YK2-33874-95965
5 vaccinations
5 coded responses
44 check-ins
4 free-text entries
0 call cases
- Sex
- Male
- Age at first dose
- 61-65
- ZIP prefix
- 068 / CT
- Registered
- 2021-03-14
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-03-12
Dose 1 — Moderna
-
2021-03-14
Registered in v-safe
- 2021-03-14
- 2021-03-15
- 2021-03-16
- 2021-03-17
- 2021-03-19
- 2021-03-26
- 2021-04-02
-
2021-04-09
Dose 2 — Moderna
- 2021-04-09
-
2021-04-10
Survey response — days 1–6 daily, dose 2MedDRA: Fatigue — Feeling: Good · Site: Pain · Fatigue or tirednessFree text: Only mild fatigueMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-04-11
- 2021-04-12
- 2021-04-13
- 2021-04-14
- 2021-04-15
- 2021-04-16
- 2021-04-23
- 2021-04-30
- 2021-05-07
- 2021-05-14
- 2021-05-21
- 2021-07-09
- 2021-10-08
-
2021-10-27
Dose 3 — Moderna
- 2021-10-30
- 2021-10-31
- 2021-11-01
- 2021-11-02
- 2021-11-03
- 2021-11-11
- 2021-11-17
- 2021-11-24
- 2021-12-01
- 2021-12-08
-
2022-01-26
Survey response — 3 months, dose 3MedDRA: Adverse reaction, COVID-19 — Feeling: GoodFree text: Covid positive about three weeks ago. Very mild symptoms.MedDRA releases: 2024-11 · check-in free text available
-
2022-04-20
Dose 4 — Moderna
- 2022-04-27
- 2022-05-19
- 2022-05-25
- 2022-06-01
- 2022-07-20
-
2022-10-17
Dose 5 — Pfizer-BioNTech
-
2022-10-19
Survey response — 6 months, dose 4MedDRA: Hypersomnia, Influenza like illness, Malaise — Feeling: Poor · Be unable to work or attend school, Be unable to do your normal daily activitiesFree text: I got the booster shot on Monday. Yesterday, the day after the shot, I slept most of the day with the symptoms of a bad flu. And today I feel better than yesterday, but hardly feeling well.MedDRA releases: 2024-11 · check-in free text available
-
2022-11-14
Survey response — day 28, dose 5MedDRA: Influenza like illness, Malaise — Feeling: Good · Be unable to work or attend school, Be unable to do your normal daily activitiesFree text: On or about my last booster shot on 10/17/22, I started feeling very ill that evening. I had symptoms like a very bad flu for about 10 days. But it was probably unrelated to the booster, since I worked at a restaurant the weekend prior, and at leastMedDRA releases: 2024-11 · check-in free text available
- 2022-11-21
- 2022-11-28
- 2023-01-16
-
2023-04-17
Survey response — 6 months, dose 5MedDRA: Myocardial infarction — Feeling: Good · Be unable to work or attend school, Be unable to do your normal daily activitiesMedDRA releases: 2024-11
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-03-12 | Moderna | |
| 2 | 2021-04-09 | Moderna | |
| 3 | 2021-10-27 | Moderna | No |
| 4 | 2022-04-20 | Moderna | No |
| 5 | 2022-10-17 | Pfizer-BioNTech | No |
Free text
Release 7 — days 1–6 daily, dose 2
Systemic reaction (other): Only mild fatigue
Release 11 — 3 months, dose 3
Symptoms: Covid positive about three weeks ago. Very mild symptoms.
Release 12 — 6 months, dose 4
Symptoms: I got the booster shot on Monday. Yesterday, the day after the shot, I slept most of the day with the symptoms of a bad flu. And today I feel better than yesterday, but hardly feeling well.
Release 12 — day 28, dose 5
Symptoms: On or about my last booster shot on 10/17/22, I started feeling very ill that evening. I had symptoms like a very bad flu for about 10 days. But it was probably unrelated to the booster, since I worked at a restaurant the weekend prior, and at least cut off by CDC
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 | Adverse reaction | · | · | ✓ |
| SD | COVID-19 | · | · | ✓ |
| SD | Hypersomnia | · | · | ✓ |
| SD | Influenza like illness | · | · | ✓ |
| SD | Malaise | · | · | ✓ |
| SD | Myocardial infarction | · | · | ✓ |
| SRO | Fatigue | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release