5WF-47477-66481
5 vaccinations
5 coded responses
43 check-ins
4 free-text entries
0 call cases
- Sex
- Male
- Age at first dose
- 66+
- ZIP prefix
- 233 / VA
- Registered
- 2021-03-23
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-03-02
Dose 1 — Moderna
-
2021-03-23
Registered in v-safe
- 2021-03-23
-
2021-03-30
Dose 2 — Moderna
- 2021-03-30
-
2021-03-31
Health check-in — days 1–6 daily, dose 2Feeling: Good · Site: Swelling · Joint pains, Muscle or body achesAdult check-in
- 2021-04-01
- 2021-04-02
- 2021-04-03
- 2021-04-04
- 2021-04-05
- 2021-04-06
- 2021-04-13
- 2021-04-21
- 2021-04-27
- 2021-05-04
- 2021-05-11
- 2021-06-29
- 2021-09-28
-
2021-10-22
Dose 3 — Moderna
-
2021-10-29
Survey response — day 7, dose 3MedDRA: Balance disorder, Fall — Feeling: Fair · Joint pains, Fatigue or tiredness, NauseaFree text: Fell on Oct 27 losing my balance but I think it was accidental and unrelated to the vaccine.MedDRA releases: 2024-11 · check-in free text available
- 2021-11-05
- 2021-11-12
- 2021-11-19
- 2021-11-26
- 2021-12-03
-
2022-01-21
Survey response — 3 months, dose 3MedDRA: Nervousness, Oropharyngeal pain, Throat irritation — Feeling: GoodFree text: I went through a few days of a minor scratchy sore throat recently and it made me nervous but it was never other than mild. got over it. I didn't have to go to a doctor or anything like that. I am careful and cognizant of covid reality.MedDRA releases: 2024-11 · check-in free text available
-
2022-03-31
Dose 4 — Moderna
- 2022-04-22
- 2022-04-23
- 2022-04-28
- 2022-05-05
- 2022-05-12
- 2022-06-30
-
2022-09-13
Dose 5 — Moderna
-
2022-09-13
Health check-in — day 0, dose 5Feeling: Good · Site: Pain · Muscle or body aches, Fatigue or tirednessAdult check-in
- 2022-09-14
- 2022-09-16
- 2022-09-17
- 2022-09-18
- 2022-09-19
- 2022-09-20
-
2022-09-27
Survey response — day 14, dose 5MedDRA: Fatigue — Feeling: GoodFree text: Unusual fatigue following daily routine walking 8000 to 10000 steps that now seems to be following a pattern I didn't pick up on before and it isn't really progressive...it's rather sudden. It's not a one time or random thing - I'm watching it.MedDRA releases: 2024-11 · check-in free text available
- 2022-10-04
- 2022-10-11
- 2022-10-18
- 2022-10-25
-
2022-12-13
Survey response — 3 months, dose 5MedDRA: Cough, Office visit, Stress, Throat irritation — Feeling: FairFree text: A dry cough and a slight scratchy throat. However, there has been a death in my family recently and I've been under a lot of stress and I visited a physician yesterday for Medicare wellness exam. It may be just a cold. I do attempt to limit exposureMedDRA releases: 2024-11 · check-in free text available
-
2023-03-14
Survey response — 6 months, dose 5MedDRA: Back pain, Sleep disorder — Feeling: FairMedDRA releases: 2024-11
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-03-02 | Moderna | |
| 2 | 2021-03-30 | Moderna | |
| 3 | 2021-10-22 | Moderna | No |
| 4 | 2022-03-31 | Moderna | No |
| 5 | 2022-09-13 | Moderna | No |
Free text
Release 10 — day 7, dose 3
Systemic reaction (other): Fell on Oct 27 losing my balance but I think it was accidental and unrelated to the vaccine.
Release 10 — 3 months, dose 3
Symptoms: I went through a few days of a minor scratchy sore throat recently and it made me nervous but it was never other than mild. got over it. I didn't have to go to a doctor or anything like that. I am careful and cognizant of covid reality.
Release 12 — day 14, dose 5
Symptoms: Unusual fatigue following daily routine walking 8000 to 10000 steps that now seems to be following a pattern I didn't pick up on before and it isn't really progressive...it's rather sudden. It's not a one time or random thing - I'm watching it.
Release 12 — 3 months, dose 5
Symptoms: A dry cough and a slight scratchy throat. However, there has been a death in my family recently and I've been under a lot of stress and I visited a physician yesterday for Medicare wellness exam. It may be just a cold. I do attempt to limit exposure cut off by CDC
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 | Back pain | · | · | ✓ |
| SD | Cough | · | · | ✓ |
| SD | Fatigue | · | · | ✓ |
| SD | Nervousness | · | · | ✓ |
| SD | Office visit | · | · | ✓ |
| SD | Oropharyngeal pain | · | · | ✓ |
| SD | Sleep disorder | · | · | ✓ |
| SD | Stress | · | · | ✓ |
| SD | Throat irritation | · | · | ✓ |
| SRO | Balance disorder | · | · | ✓ |
| SRO | Fall | · | · | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release