4CF-21784-39673
4 vaccinations
5 coded responses
27 check-ins
5 free-text entries
0 call cases
- Sex
- Male
- Age at first dose
- 61-65
- ZIP prefix
- 982 / WA
- Registered
- 2021-02-06
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-02-06
Registered in v-safe
-
2021-02-06
Dose 1 — Moderna
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2021-02-06
Survey response — day 0, dose 1MedDRA: Paraesthesia — Feeling: Good · Site: Pain, SwellingFree text: Tingling, prickly feeling in two fingers of the hand on the arm the got the shotMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-02-07
Health check-in — days 1–6 daily, dose 1Feeling: Good · Site: Swelling · Muscle or body achesAdult check-in
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2021-02-08
Survey response — days 1–6 daily, dose 1MedDRA: Injection site pain — Feeling: Good · Site: PainFree text: The pain at the injection site is present, but very minor.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-02-09
Survey response — days 1–6 daily, dose 1MedDRA: Fatigue, Injection site reaction — Feeling: Good · Fatigue or tirednessFree text: Shot site back to normal. Somewhat more fatigued than yesterday, but not debilitating.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-02-10
- 2021-02-11
- 2021-02-12
- 2021-02-13
- 2021-02-20
- 2021-02-27
- 2021-03-06
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2021-03-09
Dose 2 — Moderna
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2021-03-13
Health check-in — days 1–6 daily, dose 2Feeling: Good · Site: Pain, Redness, Swelling · Fatigue or tirednessAdult check-in
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2021-03-14
Health check-in — days 1–6 daily, dose 2Feeling: Good · Site: Pain · Fatigue or tirednessAdult check-in
- 2021-03-15
- 2021-03-16
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2021-03-23
Survey response — day 14, dose 2MedDRA: Feeling hot, Hyperhidrosis, Middle insomnia — Feeling: GoodFree text: At night, waking up very sweaty on upper torso, head, and neck after about 5 hours sleep. Do not feel feverish and temperature is normal, but do feel too warm. After toweling off and sitting for 10 minutes or so, everything seems to go back to normalMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-03-30
- 2021-04-06
- 2021-04-13
- 2021-04-20
- 2021-06-08
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2021-09-09
Survey response — 6 months, dose 2MedDRA: Nausea, SARS-CoV-2 test negative, Weight decreased — Feeling: Fair · Be unable to do your normal daily activitiesFree text: Nausea, weight loss. Got a COVID test, came back negative. Symptoms lasted about a week.MedDRA releases: 2024-11 · check-in free text available
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2021-11-02
Dose 3 — Moderna
- 2022-03-09
-
2022-04-13
Dose 4 — Moderna
- 2022-04-25
- 2022-04-27
- 2022-05-04
- 2022-05-11
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-02-06 | Moderna | |
| 2 | 2021-03-09 | Moderna | |
| 3 | 2021-11-02 | Moderna | No |
| 4 | 2022-04-13 | Moderna | No |
Free text
Release 3 — day 0, dose 1
Systemic reaction (other): Tingling, prickly feeling in two fingers of the hand on the arm the got the shot
Release 3 — days 1–6 daily, dose 1
Systemic reaction (other): The pain at the injection site is present, but very minor.
Systemic reaction (other): Shot site back to normal. Somewhat more fatigued than yesterday, but not debilitating.
Release 6 — day 14, dose 2
Symptoms: At night, waking up very sweaty on upper torso, head, and neck after about 5 hours sleep. Do not feel feverish and temperature is normal, but do feel too warm. After toweling off and sitting for 10 minutes or so, everything seems to go back to normal cut off by CDC
Release 9 — 6 months, dose 2
Symptoms: Nausea, weight loss. Got a COVID test, came back negative. Symptoms lasted about a week.
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 | Feeling hot | ✓ | ✓ | ✓ |
| SD | Hyperhidrosis | ✓ | ✓ | ✓ |
| SD | Middle insomnia | ✓ | ✓ | ✓ |
| SD | Nausea | · | · | ✓ |
| SD | SARS-CoV-2 test negative | · | · | ✓ |
| SD | Weight decreased | · | · | ✓ |
| SRO | Fatigue | ✓ | ✓ | ✓ |
| SRO | Injection site pain | ✓ | ✓ | ✓ |
| SRO | Injection site reaction | · | · | ✓ |
| SRO | Paraesthesia | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release