59X-20314-59859
2 vaccinations
3 coded responses
17 check-ins
3 free-text entries
0 call cases
- Sex
- Male
- Age at first dose
- 56-60
- ZIP prefix
- 984 / WA
- Registered
- 2021-02-20
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-02-20
Registered in v-safe
-
2021-02-20
Dose 1 — Moderna
- 2021-03-13
-
2021-03-20
Dose 2 — Moderna
- 2021-03-20
-
2021-03-21
Survey response — days 1–6 daily, dose 2MedDRA: Unevaluable event — Feeling: Good · Site: Pain · Fever · Chills, Headache, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to do your normal daily activitiesFree text: It was for only 12 hours. 10 at night till 10 in the morning and then it went away problem in the (b)(6) begins whenMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-03-22
- 2021-03-23
- 2021-03-24
- 2021-03-25
- 2021-03-26
- 2021-03-27
- 2021-04-03
- 2021-04-10
- 2021-04-19
- 2021-04-24
- 2021-05-01
- 2021-06-19
-
2021-09-18
Survey response — 6 months, dose 2MedDRA: Ageusia, Anosmia, Impaired work ability, Nasopharyngitis, SARS-CoV-2 test positive — Feeling: Good · Be unable to work or attend school, Be unable to do your normal daily activitiesFree text: Tested positive for covid on September 13th I did miss work went back to work on September 21st. The symptoms were like a very bad cold plus I lost my taste and my smell which is slowly starting to come backMedDRA releases: 2024-11 · check-in free text available
-
2022-03-20
Survey response — 12 months, dose 2MedDRA: Impaired work ability, Iodine deficiency, Unevaluable event — Feeling: GoodFree text: Iodine deficient . did miss work here and there. Once i had proof ive been taking 9 drops a day. The thyroid test was wrong. The urine test told the truth and confirmed what i had been saying.MedDRA releases: 2024-11 · check-in free text available
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-02-20 | Moderna | |
| 2 | 2021-03-20 | Moderna |
Free text
Release 6 — days 1–6 daily, dose 2
Systemic reaction (other): It was for only 12 hours. 10 at night till 10 in the morning and then it went away problem in the (b)(6) begins when
redacted (b)(6)
Release 9 — 6 months, dose 2
Symptoms: Tested positive for covid on September 13th I did miss work went back to work on September 21st. The symptoms were like a very bad cold plus I lost my taste and my smell which is slowly starting to come back
Release 11 — 12 months, dose 2
Symptoms: Iodine deficient . did miss work here and there. Once i had proof ive been taking 9 drops a day. The thyroid test was wrong. The urine test told the truth and confirmed what i had been saying.
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 | Ageusia | · | · | ✓ |
| SD | Anosmia | · | · | ✓ |
| SD | Impaired work ability | · | · | ✓ |
| SD | Iodine deficiency | · | · | ✓ |
| SD | Nasopharyngitis | · | · | ✓ |
| SD | SARS-CoV-2 test positive | · | · | ✓ |
| SD | Unevaluable event | · | · | ✓ |
| SRO | Unevaluable event | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release