26P-30915-98859
2 vaccinations
4 coded responses
16 check-ins
4 free-text entries
0 call cases
- Sex
- Male
- Age at first dose
- 36-40
- ZIP prefix
- 932 / CA
- Registered
- 2021-01-28
- Relationship
- Self
- Race
- White
- Ethnicity
- Hispanic or Latino
Timeline
-
2020-12-31
Dose 1 — Moderna
-
2021-01-28
Registered in v-safe
-
2021-01-28
Dose 2 — Moderna
-
2021-01-28
Survey response — day 0, dose 2MedDRA: Pruritus — Feeling: Good · Site: PainFree text: ItchingMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-01-29
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Site: Pain, Swelling · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tirednessAdult check-in
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2021-01-30
Survey response — days 1–6 daily, dose 2MedDRA: Chills, Pollakiuria, Tachycardia — Feeling: Good · Site: Pain, Redness, Swelling · Headache, Joint painsFree text: Forgot to report on the 24-48 hr, I was experiencing tachycardia at rest 110-120 bpm, from 36hr-48hr I was having frequent voiding like every 30 minutes even though I had not drank excess fluids, maybe 16oz -24oz in a 24 hr period, it was about the same time when the chills kicked it and started to subside in the morning when my very frequent voids stopped as well. Today pulse has almost returned to normal ranges and no excessive voids.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-01-31
- 2021-02-01
- 2021-02-02
- 2021-02-03
- 2021-02-04
- 2021-02-11
- 2021-02-18
- 2021-02-25
- 2021-03-04
- 2021-03-11
- 2021-04-29
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2021-07-29
Survey response — 6 months, dose 2MedDRA: Asthenia, Dyspnoea, Fatigue, Headache, Pyrexia, Rhinorrhoea — Feeling: Good · Be unable to work or attend schoolFree text: Runny nose, weakness, fever, Headache, fatigue, shortness of breathMedDRA releases: 2021-09,2024-11 · check-in free text available
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2022-01-30
Survey response — 12 months, dose 2MedDRA: Asthenia, Body temperature increased, Chills, Dyspnoea, Fatigue, Headache, Oxygen saturation decreased — Feeling: GoodFree text: Covid 19 symptoms, headaches that won't go away for approximately three days, low grade temperature for less than 24hrs,chills weakness and feeling of tiredness, shortness of breath with decreased O2 sats upper 80% to lower 90%, like a fish out waterMedDRA releases: 2024-11 · check-in free text available
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2020-12-31 | Moderna | |
| 2 | 2021-01-28 | Moderna |
Free text
Release 3 — day 0, dose 2
Systemic reaction (other): Itching
Release 3 — days 1–6 daily, dose 2
Systemic reaction (other): Forgot to report on the 24-48 hr, I was experiencing tachycardia at rest 110-120 bpm, from 36hr-48hr I was having frequent voiding like every 30 minutes even though I had not drank excess fluids, maybe 16oz -24oz in a 24 hr period, it was about the same time when the chills kicked it and started to subside in the morning when my very frequent voids stopped as well. Today pulse has almost returned to normal ranges and no excessive voids.
Release 9 — 6 months, dose 2
Symptoms: Runny nose, weakness, fever, Headache, fatigue, shortness of breath
Release 11 — 12 months, dose 2
Symptoms: Covid 19 symptoms, headaches that won't go away for approximately three days, low grade temperature for less than 24hrs,chills weakness and feeling of tiredness, shortness of breath with decreased O2 sats upper 80% to lower 90%, like a fish out water cut off by CDC
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 | Asthenia | ✓ | · | ✓ |
| SD | Body temperature increased | · | · | ✓ |
| SD | Chills | · | · | ✓ |
| SD | Dyspnoea | ✓ | · | ✓ |
| SD | Fatigue | ✓ | · | ✓ |
| SD | Headache | ✓ | · | ✓ |
| SD | Oxygen saturation decreased | · | · | ✓ |
| SD | Pyrexia | ✓ | · | ✓ |
| SD | Rhinorrhoea | ✓ | · | ✓ |
| SRO | Chills | ✓ | ✓ | ✓ |
| SRO | Pollakiuria | ✓ | ✓ | ✓ |
| SRO | Pruritus | ✓ | ✓ | ✓ |
| SRO | Tachycardia | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release