5LP-37157-14463
4 vaccinations
4 coded responses
40 check-ins
4 free-text entries
0 call cases
- Sex
- Male
- Age at first dose
- 46-50
- ZIP prefix
- 980 / WA
- Registered
- 2020-12-30
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2020-12-30
Registered in v-safe
-
2020-12-30
Dose 1 — Moderna
-
2020-12-30
Survey response — day 0, dose 1MedDRA: Dizziness — Feeling: Good · Site: Pain · Fatigue or tirednessFree text: Small bit light headed after the shot while waiting around. Lasted for about 5 minutes. I felt like I needed a coffee.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2020-12-31
Survey response — days 1–6 daily, dose 1MedDRA: Injection site pain, Mobility decreased, Sleep disorder — Feeling: Fair · Site: PainFree text: Pain at shot location a lot worse since last night. Restricting raising my arm die to pain. Caused me to wake up a lot due to turning on that side. Have not experienced this with prior vaccines. No other issues.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-01-01
- 2021-01-02
- 2021-01-03
- 2021-01-04
- 2021-01-05
-
2021-01-06
Survey response — day 7, dose 1MedDRA: Fatigue — Feeling: Good · Fatigue or tirednessFree text: Bit tired for the last few days but could be unrelated.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-01-13
- 2021-01-20
-
2021-01-27
Dose 2 — Moderna
-
2021-01-27
Survey response — day 0, dose 2MedDRA: No adverse event — Feeling: GoodFree text: Just got it in the last 30 minutes so no issues yet.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-01-28
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Site: Pain · Fever · Chills, Headache, Muscle or body aches · Be unable to workAdult check-in
-
2021-01-29
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Site: Pain · Chills, Muscle or body aches, Fatigue or tiredness · Be unable to workAdult check-in
- 2021-01-30
- 2021-01-31
- 2021-02-01
- 2021-02-02
- 2021-02-03
- 2021-02-10
- 2021-02-17
- 2021-02-24
- 2021-03-03
- 2021-03-10
- 2021-04-28
- 2021-07-28
-
2021-11-16
Dose 3 — Moderna
- 2022-01-27
-
2022-04-22
Dose 4 — Moderna
-
2022-04-23
Health check-in — days 1–6 daily, dose 4Feeling: Good · Site: Pain · Muscle or body aches, Fatigue or tirednessAdult check-in
- 2022-04-24
- 2022-04-25
- 2022-04-26
- 2022-04-27
- 2022-04-28
- 2022-04-29
- 2022-05-06
- 2022-05-13
- 2022-05-20
- 2022-05-27
- 2022-06-03
- 2022-07-22
- 2022-10-23
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2020-12-30 | Moderna | |
| 2 | 2021-01-27 | Moderna | |
| 3 | 2021-11-16 | Moderna | No |
| 4 | 2022-04-22 | Moderna | No |
Free text
Release 1 — day 0, dose 1
Systemic reaction (other): Small bit light headed after the shot while waiting around. Lasted for about 5 minutes. I felt like I needed a coffee.
Release 1 — days 1–6 daily, dose 1
Systemic reaction (other): Pain at shot location a lot worse since last night. Restricting raising my arm die to pain. Caused me to wake up a lot due to turning on that side. Have not experienced this with prior vaccines. No other issues.
Release 1 — day 7, dose 1
Systemic reaction (other): Bit tired for the last few days but could be unrelated.
Release 2 — day 0, dose 2
Systemic reaction (other): Just got it in the last 30 minutes so no issues yet.
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 |
|---|---|---|---|---|
| SRO | Dizziness | ✓ | ✓ | ✓ |
| SRO | Fatigue | ✓ | ✓ | ✓ |
| SRO | Injection site pain | ✓ | ✓ | ✓ |
| SRO | Insomnia | ○ | ○ | ○ |
| SRO | Mobility decreased | ✓ | ✓ | ✓ |
| SRO | No adverse event | ✓ | ✓ | ✓ |
| SRO | Sleep disorder | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release