6SF-30613-18884
4 vaccinations
3 coded responses
41 check-ins
3 free-text entries
0 call cases
- Sex
- Male
- Age at first dose
- 56-60
- ZIP prefix
- 805 / CO
- Registered
- 2021-03-10
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-03-10
Registered in v-safe
-
2021-03-10
Dose 1 — Moderna
- 2021-03-10
- 2021-03-11
- 2021-03-12
- 2021-03-14
- 2021-03-15
- 2021-03-17
- 2021-03-24
- 2021-03-31
-
2021-04-07
Dose 2 — Moderna
- 2021-04-07
-
2021-04-08
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Site: Pain · Chills, Joint pains, Fatigue or tiredness · Be unable to do your normal daily activitiesAdult check-in
- 2021-04-09
- 2021-04-10
-
2021-04-11
Survey response — days 1–6 daily, dose 2MedDRA: Exercise tolerance decreased, Fatigue — Feeling: Good · Site: Pain · Fatigue or tirednessFree text: Took a 32-mile bike ride and felt more fatigued than usual for a ride of this lengthMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-04-13
Survey response — days 1–6 daily, dose 2MedDRA: Arthralgia, Myalgia — Feeling: GoodFree text: In looking back at my symptoms over the past seven days, I did have some severe muscle pain in my shoulder, near the injection site, on April 1011. I initially believed this was a flare-up of a muscle sprain that I suffered a few weeks before my most recent vaccine shot, but it has subsided so quickly that I now believe it was a side effect of the vaccination.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-04-15
- 2021-04-21
- 2021-05-03
- 2021-05-07
- 2021-05-19
- 2021-07-07
- 2021-10-06
-
2021-10-26
Dose 3 — ModernaCo-administered: Flu
-
2021-10-27
Health check-in — days 1–6 daily, dose 3Feeling: Fair · Fever · Joint pains, Muscle or body aches, Fatigue or tirednessAdult check-in
- 2021-10-29
- 2021-11-01
- 2021-11-02
- 2021-11-11
- 2021-11-16
- 2021-11-23
- 2021-11-30
- 2021-12-08
- 2022-01-25
- 2022-04-29
-
2022-05-26
Dose 4 — Pfizer-BioNTech
-
2022-05-28
Health check-in — days 1–6 daily, dose 4Feeling: Good · Site: Pain · Fatigue or tirednessAdult check-in
- 2022-05-30
- 2022-06-01
- 2022-06-02
- 2022-06-09
- 2022-06-16
- 2022-06-23
-
2022-08-25
Survey response — 3 months, dose 4MedDRA: Cough, Dyspnoea, Oropharyngeal pain, Respiratory tract congestion, SARS-CoV-2 test positive — Feeling: Good · Be unable to work or attend school, Be unable to do your normal daily activitiesFree text: Covid-19 positive test: sore throat, cough, difficulty breathing, congestionMedDRA releases: 2024-11 · check-in free text available
- 2022-11-24
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-03-10 | Moderna | |
| 2 | 2021-04-07 | Moderna | |
| 3 | 2021-10-26 | Moderna | Flu |
| 4 | 2022-05-26 | Pfizer-BioNTech | No |
Free text
Release 7 — days 1–6 daily, dose 2
Systemic reaction (other): Took a 32-mile bike ride and felt more fatigued than usual for a ride of this length
Systemic reaction (other): In looking back at my symptoms over the past seven days, I did have some severe muscle pain in my shoulder, near the injection site, on April 1011. I initially believed this was a flare-up of a muscle sprain that I suffered a few weeks before my most recent vaccine shot, but it has subsided so quickly that I now believe it was a side effect of the vaccination.
Release 12 — 3 months, dose 4
Symptoms: Covid-19 positive test: sore throat, cough, difficulty breathing, congestion
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 | Cough | · | · | ✓ |
| SD | Dyspnoea | · | · | ✓ |
| SD | Oropharyngeal pain | · | · | ✓ |
| SD | Respiratory tract congestion | · | · | ✓ |
| SD | SARS-CoV-2 test positive | · | · | ✓ |
| SRO | Arthralgia | ✓ | ✓ | ✓ |
| SRO | Exercise tolerance decreased | ✓ | ✓ | ✓ |
| SRO | Fatigue | ✓ | ✓ | ✓ |
| SRO | Myalgia | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release