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26J-26164-91622

2 vaccinations 7 coded responses 25 check-ins 7 free-text entries 0 call cases
Sex
Male
Age at first dose
56-60
ZIP prefix
920 / CA
Registered
2021-04-29
Relationship
Self
Race
White
Ethnicity
Not Hispanic or Latino

Timeline

  1. 2021-04-29
    Registered in v-safe
  2. 2021-04-29
    Dose 1 — Moderna
  3. 2021-04-29
    Survey response — day 0, dose 1
    MedDRA: Rhinorrhoea — Feeling: Fair · Site: Pain · Headache, Fatigue or tiredness
    Free text: Sniffles
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  4. 2021-04-30
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · Site: Pain · Muscle or body aches
    Adult check-in
  5. 2021-05-01
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · Fatigue or tiredness
    Adult check-in
  6. 2021-05-02
    Survey response — days 1–6 daily, dose 1
    MedDRA: Fatigue — Feeling: Fair · Site: Pain · Fatigue or tiredness
    Free text: Im an endurance athlete and have noticed a significant amount of fatigue during my first couple workouts after the injection. Felt like being at about 80% of normal.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  7. 2021-05-03
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · None
    Adult check-in
  8. 2021-05-04
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · None
    Adult check-in
  9. 2021-05-05
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · None
    Adult check-in
  10. 2021-05-06
    Health check-in — day 7, dose 1
    Feeling: Good · None
    Adult check-in
  11. 2021-05-13
    Health check-in — day 14, dose 1
    Feeling: Good
    Adult check-in
  12. 2021-05-20
    Health check-in — day 21, dose 1
    Feeling: Good
    Adult check-in
  13. 2021-05-27
    Dose 2 — Moderna
  14. 2021-05-27
    Health check-in — day 0, dose 2
    Feeling: Fair · Site: Pain · Nausea
    Adult check-in
  15. 2021-05-28
    Survey response — days 1–6 daily, dose 2
    MedDRA: Dizziness, Immediate post-injection reaction, Reaction to previous exposure to any vaccine — Feeling: Poor · Site: Pain · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea, Abdominal pain · Be unable to work
    Free text: Mild dizziness for 20-30 mins after injection. First shot I had zero side effects other than a sore arm.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  16. 2021-05-30
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · None
    Adult check-in
  17. 2021-05-31
    Survey response — days 1–6 daily, dose 2
    MedDRA: Feeling abnormal — Feeling: Good · Fatigue or tiredness
    Free text: Went for a bike ride (30 miles) definitely feeling off with fitness and power output. Overall good.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  18. 2021-06-01
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · None
    Adult check-in
  19. 2021-06-02
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · None
    Adult check-in
  20. 2021-06-03
    Health check-in — day 7, dose 2
    Feeling: Good · None
    Adult check-in
  21. 2021-06-10
    Health check-in — day 14, dose 2
    Feeling: Good
    Adult check-in
  22. 2021-06-17
    Survey response — day 21, dose 2
    MedDRA: Unevaluable event — Feeling: Good
    Free text: Puffy, Chapped, dry lips?
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  23. 2021-06-24
    Health check-in — day 28, dose 2
    Feeling: Good
    Adult check-in
  24. 2021-07-01
    Survey response — day 35, dose 2
    MedDRA: Chapped lips, Lip dry — Feeling: Good
    Free text: Dry chapped lips
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  25. 2021-07-08
    Health check-in — day 42, dose 2
    Feeling: Good
    Adult check-in
  26. 2021-08-26
    Survey response — 3 months, dose 2
    MedDRA: Chapped lips — Feeling: Good
    Free text: Seems like Im having chapped lips more than ever.
    MedDRA releases: 2021-09,2024-11 · check-in free text available
  27. 2021-11-25
    Health check-in — 6 months, dose 2
    Feeling: Good
    Adult check-in
  28. 2022-05-27
    Health check-in — 12 months, dose 2
    Feeling: Good
    Adult check-in

Vaccinations

DoseDateManufacturerCo-administered
12021-04-29Moderna
22021-05-27Moderna

Free text

Release 8 — day 0, dose 1

2021-04-29

Systemic reaction (other): Sniffles

Release 8 — days 1–6 daily, dose 1

2021-05-02

Systemic reaction (other): Im an endurance athlete and have noticed a significant amount of fatigue during my first couple workouts after the injection. Felt like being at about 80% of normal.

Release 8 — days 1–6 daily, dose 2

2021-05-28

Systemic reaction (other): Mild dizziness for 20-30 mins after injection. First shot I had zero side effects other than a sore arm.

2021-05-31

Systemic reaction (other): Went for a bike ride (30 miles) definitely feeling off with fitness and power output. Overall good.

Release 9 — day 21, dose 2

2021-06-17

Symptoms: Puffy, Chapped, dry lips?

Release 9 — day 35, dose 2

2021-07-01

Symptoms: Dry chapped lips

Release 9 — 3 months, dose 2

2021-08-26

Symptoms: Seems like Im having chapped lips more than ever.

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
SDChapped lips ✓ ✓ ✓
SDLip dry ✓ ✓ ✓
SDUnevaluable event ✓ ✓ ✓
SRODizziness ✓ ✓ ✓
SROFatigue ✓ ✓ ✓
SROFeeling abnormal ✓ ✓ ✓
SROImmediate post-injection reaction ✓ ✓ ✓
SROReaction to previous exposure to any vaccine ✓ ✓ ✓
SRORhinorrhoea ✓ ✓ ✓

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