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6WQ-14778-84639

4 vaccinations 16 coded responses 51 check-ins 14 free-text entries 0 call cases
Sex
Male
Age at first dose
46-50
ZIP prefix
814 / CO
Registered
2021-03-29
Relationship
Self
Race
Multiracial
Ethnicity
Not Hispanic or Latino

Timeline

  1. 2021-03-28
    Dose 1 — Moderna
  2. 2021-03-29
    Registered in v-safe
  3. 2021-03-29
    Survey response — days 1–6 daily, dose 1
    MedDRA: Oropharyngeal pain — Feeling: Fair · Site: Pain · Muscle or body aches, Fatigue or tiredness · Be unable to work
    Free text: Mild soar throat
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  4. 2021-03-30
    Survey response — days 1–6 daily, dose 1
    MedDRA: Hypersensitivity, Pharyngeal inflammation, Tonsillar disorder — Feeling: Fair · Site: Pain · Muscle or body aches, Fatigue or tiredness
    Free text: Allergy/Tonsils/Back of throat inflamation
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  5. 2021-04-01
    Survey response — days 1–6 daily, dose 1
    MedDRA: Energy increased, Fatigue, Insomnia — Feeling: Good · Site: Pain · Muscle or body aches, Fatigue or tiredness, Rash, not including the immediate area around the injection site
    Free text: Erratic sleep, high energy and tired
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  6. 2021-04-02
    Survey response — days 1–6 daily, dose 1
    MedDRA: Energy increased, Rash, Sleep disorder — Feeling: Good · Site: Pain · Muscle or body aches, Fatigue or tiredness, Rash, not including the immediate area around the injection site · Be unable to do your normal daily activities
    Free text: Erratic sleep, surge of energy, light bumps on both arms/bicepts
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  7. 2021-04-03
    Survey response — days 1–6 daily, dose 1
    MedDRA: Insomnia — Feeling: Good · Fatigue or tiredness, Rash, not including the immediate area around the injection site
    Free text: Sleeping in late afternoon and up late. On and off sleep.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  8. 2021-04-06
    Health check-in — day 7, dose 1
    Feeling: Good · Rash, not including the immediate area around the injection site
    Adult check-in
  9. 2021-04-11
    Health check-in — day 14, dose 1
    Feeling: Good
    Adult check-in
  10. 2021-04-19
    Survey response — day 21, dose 1
    MedDRA: Rash — Feeling: Good
    Free text: Tiny bumps (by feel, hard tosee) running down both upper arms and outer back. I have always had smooth skin there, now I can feel tiny bumps.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  11. 2021-04-24
    Dose 2 — Moderna
  12. 2021-04-24
    Health check-in — day 0, dose 2
    Feeling: Fair · Site: Pain · Fatigue or tiredness
    Adult check-in
  13. 2021-04-25
    Health check-in — days 1–6 daily, dose 2
    Feeling: Fair · Site: Pain · Fatigue or tiredness
    Adult check-in
  14. 2021-04-26
    Health check-in — days 1–6 daily, dose 2
    Feeling: Fair · Site: Pain · Muscle or body aches, Fatigue or tiredness
    Adult check-in
  15. 2021-04-27
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · Site: Pain · Muscle or body aches
    Adult check-in
  16. 2021-04-28
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · Site: Pain · Muscle or body aches
    Adult check-in
  17. 2021-04-29
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · Fatigue or tiredness
    Adult check-in
  18. 2021-04-30
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · None
    Adult check-in
  19. 2021-05-01
    Health check-in — day 7, dose 2
    Feeling: Good · None
    Adult check-in
  20. 2021-05-08
    Health check-in — day 14, dose 2
    Feeling: Good
    Adult check-in
  21. 2021-05-15
    Health check-in — day 21, dose 2
    Feeling: Good
    Adult check-in
  22. 2021-05-22
    Health check-in — day 28, dose 2
    Feeling: Good
    Adult check-in
  23. 2021-05-29
    Health check-in — day 35, dose 2
    Feeling: Good
    Adult check-in
  24. 2021-06-05
    Health check-in — day 42, dose 2
    Feeling: Good
    Adult check-in
  25. 2021-07-24
    Survey response — 3 months, dose 2
    MedDRA: Fatigue, Feeling abnormal, Nasopharyngitis — Feeling: Poor · Be unable to work or attend school, Be unable to do your normal daily activities
    Free text: Icky, weak, tired a probable cold.
    MedDRA releases: 2021-09,2024-11 · check-in free text available
  26. 2021-10-23
    Health check-in — 6 months, dose 2
    Feeling: Good
    Adult check-in
  27. 2021-11-02
