ZSU-20118-11112
3 vaccinations
4 coded responses
31 check-ins
4 free-text entries
0 call cases
- Sex
- Male
- Age at first dose
- 66+
- ZIP prefix
- 986 / WA
- Registered
- 2021-02-12
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-02-12
Registered in v-safe
-
2021-02-16
Dose 1 — Moderna
- 2021-02-16
-
2021-02-17
Survey response — days 1–6 daily, dose 1MedDRA: Fatigue, Hypersomnia — Feeling: Fair · Fatigue or tiredness · Be unable to do your normal daily activitiesFree text: At 3:30 PM today I realized I was VERY tired, unusual for me at that time of day. I napped until 5:50 PM, got up briefly, and have now returned to bed to sleep. (My daughter had said I looked as white as a sheet in the brief time Id gotten up after my nap & prior to returning to bed.)MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-02-18
Survey response — days 1–6 daily, dose 1MedDRA: Asthenia, Fatigue, Somnolence — Feeling: Fair · Site: Itching · Fatigue or tiredness · Be unable to work, Be unable to do your normal daily activitiesFree text: At 3:15PM yesterday, the day AFTER my Moderna COVID-19 inoculation, I began feeling profoundly tired and needed to get to bed to sleep. I slept rather soundly from about 4:00PM until 8;00 AM this morning. Then I did well today, just a bit weak.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-02-19
- 2021-02-20
- 2021-02-21
- 2021-02-22
- 2021-02-23
-
2021-03-02
Survey response — day 14, dose 1MedDRA: Injection site pruritus — Feeling: GoodFree text: Just itchy at the injection site.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-03-10
-
2021-03-16
Dose 2 — Moderna
- 2021-03-16
- 2021-03-17
-
2021-03-18
Survey response — days 1–6 daily, dose 2MedDRA: Lethargy, Poor quality sleep, Somnolence — Feeling: Good · Site: ItchingFree text: Late afternoon yesterday, after I already filled out this report for the day, I felt VERY lethargic and sleepy. I went to bed early but did not sleep well. That was my only reaction late yesterday afternoon and last night.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-03-19
- 2021-03-20
- 2021-03-21
- 2021-03-22
- 2021-03-25
- 2021-03-30
- 2021-04-06
- 2021-04-13
- 2021-04-20
- 2021-04-27
- 2021-06-15
-
2021-08-23
Dose 3 — Moderna
- 2021-09-15
- 2021-09-15
- 2021-09-20
- 2021-09-27
- 2021-10-04
- 2021-11-22
- 2022-02-21
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-02-16 | Moderna | |
| 2 | 2021-03-16 | Moderna | |
| 3 | 2021-08-23 | Moderna | No |
Free text
Release 4 — days 1–6 daily, dose 1
Systemic reaction (other): At 3:30 PM today I realized I was VERY tired, unusual for me at that time of day. I napped until 5:50 PM, got up briefly, and have now returned to bed to sleep. (My daughter had said I looked as white as a sheet in the brief time Id gotten up after my nap & prior to returning to bed.)
Systemic reaction (other): At 3:15PM yesterday, the day AFTER my Moderna COVID-19 inoculation, I began feeling profoundly tired and needed to get to bed to sleep. I slept rather soundly from about 4:00PM until 8;00 AM this morning. Then I did well today, just a bit weak.
Release 4 — day 14, dose 1
Symptoms: Just itchy at the injection site.
Release 5 — days 1–6 daily, dose 2
Systemic reaction (other): Late afternoon yesterday, after I already filled out this report for the day, I felt VERY lethargic and sleepy. I went to bed early but did not sleep well. That was my only reaction late yesterday afternoon and last night.
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 | Injection site pruritus | ✓ | ✓ | ✓ |
| SRO | Asthenia | ✓ | ✓ | ✓ |
| SRO | Fatigue | ✓ | ✓ | ✓ |
| SRO | Hypersomnia | ✓ | ✓ | ✓ |
| SRO | Lethargy | ✓ | ✓ | ✓ |
| SRO | Poor quality sleep | ✓ | ✓ | ✓ |
| SRO | Somnolence | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release