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
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2021-01-12
Registered in v-safe
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2021-01-12
Dose 1 — Moderna
- 2021-01-12
- 2021-01-13
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2021-01-14
Health check-in — days 1–6 daily, dose 1Feeling: Good · Site: Pain, Redness · DiarrheaAdult check-in
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2021-01-18
Survey response — days 1–6 daily, dose 1MedDRA: No adverse event — Feeling: Good · Site: Pain, Redness · Joint pains, Muscle or body aches, Abdominal painFree text: N/aMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-01-19
Health check-in — day 7, dose 1Feeling: Good · Site: Pain, Redness · Headache, Muscle or body achesAdult check-in
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2021-01-28
Survey response — day 14, dose 1MedDRA: Abdominal discomfort — Feeling: GoodFree text: Still some upset stomachMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-02-04
Survey response — day 21, dose 1MedDRA: Oropharyngeal pain — Feeling: FairFree text: Sore throat. But think its sinusMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-02-09
Dose 2 — Moderna
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2021-02-10
Survey response — days 1–6 daily, dose 2MedDRA: Abdominal pain upper — Feeling: Fair · Site: Redness, Swelling, Itching · Fever · Muscle or body aches, Diarrhea, Abdominal pain · Be unable to do your normal daily activitiesFree text: Pain sharp at top of my stomachMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-02-11
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Site: Redness, Itching · Fever · Diarrhea, Abdominal painAdult check-in
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2021-02-12
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Site: Redness, Swelling · Fever · Joint pains, Fatigue or tiredness, DiarrheaAdult check-in
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2021-02-13
Survey response — days 1–6 daily, dose 2MedDRA: No adverse event — Feeling: Fair · Site: Redness, Itching · Muscle or body aches, Fatigue or tirednessFree text: No think I am fine otherwiseMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-02-14
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Site: Redness, Itching · Muscle or body aches, Fatigue or tirednessAdult check-in
- 2021-02-16
- 2021-02-23
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2021-03-02
Survey response — day 21, dose 2MedDRA: Diarrhoea, Faeces discoloured, Influenza, Myalgia — Feeling: Fair · Be unable to do your normal daily activitiesFree 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 survivedMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-03-10
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2021-03-16
Survey response — day 35, dose 2MedDRA: Abdominal discomfort, Pain in extremity — Feeling: Fair · Be unable to do your normal daily activitiesFree text: Laggy arm now hurts. And I am having upset stomachMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-03-24
Survey response — day 42, dose 2MedDRA: Abdominal discomfort, Myalgia — Feeling: Fair · Be unable to do your normal daily activitiesFree 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
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2021-05-12
Survey response — 3 months, dose 2MedDRA: Oropharyngeal pain — Feeling: FairFree text: Sore throat and coughing but maybe hay fever or allergiesMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-01-12 | Moderna | |
| 2 | 2021-02-09 | Moderna |
Free text
Release 2 — days 1–6 daily, dose 1
Systemic reaction (other): N/a
Release 3 — day 14, dose 1
Symptoms: Still some upset stomach
Release 3 — day 21, dose 1
Symptoms: Sore throat. But think its sinus
Release 4 — days 1–6 daily, dose 2
Systemic reaction (other): Pain sharp at top of my stomach
Systemic reaction (other): No think I am fine otherwise
Release 4 — day 21, dose 2
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
Symptoms: Laggy arm now hurts. And I am having upset stomach
Release 6 — day 42, dose 2
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
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
| Field | Preferred term | 2021-09 | 2023-04 | 2024-11 |
|---|---|---|---|---|
| SD | Abdominal discomfort | ✓ | ✓ | ✓ |
| SD | Diarrhoea | ✓ | ✓ | ✓ |
| SD | Faeces discoloured | ✓ | ✓ | ✓ |
| SD | Influenza | ✓ | ✓ | ✓ |
| SD | Myalgia | ✓ | ✓ | ✓ |
| SD | Oropharyngeal pain | ✓ | ✓ | ✓ |
| SD | Pain in extremity | ✓ | ✓ | ✓ |
| SRO | Abdominal pain upper | ✓ | ✓ | ✓ |
| SRO | No adverse event | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release