2BT-15664-84280
2 vaccinations
5 coded responses
16 check-ins
5 free-text entries
0 call cases
- Sex
- Male
- Age at first dose
- 66+
- ZIP prefix
- 074 / NJ
- Registered
- 2021-03-31
- Relationship
- Self
- Race
- Asian
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-03-29
Dose 1 — Moderna
-
2021-03-31
Registered in v-safe
- 2021-03-31
- 2021-04-05
- 2021-04-12
- 2021-04-21
-
2021-04-26
Dose 2 — Moderna
- 2021-04-26
-
2021-04-27
Survey response — days 1–6 daily, dose 2MedDRA: Condition aggravated, Paraesthesia, Pre-existing disease — Feeling: Poor · Site: Itching · Fever · Chills, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activitiesFree text: Reynauds Snydrome on both middle fingers more pronounced with some tingling.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-04-29
Survey response — days 1–6 daily, dose 2MedDRA: Raynaud's phenomenon — Feeling: Fair · Site: Itching · Fatigue or tirednessFree text: Mild Reynauds syndrome - noticed while doing some weedingMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-04-30
Survey response — days 1–6 daily, dose 2MedDRA: Eye pruritus — Feeling: Fair · Site: Itching · Muscle or body aches, Fatigue or tirednessFree text: Itchy eyes - maybe just due to allergies to pollen blowing around as it is very windy today !MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-05-01
- 2021-05-05
-
2021-05-12
Survey response — day 14, dose 2MedDRA: Rhinorrhoea, Sneezing — Feeling: FairFree text: Sneezing and runny nose, even though I am inside our home, so unlikely to be allergyMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-05-17
Survey response — day 21, dose 2MedDRA: Arthralgia, Asthenia, Fatigue, Mucosal discolouration, Oropharyngeal pain, Tenderness — Feeling: Poor · Be unable to work, Be unable to do your normal daily activitiesFree text: General fatigue and weakness for past 3 days! Sore throat and yellow sputum discharge. Moving very slow, with joint pains and tenderness in the butt area.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-05-26
- 2021-05-31
- 2021-06-07
- 2021-10-25
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-03-29 | Moderna | |
| 2 | 2021-04-26 | Moderna |
Free text
Release 8 — days 1–6 daily, dose 2
Systemic reaction (other): Reynauds Snydrome on both middle fingers more pronounced with some tingling.
Systemic reaction (other): Mild Reynauds syndrome - noticed while doing some weeding
Systemic reaction (other): Itchy eyes - maybe just due to allergies to pollen blowing around as it is very windy today !
Release 8 — day 14, dose 2
Symptoms: Sneezing and runny nose, even though I am inside our home, so unlikely to be allergy
Release 8 — day 21, dose 2
Symptoms: General fatigue and weakness for past 3 days! Sore throat and yellow sputum discharge. Moving very slow, with joint pains and tenderness in the butt area.
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 | Arthralgia | ✓ | ✓ | ✓ |
| SD | Asthenia | ✓ | ✓ | ✓ |
| SD | Fatigue | ✓ | ✓ | ✓ |
| SD | Mucosal discolouration | ✓ | ✓ | ✓ |
| SD | Oropharyngeal pain | ✓ | ✓ | ✓ |
| SD | Rhinorrhoea | ✓ | ✓ | ✓ |
| SD | Sneezing | ✓ | ✓ | ✓ |
| SD | Tenderness | ✓ | ✓ | ✓ |
| SRO | Condition aggravated | ✓ | ✓ | ✓ |
| SRO | Eye pruritus | ✓ | ✓ | ✓ |
| SRO | Paraesthesia | ✓ | ✓ | ✓ |
| SRO | Pre-existing disease | ✓ | ✓ | ✓ |
| SRO | Raynaud's phenomenon | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release