ZXX-22337-31379
5 vaccinations
7 coded responses
51 check-ins
6 free-text entries
0 call cases
- Sex
- Male
- Age at first dose
- 66+
- ZIP prefix
- 920 / CA
- Registered
- 2021-01-18
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-01-18
Registered in v-safe
-
2021-01-18
Dose 1 — Moderna
- 2021-01-18
- 2021-01-19
- 2021-01-20
- 2021-01-21
- 2021-01-22
- 2021-01-23
-
2021-01-24
Survey response — days 1–6 daily, dose 1MedDRA: Fatigue — Feeling: Good · Fatigue or tirednessFree text: Fatigue is almost certainly for reasons not connected to vaccine.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-01-25
- 2021-02-01
- 2021-02-08
- 2021-02-15
- 2021-02-22
-
2021-02-23
Dose 2 — Moderna
- 2021-02-23
-
2021-02-24
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Site: Pain, Redness, Swelling · Fever · Chills, Fatigue or tirednessAdult check-in
- 2021-02-25
- 2021-02-26
- 2021-02-27
- 2021-02-28
- 2021-03-01
- 2021-03-02
- 2021-03-09
- 2021-03-16
- 2021-03-23
- 2021-03-30
- 2021-04-06
- 2021-05-25
- 2021-08-24
-
2021-09-01
Dose 3 — Pfizer-BioNTech
- 2022-02-23
- 2022-03-04
-
2022-05-09
Dose 4 — Moderna
-
2022-05-13
Survey response — days 1–6 daily, dose 4MedDRA: Pain in extremity — Feeling: GoodFree text: Some soreness in the injected arm the day after the boosterMedDRA releases: 2024-11 · check-in free text available
-
2022-05-14
Survey response — days 1–6 daily, dose 4MedDRA: Fatigue — Feeling: Good · Fatigue or tiredness · Be unable to do your normal daily activitiesFree text: Tiredness may have to do with not enough sleep.MedDRA releases: 2024-11 · check-in free text available
-
2022-05-15
Survey response — days 1–6 daily, dose 4MedDRA: Fatigue — Feeling: Good · Fatigue or tirednessFree text: Don't think fatigue is related to the injection.MedDRA releases: 2024-11 · check-in free text available
- 2022-05-16
- 2022-05-23
- 2022-05-31
- 2022-06-07
- 2022-06-13
- 2022-06-20
- 2022-08-08
-
2022-09-28
Dose 5 — Moderna
-
2022-09-30
Survey response — days 1–6 daily, dose 5MedDRA: Fatigue, Injection site pain — Feeling: Fair · Fatigue or tirednessFree text: Had very mild pain at injection site the day after the injection but nothing after that. Not sure that the fatigue is related to the injection.MedDRA releases: 2024-11 · check-in free text available
-
2022-10-01
Survey response — days 1–6 daily, dose 5MedDRA: Fatigue, Impaired work ability, Somnolence — Feeling: GoodFree text: In retrospect, I wonder whether the fatigue I was experiencing yesterday might indeed have been related to the booster shot two days previously. The tiredness actually DID interfere with my ability to work at my desk, and I ended up taking a 3 hr napMedDRA releases: 2024-11 · check-in free text available
- 2022-10-02
- 2022-10-03
- 2022-10-04
- 2022-10-05
- 2022-10-12
- 2022-10-19
- 2022-10-26
- 2022-11-02
- 2022-12-28
-
2023-03-29
Survey response — 6 months, dose 5MedDRA: Back pain, Pain, Spinal osteoarthritis — Feeling: Fair · Be unable to do your normal daily activitiesMedDRA releases: 2024-11
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-01-18 | Moderna | |
| 2 | 2021-02-23 | Moderna | |
| 3 | 2021-09-01 | Pfizer-BioNTech | No |
| 4 | 2022-05-09 | Moderna | No |
| 5 | 2022-09-28 | Moderna | No |
Free text
Release 2 — days 1–6 daily, dose 1
Systemic reaction (other): Fatigue is almost certainly for reasons not connected to vaccine.
Release 11 — days 1–6 daily, dose 4
Systemic reaction (other): Some soreness in the injected arm the day after the booster
Systemic reaction (other): Tiredness may have to do with not enough sleep.
Systemic reaction (other): Don't think fatigue is related to the injection.
Release 12 — days 1–6 daily, dose 5
Systemic reaction (other): Had very mild pain at injection site the day after the injection but nothing after that. Not sure that the fatigue is related to the injection.
Systemic reaction (other): In retrospect, I wonder whether the fatigue I was experiencing yesterday might indeed have been related to the booster shot two days previously. The tiredness actually DID interfere with my ability to work at my desk, and I ended up taking a 3 hr nap cut off by CDC
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 | Back pain | · | · | ✓ |
| SD | Pain | · | · | ✓ |
| SD | Spinal osteoarthritis | · | · | ✓ |
| SRO | Fatigue | ✓ | ✓ | ✓ |
| SRO | Impaired work ability | · | · | ✓ |
| SRO | Injection site pain | · | · | ✓ |
| SRO | Pain in extremity | · | · | ✓ |
| SRO | Somnolence | · | · | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release