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25L-92791-11819

2 vaccinations 5 coded responses 20 check-ins 5 free-text entries 0 call cases
Sex
Male
Age at first dose
41-45
ZIP prefix
303 / GA
Registered
2021-04-27
Relationship
Self
Race
Black or African American
Ethnicity
Not Hispanic or Latino

Timeline

  1. 2021-04-27
    Registered in v-safe
  2. 2021-04-27
    Dose 1 — Moderna
  3. 2021-04-27
    Survey response — day 0, dose 1
    MedDRA: Fatigue, Pre-existing disease — Feeling: Good · Fatigue or tiredness
    Free text: A little tired but been busy from work. Diabetes makes me tired too, I dont feel any more symptoms than I normally do with diabetes.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  4. 2021-04-28
    Survey response — days 1–6 daily, dose 1
    MedDRA: Fatigue, Pain in extremity — Feeling: Good · Site: Pain · Fatigue or tiredness
    Free text: Last night arm very sore. Was tired but I feel fine now
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  5. 2021-04-30
    Survey response — days 1–6 daily, dose 1
    MedDRA: Tenderness — Feeling: Good
    Free text: Arm tenderness (shot area has improved). No symptoms otherwise
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  6. 2021-05-02
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · None
    Adult check-in
  7. 2021-05-03
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · None
    Adult check-in
  8. 2021-05-04
    Survey response — day 7, dose 1
    MedDRA: Abdominal discomfort, Headache, Impaired work ability, Malaise — Feeling: Poor · Headache, Muscle or body aches, Fatigue or tiredness · Be unable to work or attend school, Be unable to do your normal daily activities
    Free text: Bad headache/ Feel like hit by truck/ stomach irritation. Took off from work. Will flush fluids/ rest
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  9. 2021-05-11
    Health check-in — day 14, dose 1
    Feeling: Good
    Adult check-in
  10. 2021-05-18
    Health check-in — day 21, dose 1
    Feeling: Good
    Adult check-in
  11. 2021-05-25
    Dose 2 — Moderna
  12. 2021-05-25
    Health check-in — day 0, dose 2
    Feeling: Good · Fatigue or tiredness
    Adult check-in
  13. 2021-05-26
    Health check-in — days 1–6 daily, dose 2
    Feeling: Fair · Site: Pain · Joint pains, Muscle or body aches, Fatigue or tiredness
    Adult check-in
  14. 2021-05-27
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · Site: Pain · Muscle or body aches
    Adult check-in
  15. 2021-05-28
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · None
    Adult check-in
  16. 2021-05-29
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · None
    Adult check-in
  17. 2021-05-30
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · None
    Adult check-in
  18. 2021-06-03
    Health check-in — day 7, dose 2
    Feeling: Good · None
    Adult check-in
  19. 2021-06-10
    Health check-in — day 14, dose 2
    Feeling: Good
    Adult check-in
  20. 2021-06-15
    Health check-in — day 21, dose 2
    Feeling: Good
    Adult check-in
  21. 2021-07-06
    Health check-in — day 42, dose 2
    Feeling: Good
    Adult check-in
  22. 2021-08-26
    Survey response — 3 months, dose 2
    MedDRA: Abdominal pain upper, Dyspepsia, Nausea — Feeling: Poor
    Free text: Stomach pain and slow digestion causing nausea. Not sure if its vaccine related tho.
    MedDRA releases: 2021-09,2024-11 · check-in free text available
  23. 2022-05-27
    Health check-in — 12 months, dose 2
    Feeling: Good
    Adult check-in

Vaccinations

DoseDateManufacturerCo-administered
12021-04-27Moderna
22021-05-25Moderna

Free text

Release 8 — day 0, dose 1

2021-04-27

Systemic reaction (other): A little tired but been busy from work. Diabetes makes me tired too, I dont feel any more symptoms than I normally do with diabetes.

Release 8 — days 1–6 daily, dose 1

2021-04-28

Systemic reaction (other): Last night arm very sore. Was tired but I feel fine now

2021-04-30

Systemic reaction (other): Arm tenderness (shot area has improved). No symptoms otherwise

Release 8 — day 7, dose 1

2021-05-04

Systemic reaction (other): Bad headache/ Feel like hit by truck/ stomach irritation. Took off from work. Will flush fluids/ rest

Release 9 — 3 months, dose 2

2021-08-26

Symptoms: Stomach pain and slow digestion causing nausea. Not sure if its vaccine related tho.

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
SDAbdominal pain upper ✓ · ✓
SDDyspepsia ✓ · ✓
SDNausea ✓ · ✓
SROAbdominal discomfort ✓ ✓ ✓
SROFatigue ✓ ✓ ✓
SROHeadache ✓ ✓ ✓
SROImpaired work ability ✓ ✓ ✓
SROMalaise ✓ ✓ ✓
SROPain in extremity ✓ ✓ ✓
SROPre-existing disease ✓ ✓ ✓
SROTenderness ✓ ✓ ✓

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