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69J-19682-11858

4 vaccinations 8 coded responses 41 check-ins 9 free-text entries 0 call cases
Sex
Male
Age at first dose
36-40
ZIP prefix
531 / WI
Registered
2021-02-10
Relationship
Self
Race
White
Ethnicity
Not Hispanic or Latino

Timeline

  1. 2021-02-10
    Registered in v-safe
  2. 2021-02-10
    Dose 1 — Moderna
  3. 2021-02-10
    Health check-in — day 0, dose 1
    Feeling: Good · Site: Pain · Rash, not including the immediate area around the injection site
    Adult check-in
  4. 2021-02-11
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · Site: Pain · None
    Adult check-in
  5. 2021-02-12
    Health check-in — days 1–6 daily, dose 1
    Feeling: Fair · Fever · Headache, Nausea
    Adult check-in
  6. 2021-02-13
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · None
    Adult check-in
  7. 2021-02-14
    Health check-in — days 1–6 daily, dose 1
    Feeling: Fair · Headache
    Adult check-in
  8. 2021-02-15
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · None
    Adult check-in
  9. 2021-02-16
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · None
    Adult check-in
  10. 2021-02-17
    Health check-in — day 7, dose 1
    Feeling: Fair · Headache
    Adult check-in
  11. 2021-02-24
    Health check-in — day 14, dose 1
    Feeling: Good
    Adult check-in
  12. 2021-03-03
    Health check-in — day 21, dose 1
    Feeling: Good
    Adult check-in
  13. 2021-03-10
    Dose 2 — Moderna
  14. 2021-03-10
    Health check-in — day 0, dose 2
    Feeling: Good · None
    Adult check-in
  15. 2021-03-11
    Health check-in — days 1–6 daily, dose 2
    Feeling: Fair · Site: Pain · Fatigue or tiredness · Be unable to work
    Adult check-in
  16. 2021-03-12
    Survey response — days 1–6 daily, dose 2
    MedDRA: Constipation — Feeling: Good
    Free text: Minor constipation
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  17. 2021-03-13
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · Diarrhea
    Adult check-in
  18. 2021-03-14
    Health check-in — days 1–6 daily, dose 2
    Feeling: Fair · Headache, Nausea
    Adult check-in
  19. 2021-03-15
    Survey response — days 1–6 daily, dose 2
    MedDRA: Rhinorrhoea, Sneezing — Feeling: Fair
    Free text: Runny nose, sneezing possibly due to weather change.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  20. 2021-03-17
    Health check-in — day 7, dose 2
    Feeling: Good · None
    Adult check-in
  21. 2021-03-24
    Survey response — day 14, dose 2
    MedDRA: Rhinorrhoea, Seasonal allergy, Sneezing — Feeling: Fair
    Free text: Runny nose and sneezing. Its hopefully just seasonal allergies but it is worth mentioning.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  22. 2021-03-31
    Health check-in — day 21, dose 2
    Feeling: Good
    Adult check-in
  23. 2021-04-07
    Health check-in — day 28, dose 2
    Feeling: Good
    Adult check-in
  24. 2021-04-14
    Survey response — day 35, dose 2
    MedDRA: Fatigue, Rhinorrhoea, Sneezing — Feeling: Fair
    Free text: Likely just seasonal allergies but I have had a non stop runny nose/sneezing these past few weeks. This has also made me feel very fatigued.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  25. 2021-04-22
    Health check-in — day 42, dose 2
    Feeling: Good
    Adult check-in
  26. 2021-06-09
    Survey response — 3 months, dose 2
    MedDRA: Cough — Feeling: Good
    Free text: Periodic intense cough likely allergies but it gets worse at night or after heavy activity.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  27. 2021-09-10
    Health check-in — 6 months, dose 2
    Feeling: Good
    Adult check-in
  28. 2021-10-23
    Dose 3 — Moderna
  29. 2021-10-27
    Health check-in — days 1–6 daily, dose 3
    Feeling: Good · None
    Adult check-in
  30. 2021-10-29
    Health check-in — days 1–6 daily, dose 3
    Feeling: Good · None
    Adult check-in
  31. 2021-10-30
    Health check-in — day 7, dose 3
    Feeling: Good · None
    Adult check-in
  32. 2021-11-06
    Health check-in — day 14, dose 3
    Feeling: Good
    Adult check-in
  33. 2021-11-13
    Survey response — day 21, dose 3
    MedDRA: Cough, Nasopharyngitis — Feeling: Fair
    Free text: Minor cough. Hopefully just seasonal cold.
    MedDRA releases: 2024-11 · check-in free text available
  34. 2021-11-20
    Survey response — day 28, dose 3
    MedDRA: Cough — Feeling: Good
    Free text: Cough
    MedDRA releases: 2024-11 · check-in free text available
  35. 2021-11-27
    Health check-in — day 35, dose 3
    Feeling: Good
    Adult check-in
  36. 2021-12-04
    Health check-in — day 42, dose 3
    Feeling: Good
    Adult check-in
  37. 2022-01-22
    Health check-in — 3 months, dose 3
    Feeling: Good
    Adult check-in
  38. 2022-04-23
    Health check-in — 6 months, dose 3
    Feeling: Good
    Adult check-in
  39. 2022-09-24
    Dose 4 — Moderna
  40. 2022-10-12
    Survey response — day 14, dose 4
    MedDRA: Dehydration, Nausea — Feeling: Good · Be unable to work or attend school, Be unable to do your normal daily activities
    Free text: Nauseous, dehydrated
    MedDRA releases: 2024-11 · check-in free text available
  41. 2022-10-16
    Health check-in — day 21, dose 4
    Feeling: Good
    Adult check-in
  42. 2022-10-22
    Health check-in — day 28, dose 4
    Feeling: Good
    Adult check-in
  43. 2022-10-29
    Health check-in — day 35, dose 4
    Feeling: Good
    Adult check-in
  44. 2022-11-05
    Health check-in — day 42, dose 4
    Feeling: Good
    Adult check-in
  45. 2022-12-24
    Health check-in — 3 months, dose 4
    Feeling: Good
    Free text: Persistent cough that seems to get worse at night or during high level activity.
    Adult check-in · check-in free text available
  46. 2023-03-25
    Health check-in — 6 months, dose 4
    Feeling: Good
    Adult check-in