    Dose 3 — Moderna
  28. 2021-11-02
    Health check-in — day 0, dose 3
    Feeling: Good · Site: Pain · Fatigue or tiredness
    Adult check-in
  29. 2021-11-03
    Health check-in — days 1–6 daily, dose 3
    Feeling: Fair · Site: Pain · Muscle or body aches
    Adult check-in
  30. 2021-11-04
    Health check-in — days 1–6 daily, dose 3
    Feeling: Good · Site: Pain · Muscle or body aches
    Adult check-in
  31. 2021-11-05
    Health check-in — days 1–6 daily, dose 3
    Feeling: Good · Site: Pain · Muscle or body aches
    Adult check-in
  32. 2021-11-06
    Health check-in — days 1–6 daily, dose 3
    Feeling: Good · Site: Pain · Muscle or body aches
    Adult check-in
  33. 2021-11-08
    Health check-in — days 1–6 daily, dose 3
    Feeling: Poor · Site: Pain · Headache, Muscle or body aches, Fatigue or tiredness
    Adult check-in
  34. 2021-11-10
    Survey response — day 7, dose 3
    MedDRA: Insomnia — Feeling: Good
    Free text: Difficulty sleeping
    MedDRA releases: 2024-11 · check-in free text available
  35. 2021-11-16
    Health check-in — day 14, dose 3
    Feeling: Good
    Adult check-in
  36. 2021-11-23
    Health check-in — day 21, dose 3
    Feeling: Good
    Adult check-in
  37. 2021-11-30
    Health check-in — day 28, dose 3
    Feeling: Good
    Adult check-in
  38. 2021-12-07
    Survey response — day 35, dose 3
    MedDRA: Fatigue, Malaise, Unevaluable event — Feeling: Fair · Be unable to do your normal daily activities
    Free text: Icky, Stomach, tired
    MedDRA releases: 2024-11 · check-in free text available
  39. 2021-12-14
    Health check-in — day 42, dose 3
    Feeling: Good
    Adult check-in
  40. 2022-02-01
    Survey response — 3 months, dose 3
    MedDRA: Abdominal discomfort, Diarrhoea, Pyrexia — Feeling: Fair · Be unable to work or attend school, Be unable to do your normal daily activities
    Free text: Upset stomach, small fever, diahhreah
    MedDRA releases: 2024-11 · check-in free text available
  41. 2022-05-05
    Survey response — 6 months, dose 3
    MedDRA: Cough, Nasopharyngitis — Feeling: Good · Be unable to work or attend school, Be unable to do your normal daily activities
    Free text: Cold/Cough
    MedDRA releases: 2024-11 · check-in free text available
  42. 2022-11-07
    Dose 4 — Moderna
  43. 2022-11-07
    Health check-in — 12 months, dose 3
    Feeling: Good
    Adult check-in
  44. 2022-11-07
    Health check-in — day 0, dose 4
    Feeling: Good · Fatigue or tiredness
    Adult check-in
  45. 2022-11-08
    Survey response — days 1–6 daily, dose 4
    MedDRA: Feeling abnormal — Feeling: Fair · Site: Pain · Chills, Nausea · Be unable to work or attend school, Be unable to do your normal daily activities
    Free text: A little "off"
    MedDRA releases: 2024-11 · check-in free text available
  46. 2022-11-10
    Survey response — days 1–6 daily, dose 4
    MedDRA: Adverse reaction — Feeling: Fair · Site: Pain · Be unable to work or attend school
    Free text: Not 100%
    MedDRA releases: 2024-11 · check-in free text available
  47. 2022-11-11
    Health check-in — days 1–6 daily, dose 4
    Feeling: Fair · Site: Pain · Fatigue or tiredness
    Adult check-in
  48. 2022-11-12
    Health check-in — days 1–6 daily, dose 4
    Feeling: Good · Fatigue or tiredness
    Adult check-in
  49. 2022-11-15
    Survey response — day 7, dose 4
    MedDRA: Cough, Malaise — Feeling: Poor · Headache, Muscle or body aches, Fatigue or tiredness · Be unable to work or attend school, Be unable to do your normal daily activities
    Free text: sick, colf
    MedDRA releases: 2024-11 · check-in free text available
  50. 2022-11-21
    Health check-in — day 14, dose 4
    Feeling: Fair
    Adult check-in
  51. 2022-11-28
    Health check-in — day 21, dose 4
    Feeling: Good
    Adult check-in
  52. 2022-12-07
    Health check-in — day 28, dose 4
    Feeling: Good
    Adult check-in
  53. 2022-12-12
    Health check-in — day 35, dose 4
    Feeling: Good
    Adult check-in
  54. 2022-12-19
    Health check-in — day 42, dose 4
    Feeling: Good
    Adult check-in
  55. 2023-02-06
    Survey response — 3 months, dose 4
    MedDRA: COVID-19 — Feeling: Fair · Be unable to work or attend school, Be unable to do your normal daily activities
    MedDRA releases: 2024-11
  56. 2023-05-08
    Survey response — 6 months, dose 4
    MedDRA: Gastrointestinal tract irritation, Influenza, Nasopharyngitis — Feeling: Fair · Be unable to work or attend school
    MedDRA releases: 2024-11

