638-32255-89928
4 vaccinations
9 coded responses
46 check-ins
9 free-text entries
0 call cases
- Sex
- Male
- Age at first dose
- 66+
- ZIP prefix
- 681 / NE
- Registered
- 2021-02-19
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-02-19
Registered in v-safe
-
2021-02-19
Dose 1 — Moderna
- 2021-02-19
- 2021-02-21
- 2021-02-22
-
2021-02-23
Survey response — days 1–6 daily, dose 1MedDRA: Muscular weakness — Feeling: Fair · Fatigue or tirednessFree text: Left leg feels very weak. Takes an effort to lift it.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-02-24
- 2021-02-25
- 2021-02-26
- 2021-03-05
- 2021-03-12
-
2021-03-19
Dose 2 — Moderna
-
2021-03-19
Survey response — day 0, dose 2MedDRA: Unevaluable event — Feeling: GoodFree text: Im concerned that I didnt have the vaccine injected. Didnt feel anything and I certainly did the first time. Suspect the person who was doing the vaccination didnt know what she was doing and messed it upMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-03-20
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Site: Pain · Fever · Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activitiesAdult check-in
- 2021-03-21
- 2021-03-22
- 2021-03-23
- 2021-03-24
- 2021-03-25
- 2021-03-26
- 2021-04-02
-
2021-04-09
Survey response — day 21, dose 2MedDRA: Nasopharyngitis — Feeling: GoodFree text: I have a cold.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-04-16
- 2021-04-23
-
2021-04-30
Survey response — day 42, dose 2MedDRA: Back disorder — Feeling: Good · Be unable to do your normal daily activitiesFree text: Not related to COVID. Back problemsMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-06-18
Survey response — 3 months, dose 2MedDRA: Back disorder — Feeling: Fair · Be unable to do your normal daily activitiesFree text: Unrelated back problemsMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-09-17
-
2021-10-22
Dose 3 — Pfizer-BioNTech
- 2021-11-02
- 2021-11-05
- 2021-11-12
- 2021-11-19
- 2021-11-26
-
2021-12-03
Survey response — day 42, dose 3MedDRA: Cough, Fatigue, Unevaluable event — Feeling: GoodFree text: Tired, cough, breathingMedDRA releases: 2024-11 · check-in free text available
-
2022-01-21
Survey response — 3 months, dose 3MedDRA: SARS-CoV-2 test positive — Feeling: GoodFree text: Tested positive for COVIDMedDRA releases: 2024-11 · check-in free text available
-
2022-04-22
Survey response — 6 months, dose 3MedDRA: Unevaluable event — Feeling: GoodFree text: Not related to COVIDMedDRA releases: 2024-11 · check-in free text available
-
2022-05-13
Dose 4 — Pfizer-BioNTech
- 2022-05-15
- 2022-05-16
- 2022-05-17
- 2022-05-18
- 2022-05-19
- 2022-05-22
- 2022-05-27
- 2022-06-03
- 2022-06-10
- 2022-06-17
- 2022-06-24
-
2022-08-12
Survey response — 3 months, dose 4MedDRA: Cough — Feeling: FairFree text: Dry cough lingers.MedDRA releases: 2024-11 · check-in free text available
- 2022-11-11
- 2023-05-13
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-02-19 | Moderna | |
| 2 | 2021-03-19 | Moderna | |
| 3 | 2021-10-22 | Pfizer-BioNTech | No |
| 4 | 2022-05-13 | Pfizer-BioNTech | No |
Free text
Release 4 — days 1–6 daily, dose 1
Systemic reaction (other): Left leg feels very weak. Takes an effort to lift it.
Release 6 — day 0, dose 2
Systemic reaction (other): Im concerned that I didnt have the vaccine injected. Didnt feel anything and I certainly did the first time. Suspect the person who was doing the vaccination didnt know what she was doing and messed it up
Release 7 — day 21, dose 2
Symptoms: I have a cold.
Release 8 — day 42, dose 2
Symptoms: Not related to COVID. Back problems
Release 9 — 3 months, dose 2
Symptoms: Unrelated back problems
Release 10 — day 42, dose 3
Symptoms: Tired, cough, breathing
Release 11 — 3 months, dose 3
Symptoms: Tested positive for COVID
Release 11 — 6 months, dose 3
Symptoms: Not related to COVID
Release 12 — 3 months, dose 4
Symptoms: Dry cough lingers.
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 disorder | ✓ | ✓ | ✓ |
| SD | Cough | · | · | ✓ |
| SD | Fatigue | · | · | ✓ |
| SD | Nasopharyngitis | ✓ | ✓ | ✓ |
| SD | SARS-CoV-2 test positive | · | · | ✓ |
| SD | Unevaluable event | · | · | ✓ |
| SRO | Muscular weakness | ✓ | ✓ | ✓ |
| SRO | Unevaluable event | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release