26L-12151-55475
3 vaccinations
4 coded responses
28 check-ins
4 free-text entries
0 call cases
- Sex
- Male
- Age at first dose
- 56-60
- ZIP prefix
- 530 / WI
- Registered
- 2021-03-24
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-03-21
Dose 1 — Moderna
-
2021-03-24
Registered in v-safe
- 2021-03-24
- 2021-03-25
- 2021-03-26
- 2021-03-27
- 2021-03-28
- 2021-04-04
- 2021-04-12
-
2021-04-18
Dose 2 — Moderna
-
2021-04-21
Survey response — days 1–6 daily, dose 2MedDRA: Injection site swelling, Pyrexia — Feeling: Good · Site: Pain, SwellingFree text: I would have reported some on Monday, Tuesday, but I didnt get to the app in time and it will not accept retroactive inputs. First two days, swelling at injection was a little more and I had slight fever (100), but no other problems.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-04-22
- 2021-04-23
- 2021-04-24
- 2021-04-25
-
2021-05-02
Survey response — day 14, dose 2MedDRA: Fatigue, Feeling abnormal, Pain, Respiratory tract congestion, Sinus congestion — Feeling: Good · Be unable to do your normal daily activitiesFree text: Cold- or flu-like sinus congestion; slight body aches and chest congestion. Some fatigue. General blah feeling. No fever.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-05-09
- 2021-05-16
- 2021-07-18
- 2021-10-17
-
2021-11-18
Dose 3 — Moderna
-
2021-11-22
Survey response — days 1–6 daily, dose 3MedDRA: Injection site pain — Feeling: GoodFree text: Soreness at injection site on the day following administration on the injection. No other observable effects.MedDRA releases: 2024-11 · check-in free text available
-
2021-11-23
Survey response — days 1–6 daily, dose 3MedDRA: No adverse event — Feeling: GoodFree text: NoMedDRA releases: 2024-11 · check-in free text available
- 2021-11-24
- 2021-11-25
- 2021-12-02
- 2021-12-11
- 2021-12-16
- 2021-12-23
- 2021-12-30
- 2022-02-17
- 2022-05-19
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-03-21 | Moderna | |
| 2 | 2021-04-18 | Moderna | |
| 3 | 2021-11-18 | Moderna | No |
Free text
Release 7 — days 1–6 daily, dose 2
Systemic reaction (other): I would have reported some on Monday, Tuesday, but I didnt get to the app in time and it will not accept retroactive inputs. First two days, swelling at injection was a little more and I had slight fever (100), but no other problems.
Release 8 — day 14, dose 2
Symptoms: Cold- or flu-like sinus congestion; slight body aches and chest congestion. Some fatigue. General blah feeling. No fever.
Release 10 — days 1–6 daily, dose 3
Systemic reaction (other): Soreness at injection site on the day following administration on the injection. No other observable effects.
Systemic reaction (other): No
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 | Fatigue | ✓ | ✓ | ✓ |
| SD | Feeling abnormal | ✓ | ✓ | ✓ |
| SD | Pain | ✓ | ✓ | ✓ |
| SD | Respiratory tract congestion | ✓ | ✓ | ✓ |
| SD | Sinus congestion | ✓ | ✓ | ✓ |
| SRO | Injection site pain | · | · | ✓ |
| SRO | Injection site swelling | ✓ | ✓ | ✓ |
| SRO | No adverse event | · | · | ✓ |
| SRO | Pyrexia | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release