4FH-26887-46898
3 vaccinations
13 coded responses
41 check-ins
13 free-text entries
0 call cases
- Sex
- Male
- Age at first dose
- 66+
- ZIP prefix
- 974 / OR
- Registered
- 2021-03-01
- Relationship
- Self
- Race
- N/A
- Ethnicity
- N/A
Timeline
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2021-03-01
Registered in v-safe
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2021-03-02
Dose 1 — Moderna
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2021-03-02
Survey response — day 0, dose 1MedDRA: Fatigue — Feeling: Good · Fatigue or tirednessFree text: Still tired from corralling the Grandchildren all weekend, though. Tiredness could still be from that activity!MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-03-03
Health check-in — days 1–6 daily, dose 1Feeling: Poor · Site: Pain · Fever · Chills, Muscle or body aches, Fatigue or tiredness, NauseaAdult check-in
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2021-03-04
Survey response — days 1–6 daily, dose 1MedDRA: No adverse event — Feeling: GoodFree text: None today Brother said just had pain where shot, but son-in-law had COVID and had symptoms I had yesterday. I had COVID March 2020MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-03-05
Survey response — days 1–6 daily, dose 1MedDRA: Injection site pain — Feeling: Good · Site: PainFree text: No other symptoms. The pain around the shot is only in bed cause I sleep on my left side.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-03-06
Survey response — days 1–6 daily, dose 1MedDRA: No adverse event — Feeling: GoodFree text: NONE! My wife got her 1st Dose early this afternoon at (b)(6), a drive-by! They gave her the Pfizer vaccine. Now we can have in home comparisons.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-03-07
Survey response — days 1–6 daily, dose 1MedDRA: Unevaluable event — Feeling: GoodFree text: NONE I did not know I had COVID last March. The Bloodbank sent me a letter in OCT, saying their Lab analyzed my AUG donation and I have the COVID antibodies in my blood. They asked me to donate plazma. Didnt though!MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-03-08
Survey response — days 1–6 daily, dose 1MedDRA: No adverse event — Feeling: GoodFree text: NONE! Gave Blood today at the Bloodbank (usually every 8-was), and told them I had a COVID Vaccine last TUES. There was no issue, and gave a pint.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-03-09
Survey response — day 7, dose 1MedDRA: No adverse event — Feeling: GoodFree text: NONE - My wife hasnt had any affects from her Pfizer vaccine. A friend told me this morning that the Moderna Vaccine is harder in people. Compared to my wifes no issues, perhaps there is some truth in my friends comment. AND Im retired so Im not missing any work.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-03-16
- 2021-03-23
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2021-03-30
Dose 2 — Moderna
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2021-03-30
Survey response — day 0, dose 2MedDRA: Chills, Illness, Nausea, No adverse event — Feeling: Good · Site: PainFree text: None Got 2nd Dose at 8:00 am (like the 1st dose). Did not feel any chills or nausea or sickness until 9:00 pm, so its to early to answer this question.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-03-31
Survey response — days 1–6 daily, dose 2MedDRA: Asthenia, Nausea, Pain in extremity, Vomiting — Feeling: Fair · Site: Pain · Chills, Fatigue or tiredness, Vomiting, Abdominal painFree text: Was fine yesterday until 9:30 pm, I noticed my arm was hurting. Couple hours later, I felt nauseous, and ended up vomiting at 12:30 am. Cleaned up, took Gasex, took my Rx medications and vitamins, went to bed at 1:00 am. Slept till 9:00 am. Got up three times during the night to urinate (typical for me). Have felt weak this morning but improving after eating. Have had no nausea feelings today.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-04-01
Survey response — days 1–6 daily, dose 2MedDRA: Unevaluable event — Feeling: GoodFree text: NONE: Back to normal health!MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-04-02
- 2021-04-03
- 2021-04-04
- 2021-04-05
