586-12254-53678
4 vaccinations
5 coded responses
37 check-ins
4 free-text entries
0 call cases
- Sex
- Male
- Age at first dose
- 51-55
- ZIP prefix
- 211 / MD
- Registered
- 2021-04-16
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-04-16
Registered in v-safe
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2021-04-16
Dose 1 — Moderna
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2021-04-17
Health check-in — days 1–6 daily, dose 1Feeling: Fair · Site: Pain · Headache, Fatigue or tirednessAdult check-in
- 2021-04-18
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2021-04-19
Survey response — days 1–6 daily, dose 1MedDRA: Raynaud's phenomenon — Feeling: Good · Muscle or body achesFree text: Last night I experienced what felt like an episode of Raynauds phenomenon in my feet. I have had this before and in cold weather it often affects my hands.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-04-20
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2021-04-21
Health check-in — days 1–6 daily, dose 1Feeling: Good · Headache, Fatigue or tirednessAdult check-in
- 2021-04-22
- 2021-04-23
- 2021-04-30
- 2021-05-07
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2021-05-14
Dose 2 — Moderna
- 2021-05-14
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2021-05-15
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Site: Pain · Headache, Muscle or body aches, Fatigue or tirednessAdult check-in
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2021-05-16
Health check-in — days 1–6 daily, dose 2Feeling: Good · Site: Redness · Headache, Muscle or body achesAdult check-in
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2021-05-17
Survey response — days 1–6 daily, dose 2MedDRA: Insomnia — Feeling: Good · Fatigue or tirednessFree text: InsomniaMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-05-18
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2021-05-19
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Headache, Fatigue or tirednessAdult check-in
- 2021-05-20
- 2021-05-21
- 2021-05-28
- 2021-06-04
- 2021-06-11
- 2021-06-18
- 2021-06-25
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2021-08-15
Survey response — 3 months, dose 2MedDRA: Dysphonia, Gastrooesophageal reflux disease, Oropharyngeal pain, Upper-airway cough syndrome — Feeling: GoodFree text: Persistent mild sore throat with a little postnasal drip and accompanying hoarseness I have been attributing this to GERD, but I have not yet talked to my primary care doctor about it.MedDRA releases: 2021-09,2024-11 · check-in free text available
- 2021-11-12
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2021-12-13
Dose 3 — Pfizer-BioNTech
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2022-05-14
Survey response — 12 months, dose 2MedDRA: Muscle spasms — Feeling: GoodFree text: Lower back spasms for a month or so this spring- now almost resolved without treatment. Inconvenient, but not debilitating.MedDRA releases: 2024-11 · check-in free text available
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2022-06-20
Dose 4 — Moderna
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2022-06-22
Health check-in — days 1–6 daily, dose 4Feeling: Good · Site: Pain · Muscle or body achesAdult check-in
- 2022-06-24
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2022-06-25
Health check-in — days 1–6 daily, dose 4Feeling: Fair · Headache, Fatigue or tirednessAdult check-in
- 2022-06-27
- 2022-07-04
- 2022-07-11
- 2022-07-18
- 2022-07-25
- 2022-08-02
- 2022-09-19
- 2022-12-19
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2023-06-20
Survey response — 12 months, dose 4MedDRA: Fatigue, Gastrointestinal disorder, Migraine, Poor quality sleep, Pyrexia — Feeling: GoodMedDRA releases: 2024-11
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-04-16 | Moderna | |
| 2 | 2021-05-14 | Moderna | |
| 3 | 2021-12-13 | Pfizer-BioNTech | No |
| 4 | 2022-06-20 | Moderna | No |
Free text
Release 7 — days 1–6 daily, dose 1
Systemic reaction (other): Last night I experienced what felt like an episode of Raynauds phenomenon in my feet. I have had this before and in cold weather it often affects my hands.
Release 8 — days 1–6 daily, dose 2
Systemic reaction (other): Insomnia
Release 9 — 3 months, dose 2
Symptoms: Persistent mild sore throat with a little postnasal drip and accompanying hoarseness I have been attributing this to GERD, but I have not yet talked to my primary care doctor about it.
Release 11 — 12 months, dose 2
Symptoms: Lower back spasms for a month or so this spring- now almost resolved without treatment. Inconvenient, but not debilitating.
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 | Dysphonia | ✓ | · | ✓ |
| SD | Fatigue | · | · | ✓ |
| SD | Gastrointestinal disorder | · | · | ✓ |
| SD | Gastrooesophageal reflux disease | ✓ | · | ✓ |
| SD | Migraine | · | · | ✓ |
| SD | Muscle spasms | · | · | ✓ |
| SD | Oropharyngeal pain | ✓ | · | ✓ |
| SD | Poor quality sleep | · | · | ✓ |
| SD | Pyrexia | · | · | ✓ |
| SD | Upper-airway cough syndrome | ✓ | · | ✓ |
| SRO | Insomnia | ✓ | ✓ | ✓ |
| SRO | Raynaud's phenomenon | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release