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24F-16442-74376

3 vaccinations 7 coded responses 38 check-ins 7 free-text entries 0 call cases
Sex
—
Age at first dose
36-40
ZIP prefix
666 / KS
Registered
2021-05-07
Relationship
Self
Race
White
Ethnicity
Not Hispanic or Latino

Timeline

  1. 2021-05-07
    Registered in v-safe
  2. 2021-05-07
    Dose 1 — Moderna
  3. 2021-05-07
    Health check-in — day 0, dose 1
    Feeling: Fair · Site: Pain, Redness · Chills
    Adult check-in
  4. 2021-05-08
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · Site: Pain · None
    Adult check-in
  5. 2021-05-09
    Health check-in — days 1–6 daily, dose 1
    Feeling: Fair · Site: Pain · Headache, Joint pains, Fatigue or tiredness, Nausea
    Adult check-in
  6. 2021-05-10
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · None
    Adult check-in
  7. 2021-05-11
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · None
    Adult check-in
  8. 2021-05-12
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · None
    Adult check-in
  9. 2021-05-13
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · None
    Adult check-in
  10. 2021-05-14
    Health check-in — day 7, dose 1
    Feeling: Good · None
    Adult check-in
  11. 2021-05-22
    Health check-in — day 14, dose 1
    Feeling: Good
    Adult check-in
  12. 2021-05-28
    Health check-in — day 21, dose 1
    Feeling: Good
    Adult check-in
  13. 2021-06-04
    Dose 2 — Moderna
  14. 2021-06-04
    Health check-in — day 0, dose 2
    Feeling: Good · Site: Pain · None
    Adult check-in
  15. 2021-06-05
    Health check-in — days 1–6 daily, dose 2
    Feeling: Fair · Site: Pain, Swelling · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities
    Adult check-in
  16. 2021-06-06
    Survey response — days 1–6 daily, dose 2
    MedDRA: Dyspepsia, Insomnia — Feeling: Fair · Site: Pain · Fatigue or tiredness, Nausea
    Free text: probably coincidental but had the worst heartburn last night, couldn't sleep for hours
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  17. 2021-06-07
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · Site: Pain · None
    Adult check-in
  18. 2021-06-08
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · None
    Adult check-in
  19. 2021-06-09
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · Fatigue or tiredness
    Adult check-in
  20. 2021-06-10
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · None
    Adult check-in
  21. 2021-06-12
    Health check-in — day 7, dose 2
    Feeling: Fair · Headache, Fatigue or tiredness
    Adult check-in
  22. 2021-06-18
    Health check-in — day 14, dose 2
    Feeling: Good
    Adult check-in
  23. 2021-06-25
    Health check-in — day 21, dose 2
    Feeling: Good
    Adult check-in
  24. 2021-07-02
    Health check-in — day 28, dose 2
    Feeling: Good
    Adult check-in
  25. 2021-07-09
    Health check-in — day 35, dose 2
    Feeling: Good
    Adult check-in
  26. 2021-07-16
    Health check-in — day 42, dose 2
    Feeling: Good
    Adult check-in
  27. 2021-09-03
    Health check-in — 3 months, dose 2
    Feeling: Good
    Adult check-in
  28. 2021-12-04
    Survey response — 6 months, dose 2
    MedDRA: Cough, Nasopharyngitis — Feeling: Fair · Be unable to do your normal daily activities
    Free text: Very bad cold with cough, did not test just stayed home. Almost gone now, only bad for about 3 days
    MedDRA releases: 2024-11 · check-in free text available
  29. 2022-06-04
    Health check-in — 12 months, dose 2
    Feeling: Good
    Adult check-in
  30. 2022-08-13
    Dose 3 — Moderna
  31. 2022-08-14
    Health check-in — days 1–6 daily, dose 3
    Feeling: Poor · Site: Pain, Swelling · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities
    Adult check-in
  32. 2022-08-15
    Survey response — days 1–6 daily, dose 3
    MedDRA: Oedema peripheral — Feeling: Fair · Site: Pain, Swelling · Headache, Fatigue or tiredness, Nausea, Diarrhea
    Free text: The swelling has all been in my armpit, not the actual injection site. This didn't happen with previous doses.
    MedDRA releases: 2024-11 · check-in free text available
  33. 2022-08-16
    Survey response — days 1–6 daily, dose 3
    MedDRA: Axillary pain, Mobility decreased — Feeling: Good
    Free text: Still pain in armpit, not injection site. Less severe than yesterday, feel able to move arm much more.
    MedDRA releases: 2024-11 · check-in free text available
  34. 2022-08-18
    Survey response — days 1–6 daily, dose 3
    MedDRA: Axillary pain, Pain — Feeling: Good
    Free text: only very mild armpit soreness today and only if pressing the area or reaching all the way above my head
    MedDRA releases: 2024-11 · check-in free text available
  35. 2022-08-19
    Health check-in — days 1–6 daily, dose 3
    Feeling: Good · None
    Adult check-in
  36. 2022-08-20
    Health check-in — day 7, dose 3
    Feeling: Good · None
    Adult check-in
  37. 2022-08-27
    Survey response — day 14, dose 3
    MedDRA: Nasopharyngitis — Feeling: Fair
    Free text: I have a cold
    MedDRA releases: 2024-11 · check-in free text available
  38. 2022-09-03
    Health check-in — day 21, dose 3
    Feeling: Good
    Adult check-in
  39. 2022-09-10
    Health check-in — day 28, dose 3
    Feeling: Good
    Adult check-in
  40. 2022-09-17
    Health check-in — day 35, dose 3
    Feeling: Good
    Adult check-in
  41. 2022-09-24
    Health check-in — day 42, dose 3
    Feeling: Good
    Adult check-in
  42. 2022-11-12
    Survey response — 3 months, dose 3
    MedDRA: Fatigue, Nasopharyngitis, SARS-CoV-2 test negative — Feeling: Fair
    Free text: Tired and maybe have a bit of cold. Took a COVID test that was negative though.
    MedDRA releases: 2024-11 · check-in free text available

Vaccinations

DoseDateManufacturerCo-administered
12021-05-07Moderna
22021-06-04Moderna
32022-08-13Moderna No

Free text

Release 8 — days 1–6 daily, dose 2

2021-06-06

Systemic reaction (other): probably coincidental but had the worst heartburn last night, couldn't sleep for hours

Release 10 — 6 months, dose 2

2021-12-04

Symptoms: Very bad cold with cough, did not test just stayed home. Almost gone now, only bad for about 3 days

Release 12 — days 1–6 daily, dose 3

2022-08-15

Systemic reaction (other): The swelling has all been in my armpit, not the actual injection site. This didn't happen with previous doses.

2022-08-16

Systemic reaction (other): Still pain in armpit, not injection site. Less severe than yesterday, feel able to move arm much more.

2022-08-18

Systemic reaction (other): only very mild armpit soreness today and only if pressing the area or reaching all the way above my head

Release 12 — day 14, dose 3

2022-08-27

Symptoms: I have a cold

Release 12 — 3 months, dose 3

2022-11-12

Symptoms: Tired and maybe have a bit of cold. Took a COVID test that was negative though.

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
SDCough · · ✓
SDFatigue · · ✓
SDNasopharyngitis · · ✓
SDSARS-CoV-2 test negative · · ✓
SROAxillary pain · · ✓
SRODyspepsia ✓ ✓ ✓
SROInsomnia ✓ ✓ ✓
SROMobility decreased · · ✓
SROOedema peripheral · · ✓
SROPain · · ✓

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