Vaccinations

DoseDateManufacturerCo-administered
12021-03-28Moderna
22021-04-24Moderna
32021-11-02Moderna No
42022-11-07Moderna No

Free text

Release 6 — days 1–6 daily, dose 1

2021-03-29

Systemic reaction (other): Mild soar throat

2021-03-30

Systemic reaction (other): Allergy/Tonsils/Back of throat inflamation

2021-04-01

Systemic reaction (other): Erratic sleep, high energy and tired

2021-04-02

Systemic reaction (other): Erratic sleep, surge of energy, light bumps on both arms/bicepts

2021-04-03

Systemic reaction (other): Sleeping in late afternoon and up late. On and off sleep.

Release 7 — day 21, dose 1

2021-04-19

Symptoms: Tiny bumps (by feel, hard tosee) running down both upper arms and outer back. I have always had smooth skin there, now I can feel tiny bumps.

Release 9 — 3 months, dose 2

2021-07-24

Symptoms: Icky, weak, tired a probable cold.

Release 10 — day 7, dose 3

2021-11-10

Systemic reaction (other): Difficulty sleeping

Release 10 — day 35, dose 3

2021-12-07

Symptoms: Icky, Stomach, tired

Release 11 — 3 months, dose 3

2022-02-01

Symptoms: Upset stomach, small fever, diahhreah

Release 11 — 6 months, dose 3

2022-05-05

Symptoms: Cold/Cough

Release 12 — days 1–6 daily, dose 4

2022-11-08

Systemic reaction (other): A little "off"

2022-11-10

Systemic reaction (other): Not 100%

Release 12 — day 7, dose 4

2022-11-15

Systemic reaction (other): sick, colf

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
SDAbdominal discomfort · · ✓
SDCough · · ✓
SDCOVID-19 · · ✓
SDDiarrhoea · · ✓
SDFatigue ✓ · ✓
SDFeeling abnormal ✓ · ✓
SDGastrointestinal tract irritation · · ✓
SDInfluenza · · ✓
SDMalaise · · ✓
SDNasopharyngitis ✓ · ✓
SDPyrexia · · ✓
SDRash ✓ ✓ ✓
SDUnevaluable event · · ✓
SROAdverse reaction · · ✓
SROCough · · ✓
SROEnergy increased ✓ ✓ ✓
SROFatigue ✓ ✓ ✓
SROFeeling abnormal · · ✓
SROHypersensitivity ✓ ✓ ✓
SROInsomnia ✓ ✓ ✓
SROMalaise · · ✓
SROOropharyngeal pain ✓ ✓ ✓
SROPharyngeal inflammation ✓ ✓ ✓
SRORash ✓ ✓ ✓
SROSleep disorder ✓ ✓ ✓
SROTonsillar disorder ✓ ✓ ✓

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

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