4R5-13992-67385
5 vaccinations
7 coded responses
48 check-ins
7 free-text entries
0 call cases
- Sex
- Male
- Age at first dose
- 61-65
- ZIP prefix
- 145 / NY
- Registered
- 2021-03-17
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-03-17
Registered in v-safe
-
2021-03-17
Dose 1 — Moderna
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2021-03-17
Health check-in — day 0, dose 1Feeling: Fair · Chills, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activitiesAdult check-in
-
2021-03-18
Health check-in — days 1–6 daily, dose 1Feeling: Good · Site: Pain · Muscle or body achesAdult check-in
-
2021-03-19
Health check-in — days 1–6 daily, dose 1Feeling: Fair · Fever · Chills, Fatigue or tirednessAdult check-in
-
2021-03-20
Health check-in — days 1–6 daily, dose 1Feeling: Fair · Chills, Fatigue or tirednessAdult check-in
- 2021-03-21
- 2021-03-22
- 2021-03-23
- 2021-03-24
- 2021-03-31
- 2021-04-07
-
2021-04-14
Dose 2 — Moderna
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2021-04-15
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Site: Pain, Swelling · Fever · Chills, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activitiesAdult check-in
-
2021-04-16
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Site: Pain · Fever · Chills, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activitiesAdult check-in
- 2021-04-17
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2021-04-18
Health check-in — days 1–6 daily, dose 2Feeling: Good · Chills, Fatigue or tirednessAdult check-in
- 2021-04-19
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2021-04-20
Health check-in — days 1–6 daily, dose 2Feeling: Good · Chills, Muscle or body achesAdult check-in
- 2021-04-21
- 2021-04-28
- 2021-05-07
- 2021-05-12
- 2021-05-20
- 2021-05-26
- 2021-07-14
- 2021-10-13
-
2021-11-12
Dose 3 — Moderna
- 2021-11-15
- 2021-11-16
- 2021-11-17
- 2021-11-18
- 2021-11-19
- 2021-11-26
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2021-12-03
Survey response — day 21, dose 3MedDRA: Fatigue, Rhinorrhoea — Feeling: FairFree text: Little bit of a runny nose, and some fatigue.MedDRA releases: 2024-11 · check-in free text available
- 2021-12-10
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2021-12-17
Survey response — day 35, dose 3MedDRA: Fatigue, Nausea — Feeling: FairFree text: Just feeling fatigued and a little nauseous.MedDRA releases: 2024-11 · check-in free text available
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2021-12-24
Survey response — day 42, dose 3MedDRA: Fatigue, Nausea, Rhinorrhoea, Throat irritation — Feeling: FairFree text: Runny nose,scratchy throat,nausea,fatigue.MedDRA releases: 2024-11 · check-in free text available
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2022-02-16
Survey response — 3 months, dose 3MedDRA: Ear pain, Oropharyngeal pain — Feeling: FairFree text: Woke up today with a sore throat and right ear ache. No temperature and 98% oxygen level.MedDRA releases: 2024-11 · check-in free text available
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2022-04-02
Dose 4 — Moderna
- 2022-04-19
- 2022-04-23
- 2022-04-30
- 2022-05-07
- 2022-05-14
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2022-07-02
Survey response — 3 months, dose 4MedDRA: Back disorder, Sciatica — Feeling: Fair · Be unable to do your normal daily activitiesFree text: Sciatica, back issues.MedDRA releases: 2024-11 · check-in free text available
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2022-09-08
Dose 5 — Moderna
- 2022-09-22
- 2022-09-29
- 2022-10-06
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2022-10-13
Survey response — day 35, dose 5MedDRA: Cough, Headache, Influenza, Nasopharyngitis, Oropharyngeal pain, SARS-CoV-2 test negative — Feeling: Fair · Be unable to do your normal daily activitiesFree text: I have a cold or flu symptoms,tested negative for covid! Sore throat,coughing, headache...MedDRA releases: 2024-11 · check-in free text available
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2022-10-20
Survey response — day 42, dose 5MedDRA: Cough, Fatigue, Oropharyngeal pain, Rhinorrhoea, SARS-CoV-2 test negative, Secretion discharge, Self-medication — Feeling: Poor · Be unable to do your normal daily activitiesFree text: It started with a sore throat and cough w/runny nose. Coughing, incessant,fatigue and mucus production increased. Still coughing despite cough meds and lots of hydration and rest! Three negative covid tests.MedDRA releases: 2024-11 · check-in free text available
- 2022-12-08
- 2023-03-09
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-03-17 | Moderna | |
| 2 | 2021-04-14 | Moderna | |
| 3 | 2021-11-12 | Moderna | No |
| 4 | 2022-04-02 | Moderna | No |
| 5 | 2022-09-08 | Moderna | No |
Free text
Release 10 — day 21, dose 3
Symptoms: Little bit of a runny nose, and some fatigue.
Release 10 — day 35, dose 3
Symptoms: Just feeling fatigued and a little nauseous.
Release 10 — day 42, dose 3
Symptoms: Runny nose,scratchy throat,nausea,fatigue.
Release 11 — 3 months, dose 3
Symptoms: Woke up today with a sore throat and right ear ache. No temperature and 98% oxygen level.
Release 12 — 3 months, dose 4
Symptoms: Sciatica, back issues.
Release 12 — day 35, dose 5
Symptoms: I have a cold or flu symptoms,tested negative for covid! Sore throat,coughing, headache...
Release 12 — day 42, dose 5
Symptoms: It started with a sore throat and cough w/runny nose. Coughing, incessant,fatigue and mucus production increased. Still coughing despite cough meds and lots of hydration and rest! Three negative covid tests.
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 | Back disorder | · | · | ✓ |
| SD | Cough | · | · | ✓ |
| SD | Ear pain | · | · | ✓ |
| SD | Fatigue | · | · | ✓ |
| SD | Headache | · | · | ✓ |
| SD | Influenza | · | · | ✓ |
| SD | Nasopharyngitis | · | · | ✓ |
| SD | Nausea | · | · | ✓ |
| SD | Oropharyngeal pain | · | · | ✓ |
| SD | Rhinorrhoea | · | · | ✓ |
| SD | SARS-CoV-2 test negative | · | · | ✓ |
| SD | Sciatica | · | · | ✓ |
| SD | Secretion discharge | · | · | ✓ |
| SD | Self-medication | · | · | ✓ |
| SD | Throat irritation | · | · | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release