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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

  1. 2021-01-24
    Dose 1 — Moderna
  2. 2021-01-25
    Registered in v-safe
  3. 2021-01-25
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · None
    Adult check-in
  4. 2021-01-26
    Survey response — days 1–6 daily, dose 1
    MedDRA: Asthenia, Injection site warmth — Feeling: Fair · Site: Redness · Fatigue or tiredness
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in answers available
  5. 2021-03-02
    Health check-in — 35 day, dose 1
    Feeling: Good
    Adult check-in
  6. 2021-03-03
    Dose 2 — Moderna
  7. 2021-03-07
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · Site: Pain · None
    Adult check-in
  8. 2021-03-08
    Survey response — days 1–6 daily, dose 2
    MedDRA: Fatigue — Feeling: Good · Fatigue or tiredness
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in answers available
  9. 2021-03-09
    Survey response — days 1–6 daily, dose 2
    MedDRA: Diarrhoea, Flatulence — Feeling: Fair · Fatigue or tiredness
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in answers available
  10. 2021-03-10
    Survey response — 7 day, dose 2
    MedDRA: Adverse reaction — Feeling: Good · Muscle or body aches, Diarrhea
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in answers available
  11. 2021-03-19
    Health check-in — 14 day, dose 2
    Feeling: Fair
    Adult check-in
  12. 2021-03-24
    Health check-in — 21 day, dose 2
    Feeling: Fair
    Adult check-in
  13. 2021-03-31
    Health check-in — 28 day, dose 2
    Feeling: Good
    Adult check-in
  14. 2021-04-07
    Health check-in — 35 day, dose 2
    Feeling: Good
    Adult check-in
  15. 2021-04-14
    Health check-in — 42 day, dose 2
    Feeling: Good
    Adult check-in
  16. 2021-09-01
    Survey response — 6 month, dose 2
    MedDRA: Dental restoration failure, Device physical property issue, Oral candidiasis — Feeling: Good
    MedDRA releases: 2021-09,2024-11 · check-in answers available
  17. 2021-11-20
    Dose 3 — Moderna
    Co-administered: Flu
  18. 2022-03-03
    Health check-in — 12 month, dose 2
    Feeling: Good
    Adult check-in
  19. 2022-04-28
    Dose 4 — Moderna
  20. 2022-04-28
    Survey response — 0 day, dose 4
    MedDRA: Balance disorder, Muscular weakness — Feeling: Good
    MedDRA releases: 2024-11 · check-in answers available
  21. 2022-04-29
    Survey response — days 1–6 daily, dose 4
    MedDRA: Adverse reaction — Feeling: Good
    MedDRA releases: 2024-11 · check-in answers available
  22. 2022-05-02
    Survey response — days 1–6 daily, dose 4
    MedDRA: Adverse reaction — Feeling: Good
    MedDRA releases: 2024-11 · check-in answers available
  23. 2022-05-04
    Survey response — days 1–6 daily, dose 4
    MedDRA: Pyrexia, Visual impairment — Feeling: Good · Fatigue or tiredness
    MedDRA releases: 2024-11 · check-in answers available
  24. 2022-05-05
    Survey response — 7 day, dose 4
    MedDRA: Arthralgia — Feeling: Good · Chills, Joint pains, Fatigue or tiredness
    MedDRA releases: 2024-11 · check-in answers available
  25. 2022-05-12
    Health check-in — 14 day, dose 4
    Feeling: Good
    Adult check-in
  26. 2022-05-19
    Health check-in — 21 day, dose 4
    Feeling: Good
    Adult check-in
  27. 2022-05-26
    Survey response — 28 day, dose 4
    MedDRA: Asthenia, Fatigue — Feeling: Fair · Be unable to do your normal daily activities
    MedDRA releases: 2024-11 · check-in answers available
  28. 2022-06-02
    Health check-in — 35 day, dose 4
    Feeling: Fair
    Adult check-in
  29. 2022-06-09
    Health check-in — 42 day, dose 4
    Feeling: Good
    Adult check-in
  30. 2023-04-28
    Health check-in — 12 month, dose 4
    Feeling: Good
    Adult check-in

Vaccinations

DoseDateManufacturerCo-administered
12021-01-24Moderna
22021-03-03Moderna
32021-11-20Moderna Flu
42022-04-28Moderna 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

FieldPreferred term2021-092023-042024-11
SDAsthenia · · ✓
SDDental restoration failure ✓ · ✓
SDDevice physical property issue ✓ · ✓
SDFatigue · · ✓
SDOral candidiasis ✓ · ✓
SROAdverse reaction ✓ ✓ ✓
SROArthralgia · · ✓
SROAsthenia ✓ ✓ ✓
SROBalance disorder · · ✓
SRODiarrhoea ✓ ✓ ✓
SROFatigue ✓ ✓ ✓
SROFlatulence ✓ ✓ ✓
SROInjection site warmth ✓ ✓ ✓
SROMuscular weakness · · ✓
SROPyrexia · · ✓
SROVisual impairment · · ✓

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