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29C-25152-55591

2 vaccinations 9 coded responses 19 check-ins 9 free-text entries 0 call cases
Sex
Male
Age at first dose
66+
ZIP prefix
301 / GA
Registered
2021-01-12
Relationship
Self
Race
White
Ethnicity
Not Hispanic or Latino

Timeline

  1. 2021-01-12
    Registered in v-safe
  2. 2021-01-12
    Dose 1 — Moderna
  3. 2021-01-12
    Health check-in — day 0, dose 1
    Feeling: Good · None
    Adult check-in
  4. 2021-01-13
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · None
    Adult check-in
  5. 2021-01-14
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · Site: Pain, Redness · Diarrhea
    Adult check-in
  6. 2021-01-18
    Survey response — days 1–6 daily, dose 1
    MedDRA: No adverse event — Feeling: Good · Site: Pain, Redness · Joint pains, Muscle or body aches, Abdominal pain
    Free text: N/a
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  7. 2021-01-19
    Health check-in — day 7, dose 1
    Feeling: Good · Site: Pain, Redness · Headache, Muscle or body aches
    Adult check-in
  8. 2021-01-28
    Survey response — day 14, dose 1
    MedDRA: Abdominal discomfort — Feeling: Good
    Free text: Still some upset stomach
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  9. 2021-02-04
    Survey response — day 21, dose 1
    MedDRA: Oropharyngeal pain — Feeling: Fair
    Free text: Sore throat. But think its sinus
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  10. 2021-02-09
    Dose 2 — Moderna
  11. 2021-02-10
    Survey response — days 1–6 daily, dose 2
    MedDRA: Abdominal pain upper — Feeling: Fair · Site: Redness, Swelling, Itching · Fever · Muscle or body aches, Diarrhea, Abdominal pain · Be unable to do your normal daily activities
    Free text: Pain sharp at top of my stomach
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  12. 2021-02-11
    Health check-in — days 1–6 daily, dose 2
    Feeling: Fair · Site: Redness, Itching · Fever · Diarrhea, Abdominal pain
    Adult check-in
  13. 2021-02-12
    Health check-in — days 1–6 daily, dose 2
    Feeling: Fair · Site: Redness, Swelling · Fever · Joint pains, Fatigue or tiredness, Diarrhea
    Adult check-in
  14. 2021-02-13
    Survey response — days 1–6 daily, dose 2
    MedDRA: No adverse event — Feeling: Fair · Site: Redness, Itching · Muscle or body aches, Fatigue or tiredness
    Free text: No think I am fine otherwise
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  15. 2021-02-14
    Health check-in — days 1–6 daily, dose 2
    Feeling: Fair · Site: Redness, Itching · Muscle or body aches, Fatigue or tiredness
    Adult check-in
  16. 2021-02-16
    Health check-in — day 7, dose 2
    Feeling: Fair · Site: Itching · Fatigue or tiredness
    Adult check-in
  17. 2021-02-23
    Health check-in — day 14, dose 2
    Feeling: Good
    Adult check-in
  18. 2021-03-02
    Survey response — day 21, dose 2
    MedDRA: Diarrhoea, Faeces discoloured, Influenza, Myalgia — Feeling: Fair · Be unable to do your normal daily activities
    Free text: For two days had muscle pain and stool was loose and black. Not sure why and it was tough for two days and now is ok. Most like seveer flu symptoms but we survived
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  19. 2021-03-10
    Health check-in — day 28, dose 2
    Feeling: Good
    Adult check-in
  20. 2021-03-16
    Survey response — day 35, dose 2
    MedDRA: Abdominal discomfort, Pain in extremity — Feeling: Fair · Be unable to do your normal daily activities
    Free text: Laggy arm now hurts. And I am having upset stomach
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  21. 2021-03-24
    Survey response — day 42, dose 2
    MedDRA: Abdominal discomfort, Myalgia — Feeling: Fair · Be unable to do your normal daily activities
    Free text: Muscle aches in arms. Slight upset stomach not sure why any of these things are happening. I have yet to be able to find location to be tested for covic. Looks like payments to test are not there only if you are getting shots????
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  22. 2021-05-12
    Survey response — 3 months, dose 2
    MedDRA: Oropharyngeal pain — Feeling: Fair
    Free text: Sore throat and coughing but maybe hay fever or allergies
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available

Vaccinations

DoseDateManufacturerCo-administered
12021-01-12Moderna
22021-02-09Moderna

Free text

Release 2 — days 1–6 daily, dose 1

2021-01-18

Systemic reaction (other): N/a

Release 3 — day 14, dose 1

2021-01-28

Symptoms: Still some upset stomach

Release 3 — day 21, dose 1

2021-02-04

Symptoms: Sore throat. But think its sinus

Release 4 — days 1–6 daily, dose 2

2021-02-10

Systemic reaction (other): Pain sharp at top of my stomach

2021-02-13

Systemic reaction (other): No think I am fine otherwise

Release 4 — day 21, dose 2

2021-03-02

Symptoms: For two days had muscle pain and stool was loose and black. Not sure why and it was tough for two days and now is ok. Most like seveer flu symptoms but we survived

Release 5 — day 35, dose 2

2021-03-16

Symptoms: Laggy arm now hurts. And I am having upset stomach

Release 6 — day 42, dose 2

2021-03-24

Symptoms: Muscle aches in arms. Slight upset stomach not sure why any of these things are happening. I have yet to be able to find location to be tested for covic. Looks like payments to test are not there only if you are getting shots????

Release 8 — 3 months, dose 2

2021-05-12

Symptoms: Sore throat and coughing but maybe hay fever or allergies

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
SDAbdominal discomfort ✓ ✓ ✓
SDDiarrhoea ✓ ✓ ✓
SDFaeces discoloured ✓ ✓ ✓
SDInfluenza ✓ ✓ ✓
SDMyalgia ✓ ✓ ✓
SDOropharyngeal pain ✓ ✓ ✓
SDPain in extremity ✓ ✓ ✓
SROAbdominal pain upper ✓ ✓ ✓
SRONo adverse event ✓ ✓ ✓

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