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
-
2021-04-27
Registered in v-safe
-
2021-04-27
Dose 1 — Moderna
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2021-04-27
Survey response — day 0, dose 1MedDRA: Fatigue, Pre-existing disease — Feeling: Good · Fatigue or tirednessFree 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
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2021-04-28
Survey response — days 1–6 daily, dose 1MedDRA: Fatigue, Pain in extremity — Feeling: Good · Site: Pain · Fatigue or tirednessFree text: Last night arm very sore. Was tired but I feel fine nowMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-04-30
Survey response — days 1–6 daily, dose 1MedDRA: Tenderness — Feeling: GoodFree text: Arm tenderness (shot area has improved). No symptoms otherwiseMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-05-02
- 2021-05-03
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2021-05-04
Survey response — day 7, dose 1MedDRA: 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 activitiesFree text: Bad headache/ Feel like hit by truck/ stomach irritation. Took off from work. Will flush fluids/ restMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-05-11
- 2021-05-18
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2021-05-25
Dose 2 — Moderna
- 2021-05-25
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2021-05-26
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Site: Pain · Joint pains, Muscle or body aches, Fatigue or tirednessAdult check-in
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2021-05-27
Health check-in — days 1–6 daily, dose 2Feeling: Good · Site: Pain · Muscle or body achesAdult check-in
- 2021-05-28
- 2021-05-29
- 2021-05-30
- 2021-06-03
- 2021-06-10
- 2021-06-15
- 2021-07-06
-
2021-08-26
Survey response — 3 months, dose 2MedDRA: Abdominal pain upper, Dyspepsia, Nausea — Feeling: PoorFree 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
- 2022-05-27
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-04-27 | Moderna | |
| 2 | 2021-05-25 | Moderna |
Free text
Release 8 — day 0, dose 1
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
Systemic reaction (other): Last night arm very sore. Was tired but I feel fine now
Systemic reaction (other): Arm tenderness (shot area has improved). No symptoms otherwise
Release 8 — day 7, dose 1
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
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
| Field | Preferred term | 2021-09 | 2023-04 | 2024-11 |
|---|---|---|---|---|
| SD | Abdominal pain upper | ✓ | · | ✓ |
| SD | Dyspepsia | ✓ | · | ✓ |
| SD | Nausea | ✓ | · | ✓ |
| SRO | Abdominal discomfort | ✓ | ✓ | ✓ |
| SRO | Fatigue | ✓ | ✓ | ✓ |
| SRO | Headache | ✓ | ✓ | ✓ |
| SRO | Impaired work ability | ✓ | ✓ | ✓ |
| SRO | Malaise | ✓ | ✓ | ✓ |
| SRO | Pain in extremity | ✓ | ✓ | ✓ |
| SRO | Pre-existing disease | ✓ | ✓ | ✓ |
| SRO | Tenderness | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release