5YG-24443-65086
5 vaccinations
5 coded responses
43 check-ins
5 free-text entries
0 call cases
- Sex
- Male
- Age at first dose
- 66+
- ZIP prefix
- 981 / WA
- Registered
- 2021-02-02
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-02-02
Registered in v-safe
-
2021-02-02
Dose 1 — Moderna
- 2021-02-02
- 2021-02-03
-
2021-02-04
Survey response — days 1–6 daily, dose 1MedDRA: Taste disorder — Feeling: GoodFree text: Mild. Taste is somewhat off. Avocado (I like a lot) were off even though my wife commented how god it was. Same occurred with Grapefruit.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-02-05
Survey response — days 1–6 daily, dose 1MedDRA: Adverse reaction — Feeling: Good · NauseaFree text: MildMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-02-06
Survey response — days 1–6 daily, dose 1MedDRA: Taste disorder — Feeling: Fair · Abdominal painFree text: Taste back to normalMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-02-07
- 2021-02-08
- 2021-02-09
- 2021-02-16
- 2021-02-23
- 2021-03-02
-
2021-03-05
Dose 2 — Moderna
- 2021-03-05
- 2021-03-06
-
2021-03-07
Survey response — days 1–6 daily, dose 2MedDRA: Chills — Feeling: GoodFree text: When I think back on yesterday, I felt as if the day was colder. So yesterday I probably had what you call mild chills.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-03-08
- 2021-03-09
- 2021-03-10
- 2021-03-11
- 2021-03-12
- 2021-03-19
- 2021-03-26
- 2021-04-02
- 2021-04-09
- 2021-04-16
- 2021-06-05
- 2021-09-03
-
2021-11-05
Dose 3 — Moderna
- 2022-03-05
-
2022-04-06
Dose 4 — Moderna
- 2022-04-15
- 2022-04-20
- 2022-04-27
- 2022-05-04
- 2022-05-11
- 2022-05-18
- 2022-07-06
-
2022-09-15
Dose 5 — Pfizer-BioNTech
- 2022-09-16
- 2022-09-17
-
2022-10-02
Survey response — day 14, dose 5MedDRA: No adverse event — Feeling: GoodFree text: I was on vacation in (b)(6) for the last two weeks. I felt good and experienced no problems. I always used a mask in grocery stores. We ate in outdoor restaurants primarily.MedDRA releases: 2024-11 · check-in free text available
- 2022-10-06
- 2022-10-13
- 2022-10-20
- 2022-10-29
- 2022-12-15
- 2023-03-16
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-02-02 | Moderna | |
| 2 | 2021-03-05 | Moderna | |
| 3 | 2021-11-05 | Moderna | No |
| 4 | 2022-04-06 | Moderna | No |
| 5 | 2022-09-15 | Pfizer-BioNTech | No |
Free text
Release 3 — days 1–6 daily, dose 1
Systemic reaction (other): Mild. Taste is somewhat off. Avocado (I like a lot) were off even though my wife commented how god it was. Same occurred with Grapefruit.
Systemic reaction (other): Mild
Systemic reaction (other): Taste back to normal
Release 5 — days 1–6 daily, dose 2
Systemic reaction (other): When I think back on yesterday, I felt as if the day was colder. So yesterday I probably had what you call mild chills.
Release 12 — day 14, dose 5
Symptoms: I was on vacation in (b)(6) for the last two weeks. I felt good and experienced no problems. I always used a mask in grocery stores. We ate in outdoor restaurants primarily.
redacted (b)(6)
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 | No adverse event | · | · | ✓ |
| SRO | Adverse reaction | ✓ | ✓ | ✓ |
| SRO | Chills | ✓ | ✓ | ✓ |
| SRO | Taste disorder | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release