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YAW-55549-14231

3 vaccinations 8 coded responses 33 check-ins 8 free-text entries 0 call cases
Sex
Male
Age at first dose
41-45
ZIP prefix
434 / OH
Registered
2021-04-16
Relationship
Self
Race
White
Ethnicity
Not Hispanic or Latino

Timeline

  1. 2021-04-16
    Registered in v-safe
  2. 2021-04-16
    Dose 1 — Moderna
  3. 2021-04-16
    Survey response — day 0, dose 1
    MedDRA: Unevaluable event — Feeling: Good · Site: Itching
    Free text: I am filling out this survey while waiting my 15 min post injection.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  4. 2021-04-17
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · Site: Pain, Swelling · None
    Adult check-in
  5. 2021-04-18
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · Site: Pain · Headache
    Adult check-in
  6. 2021-04-19
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · Site: Pain · None
    Adult check-in
  7. 2021-04-20
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · None
    Adult check-in
  8. 2021-04-22
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · None
    Adult check-in
  9. 2021-04-23
    Health check-in — day 7, dose 1
    Feeling: Good · None
    Adult check-in
  10. 2021-04-30
    Health check-in — day 14, dose 1
    Feeling: Good
    Adult check-in
  11. 2021-05-07
    Health check-in — day 21, dose 1
    Feeling: Good
    Adult check-in
  12. 2021-05-14
    Dose 2 — Moderna
  13. 2021-05-14
    Survey response — day 0, dose 2
    MedDRA: Medical observation — Feeling: Good
    Free text: No symptoms to report as I just got my shot. I am currently sitting for my 15 min observation.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  14. 2021-05-15
    Health check-in — days 1–6 daily, dose 2
    Feeling: Poor · Site: Pain · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to work
    Adult check-in
  15. 2021-05-16
    Survey response — days 1–6 daily, dose 2
    MedDRA: Pyrexia — Feeling: Fair · Site: Pain · Fever · Headache, Muscle or body aches, Fatigue or tiredness
    Free text: After submitting my report yesterday (5/15) afternoon (I selected I was feverish but hadnt taken my temperature) I did take my in the evening and maxed out at 102.4F. As indicated in the questions previously, I did not take my temp today, 5/16.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  16. 2021-05-17
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · Site: Pain · Fatigue or tiredness
    Adult check-in
  17. 2021-05-18
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · None
    Adult check-in
  18. 2021-05-19
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · None
    Adult check-in
  19. 2021-05-20
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · None
    Adult check-in
  20. 2021-05-21
    Health check-in — day 7, dose 2
    Feeling: Good · None
    Adult check-in
  21. 2021-05-28
    Health check-in — day 14, dose 2
    Feeling: Good
    Adult check-in
  22. 2021-06-04
    Health check-in — day 21, dose 2
    Feeling: Good
    Adult check-in
  23. 2021-06-11
    Health check-in — day 28, dose 2
    Feeling: Good
    Adult check-in
  24. 2021-06-18
    Health check-in — day 35, dose 2
    Feeling: Good
    Adult check-in
  25. 2021-06-25
    Survey response — day 42, dose 2
    MedDRA: Diarrhoea, Fatigue, Headache, Nausea, Pain, Pyrexia — Feeling: Fair · Be unable to do your normal daily activities
    Free text: On 6/23 and 24 I felt like I had had my second dose all over again. I expereinced tiredness, headache, light aches and low fever. The only thing that was different was I had nausea and diarrhea. Today, I am feeling much better today.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  26. 2021-08-13
    Survey response — 3 months, dose 2
    MedDRA: Diarrhoea, Fatigue, Headache, Nausea, Pyrexia — Feeling: Good · Be unable to do your normal daily activities
    Free text: In June I had a few days with some Covid like symptoms but never got tested. Symptoms were tiredness, nausea, diarrhea, headache and light fever.
    MedDRA releases: 2021-09,2024-11 · check-in free text available
  27. 2021-11-14
    Health check-in — 6 months, dose 2
    Feeling: Good
    Adult check-in
  28. 2021-12-07
    Dose 3 — Pfizer-BioNTech
  29. 2021-12-16
    Health check-in — day 7, dose 3
    Feeling: Good · None
    Adult check-in
  30. 2021-12-21
    Health check-in — day 14, dose 3
    Feeling: Good
    Adult check-in
  31. 2021-12-28
    Health check-in — day 21, dose 3
    Feeling: Good
    Adult check-in
  32. 2022-01-04
    Health check-in — day 28, dose 3
    Feeling: Good
    Adult check-in
  33. 2022-01-11
    Health check-in — day 35, dose 3
    Feeling: Good
    Adult check-in
  34. 2022-01-18
    Survey response — day 42, dose 3
    MedDRA: Nasal congestion, Oropharyngeal pain, Rhinorrhoea — Feeling: Good
    Free text: Stuffy/runny nose, sore throat
    MedDRA releases: 2024-11 · check-in free text available
  35. 2022-03-08
    Health check-in — 3 months, dose 3
    Feeling: Good
    Adult check-in
  36. 2022-06-07
    Survey response — 6 months, dose 3
    MedDRA: Malaise — Feeling: Good · Be unable to work or attend school
    Free text: Since my March 2022 check in, I was sick but was not COVID
    MedDRA releases: 2024-11 · check-in free text available
  37. 2022-12-07
    Survey response — 12 months, dose 3
    MedDRA: COVID-19 — Feeling: Fair · Be unable to work or attend school, Be unable to do your normal daily activities
    Free text: I can't remember when I last checked in. Had COVID at the beginning of August 2022.
    MedDRA releases: 2024-11 · check-in free text available

