4TL-16080-64969
2 vaccinations
2 coded responses
17 check-ins
2 free-text entries
0 call cases
- Sex
- Male
- Age at first dose
- 66+
- ZIP prefix
- 946 / CA
- Registered
- 2021-02-09
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-02-09
Registered in v-safe
-
2021-02-09
Dose 1 — Moderna
-
2021-02-09
Health check-in — day 0, dose 1Feeling: Good · Site: Pain · Fatigue or tiredness · Be unable to workAdult check-in
-
2021-02-10
Survey response — days 1–6 daily, dose 1MedDRA: Bowel movement irregularity, Gastrointestinal sounds abnormal — Feeling: Good · Site: Pain · Abdominal painFree text: Yesterday I had rumbling bowels & many bowel movements, some rather urgent. I did not have serious bowel pain. I had decent sized bowel movements perhaps seven times. Today only two so far.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-02-13
- 2021-02-14
- 2021-02-15
- 2021-02-16
-
2021-02-23
Survey response — day 14, dose 1MedDRA: Fatigue, Hypersomnia, Impaired work ability, Injection site pain, Listless — Feeling: Good · Be unable to work, Be unable to do your normal daily activitiesFree text: My 1st Moderna dose was February 9. I reported no symptoms except soreness at the injection site for 5 days. I also should have reported persistent fatigue from the day of the injection: very long sleep times, listless, hard to work.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-03-02
-
2021-03-09
Dose 2 — Moderna
- 2021-03-17
- 2021-03-23
- 2021-03-31
- 2021-04-07
- 2021-04-13
- 2021-04-21
- 2021-06-08
- 2021-09-07
- 2022-03-11
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-02-09 | Moderna | |
| 2 | 2021-03-09 | Moderna |
Free text
Release 4 — days 1–6 daily, dose 1
Systemic reaction (other): Yesterday I had rumbling bowels & many bowel movements, some rather urgent. I did not have serious bowel pain. I had decent sized bowel movements perhaps seven times. Today only two so far.
Release 4 — day 14, dose 1
Symptoms: My 1st Moderna dose was February 9. I reported no symptoms except soreness at the injection site for 5 days. I also should have reported persistent fatigue from the day of the injection: very long sleep times, listless, hard to work.
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 | Fatigue | ✓ | ✓ | ✓ |
| SD | Hypersomnia | ✓ | ✓ | ✓ |
| SD | Impaired work ability | ✓ | ✓ | ✓ |
| SD | Injection site pain | ✓ | ✓ | ✓ |
| SD | Listless | ✓ | ✓ | ✓ |
| SRO | Bowel movement irregularity | ✓ | ✓ | ✓ |
| SRO | Gastrointestinal sounds abnormal | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release