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6X6-21891-14888

2 vaccinations 5 coded responses 25 check-ins 5 free-text entries 0 call cases
Sex
Male
Age at first dose
66+
ZIP prefix
983 / WA
Registered
2021-02-02
Relationship
Self
Race
White
Ethnicity
Not Hispanic or Latino

Timeline

  1. 2021-02-01
    Dose 1 — Moderna
  2. 2021-02-02
    Registered in v-safe
  3. 2021-02-02
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · Site: Pain · None
    Adult check-in
  4. 2021-02-03
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · None
    Adult check-in
  5. 2021-02-04
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · None
    Adult check-in
  6. 2021-02-05
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · None
    Adult check-in
  7. 2021-02-06
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · Fatigue or tiredness
    Adult check-in
  8. 2021-02-07
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · Fatigue or tiredness
    Adult check-in
  9. 2021-02-08
    Health check-in — day 7, dose 1
    Feeling: Fair · Fatigue or tiredness, Diarrhea
    Adult check-in
  10. 2021-02-15
    Health check-in — day 14, dose 1
    Feeling: Good
    Adult check-in
  11. 2021-02-23
    Health check-in — day 21, dose 1
    Feeling: Good
    Adult check-in
  12. 2021-03-01
    Health check-in — day 28, dose 1
    Feeling: Good
    Adult check-in
  13. 2021-03-02
    Dose 2 — Moderna
  14. 2021-03-02
    Health check-in — day 0, dose 2
    Feeling: Good · None
    Adult check-in
  15. 2021-03-03
    Survey response — days 1–6 daily, dose 2
    MedDRA: Weight decreased — Feeling: Poor · Site: Pain, Redness, Swelling · Chills, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to do your normal daily activities
    Free text: 6 pounds weight loss from water.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  16. 2021-03-04
    Health check-in — days 1–6 daily, dose 2
    Feeling: Fair · Site: Redness · Fatigue or tiredness, Diarrhea
    Adult check-in
  17. 2021-03-05
    Health check-in — days 1–6 daily, dose 2
    Feeling: Fair · Chills, Fatigue or tiredness, Diarrhea
    Adult check-in
  18. 2021-03-07
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · None
    Adult check-in
  19. 2021-03-08
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · None
    Adult check-in
  20. 2021-03-09
    Health check-in — day 7, dose 2
    Feeling: Good · None
    Adult check-in
  21. 2021-03-16
    Health check-in — day 14, dose 2
    Feeling: Good
    Adult check-in
  22. 2021-03-23
    Survey response — day 21, dose 2
    MedDRA: Blood glucose increased — Feeling: Good
    Free text: I havè been seeing changes in my blood sugar levels since the second shot. I was recording 100-110 and now I'm fluctuating between 115-135.I have also noticed that my reaction to alcohol has changed also and a beer or wine puts me to sleep.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  23. 2021-03-31
    Survey response — day 28, dose 2
    MedDRA: Blood glucose increased — Feeling: Good
    Free text: still experiencing higher levels of blood sugar. my average has gone from 105 in morning to 122 in morning with no change in diet. I have also dropped several piunds.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  24. 2021-04-06
    Survey response — day 35, dose 2
    MedDRA: Blood glucose increased — Feeling: Fair
    Free text: continuing spikes in blood sugar levels since 2nd shot. 125-135 one day and then 105-110 the next.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  25. 2021-04-14
    Health check-in — day 42, dose 2
    Feeling: Good
    Adult check-in
  26. 2021-06-01
    Health check-in — 3 months, dose 2
    Feeling: Good
    Adult check-in
  27. 2021-08-31
    Survey response — 6 months, dose 2
    MedDRA: Blood glucose increased — Feeling: Good
    Free text: My average blood sugar levels went up about 10 points after 2nd Moderna and now it's gone up another 10 points average with the same diet.
    MedDRA releases: 2021-09,2024-11 · check-in free text available
  28. 2022-03-02
    Health check-in — 12 months, dose 2
    Feeling: Good
    Adult check-in

Vaccinations

DoseDateManufacturerCo-administered
12021-02-01Moderna
22021-03-02Moderna

Free text

Release 5 — days 1–6 daily, dose 2

2021-03-03

Systemic reaction (other): 6 pounds weight loss from water.

Release 6 — day 21, dose 2

2021-03-23

Symptoms: I havè been seeing changes in my blood sugar levels since the second shot. I was recording 100-110 and now I'm fluctuating between 115-135.I have also noticed that my reaction to alcohol has changed also and a beer or wine puts me to sleep.

Release 6 — day 28, dose 2

2021-03-31

Symptoms: still experiencing higher levels of blood sugar. my average has gone from 105 in morning to 122 in morning with no change in diet. I have also dropped several piunds.

Release 7 — day 35, dose 2

2021-04-06

Symptoms: continuing spikes in blood sugar levels since 2nd shot. 125-135 one day and then 105-110 the next.

Release 9 — 6 months, dose 2

2021-08-31

Symptoms: My average blood sugar levels went up about 10 points after 2nd Moderna and now it's gone up another 10 points average with the same diet.

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
SDBlood glucose increased ✓ ✓ ✓
SROWeight decreased ✓ ✓ ✓

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