29D-51608-55356
2 vaccinations
3 coded responses
22 check-ins
3 free-text entries
1 call case
- Sex
- Male
- Age at first dose
- 36-40
- ZIP prefix
- 785 / TX
- Registered
- 2021-01-12
- Relationship
- Self
- Race
- White
- Ethnicity
- Hispanic or Latino
Timeline
-
2021-01-12
Registered in v-safe
-
2021-01-12
Dose 1 — Moderna
-
2021-01-13
Health check-in — days 1–6 daily, dose 1Feeling: Fair · Site: Pain · Fever · Headache, Muscle or body aches, DiarrheaAdult check-in
-
2021-01-14
Health check-in — days 1–6 daily, dose 1Feeling: Fair · Site: Pain, Redness · Fever · Muscle or body aches, Fatigue or tirednessAdult check-in
- 2021-01-16
- 2021-01-17
- 2021-01-18
- 2021-01-19
-
2021-01-26
Survey response — day 14, dose 1MedDRA: Diarrhoea — Feeling: GoodFree text: Diarrhea for the last 2 daysMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-02-02
-
2021-02-09
Dose 2 — Moderna
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2021-02-09
Health check-in — day 0, dose 2Feeling: Fair · Site: Pain · Joint pains, Muscle or body aches, Fatigue or tirednessAdult check-in
-
2021-02-10
Health check-in — days 1–6 daily, dose 2Feeling: Poor · Site: Pain · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activitiesAdult check-in
-
2021-02-12
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Site: Pain · Fatigue or tirednessAdult check-in
- 2021-02-13
- 2021-02-15
- 2021-02-18
- 2021-02-23
- 2021-03-02
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2021-03-09
Survey response — day 28, dose 2MedDRA: Rash, Rash erythematous — Feeling: FairFree text: I keep forgetting to mention that I got a red rash spot in my left pectoral after my first shot that has not gone away. It's oblong, 50-cent piece size, and does not itch, ooze, or burn. Just a strange spot. Doctor will check it out tomorrow.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-03-16
Survey response — day 35, dose 2MedDRA: Injection site joint pain — Feeling: Fair · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visitFree text: Pain in the shoulder of the injection site. It feels more like joint pain rather than muscular pain. Almost like I hyper-extended it or tore some cartilage. It's been going on for a month, basically since I got the second shot of vaccine.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-03-16
Report sent to call center — day 35, dose 2Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional1 call case(s)
- 2021-03-23
- 2021-05-11
- 2021-08-10
- 2022-02-10
-
2022-03-03
Call successfulNot applicable (accidental reporting or does not believe symptoms are related to vaccine)
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-01-12 | Moderna | |
| 2 | 2021-02-09 | Moderna |
Call center
1 call center case
1 successful
Free text
Release 2 — day 14, dose 1
Symptoms: Diarrhea for the last 2 days
Release 5 — day 28, dose 2
Symptoms: I keep forgetting to mention that I got a red rash spot in my left pectoral after my first shot that has not gone away. It's oblong, 50-cent piece size, and does not itch, ooze, or burn. Just a strange spot. Doctor will check it out tomorrow.
Release 5 — day 35, dose 2
Symptoms: Pain in the shoulder of the injection site. It feels more like joint pain rather than muscular pain. Almost like I hyper-extended it or tore some cartilage. It's been going on for a month, basically since I got the second shot of 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
| Field | Preferred term | 2021-09 | 2023-04 | 2024-11 |
|---|---|---|---|---|
| SD | Diarrhoea | ✓ | ✓ | ✓ |
| SD | Injection site joint pain | ✓ | ✓ | ✓ |
| SD | Rash | ✓ | ✓ | ✓ |
| SD | Rash erythematous | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release