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57V-18328-14750

5 vaccinations 8 coded responses 51 check-ins 8 free-text entries 0 call cases
Sex
Male
Age at first dose
61-65
ZIP prefix
342 / FL
Registered
2021-03-19
Relationship
Self
Race
White
Ethnicity
Not Hispanic or Latino

Timeline

  1. 2021-03-18
    Dose 1 — Moderna
  2. 2021-03-19
    Registered in v-safe
  3. 2021-03-19
    Survey response — days 1–6 daily, dose 1
    MedDRA: Oropharyngeal pain — Feeling: Fair · Fatigue or tiredness
    Free text: Little sore throat.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  4. 2021-03-20
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · Fatigue or tiredness
    Adult check-in
  5. 2021-03-21
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · None
    Adult check-in
  6. 2021-03-22
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · None
    Adult check-in
  7. 2021-03-23
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · None
    Adult check-in
  8. 2021-03-24
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · Diarrhea
    Adult check-in
  9. 2021-03-25
    Health check-in — day 7, dose 1
    Feeling: Good · None
    Adult check-in
  10. 2021-04-01
    Health check-in — day 14, dose 1
    Feeling: Good
    Adult check-in
  11. 2021-04-08
    Health check-in — day 21, dose 1
    Feeling: Good
    Adult check-in
  12. 2021-04-15
    Health check-in — day 28, dose 1
    Feeling: Good
    Adult check-in
  13. 2021-04-19
    Dose 2 — Moderna
  14. 2021-04-22
    Survey response — days 1–6 daily, dose 2
    MedDRA: Injection site pain — Feeling: Good
    Free text: No symptoms today. Only slight pain at injection site first and second days after shot.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  15. 2021-04-23
    Survey response — days 1–6 daily, dose 2
    MedDRA: Headache, Self-medication — Feeling: Good
    Free text: Slight headache but took otc acetaminophen.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  16. 2021-04-24
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · None
    Adult check-in
  17. 2021-04-25
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · None
    Adult check-in
  18. 2021-04-26
    Health check-in — day 7, dose 2
    Feeling: Good · None
    Adult check-in
  19. 2021-05-05
    Health check-in — day 14, dose 2
    Feeling: Good
    Adult check-in
  20. 2021-05-10
    Health check-in — day 21, dose 2
    Feeling: Good
    Adult check-in
  21. 2021-05-17
    Health check-in — day 28, dose 2
    Feeling: Good
    Adult check-in
  22. 2021-05-24
    Health check-in — day 35, dose 2
    Feeling: Good
    Adult check-in
  23. 2021-05-31
    Health check-in — day 42, dose 2
    Feeling: Good
    Adult check-in
  24. 2021-07-19
    Health check-in — 3 months, dose 2
    Feeling: Good
    Adult check-in
  25. 2021-10-18
    Health check-in — 6 months, dose 2
    Feeling: Good
    Adult check-in
  26. 2021-11-23
    Dose 3 — Moderna
  27. 2022-04-19
    Health check-in — 12 months, dose 2
    Feeling: Good
    Adult check-in
  28. 2022-05-19
    Dose 4 — Moderna
  29. 2022-05-19
    Survey response — day 0, dose 4
    MedDRA: Fatigue — Feeling: Good · Site: Pain
    Free text: Just a little tired.
    MedDRA releases: 2024-11 · check-in free text available
  30. 2022-05-21
    Health check-in — days 1–6 daily, dose 4
    Feeling: Good · None
    Adult check-in
  31. 2022-05-22
    Survey response — days 1–6 daily, dose 4
    MedDRA: Cough, Exposure to SARS-CoV-2, Nasopharyngitis, Pyrexia, Rhinorrhoea, SARS-CoV-2 test positive — Feeling: Fair · Headache, Muscle or body aches, Fatigue or tiredness
    Free text: I was exposed to a couple of people in the last few days who have Covid. I self tested this morning, and my results came up positive. Fever last night but broke by midnight. None this morning. Feels like a cold with runny nose and slight cough.
    MedDRA releases: 2024-11 · check-in free text available
  32. 2022-05-23
    Survey response — days 1–6 daily, dose 4
    MedDRA: Cough, Nasopharyngitis, Rhinorrhoea, SARS-CoV-2 test positive, Sneezing — Feeling: Fair · Headache, Muscle or body aches, Fatigue or tiredness
    Free text: I self tested positive for Covid yesterday. My symptoms are just like having a cold. Sneezing, runny nose and occasionally coughing. No loss of taste.
    MedDRA releases: 2024-11 · check-in free text available
  33. 2022-05-24
    Survey response — days 1–6 daily, dose 4
    MedDRA: Nasopharyngitis, SARS-CoV-2 test positive — Feeling: Fair · Fatigue or tiredness
    Free text: Just a cold but self tested positive for Covid on Sunday.
    MedDRA releases: 2024-11 · check-in free text available
  34. 2022-05-25
    Survey response — days 1–6 daily, dose 4
    MedDRA: Nasopharyngitis, SARS-CoV-2 test positive — Feeling: Fair · Fatigue or tiredness
    Free text: Mild cold as a result of the Covid I self tested positive on Sunday.
    MedDRA releases: 2024-11 · check-in free text available
  35. 2022-05-26
    Health check-in — day 7, dose 4
    Feeling: Fair · Fatigue or tiredness
    Adult check-in
  36. 2022-06-02
    Health check-in — day 14, dose 4
    Feeling: Good
    Adult check-in
  37. 2022-06-09
    Health check-in — day 21, dose 4
    Feeling: Good
    Adult check-in
  38. 2022-06-16
    Health check-in — day 28, dose 4
    Feeling: Good
    Adult check-in
  39. 2022-06-23
    Health check-in — day 35, dose 4
    Feeling: Good
    Adult check-in
  40. 2022-06-30
    Health check-in — day 42, dose 4
    Feeling: Good
    Adult check-in
  41. 2022-08-18
    Health check-in — 3 months, dose 4
    Feeling: Good
    Adult check-in
  42. 2022-11-17
    Health check-in — 6 months, dose 4
    Feeling: Good
    Adult check-in
  43. 2022-12-20
    Dose 5 — Moderna
  44. 2022-12-20
    Health check-in — day 0, dose 5
    Feeling: Good · None
    Adult check-in
  45. 2022-12-21
    Health check-in — days 1–6 daily, dose 5
    Feeling: Good · Site: Pain · None
    Adult check-in
  46. 2022-12-22
    Health check-in — days 1–6 daily, dose 5
    Feeling: Good · None
    Adult check-in
  47. 2022-12-24
    Health check-in — days 1–6 daily, dose 5
    Feeling: Good · None
    Adult check-in
  48. 2022-12-25
    Health check-in — days 1–6 daily, dose 5
    Feeling: Good · None
    Adult check-in
  49. 2022-12-26
    Health check-in — days 1–6 daily, dose 5
    Feeling: Good · None
    Adult check-in
  50. 2022-12-27
    Health check-in — day 7, dose 5
    Feeling: Good · None
    Adult check-in
  51. 2023-01-03
    Health check-in — day 14, dose 5
    Feeling: Good
    Adult check-in
  52. 2023-01-10
    Health check-in — day 21, dose 5
    Feeling: Good
    Adult check-in
  53. 2023-01-17
    Health check-in — day 28, dose 5
    Feeling: Good
    Adult check-in
  54. 2023-01-24
    Health check-in — day 35, dose 5
    Feeling: Good
    Adult check-in
  55. 2023-01-31
    Health check-in — day 42, dose 5
    Feeling: Good
    Adult check-in
  56. 2023-03-21
    Health check-in — 3 months, dose 5
    Feeling: Good
    Adult check-in
  57. 2023-06-20
    Health check-in — 6 months, dose 5
    Feeling: Good
    Adult check-in

