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Y9E-21059-78467

3 vaccinations 5 coded responses 42 check-ins 5 free-text entries 0 call cases
Sex
Male
Age at first dose
36-40
ZIP prefix
921 / CA
Registered
2021-03-22
Relationship
Self
Race
Asian
Ethnicity
Not Hispanic or Latino

Timeline

  1. 2021-03-22
    Registered in v-safe
  2. 2021-03-22
    Dose 1 — Moderna
  3. 2021-03-22
    Health check-in — day 0, dose 1
    Feeling: Good · None
    Adult check-in
  4. 2021-03-23
    Survey response — days 1–6 daily, dose 1
    MedDRA: Injection site discomfort, Injection site pain — Feeling: Fair · Fatigue or tiredness
    Free text: Soreness where I got the shot, but not necessarily pain.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  5. 2021-03-24
    Survey response — days 1–6 daily, dose 1
    MedDRA: Fatigue, Pain — Feeling: Good · Muscle or body aches, Fatigue or tiredness
    Free text: Definitely both aches and fatigue are way less severe than yesterday.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  6. 2021-03-25
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · Fatigue or tiredness
    Adult check-in
  7. 2021-03-26
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · None
    Adult check-in
  8. 2021-03-27
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · None
    Adult check-in
  9. 2021-03-28
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · None
    Adult check-in
  10. 2021-03-29
    Health check-in — day 7, dose 1
    Feeling: Good · None
    Adult check-in
  11. 2021-04-05
    Health check-in — day 14, dose 1
    Feeling: Good
    Adult check-in
  12. 2021-04-14
    Health check-in — day 21, dose 1
    Feeling: Good
    Adult check-in
  13. 2021-04-20
    Health check-in — day 28, dose 1
    Feeling: Good
    Adult check-in
  14. 2021-04-24
    Dose 2 — Moderna
  15. 2021-04-24
    Health check-in — day 0, dose 2
    Feeling: Fair · Muscle or body aches, Fatigue or tiredness
    Adult check-in
  16. 2021-04-25
    Health check-in — days 1–6 daily, dose 2
    Feeling: Poor · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Abdominal pain · Be unable to do your normal daily activities
    Adult check-in
  17. 2021-04-26
    Health check-in — days 1–6 daily, dose 2
    Feeling: Fair · Joint pains, Muscle or body aches, Fatigue or tiredness, Abdominal pain
    Adult check-in
  18. 2021-04-27
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · None
    Adult check-in
  19. 2021-04-28
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · None
    Adult check-in
  20. 2021-04-29
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · None
    Adult check-in
  21. 2021-04-30
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · None
    Adult check-in
  22. 2021-05-01
    Health check-in — day 7, dose 2
    Feeling: Good · None
    Adult check-in
  23. 2021-05-08
    Survey response — day 14, dose 2
    MedDRA: Fatigue — Feeling: Good
    Free text: It's not debilitating, but I suppose I noticed that I become more tired than I've usually been. Although thankfully I'm able to continue my normal activities and work. I'm not sure if this is even connected to the vaccine at all.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  24. 2021-05-15
    Health check-in — day 21, dose 2
    Feeling: Good
    Adult check-in
  25. 2021-05-23
    Survey response — day 28, dose 2
    MedDRA: Dyspnoea, Fatigue — Feeling: Good
    Free text: Not sure if it's been the weather and/or wearing masks, but sometimes I feel like breathing requires just a touch more effort? Also, I've been feeling a little more exhausted a bit faster than usual.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  26. 2021-05-30
    Health check-in — day 35, dose 2
    Feeling: Good
    Adult check-in
  27. 2021-06-05
    Health check-in — day 42, dose 2
    Feeling: Good
    Adult check-in
  28. 2021-07-24
    Health check-in — 3 months, dose 2
    Feeling: Good
    Adult check-in
  29. 2021-10-23
    Health check-in — 6 months, dose 2
    Feeling: Good
    Adult check-in
  30. 2022-01-13
    Dose 3 — Moderna
  31. 2022-01-13
    Health check-in — day 0, dose 3
    Feeling: Good · Site: Pain, Itching · Fatigue or tiredness
    Adult check-in
  32. 2022-01-14
    Health check-in — days 1–6 daily, dose 3
    Feeling: Poor · Site: Pain · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to work or attend school, Be unable to do your normal daily activities
    Adult check-in
  33. 2022-01-15
    Health check-in — days 1–6 daily, dose 3
    Feeling: Fair · Site: Pain · Headache, Fatigue or tiredness, Abdominal pain
    Adult check-in
  34. 2022-01-16
    Health check-in — days 1–6 daily, dose 3
    Feeling: Good · None
    Adult check-in
  35. 2022-01-17
    Health check-in — days 1–6 daily, dose 3
    Feeling: Good · None
    Adult check-in
  36. 2022-01-18
    Health check-in — days 1–6 daily, dose 3
    Feeling: Good · None
    Adult check-in
  37. 2022-01-19
    Health check-in — days 1–6 daily, dose 3
    Feeling: Good · None
    Adult check-in
  38. 2022-01-20
    Health check-in — day 7, dose 3
    Feeling: Good · None
    Adult check-in
  39. 2022-01-27
    Health check-in — day 14, dose 3
    Feeling: Good
    Adult check-in
  40. 2022-02-03
    Health check-in — day 21, dose 3
    Feeling: Good
    Adult check-in
  41. 2022-02-10
    Health check-in — day 28, dose 3
    Feeling: Good
    Adult check-in
  42. 2022-02-17
    Health check-in — day 35, dose 3
    Feeling: Good
    Adult check-in
  43. 2022-02-24
    Health check-in — day 42, dose 3
    Feeling: Good
    Adult check-in
  44. 2022-04-14
    Health check-in — 3 months, dose 3
    Feeling: Good
    Adult check-in
  45. 2022-07-14
    Survey response — 6 months, dose 3
    MedDRA: Ageusia, Anosmia, Anxiety, Cough, Diarrhoea, Dyspnoea, Fatigue, Headache, Night sweats, Pyrexia, Respiratory tract congestion, Sensitive skin — Feeling: Fair · Be unable to work or attend school, Be unable to do your normal daily activities
    Free text: Fever, Headache, Fatigue, Sensitive Skin, Trouble Breathing, Persistent Coughing, Congestion, Light Diarrhea, Loss of Taste/Smell, Severe Night Sweats, Anxiety
    MedDRA releases: 2024-11 · check-in free text available
  46. 2023-01-15
    Health check-in — 12 months, dose 3
    Feeling: Good
    Adult check-in

