YYK-15379-07864
4 vaccinations
3 coded responses
13 check-ins
3 free-text entries
0 call cases
- Sex
- Male
- Age at first dose
- 66+
- ZIP prefix
- 992 / WA
- Registered
- 2021-03-03
- Relationship
- Self
- Race
- N/A
- Ethnicity
- N/A
Timeline
-
2021-01-31
Dose 1 — Moderna
-
2021-03-03
Registered in v-safe
-
2021-03-03
Dose 2 — Moderna
-
2021-03-03
Survey response — day 0, dose 1MedDRA: Injection site pain — Feeling: Fair · Site: Pain · Muscle or body achesFree text: Getting a little sore at the injection site. Tomorrow's another story, I hear. We'll see.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-03-04
Survey response — days 1–6 daily, dose 1MedDRA: Headache, Insomnia, Pyrexia, Self-medication — Feeling: Fair · Site: Pain, Swelling · Fever · Headache, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activitiesFree text: Slight brief fever and headache in the morning. Two Tylenol relieved that in short order. Only got about 5 hrs. sleep.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-03-06
- 2021-03-07
- 2021-03-08
-
2021-03-09
Survey response — days 1–6 daily, dose 1MedDRA: Unevaluable event — Feeling: Good · HeadacheFree text: This was my 2nd dose, Not my 1st as erroneously entered at the time I originally registered for V-Safe. My First vaccination was done January 31st, 2021. I did not sign up with V-Safe until my Second was received March 3rd, 2021.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-09-03
-
2021-12-06
Dose 3 — Pfizer-BioNTech
- 2022-03-03
- 2022-03-07
-
2022-04-20
Dose 4 — Pfizer-BioNTech
- 2022-05-15
- 2022-05-29
- 2022-07-25
- 2023-04-27
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-01-31 | Moderna | |
| 2 | 2021-03-03 | Moderna | |
| 3 | 2021-12-06 | Pfizer-BioNTech | |
| 4 | 2022-04-20 | Pfizer-BioNTech | No |
Free text
Release 5 — day 0, dose 1
Systemic reaction (other): Getting a little sore at the injection site. Tomorrow's another story, I hear. We'll see.
Release 5 — days 1–6 daily, dose 1
Systemic reaction (other): Slight brief fever and headache in the morning. Two Tylenol relieved that in short order. Only got about 5 hrs. sleep.
Systemic reaction (other): This was my 2nd dose, Not my 1st as erroneously entered at the time I originally registered for V-Safe. My First vaccination was done January 31st, 2021. I did not sign up with V-Safe until my Second was received March 3rd, 2021.
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 |
|---|---|---|---|---|
| SRO | Headache | ✓ | ✓ | ✓ |
| SRO | Injection site pain | ✓ | ✓ | ✓ |
| SRO | Insomnia | ✓ | ✓ | ✓ |
| SRO | Pyrexia | ✓ | ✓ | ✓ |
| SRO | Self-medication | ✓ | ✓ | ✓ |
| SRO | Unevaluable event | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release