Feeling: Good · Be unable to do your normal daily activitiesFree text: Got seasick on a cruise first day ... took a couple days to get rid of symptoms after hitting smooth water second day.MedDRA releases: 2024-11 · check-in free text available
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2022-05-08
Survey response — day 28, dose 4MedDRA: Asthenia, Cough, Headache, Oropharyngeal pain, Pain, Pyrexia, Sinus congestion, Somnolence — Feeling: Poor · Be unable to work or attend school, Be unable to do your normal daily activitiesFree text: Pain, coughing, fever (101.3), weakness, sleepy, continual sinus congestion, sore throat, headacheMedDRA releases: 2024-11 · check-in free text available
- 2022-05-14
- 2022-05-21
- 2022-07-09
- 2022-10-08
- 2023-04-09
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-01-14 | Moderna | |
| 2 | 2021-02-11 | Moderna | |
| 3 | 2021-10-22 | Moderna | No |
| 4 | 2022-04-09 | Moderna | No |
Free text
Release 2 — days 1–6 daily, dose 1
Systemic reaction (other): sinus congestion
Systemic reaction (other): Sinus congestion
Release 10 — days 1–6 daily, dose 3
Systemic reaction (other): Trouble sleeping last two nights
Systemic reaction (other): Took temperature yesterday a while after doing my vsage report. Had a low grade temperature about one degree above normal
Release 11 — day 7, dose 4
Systemic reaction (other): Upset stomach
Release 11 — day 21, dose 4
Symptoms: Got seasick on a cruise first day ... took a couple days to get rid of symptoms after hitting smooth water second day.
Release 11 — day 28, dose 4
Symptoms: Pain, coughing, fever (101.3), weakness, sleepy, continual sinus congestion, sore throat, headache
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 | Asthenia | · | · | ✓ |
| SD | Cough | · | · | ✓ |
| SD | Headache | · | · | ✓ |
| SD | Motion sickness | · | · | ✓ |
| SD | Oropharyngeal pain | · | · | ✓ |
| SD | Pain | · | · | ✓ |
| SD | Pyrexia | · | · | ✓ |
| SD | Sinus congestion | · | · | ✓ |
| SD | Somnolence | · | · | ✓ |
| SRO | Abdominal discomfort | · | · | ✓ |
| SRO | Body temperature increased | · | · | ✓ |
| SRO | Insomnia | · | · | ✓ |
| SRO | Sinus congestion | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release