Vaccinations

DoseDateManufacturerCo-administered
12021-04-16Moderna
22021-05-14Moderna
32021-12-07Pfizer-BioNTech No

Free text

Release 7 — day 0, dose 1

2021-04-16

Systemic reaction (other): I am filling out this survey while waiting my 15 min post injection.

Release 8 — day 0, dose 2

2021-05-14

Systemic reaction (other): No symptoms to report as I just got my shot. I am currently sitting for my 15 min observation.

Release 8 — days 1–6 daily, dose 2

2021-05-16

Systemic reaction (other): After submitting my report yesterday (5/15) afternoon (I selected I was feverish but hadnt taken my temperature) I did take my in the evening and maxed out at 102.4F. As indicated in the questions previously, I did not take my temp today, 5/16.

Release 9 — day 42, dose 2

2021-06-25

Symptoms: On 6/23 and 24 I felt like I had had my second dose all over again. I expereinced tiredness, headache, light aches and low fever. The only thing that was different was I had nausea and diarrhea. Today, I am feeling much better today.

Release 9 — 3 months, dose 2

2021-08-13

Symptoms: In June I had a few days with some Covid like symptoms but never got tested. Symptoms were tiredness, nausea, diarrhea, headache and light fever.

Release 10 — day 42, dose 3

2022-01-18

Symptoms: Stuffy/runny nose, sore throat

Release 11 — 6 months, dose 3

2022-06-07

Symptoms: Since my March 2022 check in, I was sick but was not COVID

Release 12 — 12 months, dose 3

2022-12-07

Symptoms: I can't remember when I last checked in. Had COVID at the beginning of August 2022.

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
SDCOVID-19 · · ✓
SDDiarrhoea ✓ ✓ ✓
SDFatigue ✓ ✓ ✓
SDHeadache ✓ ✓ ✓
SDMalaise · · ✓
SDNasal congestion · · ✓
SDNausea ✓ ✓ ✓
SDOropharyngeal pain · · ✓
SDPain ✓ ✓ ✓
SDPyrexia ✓ ✓ ✓
SDRhinorrhoea · · ✓
SROMedical observation ✓ ✓ ✓
SROPyrexia ✓ ✓ ✓
SROUnevaluable event ✓ ✓ ✓

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