Vaccinations

DoseDateManufacturerCo-administered
12021-03-22Moderna
22021-04-24Moderna
32022-01-13Moderna No

Free text

Release 6 — days 1–6 daily, dose 1

2021-03-23

Systemic reaction (other): Soreness where I got the shot, but not necessarily pain.

2021-03-24

Systemic reaction (other): Definitely both aches and fatigue are way less severe than yesterday.

Release 8 — day 14, dose 2

2021-05-08

Symptoms: It's not debilitating, but I suppose I noticed that I become more tired than I've usually been. Although thankfully I'm able to continue my normal activities and work. I'm not sure if this is even connected to the vaccine at all.

Release 8 — day 28, dose 2

2021-05-23

Symptoms: Not sure if it's been the weather and/or wearing masks, but sometimes I feel like breathing requires just a touch more effort? Also, I've been feeling a little more exhausted a bit faster than usual.

Release 12 — 6 months, dose 3

2022-07-14

Symptoms: Fever, Headache, Fatigue, Sensitive Skin, Trouble Breathing, Persistent Coughing, Congestion, Light Diarrhea, Loss of Taste/Smell, Severe Night Sweats, Anxiety

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

FieldPreferred term2021-092023-042024-11
SDAgeusia · · ✓
SDAnosmia · · ✓
SDAnxiety · · ✓
SDCough · · ✓
SDDiarrhoea · · ✓
SDDyspnoea ✓ ✓ ✓
SDFatigue ✓ ✓ ✓
SDHeadache · · ✓
SDNight sweats · · ✓
SDPyrexia · · ✓
SDRespiratory tract congestion · · ✓
SDSensitive skin · · ✓
SROFatigue ✓ ✓ ✓
SROInjection site discomfort · · ✓
SROInjection site pain ✓ ✓ ○
SROPain ✓ ✓ ✓

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