- 2021-04-06
- 2021-04-13
- 2021-04-20
- 2021-04-27
- 2021-05-04
- 2021-05-11
- 2021-06-29
- 2021-09-28
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2021-10-27
Dose 3 — Moderna
- 2021-10-27
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2021-10-28
Health check-in — days 1–6 daily, dose 3Feeling: Fair · Site: Pain · Chills, Headache, Muscle or body aches, Fatigue or tirednessAdult check-in
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2021-10-29
Survey response — days 1–6 daily, dose 3MedDRA: Injection site pain — Feeling: GoodFree text: Arm still a little sore where needle went in.MedDRA releases: 2024-11 · check-in free text available
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2021-10-30
Survey response — days 1–6 daily, dose 3MedDRA: Unevaluable event — Feeling: GoodFree text: Slept very well last night!MedDRA releases: 2024-11 · check-in free text available
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2021-10-31
Survey response — days 1–6 daily, dose 3MedDRA: Pain in extremity — Feeling: GoodFree text: Arm No Longer HurtsMedDRA releases: 2024-11 · check-in free text available
- 2021-11-01
- 2021-11-02
- 2021-11-03
- 2021-11-10
- 2021-11-17
- 2021-11-24
- 2021-12-01
- 2021-12-08
- 2022-01-26
- 2022-04-27
- 2022-10-27
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-03-02 | Moderna | |
| 2 | 2021-03-30 | Moderna | |
| 3 | 2021-10-27 | Moderna | No |
Free text
Release 4 — day 0, dose 1
Systemic reaction (other): Still tired from corralling the Grandchildren all weekend, though. Tiredness could still be from that activity!
Release 5 — days 1–6 daily, dose 1
Systemic reaction (other): None today Brother said just had pain where shot, but son-in-law had COVID and had symptoms I had yesterday. I had COVID March 2020
Systemic reaction (other): No other symptoms. The pain around the shot is only in bed cause I sleep on my left side.
Systemic reaction (other): NONE! My wife got her 1st Dose early this afternoon at (b)(6), a drive-by! They gave her the Pfizer vaccine. Now we can have in home comparisons.
redacted (b)(6)
Systemic reaction (other): NONE I did not know I had COVID last March. The Bloodbank sent me a letter in OCT, saying their Lab analyzed my AUG donation and I have the COVID antibodies in my blood. They asked me to donate plazma. Didnt though!
Systemic reaction (other): NONE! Gave Blood today at the Bloodbank (usually every 8-was), and told them I had a COVID Vaccine last TUES. There was no issue, and gave a pint.
Release 5 — day 7, dose 1
Systemic reaction (other): NONE - My wife hasnt had any affects from her Pfizer vaccine. A friend told me this morning that the Moderna Vaccine is harder in people. Compared to my wifes no issues, perhaps there is some truth in my friends comment. AND Im retired so Im not missing any work.
Release 6 — day 0, dose 2
Systemic reaction (other): None Got 2nd Dose at 8:00 am (like the 1st dose). Did not feel any chills or nausea or sickness until 9:00 pm, so its to early to answer this question.
Release 6 — days 1–6 daily, dose 2
Systemic reaction (other): Was fine yesterday until 9:30 pm, I noticed my arm was hurting. Couple hours later, I felt nauseous, and ended up vomiting at 12:30 am. Cleaned up, took Gasex, took my Rx medications and vitamins, went to bed at 1:00 am. Slept till 9:00 am. Got up three times during the night to urinate (typical for me). Have felt weak this morning but improving after eating. Have had no nausea feelings today.
Systemic reaction (other): NONE: Back to normal health!
Release 10 — days 1–6 daily, dose 3
Systemic reaction (other): Arm still a little sore where needle went in.
Systemic reaction (other): Slept very well last night!
Systemic reaction (other): Arm No Longer Hurts
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 |
|---|---|---|---|---|
| SRO | Asthenia | ✓ | ✓ | ✓ |
| SRO | Chills | · | · | ✓ |
| SRO | Fatigue | ✓ | ✓ | ✓ |
| SRO | Illness | · | · | ✓ |
| SRO | Injection site pain | ✓ | ✓ | ✓ |
| SRO | Nausea | ✓ | ✓ | ✓ |
| SRO | No adverse event | ✓ | ✓ | ✓ |
| SRO | Pain in extremity | ✓ | ✓ | ✓ |
| SRO | Unevaluable event | ✓ | ✓ | ✓ |
| SRO | Vomiting | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release