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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

  1. 2020-12-31
    Dose 1 — Moderna
  2. 2021-01-28
    Registered in v-safe
  3. 2021-01-28
    Dose 2 — Moderna
  4. 2021-01-28
    Survey response — day 0, dose 2
    MedDRA: Pruritus — Feeling: Good · Site: Pain
    Free text: Itching
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  5. 2021-01-29
    Health check-in — days 1–6 daily, dose 2
    Feeling: Fair · Site: Pain, Swelling · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness
    Adult check-in
  6. 2021-01-30
    Survey response — days 1–6 daily, dose 2
    MedDRA: Chills, Pollakiuria, Tachycardia — Feeling: Good · Site: Pain, Redness, Swelling · Headache, Joint pains
    Free 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
  7. 2021-01-31
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · Site: Redness · Headache
    Adult check-in
  8. 2021-02-01
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · None
    Adult check-in
  9. 2021-02-02
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · None
    Adult check-in
  10. 2021-02-03
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · None
    Adult check-in
  11. 2021-02-04
    Health check-in — day 7, dose 2
    Feeling: Good · None
    Adult check-in
  12. 2021-02-11
    Health check-in — day 14, dose 2
    Feeling: Good
    Adult check-in
  13. 2021-02-18
    Health check-in — day 21, dose 2
    Feeling: Good
    Adult check-in
  14. 2021-02-25
    Health check-in — day 28, dose 2
    Feeling: Good
    Adult check-in
  15. 2021-03-04
    Health check-in — day 35, dose 2
    Feeling: Good
    Adult check-in
  16. 2021-03-11
    Health check-in — day 42, dose 2
    Feeling: Good
    Adult check-in
  17. 2021-04-29
    Health check-in — 3 months, dose 2
    Feeling: Good
    Adult check-in
  18. 2021-07-29
    Survey response — 6 months, dose 2
    MedDRA: Asthenia, Dyspnoea, Fatigue, Headache, Pyrexia, Rhinorrhoea — Feeling: Good · Be unable to work or attend school
    Free text: Runny nose, weakness, fever, Headache, fatigue, shortness of breath
    MedDRA releases: 2021-09,2024-11 · check-in free text available
  19. 2022-01-30
    Survey response — 12 months, dose 2
    MedDRA: Asthenia, Body temperature increased, Chills, Dyspnoea, Fatigue, Headache, Oxygen saturation decreased — Feeling: Good
    Free 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 water
    MedDRA releases: 2024-11 · check-in free text available

Vaccinations

DoseDateManufacturerCo-administered
12020-12-31Moderna
22021-01-28Moderna

Free text

Release 3 — day 0, dose 2

2021-01-28

Systemic reaction (other): Itching

Release 3 — days 1–6 daily, dose 2

2021-01-30

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

2021-07-29

Symptoms: Runny nose, weakness, fever, Headache, fatigue, shortness of breath

Release 11 — 12 months, dose 2

2022-01-30

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

FieldPreferred term2021-092023-042024-11
SDAsthenia ✓ · ✓
SDBody temperature increased · · ✓
SDChills · · ✓
SDDyspnoea ✓ · ✓
SDFatigue ✓ · ✓
SDHeadache ✓ · ✓
SDOxygen saturation decreased · · ✓
SDPyrexia ✓ · ✓
SDRhinorrhoea ✓ · ✓
SROChills ✓ ✓ ✓
SROPollakiuria ✓ ✓ ✓
SROPruritus ✓ ✓ ✓
SROTachycardia ✓ ✓ ✓

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