Vaccinations

DoseDateManufacturerCo-administered
12021-03-18Moderna
22021-04-19Moderna
32021-11-23Moderna No
42022-05-19Moderna No
52022-12-20Moderna No

Free text

Release 5 — days 1–6 daily, dose 1

2021-03-19

Systemic reaction (other): Little sore throat.

Release 7 — days 1–6 daily, dose 2

2021-04-22

Systemic reaction (other): No symptoms today. Only slight pain at injection site first and second days after shot.

2021-04-23

Systemic reaction (other): Slight headache but took otc acetaminophen.

Release 11 — day 0, dose 4

2022-05-19

Systemic reaction (other): Just a little tired.

Release 11 — days 1–6 daily, dose 4

2022-05-22

Systemic reaction (other): I was exposed to a couple of people in the last few days who have Covid. I self tested this morning, and my results came up positive. Fever last night but broke by midnight. None this morning. Feels like a cold with runny nose and slight cough. cut off by CDC

2022-05-23

Systemic reaction (other): I self tested positive for Covid yesterday. My symptoms are just like having a cold. Sneezing, runny nose and occasionally coughing. No loss of taste.

2022-05-24

Systemic reaction (other): Just a cold but self tested positive for Covid on Sunday.

2022-05-25

Systemic reaction (other): Mild cold as a result of the Covid I self tested positive on Sunday.

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

FieldPreferred term2021-092023-042024-11
SROCough · · ✓
SROExposure to SARS-CoV-2 · · ✓
SROFatigue · · ✓
SROHeadache ✓ ✓ ✓
SROInjection site pain ✓ ✓ ✓
SRONasopharyngitis · · ✓
SROOropharyngeal pain ✓ ✓ ✓
SROPyrexia · · ✓
SRORhinorrhoea · · ✓
SROSARS-CoV-2 test positive · · ✓
SROSelf-medication ✓ ✓ ✓
SROSneezing · · ✓

✓ active code · ○ coded but marked inactive · blank = not in that release