254-20451-10457
2 vaccinations
6 coded responses
24 check-ins
6 free-text entries
0 call cases
- Sex
- Male
- Age at first dose
- 61-65
- ZIP prefix
- 105 / NY
- Registered
- 2021-01-16
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-01-16
Registered in v-safe
-
2021-01-16
Dose 1 — Moderna
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2021-01-16
Survey response — day 0, dose 1MedDRA: Headache — Feeling: Good · HeadacheFree text: Mild headache earlier todayMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-01-17
Survey response — days 1–6 daily, dose 1MedDRA: Energy increased, Pain in extremity — Feeling: Good · Site: PainFree text: Arm is sore, more energy than yesterdayMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-01-18
Survey response — days 1–6 daily, dose 1MedDRA: Diarrhoea — Feeling: Good · Site: PainFree text: Loose stools late last night and early this morning. Other than that feeling pretty good.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-01-19
Survey response — days 1–6 daily, dose 1MedDRA: Myalgia — Feeling: Good · Site: PainFree text: Feeling pretty good today, arm is much better and I did have some muscle soreness in my legs yesterday morning that I forgot to report yesterday, that has subsidedMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-01-21
- 2021-01-23
- 2021-01-30
- 2021-02-06
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2021-02-13
Dose 2 — Moderna
- 2021-02-13
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2021-02-14
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Site: Pain · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activitiesAdult check-in
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2021-02-15
Survey response — days 1–6 daily, dose 2MedDRA: Body temperature increased, Hyperhidrosis — Feeling: Good · Site: Pain · Fever · Fatigue or tirednessFree text: My temperature was 102.5 last night, took Tylenol and it broke around midnight with heavy sweatsMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-02-16
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2021-02-17
Survey response — days 1–6 daily, dose 2MedDRA: Hyperhidrosis — Feeling: GoodFree text: Sweating a little bit during the nightMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-02-18
- 2021-02-19
- 2021-02-20
- 2021-02-27
- 2021-03-06
- 2021-03-13
- 2021-03-20
- 2021-03-27
- 2021-05-15
- 2021-08-14
- 2022-02-13
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-01-16 | Moderna | |
| 2 | 2021-02-13 | Moderna |
Free text
Release 2 — day 0, dose 1
Systemic reaction (other): Mild headache earlier today
Release 2 — days 1–6 daily, dose 1
Systemic reaction (other): Arm is sore, more energy than yesterday
Systemic reaction (other): Loose stools late last night and early this morning. Other than that feeling pretty good.
Systemic reaction (other): Feeling pretty good today, arm is much better and I did have some muscle soreness in my legs yesterday morning that I forgot to report yesterday, that has subsided
Release 4 — days 1–6 daily, dose 2
Systemic reaction (other): My temperature was 102.5 last night, took Tylenol and it broke around midnight with heavy sweats
Systemic reaction (other): Sweating a little bit during the 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 |
|---|---|---|---|---|
| SRO | Body temperature increased | ✓ | ✓ | ✓ |
| SRO | Diarrhoea | ✓ | ✓ | ✓ |
| SRO | Energy increased | ✓ | ✓ | ✓ |
| SRO | Headache | ✓ | ✓ | ✓ |
| SRO | Hyperhidrosis | ✓ | ✓ | ✓ |
| SRO | Myalgia | ✓ | ✓ | ✓ |
| SRO | Pain in extremity | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release