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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

  1. 2021-02-20
    Dose 1 — Moderna
  2. 2021-02-21
    Registered in v-safe
  3. 2021-02-21
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · Site: Pain · None
    Adult check-in
  4. 2021-02-23
    Health check-in — days 1–6 daily, dose 1
    Feeling: Fair · Site: Pain · Fatigue or tiredness
    Adult check-in
  5. 2021-02-24
    Survey response — days 1–6 daily, dose 1
    MedDRA: Asthenia — Feeling: Poor · Fatigue or tiredness · Be unable to do your normal daily activities
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in answers available
  6. 2021-02-25
    Health check-in — days 1–6 daily, dose 1
    Feeling: Poor · Fatigue or tiredness · Be unable to do your normal daily activities
    Adult check-in
  7. 2021-02-26
    Health check-in — days 1–6 daily, dose 1
    Feeling: Fair · Fatigue or tiredness · Be unable to do your normal daily activities
    Adult check-in
  8. 2021-02-27
    Health check-in — 7 day, dose 1
    Feeling: Fair · Site: Itching · Fatigue or tiredness · Be unable to do your normal daily activities
    Adult check-in
  9. 2021-03-06
    Health check-in — 14 day, dose 1
    Feeling: Good
    Adult check-in
  10. 2021-03-13
    Survey response — 21 day, dose 1
    MedDRA: Oral herpes — Feeling: Good
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in answers available
  11. 2021-03-20
    Dose 2 — Moderna
  12. 2021-03-20
    Health check-in — 0 day, dose 2
    Feeling: Good · None
    Adult check-in
  13. 2021-03-21
    Health check-in — days 1–6 daily, dose 2
    Feeling: Fair · Site: Pain · Fatigue or tiredness · Be unable to do your normal daily activities
    Adult check-in
  14. 2021-03-22
    Health check-in — days 1–6 daily, dose 2
    Feeling: Fair · Site: Pain · Fatigue or tiredness · Be unable to do your normal daily activities
    Adult check-in
  15. 2021-03-23
    Survey response — days 1–6 daily, dose 2
    MedDRA: Fatigue — Feeling: Fair · Fatigue or tiredness · Be unable to do your normal daily activities
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in answers available
  16. 2021-03-24
    Survey response — days 1–6 daily, dose 2
    MedDRA: Fatigue, Hypersomnia — Feeling: Fair · Fatigue or tiredness · Be unable to do your normal daily activities
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in answers available
  17. 2021-03-29
    Survey response — 7 day, dose 2
    MedDRA: Fatigue — Feeling: Poor · Fatigue or tiredness, Abdominal pain · Be unable to do your normal daily activities
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in answers available
  18. 2021-04-03
    Survey response — 14 day, dose 2
    MedDRA: Fatigue — Feeling: Poor · Be unable to do your normal daily activities
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in answers available
  19. 2021-04-10
    Health check-in — 21 day, dose 2
    Feeling: Fair
    Adult check-in
  20. 2021-04-24
    Survey response — 35 day, dose 2
    MedDRA: Apathy, Feeling cold, Hypersomnia — Feeling: Fair · Be unable to do your normal daily activities
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in answers available
  21. 2021-05-04
    Health check-in — 42 day, dose 2
    Feeling: Fair
    Adult check-in
  22. 2021-06-19
    Health check-in — 3 month, dose 2
    Feeling: Fair
    Adult check-in
  23. 2021-09-18
    Health check-in — 6 month, dose 2
    Feeling: Good
    Adult check-in
  24. 2021-11-29
    Dose 3 — Moderna
    Co-administered: Flu
  25. 2022-03-20
    Health check-in — 12 month, dose 2
    Feeling: Good
    Adult check-in
  26. 2022-04-06
    Dose 4 — Moderna
  27. 2022-04-11
    Survey response — days 1–6 daily, dose 4
    MedDRA: No adverse event — Feeling: Good
    MedDRA releases: 2024-11 · check-in answers available
  28. 2022-04-12
    Health check-in — days 1–6 daily, dose 4
    Feeling: Fair · Fatigue or tiredness
    Adult check-in
  29. 2022-04-13
    Survey response — 7 day, dose 4
    MedDRA: Dyspnoea — Feeling: Fair
    MedDRA releases: 2024-11 · check-in answers available
  30. 2022-04-22
    Health check-in — 14 day, dose 4
    Feeling: Good
    Adult check-in
  31. 2022-04-27
    Health check-in — 21 day, dose 4
    Feeling: Good
    Adult check-in
  32. 2022-05-06
    Health check-in — 28 day, dose 4
    Feeling: Good
    Adult check-in
  33. 2022-05-11
    Health check-in — 35 day, dose 4
    Feeling: Good
    Adult check-in
  34. 2022-05-20
    Health check-in — 42 day, dose 4
    Feeling: Fair
    Adult check-in
  35. 2022-07-06
    Health check-in — 3 month, dose 4
    Feeling: Fair
    Adult check-in
  36. 2022-10-05
    Health check-in — 6 month, dose 4
    Feeling: Good
    Adult check-in
  37. 2023-04-10
    Survey response — 12 month, dose 4
    MedDRA: Fatigue — Feeling: Good · Be unable to do your normal daily activities
    MedDRA releases: 2024-11 · check-in answers available

Vaccinations

DoseDateManufacturerCo-administered
12021-02-20Moderna
22021-03-20Moderna
32021-11-29Moderna Flu
42022-04-06Moderna 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

FieldPreferred term2021-092023-042024-11
SDApathy ✓ ✓ ✓
SDFatigue ✓ ✓ ✓
SDFeeling cold ✓ ✓ ✓
SDHypersomnia ✓ ✓ ✓
SDOral herpes ✓ ✓ ✓
SROAsthenia ✓ ✓ ✓
SRODyspnoea · · ✓
SROFatigue ✓ ✓ ✓
SROHypersomnia ✓ ✓ ✓
SRONo adverse event · · ✓

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