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29R-25380-90537

2 vaccinations 5 coded responses 19 check-ins 5 free-text entries 0 call cases
Sex
Male
Age at first dose
51-55
ZIP prefix
952 / CA
Registered
2021-03-25
Relationship
Self
Race
White
Ethnicity
Not Hispanic or Latino

Timeline

  1. 2021-03-25
    Registered in v-safe
  2. 2021-03-25
    Dose 1 — Moderna
  3. 2021-03-25
    Health check-in — day 0, dose 1
    Feeling: Good · None
    Adult check-in
  4. 2021-03-26
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · None
    Adult check-in
  5. 2021-03-27
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · Site: Swelling · None
    Adult check-in
  6. 2021-03-28
    Health check-in — days 1–6 daily, dose 1
    Feeling: Fair · Fatigue or tiredness
    Adult check-in
  7. 2021-03-29
    Survey response — days 1–6 daily, dose 1
    MedDRA: Blood glucose increased — Feeling: Good · Site: Swelling
    Free text: Type 2 diabetic - blood sugar has been 40 points higher than normal after shot. Monday, blood sugar stabilized.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  8. 2021-03-30
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · None
    Adult check-in
  9. 2021-03-31
    Health check-in — days 1–6 daily, dose 1
    Feeling: Fair · Muscle or body aches, Fatigue or tiredness
    Adult check-in
  10. 2021-04-01
    Health check-in — day 7, dose 1
    Feeling: Good · None
    Adult check-in
  11. 2021-04-08
    Health check-in — day 14, dose 1
    Feeling: Good
    Adult check-in
  12. 2021-04-15
    Health check-in — day 21, dose 1
    Feeling: Good
    Adult check-in
  13. 2021-04-22
    Dose 2 — Moderna
  14. 2021-04-29
    Health check-in — day 7, dose 2
    Feeling: Fair · Site: Pain, Redness · None
    Adult check-in
  15. 2021-05-06
    Survey response — day 14, dose 2
    MedDRA: Blood glucose increased, Fatigue, Type 2 diabetes mellitus — Feeling: Fair
    Free text: Feeling a little more tired and blood glucose level isnt dropping below 145 for 2 weeks now I am type 2. Blood sugar was stuck at 155+ without any major changes to my diet or daily routines prior to this week. My blood sugar normally is 125.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  16. 2021-05-13
    Survey response — day 21, dose 2
    MedDRA: Blood glucose abnormal, Fatigue — Feeling: Fair
    Free text: Still a little tired. Blood sugar stabilizing again.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  17. 2021-05-22
    Health check-in — day 28, dose 2
    Feeling: Fair
    Adult check-in
  18. 2021-05-29
    Health check-in — day 35, dose 2
    Feeling: Fair
    Adult check-in
  19. 2021-06-03
    Health check-in — day 42, dose 2
    Feeling: Good
    Adult check-in
  20. 2021-07-22
    Survey response — 3 months, dose 2
    MedDRA: Blood glucose increased — Feeling: Fair
    Free text: Blood sugar has been up by 30 points constantly. Without any changes to my current lifestyle.
    MedDRA releases: 2024-11 · check-in free text available
  21. 2021-10-21
    Survey response — 6 months, dose 2
    MedDRA: Blood glucose increased — Feeling: Fair
    Free text: Blood sugar elevated more after second vaccine shot
    MedDRA releases: 2024-11 · check-in free text available
  22. 2022-04-22
    Health check-in — 12 months, dose 2
    Feeling: Good
    Adult check-in

Vaccinations

DoseDateManufacturerCo-administered
12021-03-25Moderna
22021-04-22Moderna

Free text

Release 6 — days 1–6 daily, dose 1

2021-03-29

Systemic reaction (other): Type 2 diabetic - blood sugar has been 40 points higher than normal after shot. Monday, blood sugar stabilized.

Release 8 — day 14, dose 2

2021-05-06

Symptoms: Feeling a little more tired and blood glucose level isnt dropping below 145 for 2 weeks now I am type 2. Blood sugar was stuck at 155+ without any major changes to my diet or daily routines prior to this week. My blood sugar normally is 125.

Release 8 — day 21, dose 2

2021-05-13

Symptoms: Still a little tired. Blood sugar stabilizing again.

Release 9 — 3 months, dose 2

2021-07-22

Symptoms: Blood sugar has been up by 30 points constantly. Without any changes to my current lifestyle.

Release 10 — 6 months, dose 2

2021-10-21

Symptoms: Blood sugar elevated more after second vaccine shot

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
SDBlood glucose abnormal ✓ ✓ ✓
SDBlood glucose increased ✓ ✓ ✓
SDFatigue ✓ ✓ ✓
SDType 2 diabetes mellitus ✓ ✓ ✓
SROBlood glucose increased ✓ ✓ ✓

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