6XH-56596-97449
4 vaccinations
6 coded responses
17 check-ins
6 free-text entries
0 call cases
- Sex
- Male
- Age at first dose
- 66+
- ZIP prefix
- 234 / VA
- Registered
- 2021-03-15
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-01-30
Dose 1 — Moderna
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2021-02-27
Dose 2 — Moderna
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2021-03-15
Registered in v-safe
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2021-03-15
Survey response — day 14, dose 2MedDRA: Chills — Feeling: FairFree text: Chills during the night on Sunday.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-03-20
Survey response — day 21, dose 2MedDRA: Chills — Feeling: GoodFree text: Had some chills during the night. They passed.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-03-27
- 2021-04-03
- 2021-04-10
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2021-05-29
Survey response — 3 months, dose 2MedDRA: Injection site pain — Feeling: GoodFree text: Sore spot at the injection sight. (Left arm) For the last two or three days. Not sore today.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-08-29
Survey response — 6 months, dose 2MedDRA: Chills — Feeling: GoodFree text: Just get some chills, usually at night. Lasts a few minutes, then it passes. Usually will happen, either a couple times in a week, or once every three or four weeks.MedDRA releases: 2021-09,2024-11 · check-in free text available
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2021-10-22
Dose 3 — Moderna
- 2022-02-27
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2022-04-19
Dose 4 — Pfizer-BioNTech
- 2022-04-29
- 2022-05-03
- 2022-05-12
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2022-05-17
Survey response — day 28, dose 4MedDRA: Dizziness — Feeling: GoodFree text: Occasionally, a little light headed, when I wake up in the morning. Passes rather quickly.MedDRA releases: 2024-11 · check-in free text available
- 2022-05-24
- 2022-05-31
- 2022-07-19
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2022-10-18
Survey response — 6 months, dose 4MedDRA: Chills — Feeling: GoodFree text: Chills during the night for a few minutes. Three or so times every week or so.MedDRA releases: 2024-11 · check-in free text available
- 2023-04-20
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-01-30 | Moderna | |
| 2 | 2021-02-27 | Moderna | |
| 3 | 2021-10-22 | Moderna | No |
| 4 | 2022-04-19 | Pfizer-BioNTech | No |
Free text
Release 5 — day 14, dose 2
Symptoms: Chills during the night on Sunday.
Release 6 — day 21, dose 2
Symptoms: Had some chills during the night. They passed.
Release 8 — 3 months, dose 2
Symptoms: Sore spot at the injection sight. (Left arm) For the last two or three days. Not sore today.
Release 9 — 6 months, dose 2
Symptoms: Just get some chills, usually at night. Lasts a few minutes, then it passes. Usually will happen, either a couple times in a week, or once every three or four weeks.
Release 11 — day 28, dose 4
Symptoms: Occasionally, a little light headed, when I wake up in the morning. Passes rather quickly.
Release 12 — 6 months, dose 4
Symptoms: Chills during the night for a few minutes. Three or so times every week or so.
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 | Chills | ✓ | ✓ | ✓ |
| SD | Dizziness | · | · | ✓ |
| SD | Injection site pain | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release