6WE-18170-45701
4 vaccinations
6 coded responses
33 check-ins
6 free-text entries
0 call cases
- Sex
- Male
- Age at first dose
- 31-35
- ZIP prefix
- 506 / IA
- Registered
- 2020-12-29
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Registered dependents
8NS-90895-46953
Child or adolescent in my care · Male · 2022-06-24
V36-21171-13792
Child or adolescent in my care · Female · 2022-06-24
Timeline
-
2020-12-29
Registered in v-safe
-
2020-12-29
Dose 1 — Moderna
-
2020-12-29
Health check-in — day 0, dose 1Feeling: Fair · Site: Pain · Fatigue or tiredness, NauseaAdult check-in
- 2020-12-30
- 2020-12-31
- 2021-01-01
- 2021-01-03
- 2021-01-04
- 2021-01-05
- 2021-01-12
-
2021-01-21
Survey response — day 21, dose 1MedDRA: Headache, Oropharyngeal pain, Respiratory tract congestion — Feeling: Fair · Be unable to work, Be unable to do your normal daily activitiesFree text: Soar throat, headache, congestionMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-01-27
-
2021-02-01
Dose 2 — Moderna
- 2021-02-01
-
2021-02-02
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Site: Pain · Fever · Chills, Headache, Muscle or body aches, Fatigue or tiredness · Be unable to workAdult check-in
- 2021-02-03
- 2021-02-04
- 2021-02-07
- 2021-02-08
-
2021-02-15
Survey response — day 14, dose 2MedDRA: Chills, Diarrhoea, Feeling abnormal, Memory impairment, Vomiting — Feeling: Good · Be unable to work, Be unable to do your normal daily activitiesFree text: A week ago on Sunday - Tuesday, I started having a lot of brain fog. I was very forgetful and couldnt remember events of the previous few days. Last Wednesday, I started getting vomiting, diarrhea, chills, but Noro seemed to be going around familyMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-02-23
- 2021-03-01
- 2021-03-08
-
2021-03-16
Survey response — day 42, dose 2MedDRA: Cough, Rhinorrhoea — Feeling: GoodFree text: Cough, runny noseMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-05-05
- 2021-08-02
-
2021-12-08
Dose 3 — Moderna
-
2022-02-02
Survey response — 12 months, dose 2MedDRA: Ageusia, Anosmia, COVID-19, Diarrhoea, Dyspepsia, Gastrointestinal disorder, Parosmia — Feeling: GoodFree text: After having COVID-19 in October of 2022, I lost my sense of taste and smell which slowly started to return, but now certain odors smell really bad like something rotten. Have also seemed to be experiencing more GI issues such as heartburn & diarrheaMedDRA releases: 2024-11 · check-in free text available
-
2022-10-27
Dose 4 — Pfizer-BioNTechCo-administered: Flu
- 2022-10-27
- 2022-10-28
- 2022-10-29
- 2022-10-30
- 2022-10-31
-
2022-11-01
Health check-in — days 1–6 daily, dose 4Feeling: Fair · Headache, Fatigue or tirednessAdult check-in
-
2022-11-03
Survey response — day 7, dose 4MedDRA: Oropharyngeal pain — Feeling: FairFree text: Sore throatMedDRA releases: 2024-11 · check-in free text available
- 2022-11-10
-
2022-11-20
Survey response — day 21, dose 4MedDRA: Cough, Oropharyngeal pain — Feeling: FairFree text: Cough and soar throatMedDRA releases: 2024-11 · check-in free text available
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2020-12-29 | Moderna | |
| 2 | 2021-02-01 | Moderna | |
| 3 | 2021-12-08 | Moderna | No |
| 4 | 2022-10-27 | Pfizer-BioNTech | Flu |
Free text
Release 2 — day 21, dose 1
Symptoms: Soar throat, headache, congestion
Release 4 — day 14, dose 2
Symptoms: A week ago on Sunday - Tuesday, I started having a lot of brain fog. I was very forgetful and couldnt remember events of the previous few days. Last Wednesday, I started getting vomiting, diarrhea, chills, but Noro seemed to be going around family
Release 5 — day 42, dose 2
Symptoms: Cough, runny nose
Release 11 — 12 months, dose 2
Symptoms: After having COVID-19 in October of 2022, I lost my sense of taste and smell which slowly started to return, but now certain odors smell really bad like something rotten. Have also seemed to be experiencing more GI issues such as heartburn & diarrhea cut off by CDC
Release 12 — day 7, dose 4
Systemic reaction (other): Sore throat
Release 12 — day 21, dose 4
Symptoms: Cough and soar throat
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 | Ageusia | · | · | ✓ |
| SD | Anosmia | · | · | ✓ |
| SD | Chills | ✓ | ✓ | ✓ |
| SD | Cough | ✓ | ✓ | ✓ |
| SD | COVID-19 | · | · | ✓ |
| SD | Diarrhoea | ✓ | ✓ | ✓ |
| SD | Dyspepsia | · | · | ✓ |
| SD | Feeling abnormal | ✓ | ✓ | ✓ |
| SD | Gastrointestinal disorder | · | · | ✓ |
| SD | Headache | ✓ | ✓ | ✓ |
| SD | Memory impairment | ✓ | ✓ | ✓ |
| SD | Oropharyngeal pain | ✓ | ✓ | ✓ |
| SD | Parosmia | · | · | ✓ |
| SD | Respiratory tract congestion | ✓ | ✓ | ✓ |
| SD | Rhinorrhoea | ✓ | ✓ | ✓ |
| SD | Vomiting | ✓ | ✓ | ✓ |
| SRO | Oropharyngeal pain | · | · | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release