Y6K-10749-44597
4 vaccinations
3 coded responses
51 check-ins
3 free-text entries
0 call cases
- Sex
- Male
- Age at first dose
- 66+
- ZIP prefix
- 981 / WA
- Registered
- 2021-01-16
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-01-16
Registered in v-safe
-
2021-01-16
Dose 1 — Moderna
- 2021-01-16
-
2021-01-17
Survey response — days 1–6 daily, dose 1MedDRA: Urinary incontinence — Feeling: Good · Site: PainFree text: Small urine dribble in bed at night; first time in two years; had previously eliminated incontinence resulting from radical prostatectomy six years ago.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-01-18
- 2021-01-19
- 2021-01-21
- 2021-01-22
- 2021-01-23
- 2021-01-31
- 2021-02-06
- 2021-02-13
-
2021-02-15
Dose 2 — Moderna
- 2021-02-15
-
2021-02-16
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Site: Pain · Fatigue or tirednessAdult check-in
-
2021-02-17
Survey response — days 1–6 daily, dose 2MedDRA: Enuresis, Pre-existing disease — Feeling: Good · Site: Pain · Fatigue or tirednessFree text: I had radical prostatectomy 6years ago. Took 4 years to restore continence. Only bed wet twice in last two years; first was night of first COVID vaccine, second was 29 hours after second vacccine shot.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-02-18
- 2021-02-19
- 2021-02-20
- 2021-02-21
- 2021-02-22
- 2021-03-01
- 2021-03-08
- 2021-03-15
- 2021-03-22
- 2021-03-29
- 2021-08-18
-
2021-10-23
Dose 3 — Moderna
-
2021-10-24
Health check-in — days 1–6 daily, dose 3Feeling: Good · Site: Pain · Fatigue or tirednessAdult check-in
- 2021-10-25
- 2021-10-26
- 2021-10-27
- 2021-10-29
- 2021-10-30
- 2021-11-07
- 2021-11-13
- 2021-11-20
- 2021-11-29
- 2021-12-04
-
2022-01-22
Survey response — 3 months, dose 3MedDRA: Body temperature increased, Fatigue, Laboratory test abnormal, Oropharyngeal pain — Feeling: GoodFree text: Three weeks ago, i tested positive in a PCR test. I had a fever of 99.5 for less than a day, and a mild sore throat. After three days, I felt ok. General mild tiredness for another ten days.MedDRA releases: 2024-11 · check-in free text available
-
2022-04-13
Dose 4 — Moderna
- 2022-04-14
-
2022-04-15
Health check-in — days 1–6 daily, dose 4Feeling: Good · Site: Pain · Fatigue or tirednessAdult check-in
- 2022-04-16
- 2022-04-17
- 2022-04-18
- 2022-04-19
- 2022-04-20
- 2022-04-27
- 2022-05-04
- 2022-05-11
- 2022-05-18
- 2022-05-27
- 2022-07-13
- 2022-10-12
- 2023-04-13
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-01-16 | Moderna | |
| 2 | 2021-02-15 | Moderna | |
| 3 | 2021-10-23 | Moderna | No |
| 4 | 2022-04-13 | Moderna | No |
Free text
Release 2 — days 1–6 daily, dose 1
Systemic reaction (other): Small urine dribble in bed at night; first time in two years; had previously eliminated incontinence resulting from radical prostatectomy six years ago.
Release 4 — days 1–6 daily, dose 2
Systemic reaction (other): I had radical prostatectomy 6years ago. Took 4 years to restore continence. Only bed wet twice in last two years; first was night of first COVID vaccine, second was 29 hours after second vacccine shot.
Release 11 — 3 months, dose 3
Symptoms: Three weeks ago, i tested positive in a PCR test. I had a fever of 99.5 for less than a day, and a mild sore throat. After three days, I felt ok. General mild tiredness for another ten days.
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 | Body temperature increased | · | · | ✓ |
| SD | Fatigue | · | · | ✓ |
| SD | Laboratory test abnormal | · | · | ✓ |
| SD | Oropharyngeal pain | · | · | ✓ |
| SRO | Enuresis | ✓ | ✓ | ✓ |
| SRO | Pre-existing disease | ✓ | ✓ | ✓ |
| SRO | Urinary incontinence | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release