5X9-24128-60337
5 vaccinations
5 coded responses
28 check-ins
5 free-text entries
0 call cases
- Sex
- Male
- Age at first dose
- 51-55
- ZIP prefix
- 985 / WA
- Registered
- 2021-02-16
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-02-16
Registered in v-safe
-
2021-02-16
Dose 1 — Moderna
- 2021-02-16
- 2021-02-17
- 2021-02-18
- 2021-02-19
-
2021-02-20
Survey response — days 1–6 daily, dose 1MedDRA: Pruritus — Feeling: Good · Site: Pain · Rash, not including the immediate area around the injection siteFree text: Itching along the arm and hand of the injection.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-02-21
- 2021-02-22
- 2021-02-23
- 2021-03-02
- 2021-03-09
-
2021-03-16
Dose 2 — Moderna
-
2021-03-16
Survey response — day 0, dose 2MedDRA: No adverse event — Feeling: GoodFree text: NoneMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-03-17
Health check-in — days 1–6 daily, dose 2Feeling: Poor · Site: Pain · Fever · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activitiesAdult check-in
-
2021-03-18
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Site: Pain · Fever · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activitiesAdult check-in
-
2021-03-19
Survey response — days 1–6 daily, dose 2MedDRA: Feeling drunk — Feeling: Good · Site: Pain · Joint painsFree text: Forgot to mention the day of the second shot I felt slight drunk, or more accurately, slightly high on pot. That occurred for several hours before the more serious symptoms started.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-03-20
- 2021-03-21
- 2021-03-22
- 2021-03-23
-
2021-03-30
Survey response — day 14, dose 2MedDRA: Fatigue — Feeling: Good · Be unable to do your normal daily activitiesFree text: Extreme fatigue.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-04-06
- 2021-04-13
- 2021-04-20
- 2021-04-27
- 2021-06-15
-
2021-12-09
Dose 3 — Pfizer-BioNTech
-
2022-03-16
Survey response — 12 months, dose 2MedDRA: Fatigue, Pain, Pyrexia, Reaction to previous exposure to any vaccine — Feeling: Good · Be unable to do your normal daily activitiesFree text: I had a low fever, fatigue and body aches after the previous vaccine injection. The symptoms were less severe and for a shorter duration than after the previous shots.MedDRA releases: 2024-11 · check-in free text available
-
2022-06-09
Dose 4 — Pfizer-BioNTech
-
2022-10-17
Dose 5 — Pfizer-BioNTech
- 2022-10-24
- 2022-11-02
- 2022-11-07
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-02-16 | Moderna | |
| 2 | 2021-03-16 | Moderna | |
| 3 | 2021-12-09 | Pfizer-BioNTech | No |
| 4 | 2022-06-09 | Pfizer-BioNTech | No |
| 5 | 2022-10-17 | Pfizer-BioNTech | No |
Free text
Release 4 — days 1–6 daily, dose 1
Systemic reaction (other): Itching along the arm and hand of the injection.
Release 5 — day 0, dose 2
Systemic reaction (other): None
Release 6 — days 1–6 daily, dose 2
Systemic reaction (other): Forgot to mention the day of the second shot I felt slight drunk, or more accurately, slightly high on pot. That occurred for several hours before the more serious symptoms started.
Release 6 — day 14, dose 2
Symptoms: Extreme fatigue.
Release 11 — 12 months, dose 2
Symptoms: I had a low fever, fatigue and body aches after the previous vaccine injection. The symptoms were less severe and for a shorter duration than after the previous shots.
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 | Fatigue | ✓ | ✓ | ✓ |
| SD | Pain | · | · | ✓ |
| SD | Pyrexia | · | · | ✓ |
| SD | Reaction to previous exposure to any vaccine | · | · | ✓ |
| SRO | Feeling drunk | ✓ | ✓ | ✓ |
| SRO | No adverse event | ✓ | ✓ | ✓ |
| SRO | Pruritus | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release