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6TN-33418-31171

1 vaccination 6 coded responses 13 check-ins 6 free-text entries 0 call cases
Sex
Male
Age at first dose
66+
ZIP prefix
274 / NC
Registered
2021-08-03
Relationship
Self
Race
White
Ethnicity
Not Hispanic or Latino

Timeline

  1. 2021-08-03
    Registered in v-safe
  2. 2021-08-03
    Dose 1 — Moderna
  3. 2021-08-03
    Health check-in — day 0, dose 1
    Feeling: Good · None
    Adult check-in
  4. 2021-08-04
    Survey response — days 1–6 daily, dose 1
    MedDRA: Fatigue, Sleep deficit, Stress — Feeling: Good · Fatigue or tiredness
    Free text: Fatigue could be to lack of sleep and stress
    MedDRA releases: 2021-09,2024-11 · check-in free text available
  5. 2021-08-05
    Survey response — days 1–6 daily, dose 1
    MedDRA: Insomnia — Feeling: Good · Fatigue or tiredness
    Free text: Again may be from lack of sleep
    MedDRA releases: 2021-09,2024-11 · check-in free text available
  6. 2021-08-06
    Survey response — days 1–6 daily, dose 1
    MedDRA: Insomnia, Stress — Feeling: Good · Site: Itching · Fatigue or tiredness
    Free text: Same as the past few days and again I dont know if its the lack of sleep and stress as well but it seems compounded since the shot
    MedDRA releases: 2021-09,2024-11 · check-in free text available
  7. 2021-08-07
    Health check-in — days 1–6 daily, dose 1
    Feeling: Fair · Muscle or body aches, Rash, not including the immediate area around the injection site
    Adult check-in
  8. 2021-08-08
    Survey response — days 1–6 daily, dose 1
    MedDRA: Fatigue — Feeling: Good · Muscle or body aches
    Free text: Still very tired
    MedDRA releases: 2021-09,2024-11 · check-in free text available
  9. 2021-08-09
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · None
    Adult check-in
  10. 2021-08-10
    Health check-in — day 7, dose 1
    Feeling: Good · None
    Adult check-in
  11. 2021-08-17
    Survey response — day 14, dose 1
    MedDRA: Pyrexia — Feeling: Fair
    Free text: As of this morning kind of a low-grade intermittent fever Im getting a new thermometer to make sure that this one is working right
    MedDRA releases: 2021-09,2024-11 · check-in free text available
  12. 2021-08-24
    Health check-in — day 21, dose 1
    Feeling: Good
    Adult check-in
  13. 2021-11-04
    Health check-in — 3 months, dose 1
    Feeling: Good
    Adult check-in
  14. 2022-02-02
    Survey response — 6 months, dose 1
    MedDRA: Nasal congestion, Nasopharyngitis — Feeling: Fair
    Free text: Fairly bad cold that lasted about eight days I don't usually get Kohl's I have a continued stuffy nose slightly it comes and goes
    MedDRA releases: 2024-11 · check-in free text available
  15. 2022-08-03
    Health check-in — 12 months, dose 1
    Feeling: Good
    Adult check-in

Vaccinations

DoseDateManufacturerCo-administered
12021-08-03Moderna No

Free text

Release 9 — days 1–6 daily, dose 1

2021-08-04

Systemic reaction (other): Fatigue could be to lack of sleep and stress

2021-08-05

Systemic reaction (other): Again may be from lack of sleep

2021-08-06

Systemic reaction (other): Same as the past few days and again I dont know if its the lack of sleep and stress as well but it seems compounded since the shot

2021-08-08

Systemic reaction (other): Still very tired

Release 9 — day 14, dose 1

2021-08-17

Symptoms: As of this morning kind of a low-grade intermittent fever Im getting a new thermometer to make sure that this one is working right

Release 11 — 6 months, dose 1

2022-02-02

Symptoms: Fairly bad cold that lasted about eight days I don't usually get Kohl's I have a continued stuffy nose slightly it comes and goes

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
SDNasal congestion · · ✓
SDNasopharyngitis · · ✓
SDPyrexia ✓ · ✓
SROFatigue ✓ · ✓
SROInsomnia ✓ · ✓
SROSleep deficit ✓ · ✓
SROStress ✓ · ✓

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