Vaccinations

DoseDateManufacturerCo-administered
12021-02-10Moderna
22021-03-10Moderna
32021-10-23Moderna No
42022-09-24Moderna No

Free text

Release 5 — days 1–6 daily, dose 2

2021-03-12

Systemic reaction (other): Minor constipation

2021-03-15

Systemic reaction (other): Runny nose, sneezing possibly due to weather change.

Release 6 — day 14, dose 2

2021-03-24

Symptoms: Runny nose and sneezing. Its hopefully just seasonal allergies but it is worth mentioning.

Release 7 — day 35, dose 2

2021-04-14

Symptoms: Likely just seasonal allergies but I have had a non stop runny nose/sneezing these past few weeks. This has also made me feel very fatigued.

Release 9 — 3 months, dose 2

2021-06-09

Symptoms: Periodic intense cough likely allergies but it gets worse at night or after heavy activity.

Release 10 — day 21, dose 3

2021-11-13

Symptoms: Minor cough. Hopefully just seasonal cold.

Release 10 — day 28, dose 3

2021-11-20

Symptoms: Cough

Release 12 — day 14, dose 4

2022-10-12

Symptoms: Nauseous, dehydrated

Release 12 — 3 months, dose 4

2022-12-24

Symptoms: Persistent cough that seems to get worse at night or during high level activity.

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
SDCough ✓ ✓ ✓
SDDehydration · · ✓
SDFatigue ✓ ✓ ✓
SDNasopharyngitis · · ✓
SDNausea · · ✓
SDRhinorrhoea ✓ ✓ ✓
SDSeasonal allergy ✓ ✓ ✓
SDSneezing ✓ ✓ ✓
SROConstipation ✓ ✓ ✓
SRORhinorrhoea ✓ ✓ ✓
SROSneezing ✓ ✓ ✓

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

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