26G-18568-97027
2 vaccinations
5 coded responses
10 check-ins
5 free-text entries
1 call case
- Sex
- Male
- Age at first dose
- 66+
- ZIP prefix
- 370 / TN
- Registered
- 2021-02-20
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
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2021-02-05
Dose 1 — Moderna
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2021-02-20
Registered in v-safe
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2021-02-20
Survey response — day 14, dose 1MedDRA: Erythema, Office visit, Pain in extremity, Rash — Feeling: Good · Get care from a doctor or other healthcare professionalFree text: Symptoms: Around 8 days after my shot i developed a 3 inch red circle with small bumps. My arm seemed to get more sore at that time. On my 12th day after the shot redness spread down my arm unevenly about 3 or 4 inches. Then on the 14th day after my shot my c · Healthcare visit (other): Go to my dermatologistMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-02-20
Report sent to call center — day 14, dose 1Get care from a doctor or other healthcare professional1 call case(s)
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2021-02-26
Survey response — day 21, dose 1MedDRA: Arthralgia, Injection site rash, Pain in extremity, Rash — Feeling: GoodFree text: Rash spread down my arm from initial circle rash where shot was. Arm and shoulder got real sore. 2 weeks after shot connected with rash. 1 week from 2nd shot rash fading !MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-03-05
Dose 2 — Moderna
- 2021-03-05
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2021-03-06
Survey response — days 1–6 daily, dose 2MedDRA: Injection site erythema — Feeling: Fair · Site: Pain, Redness · Fever · Chills, Muscle or body achesFree text: Red dot where needle went in don't remember that on first shotMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-03-07
Survey response — days 1–6 daily, dose 2MedDRA: Tenderness — Feeling: Fair · Site: Pain · Muscle or body achesFree text: Arm still a little tenderMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-03-08
Survey response — days 1–6 daily, dose 2MedDRA: Myalgia, Pruritus, Tenderness — Feeling: Good · Site: Itching · Muscle or body achesFree text: Arm still tender on the spot , itching a little, slight muscle sorenessMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-03-09
Health check-in — days 1–6 daily, dose 2Feeling: Good · Site: Itching · Muscle or body achesAdult check-in
- 2021-03-11
- 2021-03-14
- 2021-08-09
- 2021-09-03
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-02-05 | Moderna | |
| 2 | 2021-03-05 | Moderna |
Call center
1 call center case
1 unsuccessful
1 wait over 3 months for a first call
Free text
Release 4 — day 14, dose 1
Symptoms: Around 8 days after my shot i developed a 3 inch red circle with small bumps. My arm seemed to get more sore at that time. On my 12th day after the shot redness spread down my arm unevenly about 3 or 4 inches. Then on the 14th day after my shot my c cut off by CDC
Healthcare visit (other): Go to my dermatologist
Release 4 — day 21, dose 1
Symptoms: Rash spread down my arm from initial circle rash where shot was. Arm and shoulder got real sore. 2 weeks after shot connected with rash. 1 week from 2nd shot rash fading !
Release 5 — days 1–6 daily, dose 2
Systemic reaction (other): Red dot where needle went in don't remember that on first shot
Systemic reaction (other): Arm still a little tender
Systemic reaction (other): Arm still tender on the spot , itching a little, slight muscle soreness
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 |
|---|---|---|---|---|
| HCVO | Office visit | ✓ | ✓ | ✓ |
| SD | Arthralgia | ✓ | ✓ | ✓ |
| SD | Erythema | ✓ | ✓ | ✓ |
| SD | Injection site rash | ✓ | ✓ | ✓ |
| SD | Pain in extremity | ✓ | ✓ | ✓ |
| SD | Rash | ✓ | ✓ | ✓ |
| SRO | Injection site erythema | ✓ | ✓ | ✓ |
| SRO | Myalgia | ✓ | ✓ | ✓ |
| SRO | Pruritus | ✓ | ✓ | ✓ |
| SRO | Tenderness | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release