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ZJ8-73131-70843

1 vaccination 6 coded responses 11 check-ins 6 free-text entries 0 call cases
Sex
Male
Age at first dose
56-60
ZIP prefix
980 / WA
Registered
2021-01-08
Relationship
Self
Race
White
Ethnicity
Not Hispanic or Latino

Timeline

  1. 2021-01-08
    Registered in v-safe
  2. 2021-02-05
    Dose 1 — Moderna
  3. 2021-02-07
    Survey response — days 1–6 daily, dose 1
    MedDRA: Abdominal discomfort, Arthralgia, Chills, Cough, Euphoric mood, Hot flush, Nausea, Night sweats, Pain, Pain in extremity, Respiratory tract congestion, Retching, Self-medication, Sleep disorder — Feeling: Poor · Site: Pain · Fever · Chills, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea, Vomiting · Be unable to do your normal daily activities
    Free text: Friday recieved 2nd covid-19 shot A sore arm and I took 2 Tylenol Saturday My temp is 36.5 Woke up at 4:00 to walk the cat Took 2 Tylenol Went back to bed Woke up at 6:30 had breakfast at villledge inn Came home at 9:00 Took 2 Tylenol and went to lay downtempo 36.8 Woke up at 11:30 Helped (b)(6) pack up the RV At 1:30 I had to lay back down again sleeping for 1 hour 2:30 we were talking on the patio until 27 people arrive to wish us well at tidally time At 5:15 everyone left At 6:15 (b)(6) surprised us with a New York strip dinner So we ate outside Halfway through the meal I started getting chills and sick to my stomach Iexscused myself said I was getting chills I came inside and the urge hit me to throw up I layer my steak on the table I ran to vomit Boa my vomit and dry heaves When I went back to my dinner on the table the cat was eating my steak I threw it in the trash I went to bed with chill At 7:00 I started getting chills (b)(6) put another blanket on The chills went away All my joints hurt My face feels like its on fire I Google what is the best remedy for chills It said to take Tylenol for fever and drink water no airconditioner s At 9:00 I dose up with night quill Up and down all night with aches and pains and chills At one point covered in sweat and throw the blankets off Taking Tylenol and water during the night At 4:00 I take more Tylenol and a bottle of water 3rd Day At 4:30 the Tylenol kicks in I feel better My arm still hurts the coughing has stopped Still congested a little The chills have stopped I feel better almost uforeic Still sweating but no fever Some nausea after breakfast We are on the road for (b)(6) Stopped I went for a short hike I am now sweating And after a shower all seems well
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  4. 2021-02-08
    Survey response — days 1–6 daily, dose 1
    MedDRA: Abdominal pain upper, Chest pain, Middle ear effusion, Nasal congestion, Pulmonary pain, Retching, Self-medication — Feeling: Fair · Site: Itching · Joint pains, Fatigue or tiredness, Nausea, Abdominal pain
    Free text: Monday Woke up to pain in my chest and stomach I cannot do a deep cough I think I strained my stomach muscles the other day from all the dry heaving. Taking Tylenol and napping. Right Ear full of fluid. My lungs hurt to even blow my nose. On and off stuffy nose. Yet Im confident that Im building antibodies
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  5. 2021-02-09
    Survey response — days 1–6 daily, dose 1
    MedDRA: Cough, Feeling abnormal, Nasal congestion, Productive cough, Self-medication — Feeling: Good · Site: Pain · Fatigue or tiredness
    Free text: Tuesday I can cough a little harder and mucus is present The Foggy feeling comes and goes Still taking cold medicine The Tylenol works great Some stuffy nose issues Feeling stronger every day
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  6. 2021-02-10
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · None
    Adult check-in
  7. 2021-02-11
    Survey response — days 1–6 daily, dose 1
    MedDRA: Cough, Respiratory tract congestion — Feeling: Good
    Free text: Still coughing and some congestion Felling better every day
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  8. 2021-02-12
    Health check-in — day 7, dose 1
    Feeling: Good · None
    Adult check-in
  9. 2021-02-19
    Health check-in — day 14, dose 1
    Feeling: Good
    Adult check-in
  10. 2021-02-26
    Survey response — day 21, dose 1
    MedDRA: Bronchitis — Feeling: Fair · Be unable to do your normal daily activities
    Free text: Bronchitis has started
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  11. 2021-05-07
    Health check-in — 3 months, dose 1
    Feeling: Good
    Adult check-in
  12. 2021-08-06
    Health check-in — 6 months, dose 1
    Feeling: Good
    Adult check-in
  13. 2022-02-06
    Survey response — 12 months, dose 1
    MedDRA: Pre-existing disease, Productive cough, Respiratory tract congestion, Stomatitis — Feeling: Fair · Be unable to do your normal daily activities
    Free text: Phlegm and congestion constant sore throat I have Allergies.
    MedDRA releases: 2024-11 · check-in free text available

