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YRB-56319-78481

2 vaccinations 8 coded responses 21 check-ins 8 free-text entries 0 call cases
Sex
Male
Age at first dose
61-65
ZIP prefix
992 / WA
Registered
2021-04-17
Relationship
Self
Race
White
Ethnicity
Not Hispanic or Latino

Timeline

  1. 2021-04-16
    Dose 1 — Moderna
  2. 2021-04-17
    Registered in v-safe
  3. 2021-04-17
    Survey response — days 1–6 daily, dose 1
    MedDRA: Pre-existing disease — Feeling: Good · Site: Pain · Joint pains, Muscle or body aches, Fatigue or tiredness
    Free text: This reminds me of symptoms I had in eary January 2020
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  4. 2021-04-19
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · None
    Adult check-in
  5. 2021-04-20
    Survey response — days 1–6 daily, dose 1
    MedDRA: Dizziness — Feeling: Good · Fatigue or tiredness
    Free text: Dizziness like my January 2020 experance
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  6. 2021-04-22
    Survey response — days 1–6 daily, dose 1
    MedDRA: Unevaluable event — Feeling: Good · Fatigue or tiredness
    Free text: I lost my marbles
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  7. 2021-04-23
    Survey response — day 7, dose 1
    MedDRA: Unevaluable event — Feeling: Good · Fatigue or tiredness
    Free text: I think it strange that the same people who tried to convince us in the mechanizim of servival of the fittist are now trying to recreate our sociaty to be inhabited by thoses least fit to survive
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  8. 2021-04-30
    Health check-in — day 14, dose 1
    Feeling: Good
    Adult check-in
  9. 2021-05-07
    Health check-in — day 21, dose 1
    Feeling: Good
    Adult check-in
  10. 2021-05-13
    Dose 2 — Moderna
  11. 2021-05-14
    Survey response — days 1–6 daily, dose 2
    MedDRA: Unevaluable event — Feeling: Good · Site: Pain · Joint pains
    Free text: Deacness Spokan Wa.billed me for the fist shot
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  12. 2021-05-15
    Survey response — days 1–6 daily, dose 2
    MedDRA: Unevaluable event — Feeling: Fair · Site: Pain · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to work
    Free text: If the DHEC charges me for the second shot i'm reporting it to the SCC
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  13. 2021-05-16
    Survey response — days 1–6 daily, dose 2
    MedDRA: Unevaluable event — Feeling: Good · Site: Pain · Fever · Joint pains, Muscle or body aches, Fatigue or tiredness
    Free text: I mean like if Deaconess hospital bills me for the vaccine again i will send a email to the NSC !
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  14. 2021-05-17
    Survey response — days 1–6 daily, dose 2
    MedDRA: Unevaluable event — Feeling: Good · Joint pains · Be unable to do your normal daily activities
    Free text: If the Deaconess Hospital bills me for the secound shot I'm going to send an email to the CBS! LOL!!!
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  15. 2021-05-18
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · None
    Adult check-in
  16. 2021-05-19
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · None
    Adult check-in
  17. 2021-05-20
    Health check-in — day 7, dose 2
    Feeling: Good · None
    Adult check-in
  18. 2021-05-27
    Health check-in — day 14, dose 2
    Feeling: Good
    Adult check-in
  19. 2021-06-03
    Health check-in — day 21, dose 2
    Feeling: Good
    Adult check-in
  20. 2021-06-10
    Health check-in — day 28, dose 2
    Feeling: Good
    Adult check-in
  21. 2021-06-17
    Health check-in — day 35, dose 2
    Feeling: Good
    Adult check-in
  22. 2021-06-24
    Health check-in — day 42, dose 2
    Feeling: Good
    Adult check-in
  23. 2021-08-12
    Health check-in — 3 months, dose 2
    Feeling: Good
    Adult check-in
  24. 2021-11-13
    Health check-in — 6 months, dose 2
    Feeling: Good
    Adult check-in

Vaccinations

DoseDateManufacturerCo-administered
12021-04-16Moderna
22021-05-13Moderna

Free text

Release 7 — days 1–6 daily, dose 1

2021-04-17

Systemic reaction (other): This reminds me of symptoms I had in eary January 2020

2021-04-20

Systemic reaction (other): Dizziness like my January 2020 experance

2021-04-22

Systemic reaction (other): I lost my marbles

Release 7 — day 7, dose 1

2021-04-23

Systemic reaction (other): I think it strange that the same people who tried to convince us in the mechanizim of servival of the fittist are now trying to recreate our sociaty to be inhabited by thoses least fit to survive

Release 8 — days 1–6 daily, dose 2

2021-05-14

Systemic reaction (other): Deacness Spokan Wa.billed me for the fist shot

2021-05-15

Systemic reaction (other): If the DHEC charges me for the second shot i'm reporting it to the SCC

2021-05-16

Systemic reaction (other): I mean like if Deaconess hospital bills me for the vaccine again i will send a email to the NSC !

2021-05-17

Systemic reaction (other): If the Deaconess Hospital bills me for the secound shot I'm going to send an email to the CBS! LOL!!!

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
SRODizziness ✓ ✓ ✓
SROPre-existing disease ✓ ✓ ✓
SROUnevaluable event ✓ ✓ ✓

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

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