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25V-17074-11879

2 vaccinations 1 coded response 3 check-ins 1 free-text entry 0 call cases
Sex
Male
Age at first dose
56-60
ZIP prefix
342 / FL
Registered
2021-03-31
Relationship
Self
Race
White
Ethnicity
Not Hispanic or Latino

Timeline

  1. 2021-03-19
    Dose 1 — Moderna
  2. 2021-03-31
    Registered in v-safe
  3. 2021-03-31
    Survey response — day 7, dose 1
    MedDRA: Contusion, Discomfort, Headache, Immediate post-injection reaction, Lethargy — Feeling: Good · Headache
    Free text: On the initial date of my injection I felt a headache 10 minutes after the injection. My headache lasted for about two hours and felt like it was centralized in my head. The morning after my injection upon awakening I felt very lethargic and dead weight. That only was for one morning. My arm felt bruised like someone had punched it which lasted for about 2 1/2 days. Since then there have been no other symptoms to date.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  4. 2021-04-02
    Health check-in — day 14, dose 1
    Feeling: Good
    Adult check-in
  5. 2021-04-23
    Dose 2 — Moderna
  6. 2021-04-26
    Health check-in — days 1–6 daily, dose 2
    Feeling: Fair · Fatigue or tiredness · Be unable to work
    Adult check-in

Vaccinations

DoseDateManufacturerCo-administered
12021-03-19Moderna
22021-04-23Moderna

Free text

Release 6 — day 7, dose 1

2021-03-31

Systemic reaction (other): On the initial date of my injection I felt a headache 10 minutes after the injection. My headache lasted for about two hours and felt like it was centralized in my head. The morning after my injection upon awakening I felt very lethargic and dead weight. That only was for one morning. My arm felt bruised like someone had punched it which lasted for about 2 1/2 days. Since then there have been no other symptoms to date.

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
SROContusion ✓ ✓ ✓
SRODiscomfort ✓ ✓ ✓
SROHeadache ✓ ✓ ✓
SROImmediate post-injection reaction ✓ ✓ ✓
SROLethargy ✓ ✓ ✓

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