485-27678-72703
2 vaccinations
7 coded responses
20 check-ins
7 free-text entries
0 call cases
- Sex
- Male
- Age at first dose
- 66+
- ZIP prefix
- 677 / KS
- Registered
- 2021-01-29
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-01-29
Registered in v-safe
-
2021-01-29
Dose 1 — Moderna
- 2021-01-29
-
2021-01-31
Health check-in — days 1–6 daily, dose 1Feeling: Poor · Site: Swelling · Fever · Chills, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activitiesAdult check-in
- 2021-02-02
-
2021-02-03
Survey response — days 1–6 daily, dose 1MedDRA: Asthenia — Feeling: Good · Fatigue or tirednessFree text: Still weakMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-02-04
Survey response — days 1–6 daily, dose 1MedDRA: Fatigue, Hypersomnia — Feeling: Good · Joint painsFree text: I feel tired and sleep a lot some daysMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-02-06
Survey response — day 7, dose 1MedDRA: Hypersomnia — Feeling: Fair · Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activitiesFree text: I want to sleep all dayMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-02-12
- 2021-02-19
-
2021-02-26
Dose 2 — Moderna
-
2021-02-26
Survey response — day 0, dose 2MedDRA: Asthenia, Dizziness — Feeling: Fair · Nausea · Be unable to workFree text: The first 3 hours I was light headed and weak but doin goodMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-03-01
Survey response — days 1–6 daily, dose 2MedDRA: Back pain — Feeling: Fair · Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activitiesFree text: Lower back painMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-03-02
-
2021-03-03
Survey response — days 1–6 daily, dose 2MedDRA: Somnolence — Feeling: Good · Fatigue or tirednessFree text: Sleep most of the dayMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-03-05
- 2021-03-12
- 2021-03-19
- 2021-03-26
- 2021-04-02
- 2021-04-11
- 2021-05-28
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2021-08-27
Survey response — 6 months, dose 2MedDRA: Dizziness, Fatigue, Muscular weakness, Pre-existing disease, Unevaluable event — Feeling: Fair · Be unable to do your normal daily activitiesFree text: Weakness in legs from waist down tired a lot some dizziness and have trouble with my ice trying to get appt with dr (b)(6) in (b)(6) but havent heard anything yet but glad I am over that covid crap just have the side affects guess thats all for nMedDRA releases: 2021-09,2024-11 · check-in free text available
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-01-29 | Moderna | |
| 2 | 2021-02-26 | Moderna |
Free text
Release 3 — days 1–6 daily, dose 1
Systemic reaction (other): Still weak
Systemic reaction (other): I feel tired and sleep a lot some days
Release 3 — day 7, dose 1
Systemic reaction (other): I want to sleep all day
Release 4 — day 0, dose 2
Systemic reaction (other): The first 3 hours I was light headed and weak but doin good
Release 4 — days 1–6 daily, dose 2
Systemic reaction (other): Lower back pain
Release 5 — days 1–6 daily, dose 2
Systemic reaction (other): Sleep most of the day
Release 9 — 6 months, dose 2
Symptoms: Weakness in legs from waist down tired a lot some dizziness and have trouble with my ice trying to get appt with dr (b)(6) in (b)(6) but havent heard anything yet but glad I am over that covid crap just have the side affects guess thats all for n
redacted (b)(6)
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 | Dizziness | ✓ | · | ✓ |
| SD | Fatigue | ✓ | · | ✓ |
| SD | Muscular weakness | ✓ | · | ✓ |
| SD | Pre-existing disease | ✓ | · | ✓ |
| SD | Unevaluable event | ✓ | · | ✓ |
| SRO | Asthenia | ✓ | ✓ | ✓ |
| SRO | Back pain | ✓ | ✓ | ✓ |
| SRO | Dizziness | ✓ | ✓ | ✓ |
| SRO | Fatigue | ✓ | ✓ | ✓ |
| SRO | Hypersomnia | ✓ | ✓ | ✓ |
| SRO | Somnolence | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release