Y7D-88095-43204
5 vaccinations
3 coded responses
46 check-ins
3 free-text entries
0 call cases
- Sex
- Male
- Age at first dose
- 66+
- ZIP prefix
- 981 / WA
- Registered
- 2021-01-24
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-01-23
Dose 1 — Moderna
-
2021-01-24
Registered in v-safe
- 2021-01-24
- 2021-01-25
- 2021-01-26
- 2021-01-27
- 2021-01-28
- 2021-01-29
- 2021-01-30
- 2021-02-06
- 2021-02-13
- 2021-02-20
-
2021-02-26
Dose 2 — Moderna
- 2021-02-26
-
2021-02-27
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Site: Pain · Muscle or body aches, Fatigue or tirednessAdult check-in
- 2021-02-28
- 2021-03-01
- 2021-03-02
- 2021-03-03
- 2021-03-04
- 2021-03-05
- 2021-03-12
- 2021-03-19
- 2021-03-26
- 2021-04-02
- 2021-04-09
- 2021-05-28
- 2021-08-27
-
2021-11-05
Dose 3 — Moderna
- 2022-02-26
-
2022-05-20
Dose 4 — Moderna
- 2022-05-20
-
2022-05-21
Survey response — days 1–6 daily, dose 4MedDRA: Injection site pain — Feeling: Good · Site: PainFree text: The site pain is more like sore when pressed gently.MedDRA releases: 2024-11 · check-in free text available
- 2022-05-22
- 2022-05-23
- 2022-05-24
- 2022-05-25
- 2022-05-26
- 2022-05-27
- 2022-06-03
- 2022-06-10
- 2022-06-17
- 2022-06-25
- 2022-07-01
- 2022-08-19
-
2022-09-30
Dose 5 — Pfizer-BioNTechCo-administered: Flu
-
2022-10-23
Survey response — day 21, dose 5MedDRA: Asthenia, Catarrh, Rhinorrhoea, SARS-CoV-2 test, Somnolence, Throat irritation — Feeling: FairFree text: Very mild back of throat irritation, some light nose drainage, over night phlegm buildup clearing within half hour of rising, low energy, several naps during day. Symptoms for five days, starting to improve. Had four negative Covid rapid tests.MedDRA releases: 2024-11 · check-in free text available
-
2022-10-28
Survey response — day 28, dose 5MedDRA: Abdominal discomfort, Asthenia, Body temperature increased, Pain, Productive cough — Feeling: Poor · Be unable to do your normal daily activitiesFree text: Restrainable cough, productive of phlegm periodically, 100 deg fever, body aches, low energy, mild intestinal discomfort.MedDRA releases: 2024-11 · check-in free text available
- 2022-11-04
- 2022-11-11
- 2023-01-01
- 2023-03-31
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-01-23 | Moderna | |
| 2 | 2021-02-26 | Moderna | |
| 3 | 2021-11-05 | Moderna | No |
| 4 | 2022-05-20 | Moderna | No |
| 5 | 2022-09-30 | Pfizer-BioNTech | Flu |
Free text
Release 11 — days 1–6 daily, dose 4
Systemic reaction (other): The site pain is more like sore when pressed gently.
Release 12 — day 21, dose 5
Symptoms: Very mild back of throat irritation, some light nose drainage, over night phlegm buildup clearing within half hour of rising, low energy, several naps during day. Symptoms for five days, starting to improve. Had four negative Covid rapid tests.
Release 12 — day 28, dose 5
Symptoms: Restrainable cough, productive of phlegm periodically, 100 deg fever, body aches, low energy, mild intestinal discomfort.
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 | Abdominal discomfort | · | · | ✓ |
| SD | Asthenia | · | · | ✓ |
| SD | Body temperature increased | · | · | ✓ |
| SD | Catarrh | · | · | ✓ |
| SD | Pain | · | · | ✓ |
| SD | Productive cough | · | · | ✓ |
| SD | Rhinorrhoea | · | · | ✓ |
| SD | SARS-CoV-2 test | · | · | ✓ |
| SD | Somnolence | · | · | ✓ |
| SD | Throat irritation | · | · | ✓ |
| SRO | Injection site pain | · | · | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release