XW9-15649-66576
4 vaccinations
10 coded responses
32 check-ins
9 free-text entries
0 call cases
- Sex
- Male
- Age at first dose
- 66+
- ZIP prefix
- 450 / OH
- Registered
- 2021-02-21
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-02-20
Dose 1 — Moderna
-
2021-02-21
Registered in v-safe
- 2021-02-21
-
2021-02-23
Health check-in — days 1–6 daily, dose 1Feeling: Fair · Site: Pain · Fatigue or tirednessAdult check-in
-
2021-02-24
Survey response — days 1–6 daily, dose 1MedDRA: Asthenia — Feeling: Poor · Fatigue or tiredness · Be unable to do your normal daily activitiesMedDRA releases: 2021-09,2023-04,2024-11 · check-in answers available
-
2021-02-25
Health check-in — days 1–6 daily, dose 1Feeling: Poor · Fatigue or tiredness · Be unable to do your normal daily activitiesAdult check-in
-
2021-02-26
Health check-in — days 1–6 daily, dose 1Feeling: Fair · Fatigue or tiredness · Be unable to do your normal daily activitiesAdult check-in
-
2021-02-27
Health check-in — 7 day, dose 1Feeling: Fair · Site: Itching · Fatigue or tiredness · Be unable to do your normal daily activitiesAdult check-in
- 2021-03-06
-
2021-03-13
Survey response — 21 day, dose 1MedDRA: Oral herpes — Feeling: GoodMedDRA releases: 2021-09,2023-04,2024-11 · check-in answers available
-
2021-03-20
Dose 2 — Moderna
- 2021-03-20
-
2021-03-21
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Site: Pain · Fatigue or tiredness · Be unable to do your normal daily activitiesAdult check-in
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2021-03-22
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Site: Pain · Fatigue or tiredness · Be unable to do your normal daily activitiesAdult check-in
-
2021-03-23
Survey response — days 1–6 daily, dose 2MedDRA: Fatigue — Feeling: Fair · Fatigue or tiredness · Be unable to do your normal daily activitiesMedDRA releases: 2021-09,2023-04,2024-11 · check-in answers available
-
2021-03-24
Survey response — days 1–6 daily, dose 2MedDRA: Fatigue, Hypersomnia — Feeling: Fair · Fatigue or tiredness · Be unable to do your normal daily activitiesMedDRA releases: 2021-09,2023-04,2024-11 · check-in answers available
-
2021-03-29
Survey response — 7 day, dose 2MedDRA: Fatigue — Feeling: Poor · Fatigue or tiredness, Abdominal pain · Be unable to do your normal daily activitiesMedDRA releases: 2021-09,2023-04,2024-11 · check-in answers available
-
2021-04-03
Survey response — 14 day, dose 2MedDRA: Fatigue — Feeling: Poor · Be unable to do your normal daily activitiesMedDRA releases: 2021-09,2023-04,2024-11 · check-in answers available
- 2021-04-10
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2021-04-24
Survey response — 35 day, dose 2MedDRA: Apathy, Feeling cold, Hypersomnia — Feeling: Fair · Be unable to do your normal daily activitiesMedDRA releases: 2021-09,2023-04,2024-11 · check-in answers available
- 2021-05-04
- 2021-06-19
- 2021-09-18
-
2021-11-29
Dose 3 — ModernaCo-administered: Flu
- 2022-03-20
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2022-04-06
Dose 4 — Moderna
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2022-04-11
Survey response — days 1–6 daily, dose 4MedDRA: No adverse event — Feeling: GoodMedDRA releases: 2024-11 · check-in answers available
- 2022-04-12
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2022-04-13
Survey response — 7 day, dose 4MedDRA: Dyspnoea — Feeling: FairMedDRA releases: 2024-11 · check-in answers available
- 2022-04-22
- 2022-04-27
- 2022-05-06
- 2022-05-11
- 2022-05-20
- 2022-07-06
- 2022-10-05
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2023-04-10
Survey response — 12 month, dose 4MedDRA: Fatigue — Feeling: Good · Be unable to do your normal daily activitiesMedDRA releases: 2024-11 · check-in answers available
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-02-20 | Moderna | |
| 2 | 2021-03-20 | Moderna | |
| 3 | 2021-11-29 | Moderna | Flu |
| 4 | 2022-04-06 | Moderna | No |
Free text
Release 4
Systemic reaction (other): No energy
Release 5
Symptoms: Cold sore right upper lip 3/12
Release 6
Systemic reaction (other): Tiredness since last shot. Help o
Systemic reaction (other): I am so fatigued. I cant stop sleeping! When I wake up I can still go back to sleep!
Systemic reaction (other): Exhaustion
Symptoms: Severe fatigue
Release 7
Symptoms: I believe I am going through some kind of depression. Two months ago we had a death in the family, and we are still dealing with that. I dont go anywhere, I sleep all the time, Im always cold. No desire to do anything. Blood test normal, not me
Release 11
Systemic reaction (other): None
Systemic reaction (other): Difficulty breathing
Free-text releases are not linked to a specific 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 | Apathy | ✓ | ✓ | ✓ |
| SD | Fatigue | ✓ | ✓ | ✓ |
| SD | Feeling cold | ✓ | ✓ | ✓ |
| SD | Hypersomnia | ✓ | ✓ | ✓ |
| SD | Oral herpes | ✓ | ✓ | ✓ |
| SRO | Asthenia | ✓ | ✓ | ✓ |
| SRO | Dyspnoea | · | · | ✓ |
| SRO | Fatigue | ✓ | ✓ | ✓ |
| SRO | Hypersomnia | ✓ | ✓ | ✓ |
| SRO | No adverse event | · | · | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release