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ZLQ-32516-21675

2 vaccinations 7 coded responses 23 check-ins 7 free-text entries 0 call cases
Sex
Male
Age at first dose
66+
ZIP prefix
980 / WA
Registered
2021-03-05
Relationship
Self
Race
White
Ethnicity
Not Hispanic or Latino

Timeline

  1. 2021-03-03
    Dose 1 — Moderna
  2. 2021-03-05
    Registered in v-safe
  3. 2021-03-05
    Survey response — days 1–6 daily, dose 1
    MedDRA: Fatigue, Oropharyngeal pain — Feeling: Fair · Fatigue or tiredness
    Free text: Very slight sore throat. Fatigue noted above came on late yesterday (Mar 4).
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  4. 2021-03-07
    Survey response — days 1–6 daily, dose 1
    MedDRA: Asthenia — Feeling: Good
    Free text: Lower energy.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  5. 2021-03-08
    Survey response — days 1–6 daily, dose 1
    MedDRA: Diarrhoea, Energy increased, Fatigue — Feeling: Good · Diarrhea
    Free text: Slightly more energy and less general fatigue each day. Did have a bout of diarrhea midday, but not uncommon.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  6. 2021-03-09
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · None
    Adult check-in
  7. 2021-03-10
    Health check-in — day 7, dose 1
    Feeling: Good · None
    Adult check-in
  8. 2021-03-17
    Health check-in — day 14, dose 1
    Feeling: Good
    Adult check-in
  9. 2021-03-26
    Health check-in — day 21, dose 1
    Feeling: Good
    Adult check-in
  10. 2021-03-31
    Dose 2 — Moderna
  11. 2021-03-31
    Health check-in — day 0, dose 2
    Feeling: Fair · Fatigue or tiredness
    Adult check-in
  12. 2021-04-01
    Survey response — days 1–6 daily, dose 2
    MedDRA: Chills — Feeling: Fair · Site: Pain · Fever · Chills, Headache, Joint pains
    Free text: Took Temp when chilled (intense shivering) but was still below 98.6 F.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  13. 2021-04-02
    Survey response — days 1–6 daily, dose 2
    MedDRA: Arthralgia, Pre-existing disease — Feeling: Good · Site: Swelling · Joint pains, Fatigue or tiredness
    Free text: Joint pain is primarily my injured/arthritic knees that I am NOT trying to control with Aspirin or ibuprofen right now. knees
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  14. 2021-04-03
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · None
    Adult check-in
  15. 2021-04-04
    Survey response — days 1–6 daily, dose 2
    MedDRA: Injection site swelling — Feeling: Good · Site: Swelling
    Free text: Swelling at injection site is very mild.e
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  16. 2021-04-05
    Survey response — days 1–6 daily, dose 2
    MedDRA: Injection site erythema, Injection site rash — Feeling: Good · Site: Redness, Swelling
    Free text: Rash at injection site may have been present for several days with me missing it.. Redness already greatly reduced since noticing it this morning.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  17. 2021-04-06
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · Site: Redness, Itching · None
    Adult check-in
  18. 2021-04-07
    Health check-in — day 7, dose 2
    Feeling: Good · None
    Adult check-in
  19. 2021-04-14
    Health check-in — day 14, dose 2
    Feeling: Good
    Adult check-in
  20. 2021-04-21
    Health check-in — day 21, dose 2
    Feeling: Good
    Adult check-in
  21. 2021-04-28
    Health check-in — day 28, dose 2
    Feeling: Good
    Adult check-in
  22. 2021-05-05
    Health check-in — day 35, dose 2
    Feeling: Good
    Adult check-in
  23. 2021-05-12
    Health check-in — day 42, dose 2
    Feeling: Good
    Adult check-in
  24. 2021-06-30
    Health check-in — 3 months, dose 2
    Feeling: Good
    Adult check-in
  25. 2021-09-29
    Health check-in — 6 months, dose 2
    Feeling: Good
    Adult check-in
  26. 2022-04-02
    Health check-in — 12 months, dose 2
    Feeling: Good
    Adult check-in

Vaccinations

DoseDateManufacturerCo-administered
12021-03-03Moderna
22021-03-31Moderna

Free text

Release 5 — days 1–6 daily, dose 1

2021-03-05

Systemic reaction (other): Very slight sore throat. Fatigue noted above came on late yesterday (Mar 4).

2021-03-07

Systemic reaction (other): Lower energy.

2021-03-08

Systemic reaction (other): Slightly more energy and less general fatigue each day. Did have a bout of diarrhea midday, but not uncommon.

Release 6 — days 1–6 daily, dose 2

2021-04-01

Systemic reaction (other): Took Temp when chilled (intense shivering) but was still below 98.6 F.

2021-04-02

Systemic reaction (other): Joint pain is primarily my injured/arthritic knees that I am NOT trying to control with Aspirin or ibuprofen right now. knees

2021-04-04

Systemic reaction (other): Swelling at injection site is very mild.e

2021-04-05

Systemic reaction (other): Rash at injection site may have been present for several days with me missing it.. Redness already greatly reduced since noticing it this morning.

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
SROArthralgia ✓ ✓ ✓
SROAsthenia ✓ ✓ ✓
SROChills ✓ ✓ ✓
SRODiarrhoea ✓ ✓ ✓
SROEnergy increased ✓ ✓ ✓
SROFatigue ✓ ✓ ✓
SROInjection site erythema ✓ ✓ ✓
SROInjection site rash ✓ ✓ ✓
SROInjection site swelling ✓ ✓ ✓
SROOropharyngeal pain ✓ ✓ ✓
SROPre-existing disease ✓ ✓ ✓

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

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