6A5-30659-32681
3 vaccinations
3 coded responses
6 check-ins
3 free-text entries
0 call cases
- Sex
- Male
- Age at first dose
- 51-55
- ZIP prefix
- 983 / WA
- Registered
- 2021-10-22
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-03-21
Dose 1 — Moderna
-
2021-04-18
Dose 2 — Moderna
-
2021-10-22
Registered in v-safe
-
2021-10-22
Dose 3 — Pfizer-BioNTechCo-administered: yes
- 2021-10-22
-
2021-10-23
Survey response — days 1–6 daily, dose 3MedDRA: Injection site pain — Feeling: GoodFree text: VERY slight pain on the injection site, and only upon touch.MedDRA releases: 2024-11 · check-in free text available
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2021-10-24
Survey response — days 1–6 daily, dose 3MedDRA: Pruritus, Sleep disorder — Feeling: Good · Site: Itching · Fatigue or tirednessFree text: Mild itching started yesterday evening, and persists. As to the tiredness: Im not exactly tired, but I woke up two hours later than normally, which is unusual.MedDRA releases: 2024-11 · check-in free text available
-
2021-10-25
Survey response — days 1–6 daily, dose 3MedDRA: Pruritus, Upper-airway cough syndrome — Feeling: GoodFree text: Yesterday's itching is gone. I forgot to mention in previous days that I had strong post-nasal drip during all three nights since the vaccine. Also, you had asked me if the vaccine coincided with another vaccine, but not which. it was the flu vaccineMedDRA releases: 2024-11 · check-in free text available
- 2021-10-26
- 2021-10-27
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-03-21 | Moderna | No |
| 2 | 2021-04-18 | Moderna | No |
| 3 | 2021-10-22 | Pfizer-BioNTech | Yes |
Free text
Release 10 — days 1–6 daily, dose 3
Systemic reaction (other): VERY slight pain on the injection site, and only upon touch.
Systemic reaction (other): Mild itching started yesterday evening, and persists. As to the tiredness: Im not exactly tired, but I woke up two hours later than normally, which is unusual.
Systemic reaction (other): Yesterday's itching is gone. I forgot to mention in previous days that I had strong post-nasal drip during all three nights since the vaccine. Also, you had asked me if the vaccine coincided with another vaccine, but not which. it was the flu vaccine cut off by CDC
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 |
|---|---|---|---|---|
| SRO | Injection site pain | · | · | ✓ |
| SRO | Pruritus | · | · | ✓ |
| SRO | Sleep disorder | · | · | ✓ |
| SRO | Upper-airway cough syndrome | · | · | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release