Vaccinations

DoseDateManufacturerCo-administered
12021-02-05Moderna

Free text

Release 3 — days 1–6 daily, dose 1

2021-02-07

Systemic reaction (other): Friday recieved 2nd covid-19 shot A sore arm and I took 2 Tylenol Saturday My temp is 36.5 Woke up at 4:00 to walk the cat Took 2 Tylenol Went back to bed Woke up at 6:30 had breakfast at villledge inn Came home at 9:00 Took 2 Tylenol and went to lay downtempo 36.8 Woke up at 11:30 Helped (b)(6) pack up the RV At 1:30 I had to lay back down again sleeping for 1 hour 2:30 we were talking on the patio until 27 people arrive to wish us well at tidally time At 5:15 everyone left At 6:15 (b)(6) surprised us with a New York strip dinner So we ate outside Halfway through the meal I started getting chills and sick to my stomach Iexscused myself said I was getting chills I came inside and the urge hit me to throw up I layer my steak on the table I ran to vomit Boa my vomit and dry heaves When I went back to my dinner on the table the cat was eating my steak I threw it in the trash I went to bed with chill At 7:00 I started getting chills (b)(6) put another blanket on The chills went away All my joints hurt My face feels like its on fire I Google what is the best remedy for chills It said to take Tylenol for fever and drink water no airconditioner s At 9:00 I dose up with night quill Up and down all night with aches and pains and chills At one point covered in sweat and throw the blankets off Taking Tylenol and water during the night At 4:00 I take more Tylenol and a bottle of water 3rd Day At 4:30 the Tylenol kicks in I feel better My arm still hurts the coughing has stopped Still congested a little The chills have stopped I feel better almost uforeic Still sweating but no fever Some nausea after breakfast We are on the road for (b)(6) Stopped I went for a short hike I am now sweating And after a shower all seems well
redacted (b)(6)

2021-02-08

Systemic reaction (other): Monday Woke up to pain in my chest and stomach I cannot do a deep cough I think I strained my stomach muscles the other day from all the dry heaving. Taking Tylenol and napping. Right Ear full of fluid. My lungs hurt to even blow my nose. On and off stuffy nose. Yet Im confident that Im building antibodies

2021-02-09

Systemic reaction (other): Tuesday I can cough a little harder and mucus is present The Foggy feeling comes and goes Still taking cold medicine The Tylenol works great Some stuffy nose issues Feeling stronger every day

Release 4 — days 1–6 daily, dose 1

2021-02-11

Systemic reaction (other): Still coughing and some congestion Felling better every day

Release 4 — day 21, dose 1

2021-02-26

Symptoms: Bronchitis has started

Release 11 — 12 months, dose 1

2022-02-06

Symptoms: Phlegm and congestion constant sore throat I have Allergies.

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
SDBronchitis ✓ ✓ ✓
SDPre-existing disease · · ✓
SDProductive cough · · ✓
SDRespiratory tract congestion · · ✓
SDStomatitis · · ✓
SROAbdominal discomfort ✓ · ✓
SROAbdominal pain upper ✓ ✓ ✓
SROArthralgia ✓ · ✓
SROChest pain ✓ ✓ ✓
SROChills ✓ · ✓
SROCough ✓ ✓ ✓
SROEuphoric mood ✓ · ✓
SROFeeling abnormal ✓ ✓ ✓
SROHot flush ✓ · ✓
SROMiddle ear effusion ✓ ✓ ✓
SRONasal congestion ✓ ✓ ✓
SRONausea ✓ · ✓
SRONight sweats ✓ · ✓
SROPain ✓ · ✓
SROPain in extremity ✓ ✓ ✓
SROProductive cough ✓ ✓ ✓
SROPulmonary pain ✓ ✓ ✓
SRORespiratory tract congestion ✓ ✓ ✓
SRORetching ✓ ✓ ✓
SROSelf-medication ✓ ✓ ✓
SROSleep disorder ✓ ✓ ✓

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