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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

  1. 2021-02-16
    Registered in v-safe
  2. 2021-02-16
    Dose 1 — Moderna
  3. 2021-02-16
    Health check-in — day 0, dose 1
    Feeling: Good · Site: Pain · None
    Adult check-in
  4. 2021-02-17
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · Site: Pain · None
    Adult check-in
  5. 2021-02-18
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · Site: Pain · None
    Adult check-in
  6. 2021-02-19
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · Site: Pain · None
    Adult check-in
  7. 2021-02-20
    Survey response — days 1–6 daily, dose 1
    MedDRA: Pruritus — Feeling: Good · Site: Pain · Rash, not including the immediate area around the injection site
    Free text: Itching along the arm and hand of the injection.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  8. 2021-02-21
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · Site: Pain · None
    Adult check-in
  9. 2021-02-22
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · None
    Adult check-in
  10. 2021-02-23
    Health check-in — day 7, dose 1
    Feeling: Good · None
    Adult check-in
  11. 2021-03-02
    Health check-in — day 14, dose 1
    Feeling: Good
    Adult check-in
  12. 2021-03-09
    Health check-in — day 21, dose 1
    Feeling: Good
    Adult check-in
  13. 2021-03-16
    Dose 2 — Moderna
  14. 2021-03-16
    Survey response — day 0, dose 2
    MedDRA: No adverse event — Feeling: Good
    Free text: None
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  15. 2021-03-17
    Health check-in — days 1–6 daily, dose 2
    Feeling: Poor · Site: Pain · Fever · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities
    Adult check-in
  16. 2021-03-18
    Health check-in — days 1–6 daily, dose 2
    Feeling: Fair · Site: Pain · Fever · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities
    Adult check-in
  17. 2021-03-19
    Survey response — days 1–6 daily, dose 2
    MedDRA: Feeling drunk — Feeling: Good · Site: Pain · Joint pains
    Free 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
  18. 2021-03-20
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · Site: Pain · None
    Adult check-in
  19. 2021-03-21
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · Site: Pain · None
    Adult check-in
  20. 2021-03-22
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · Site: Pain · Diarrhea
    Adult check-in
  21. 2021-03-23
    Health check-in — day 7, dose 2
    Feeling: Good · Site: Pain · None
    Adult check-in
  22. 2021-03-30
    Survey response — day 14, dose 2
    MedDRA: Fatigue — Feeling: Good · Be unable to do your normal daily activities
    Free text: Extreme fatigue.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  23. 2021-04-06
    Health check-in — day 21, dose 2
    Feeling: Good
    Adult check-in
  24. 2021-04-13
    Health check-in — day 28, dose 2
    Feeling: Good
    Adult check-in
  25. 2021-04-20
    Health check-in — day 35, dose 2
    Feeling: Good
    Adult check-in
  26. 2021-04-27
    Health check-in — day 42, dose 2
    Feeling: Good
    Adult check-in
  27. 2021-06-15
    Health check-in — 3 months, dose 2
    Feeling: Good
    Adult check-in
  28. 2021-12-09
    Dose 3 — Pfizer-BioNTech
  29. 2022-03-16
    Survey response — 12 months, dose 2
    MedDRA: Fatigue, Pain, Pyrexia, Reaction to previous exposure to any vaccine — Feeling: Good · Be unable to do your normal daily activities
    Free 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
  30. 2022-06-09
    Dose 4 — Pfizer-BioNTech
  31. 2022-10-17
    Dose 5 — Pfizer-BioNTech
  32. 2022-10-24
    Health check-in — day 7, dose 5
    Feeling: Good · None
    Adult check-in
  33. 2022-11-02
    Health check-in — day 14, dose 5
    Feeling: Good
    Adult check-in
  34. 2022-11-07
    Health check-in — day 21, dose 5
    Feeling: Good
    Adult check-in

Vaccinations

DoseDateManufacturerCo-administered
12021-02-16Moderna
22021-03-16Moderna
32021-12-09Pfizer-BioNTech No
42022-06-09Pfizer-BioNTech No
52022-10-17Pfizer-BioNTech No

Free text

Release 4 — days 1–6 daily, dose 1

2021-02-20

Systemic reaction (other): Itching along the arm and hand of the injection.

Release 5 — day 0, dose 2

2021-03-16

Systemic reaction (other): None

Release 6 — days 1–6 daily, dose 2

2021-03-19

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

2021-03-30

Symptoms: Extreme fatigue.

Release 11 — 12 months, dose 2

2022-03-16

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

FieldPreferred term2021-092023-042024-11
SDFatigue ✓ ✓ ✓
SDPain · · ✓
SDPyrexia · · ✓
SDReaction to previous exposure to any vaccine · · ✓
SROFeeling drunk ✓ ✓ ✓
SRONo adverse event ✓ ✓ ✓
SROPruritus ✓ ✓ ✓

✓ active code · ○ coded but marked inactive · blank = not in that release