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28Z-23159-92542

2 vaccinations 3 coded responses 12 check-ins 3 free-text entries 0 call cases
Sex
Male
Age at first dose
61-65
ZIP prefix
707 / LA
Registered
2021-02-19
Relationship
Self
Race
Black or African American
Ethnicity
Not Hispanic or Latino

Timeline

  1. 2021-02-19
    Registered in v-safe
  2. 2021-02-19
    Dose 1 — Moderna
  3. 2021-02-22
    Survey response — days 1–6 daily, dose 1
    MedDRA: Fatigue, Hypersomnia, Increased appetite, Somnolence — Feeling: Good
    Free text: So far, I sleep better at night than normal. I feel a little tired and sleepy when I first awaken, which may be kind of close to normal. In the past few days, I seem to sleep later than normal. I also seem to be hungry more than normal. I don't know if any of these are symptoms, but just wanted you to know. If they are symptoms, then they are very mild.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  4. 2021-02-23
    Survey response — days 1–6 daily, dose 1
    MedDRA: Back pain — Feeling: Good
    Free text: Back pain for a little while
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  5. 2021-03-12
    Health check-in — day 21, dose 1
    Feeling: Good
    Adult check-in
  6. 2021-03-19
    Dose 2 — Moderna
  7. 2021-03-20
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · None
    Adult check-in
  8. 2021-03-21
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · None
    Adult check-in
  9. 2021-03-23
    Survey response — days 1–6 daily, dose 2
    MedDRA: Arthralgia, Pre-existing disease — Feeling: Good · Joint pains
    Free text: Pain in a knee that has an old injury. Might have nothing to do with the vaccine
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  10. 2021-03-25
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · Joint pains
    Adult check-in
  11. 2021-04-02
    Health check-in — day 14, dose 2
    Feeling: Good
    Adult check-in
  12. 2021-04-10
    Health check-in — day 21, dose 2
    Feeling: Good
    Adult check-in
  13. 2021-04-16
    Health check-in — day 28, dose 2
    Feeling: Good
    Adult check-in
  14. 2021-04-26
    Health check-in — day 35, dose 2
    Feeling: Good
    Adult check-in
  15. 2021-09-17
    Health check-in — 6 months, dose 2
    Feeling: Good
    Adult check-in

Vaccinations

DoseDateManufacturerCo-administered
12021-02-19Moderna
22021-03-19Moderna

Free text

Release 4 — days 1–6 daily, dose 1

2021-02-22

Systemic reaction (other): So far, I sleep better at night than normal. I feel a little tired and sleepy when I first awaken, which may be kind of close to normal. In the past few days, I seem to sleep later than normal. I also seem to be hungry more than normal. I don't know if any of these are symptoms, but just wanted you to know. If they are symptoms, then they are very mild.

2021-02-23

Systemic reaction (other): Back pain for a little while

Release 6 — days 1–6 daily, dose 2

2021-03-23

Systemic reaction (other): Pain in a knee that has an old injury. Might have nothing to do with the vaccine

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
SROArthralgia ✓ ✓ ✓
SROBack pain ✓ ✓ ✓
SROFatigue ✓ ✓ ✓
SROHypersomnia ✓ ✓ ✓
SROIncreased appetite ✓ ✓ ✓
SROPre-existing disease ✓ ✓ ✓
SROSomnolence ✓ ✓ ✓

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