XXE-20729-62951
4 vaccinations
11 coded responses
25 check-ins
11 free-text entries
0 call cases
- Sex
- Male
- Age at first dose
- 66+
- ZIP prefix
- 980 / WA
- Registered
- 2021-01-25
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-01-24
Dose 1 — Moderna
-
2021-01-25
Registered in v-safe
- 2021-01-25
-
2021-01-26
Survey response — days 1–6 daily, dose 1MedDRA: Asthenia, Injection site warmth — Feeling: Fair · Site: Redness · Fatigue or tirednessMedDRA releases: 2021-09,2023-04,2024-11 · check-in answers available
- 2021-03-02
-
2021-03-03
Dose 2 — Moderna
- 2021-03-07
-
2021-03-08
Survey response — days 1–6 daily, dose 2MedDRA: Fatigue — Feeling: Good · Fatigue or tirednessMedDRA releases: 2021-09,2023-04,2024-11 · check-in answers available
-
2021-03-09
Survey response — days 1–6 daily, dose 2MedDRA: Diarrhoea, Flatulence — Feeling: Fair · Fatigue or tirednessMedDRA releases: 2021-09,2023-04,2024-11 · check-in answers available
-
2021-03-10
Survey response — 7 day, dose 2MedDRA: Adverse reaction — Feeling: Good · Muscle or body aches, DiarrheaMedDRA releases: 2021-09,2023-04,2024-11 · check-in answers available
- 2021-03-19
- 2021-03-24
- 2021-03-31
- 2021-04-07
- 2021-04-14
-
2021-09-01
Survey response — 6 month, dose 2MedDRA: Dental restoration failure, Device physical property issue, Oral candidiasis — Feeling: GoodMedDRA releases: 2021-09,2024-11 · check-in answers available
-
2021-11-20
Dose 3 — ModernaCo-administered: Flu
- 2022-03-03
-
2022-04-28
Dose 4 — Moderna
-
2022-04-28
Survey response — 0 day, dose 4MedDRA: Balance disorder, Muscular weakness — Feeling: GoodMedDRA releases: 2024-11 · check-in answers available
-
2022-04-29
Survey response — days 1–6 daily, dose 4MedDRA: Adverse reaction — Feeling: GoodMedDRA releases: 2024-11 · check-in answers available
-
2022-05-02
Survey response — days 1–6 daily, dose 4MedDRA: Adverse reaction — Feeling: GoodMedDRA releases: 2024-11 · check-in answers available
-
2022-05-04
Survey response — days 1–6 daily, dose 4MedDRA: Pyrexia, Visual impairment — Feeling: Good · Fatigue or tirednessMedDRA releases: 2024-11 · check-in answers available
-
2022-05-05
Survey response — 7 day, dose 4MedDRA: Arthralgia — Feeling: Good · Chills, Joint pains, Fatigue or tirednessMedDRA releases: 2024-11 · check-in answers available
- 2022-05-12
- 2022-05-19
-
2022-05-26
Survey response — 28 day, dose 4MedDRA: Asthenia, Fatigue — Feeling: Fair · Be unable to do your normal daily activitiesMedDRA releases: 2024-11 · check-in answers available
- 2022-06-02
- 2022-06-09
- 2023-04-28
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-01-24 | Moderna | |
| 2 | 2021-03-03 | Moderna | |
| 3 | 2021-11-20 | Moderna | Flu |
| 4 | 2022-04-28 | Moderna | No |
Free text
Release 2
Systemic reaction (other): A warm feeling at the vaccination site and feeling a bit low in energy. If you had not asked, I would not have mentioned it. OK?
Release 5
Systemic reaction (other): Fatigue is mild, not severe.
Systemic reaction (other): Almost Diarrhea-lots of gas - unusual for me.
Systemic reaction (other): The noted symptoms are mild.
Release 9
Symptoms: Several teeth have deteriorated around crowns which have fallen off. I now have Thrush severe on tongue and gums and throat.
Release 11
Systemic reaction (other): Increasing weakness in legs and occasional balance difficulties.
Systemic reaction (other): Feeling of awareness at vaccination site
Systemic reaction (other): Getting Old & feeling it.
Systemic reaction (other): No fever or vision difficulties today.
Systemic reaction (other): Knee aches
Symptoms: More tired and weak than normal.
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 | Asthenia | · | · | ✓ |
| SD | Dental restoration failure | ✓ | · | ✓ |
| SD | Device physical property issue | ✓ | · | ✓ |
| SD | Fatigue | · | · | ✓ |
| SD | Oral candidiasis | ✓ | · | ✓ |
| SRO | Adverse reaction | ✓ | ✓ | ✓ |
| SRO | Arthralgia | · | · | ✓ |
| SRO | Asthenia | ✓ | ✓ | ✓ |
| SRO | Balance disorder | · | · | ✓ |
| SRO | Diarrhoea | ✓ | ✓ | ✓ |
| SRO | Fatigue | ✓ | ✓ | ✓ |
| SRO | Flatulence | ✓ | ✓ | ✓ |
| SRO | Injection site warmth | ✓ | ✓ | ✓ |
| SRO | Muscular weakness | · | · | ✓ |
| SRO | Pyrexia | · | · | ✓ |
| SRO | Visual impairment | · | · | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release